People are faced with many dangers in the workplace like chemical factors on the work environment, biological agents, physical factors, unfavourable ergonomic conditions, allergens, psychosocial factors that lead to the development of professional and manufacturing diseases. It is proved that the majority of jobs on the metallurgical manufacturing do not corresponds sanitary and hygienic requirements, therefore there is a high risk of harm to the health of the employees. Today it is undoubtedly relevant to study issues related to the estimation and management control of manufacturing risks in the workplaces of metallurgical enterprises. The aim of the research: to assess the professional risks for employees of the metallurgical manufacturing. Object and methods: for the assessment of the professional risks for employees of the metallurgical manufacturing calculated the following indicators: sickness rate of workers per 1000 people (R), relative risk (RR), attributive risk (ARе) in absolute values and in percent (ARe, %). These indicators were calculated for the employees of the blast furnace, where the working conditions correspond to the 3rd grade 4 degree of harm. For the control group were used the employees of the Department of Plant Management, who did not work in harm working conditions according to professional routes. Results and discussion: while we assess the risk of health disturbance of the blast furnace workers, it was found out that the highest level of risks were recorded among ear and nasal diseases (RR = 11,81 at CI 95% 4,15-33,58), skin and subcutaneous tissue disorders (RR = 6,9 at CI 95% 4,47-10,68), eye and adrenal disease (RR = 5,01 at CI 95% 2,68-9,37), infectious and parasitic diseases (RR = 3,66 at CI 95% 1,59-8,43), genitourinary diseases (RR = 3,26 at CI 95% 2,37-4,48) and bone and muscular system (RR = 2,29 at CI 95% 2,18-3,57), diseases of the digestive system (RR = 2,11 with CI 95% 1,62-2,77) and respiratory organs (RR = 2,1 at 95% CI) 1,35-3,26). The high risk of developing diseases in certain nosological forms in the blast furnace indicates a high degree of its professional conditionality and relates them to professional and manufacturing diseases. A part of the diseases caused by the influence of harmful working conditions, according to the relevant nosological forms of diseases at the workers of the blast furnace (ARe, %) exceeded such indicators among the population of the whole population (PAR, %), which confirms the influence of harmful working conditions on the health of workers. Conclusion 1. The estimation of professional risks on the basis of the data of diseases with a temporary disability shows us that the high degree of the professional conditions is due to the nosological diseases. A part of illness among employees working in harmful work conditions is much higher in comparison with the control group, which confirms the influence of production factors on the health of workers working in harmful working conditions. 2. The basis of the new paradigm of health care should be the safekeeping of human health, not health recovery. Achieving this goal means to identify and minimize manufacturing disease risks.