The document discusses occupational safety and health management systems (OSH-MS) and the ILO guidelines for their implementation. It outlines the main elements of an OSH-MS, including developing an OSH policy, organizing workers, planning and implementing safety measures, evaluating performance, and taking action for continual improvement through a one-year cycle. It provides examples of how small enterprises can conduct risk assessments, make low-cost improvements to safety, and train workers to develop and improve their OSH-MS over time with the goal of organizing all workers to participate in safety and protecting their health.