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- Integrated management systems as a key facilitator of occupational health and safety risk management: a case study in a medium sized waste management firmPublication . Ramos, Delfina; Afonso, Paulo; Rodrigues, MatildeThe positive impact of introducing Occupational Health & Safety (OH&S) standards at the organization level is recognized by governments, employers and workers. Nevertheless, the knowledge on its effective use in Small and Medium-Sized Enterprises is still limited. This case study aims to provide a better understanding of how the implementation of Integrated Management Systems (IMSs) influences the improvement of OH&S risk management process in medium-sized business.