Maintenance is not only necessary to ensure reliability of technical structures or productivity of the company, but regular maintenance has an important role in providing safer and healthier working conditions. While maintenance is absolutely essential to keep equipment, machines and the work environment safe and reliable and prevent harm, the maintenance work itself is a high-risk activity. This report provides information on successful initiatives in the workplace illustrating how safety and health risks associated with maintenance can be managed. Many companies, insurers and authorities have successfully developed solutions to improve safety and health during maintenance. The new approaches presented in this report demonstrate clearly that good occupational safety and health (OSH) management practices are at the heart of reliable and safe maintenance.