The Finnish Institute of Occupational Health (FIOH), a sectoral institute of the Ministry of Social Affairs and Health (MSAH), is highly regarded nationally and internationally as a leading institution in the area of occupational health. This report provides the assessment of an International Evaluation Group (IEG) of scientists who were requested by the Ministry of Social Affairs and Health in Finland to evaluate policy relevance and innovation chain efficiency of FIOH. The 2009 International Evaluation Group ascertains that the FIOH has been radically transformed to better cover the needs of occupational health in Finland in the future. Most of the recommendations of the 2004 evaluation have successfully been put into effect. The process of transformation is not complete in 2009 and, therefore, some of the effects of changes are not yet visible. The present evaluation should be followed up within a minimum of at least five years but possibly even earlier.