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Purpose: This study aimed to investigate differences in perceptions of occupational health management and communication between health managers of partner companies and those of main contractors. Methods: Questionnaires were distributed to main contractor health managers and partner company representatives, and the collected data were compared and analyzed using a t-test and a chi-squared test. Results: Partner company representatives generally reported lower perceptions than health managers across most occupational health management items. The largest perception gaps were found in pre-placement health checks, workplace environment measurements and corrective actions, and the establishment of an occupational health management system. For business coordination, face-to-face meetings were most preferred, followed by official letters. Both groups agreed that face-to-face communication was the most effective method for providing health information, with no significant differences. However, for communication with workers, health managers preferred direct meetings, online channels, or individual phone calls, while partner company representatives favored individual phone calls or online group chats. Conclusion: Partner companies have characteristics that differ from typical small-scale workplaces, requiring occupational health management and communication methods tailored to these unique features. There is also a need to develop guidelines and policies that partner company representatives can easily understand and implement effectively.