Purpose: The purpose of this study was to investigate individual and organizational level of cardiovascular disease (CVD) risk factorsassociated with CVD risk in Korean blue-collar workers working in small sized companies. Methods: Self-report questionnaires andblood sampling for lipid and glucose were collected from 492 workers in 31 small sized companies in Korea. Multilevel modeling wasconducted to estimate effects of related factors at the individual and organizational level. Results: Multilevel regression analysisshowed that workers in the workplace having a cafeteria had 1.81 times higher CVD risk after adjusting for factors at the individuallevel (p =.022). The explanatory power of variables related to organizational level variances in CVD risk was 17.1%. Conclusion: Theresults of this study indicate that differences in the CVD risk were related to organizational factors. It is necessary to consider notonly individual factors but also organizational factors when planning a CVD risk reduction program. The factors caused by havingcafeteria in the workplace can be reduced by improvement in the CVD-related risk environment, therefore an organizational-levelintervention approach should be available to reduce CVD risk of workers in small sized companies in Korea.