The government policy on the occupational safety and health is the fundamental factor for the effectiveness and efficiency of the accident prevention efforts. However this point of view is comparatively neglected and most of policy in occupational safety and health has not been successful enough in Korea. Thus, this study aims to reduce the accidents at work in Korea through the improvement of the decision-making process on the occupational safety and health policy in Korea. The recommendations are derived from the comparison between the policy decision-making organization and process of Korea and those of other major countries. Capitulated recommendations are; more involvement of professional individuals in the process of policy decision-making; intensive utilization of research institutes; and more openness of the process of policy decision-making to the stakeholders ie, the representatives of employees and employers.