The 5th International Conference on Occupational and Environmental Health (ICOEH 2026) was held in Thimphu, Bhutan from 27–29 April 2026, marking the country’s first occupational safety and health conference of its kind. More than 200 national and international participants from government, trade unions, employers, academia and OSH professions attended. Discussions focused on emerging OSH challenges, safety culture, victim rights, decent work, occupational diseases and vulnerable workers. Bhutan also unveiled a 10-year OHS roadmap, highlighting the country’s development of occupational safety and health systems through national initiatives and commitment. The conference concluded with commitments to strengthen occupational and environmental health systems nationally and internationally.