This study deals with the complex phenomenon of occupational health. There is knowledge of how a good work environment should look like, but despite this, many employees experiences ill health in the workplace mainly in the form of neck and back pain. This study is a case study conducted in a high-risk workplace. The overall purpose was to describe and analyze the health situation of a specific company with neck and back problems. Mainly, eight interviews had been used as the data collection method, but additional observations had also been implemented. The sources used in this study are mainly reports of health, work environment, health promotion activities and neck and back pain. The results of this study showed that there are shortcomings in the work environment and they often experiences high levels of stress, but despite this, the employees thrived at work. The employees had a relatively good health despite the fact that all the interviewees indicated that they had some form of neck and back pain. The results also showed that the most important conditions to promote health were motivation, time, and healthcare in the workplace.