Prevention in modern day German OHS is not only an additional task. Th
e change from check-up medicine to a holistic design for industrial he
alth and safety has consequences for various levels of everyday routin
e. Two studies are introduced to describe aspects of the culture of he
alth and safety at work. The study of the Landesinstitut Sozialforschu
ngsstelle analyses the cooperation between Company doctors and Safety-
at-Work Inspectors; and the GfAH case study shows some of the practica
l difficulties that arise when an attempt is made to implement prevent
ion-oriented occupational medicine in any one company.