Background: With a surface area of over 3.3 million km2, India is a huge country. India had 1.025 billion people living there as of the 2001 Census. In recent years, globalization and fast industrial growth (about 7% annual economic growth) have made occupational health-related problems even more difficult. The present study was conducted to assess distribution of deaths in various occupational settings. Materials & Methods: 86 cases of deaths at work place subjected for medico legal autopsy were included. Parameters such as socio-economic status, occupation, period of survival, precipitating factors and nature of employment etc. was noted. Results: Out of 86 cases, 51 were males and 35 were females. Socio-economic status was upper in 12, middle in 28 and lower in 46. Occupation was factory worker in 17, construction worker in 39, security worker in 6, sanitary worker in 2, police in 4, manager in 10, and painterin 8 cases. Period of survival was deaths at work site in 32, deaths enroute to the hospital in 30, <1 day in 15, 1-7 days in 3, >7 days in 2 cases. Precipitating factors was alcohol in 10, medicationin 26, and unascertained factorsin 50 cases. Nature of employment was permanent workers in 40, and temporary workers in 48. The difference was significant (P< 0.05). Conclusion: Construction workers are the ones who die at work the most often. The majority of the instances were people from lower socioeconomic backgrounds.