Indoor air pollution has been ranked among the top five environmental risks to public health. Indoor Air Quality (IAQ) is proven to have significant impacts on people’s comfort, health, and performance. Through a systematic literature review in the area of IAQ, two gaps have been identified by this study: short-term monitoring bias and IAQ data-monitoring solution challenges. The study addresses those gaps by proposing an Internet of Things (IoT) and Distributed Ledger Technologies (DLT)-based IAQ data-monitoring system. The developed data-monitoring solution allows for the possibility of low-cost, long-term, real-time, and summarized IAQ information benefiting all stakeholders contributing to define a rich context for Industry 4.0. The solution helps the penetration of Industrial Internet of Things (IIoT)-based monitoring strategies in the specific case of Occupational Safety Health (OSH). The study discussed the corresponding benefits OSH regulation, IAQ managerial, and transparency perspectives based on two case studies conducted in Spain.