Brazil adopts institutional responsibility model for occupational health programs

Brazil is moving toward a model that assigns technical responsibility for occupational health programs to companies rather than individual doctors. The change aligns with the 2025 update to Norma Regulamentadora 1 (NR‑1), which expands corporate duties to include integrated health and safety management and psychosocial risk factors.

Experts say institutional responsibility gives programs greater stability, as the organization remains active despite staff turnover. It also reduces administrative burdens and strengthens corporate governance. The current system requires organizations to update professional council records each time a medical director is replaced.

The Associação de Gestão em Saúde e Segurança Ocupacional (AGSSO) backs the proposal. Its elected president, César Augusto Ciongoli, will assume office on 28 July 2026 and argues the shift reflects operational realities. An AGSSO executive noted, "Companies have a permanent structure to ensure continuity of occupational health programs, while professionals can be replaced over time. Institutional responsibility strengthens governance, reduces administrative hurdles, and preserves technical work of doctors and specialists."

A recent Pulso RH 2025 survey, conducted by Alice with the Beneficência Portuguesa de São Paulo, indicates strong employer support for the initiative.