Background: Stress at workplace arises when the requirements for workers don’t meet their personal or social capabilities, or differ from the individual’s needs and motivation. Occupational stress is observed in a number of both elementary and high-tech occupational fields. In ferrous metallurgy it could be associated with 24/7 operating mode, high work intensity and a variety of unfavorable characteristics of working environment. The aim of the study is to clarify the nature of factors - stressors in ferrous metallurgy and to define ways for reduction of their negative health impact. Materials and Methods: Study subject are 91 workers in an electric steel-making department of a ferrous metallurgy enterprise in Bulgaria. Data, concerning working conditions, work characteristics, workers satisfaction, presence/absence of stress and chronic diseases, were collected by direct individual self-administered questionnaire and documents review. Results: Two of three study subjects reported stress related to their work. Noise, varies from 89.2 to 92.2 dB/A (at rate 85 dB/A) in different sections of the workshop, is the biggest stressor according to 77.5% of the investigated people, followed by short deadlines for task performance (46.5%) and ineffective leadership (32.4%). In addition, negative effects of stress is increasing by high dust levels, reaching up to 7 mg/m3 air at a standard of 6 mg/m3 air, and contain manganese, coke, chamotte, free and bound silica, rare metals, increased concentration of CO and more.Nevertheless workers consider that the organization provides measures for stress reduction by strict control on the limit values of noise, dust, temperature and chemicals (49.2%),provision of personal protective equipment establishment (69%) of a rational mode of work and rest (56.3%) and healthy eating (47.9%). Conclusions: Despite a plenty of environmental and organizational stressors, their negative effects could be decreased by appropriate preventive measures. Key messages: ) Factors-stressor in ferrous metallurgy could be associated with a variety of unfavorable characteristics of working environment,non-stop operating mode, high work intensity and poor time management. ) Noise is the biggest stressor followed by short deadlines for task performance and ineffective leadership. Stressors are modifiable and preventable by strict hygienic control and improved management. [ABSTRACT FROM AUTHOR]