among health care workers in Kenyan public referral hospitals, especially to establish the place of health care worker training, personal protective equipment, occupational safety and health standards in influencing adoption of occupational safety and health practices.Methodology: The cross-sectional survey research study was based on data from 80 medical staff collected using a structured questionnaire from Baringo county referral hospital in Kenya. Data was diagnostically screened to determine Measure of Sampling Adequacy through Kaiser-Meyer-Olkin (KMO) and Bartlett’s test of sphericity for detection of adequacy of correlations between the variables. Factor analysis was used as a dimensions reduction technique to identify predictors and principal components that accounted most for adoption of occupations safety and health practices among health care workers while Wald Chi-square test of model fit was used to determine if predictors in the principal components significantly influenced adoption of occupational safety and health practices while regression analysis was used to determine the relationship between principal components established through factor analysis.Findings: The study concluded that from the total of 20 factors under study, seven factors accounted most in determining adoption of occupational safety and health practices among health care workers in Kenyan public referral hospitals; they are staffed capacity building through training, implementation of safety and health guidelines, wearing of safety gear, provision of standard operating procedures on PPEs, training needs analysis, provision of information to staff on guidelines and sensitization on risks.Unique contributions to practice and policy: The study recommends that, County Executive Committee member for health through the Medical Superintendent should make necessary budgetary allocations towards staff training, organize and implement specialized training in occupational safety and health for their staff as a matter of priority. The medical superintendent should put in place a robust mechanism that ensures consistent implementation of safety and health guidelines in their facilities. He should further cause an audit of PPEs and ensure deficits on PPEs are included in the next and subsequent financial year procurement plan. The Human Resource Officers should on continuous basis utilizing continuous education approach, organise staff sensitization particularly to sensitize staff on wearing of safety gear, standard operating procedures on PPEs and preview of applicable guidelines and sensitization on risks.