It is widely accepted that a safe and healthy workplace is key to ensure employee engagement. As manufacturing organizations are more prone to industrial accidents, the study focuses on the different employee health and safety initiatives taken by several garment factories of Dhaka, Bangladesh. The study uses both primary and secondary data. A complete questionnaire was set for personal interview. OHS manual, audit reports, websites, journals, Labor Act 2006, text books, gov’t publications etc. are among secondary source used. Finding of the study does not portray something very good. Existence of short and poor quality policy, unfurnished medical room, same happens with the first aid boxes, problems with temperature, ventilation, noise and lighting etc. are most common complications. Although the government has taken several actions along with international bodies, effectiveness of those activities is questioned. A unique guideline for safety improvement, training arrangement for employees, close monitoring of safety and health issues can prove very effective. There is urgent need for consorted action in the sector that envisions a decent work environment.