As a place of work, hospitals have high dangers and risks, especially related to occupational safety and health. Therefore, in order to protect human resources, assets, and hospital facilities, a comprehensive system is needed in managing OSH implementation in hospitals. To ensure the OSH system is implemented properly, special assessment instrumens are needed to be able to describe the extent to which the OSH system has been implemented in hospitals. In order to develop an appropriate assessment instrumen for hospital patients, this study conducts an analysis related to hospital SMK3 assessment elements, through a review of existing research results. Based on searches conducted on the Science Direct, Jstor, SpringerLink, ProQuest, Sage Publication, Oxford Journal, Google Scholar, and Garuda Dikti databases, 486,132 journals were obtained. Through the evaluation of inclusion and exclusion tests, 18 literatures were selected. From the 18 literatures, it was found that important elements needed in assessing hospital SMK3 implementation are: OSH implementation, building and maintaining commitments, OHS risk management, and developing the skills and abilities of hospital staff.