In Brazil, a country with high rates of occupational accidents and disease, occupational risk is monetized through various forms of hazard pay received by workers. In theory, such premiums should only be paid exceptionally, whenever risk reduction is technically impossible. In reality, such premiums are an important source of income for many low-paid workers, while technical occupational safety and health (OSH) professionals are sidelined. In this context, this chapter explores the limits of consent in the negotiation of hazard pay drawing on a case study of a collective bargaining agreement in the waste collection sector to identify how trade unions and employers have been handling the issue of risk monetization, as well as which rights are involved in these bargaining and practices. We then examine the roles of senior management and unions given the vulnerable position of OSH technicians. We conclude that these professionals may develop ethically oriented OSH standards by (1) setting limits on the negotiability of risk monetization, (2) attempting to improve corporate policies beyond legal and regulatory guidelines, and (3) empowering OSH staff as part of the community of workers that enables the parties to take better informed decisions on risk monetization.