<![CDATA[Occupational safety and health (K3) is an important effort to protect employees from the risk of work accidents and occupational diseases, thereby supporting the achievement of optimal performance. However, cases of work accidents are still found every quarter at Rumah Sakit Islam Ibnu Sina Payakumbuh, such as needle-stick injuries, electric shocks, and direct contact exposure to patients with infectious diseases, which may affect employee performance. This study aimed to determine the relationship between occupational safety and health and employee performance at Rumah Sakit Islam Ibnu Sina Payakumbuh in 2026. This research used a quantitative method with a cross-sectional design. The population consisted of all employees of Rumah Sakit Islam Ibnu Sina Payakumbuh, totaling 224 people, with a sample of 144 respondents determined using the Slovin formula and proportionate stratified random sampling technique. Data were collected through questionnaires that had been tested for validity and reliability. Data analysis was carried out using univariate and bivariate analysis with the Chi-Square test at a significance level of 5%. The results showed that most respondents rated occupational safety and health as good, namely 74 respondents (51.4%), and employee performance as good, namely 75 respondents (52.1%). The Chi-Square test results obtained a p-value = 0.001 (<0.05), indicating a significant relationship between occupational safety and health and employee performance at Rumah Sakit Islam Ibnu Sina Payakumbuh in 2026. It can be concluded that the better the K3 implementation perceived by employees, the better their performance. Hospitals are expected to improve K3 implementation, particularly regarding human factors and tools and machinery factors, to support sustainable improvement in employee performance.]]>
