State Occupational Safety and Health Surveillance Program (U60)
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NIOSH has sustained a long-standing commitment since the 1970s to bolstering state-level occupational safety and health surveillance through financial and technical support, with a current focus from 2021 to 2026 under a cooperative agreement program that funded 23 states. These state-based programs, led by 19 health departments, two departments of labor, and five university-health department partnerships, are designed to enhance public health infrastructure by collecting and analyzing occupational health data from diverse sources including electronic medical records, hospital discharge systems, death certificates, cancer registries, and statewide surveys. The initiative aims to identify emerging workplace health risks and support targeted, non-regulatory interventions that complement federal and state enforcement efforts, addressing gaps where regulatory oversight is limited or inconsistent. By integrating occupational health data into broader public health frameworks, these programs help assess how work influences population health outcomes and enable tailored education, outreach, and impact evaluation strategies that extend beyond traditional regulatory boundaries. The program is formally known as the State Occupational Safety and Health Surveillance Program (U60), and while the solicitation was posted for forecasting purposes on July 31, 2026, the ongoing implementation is coordinated through the Centers for Disease Control and Prevention under the Department of Health and Human Services, with point of contact Eduardo O’Neill available for further inquiries.
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NIOSH has provided financial and technical assistance to develop or expand state-level OSH surveillance capacity and infrastructure since the 1970s. From 2021-2026, NIOSH funded cooperative agreements in 23 states under announcement PAR-20-312. These programs varied in scope and focus, each providing a level of occupational health expertise to the public health system in their state. Grantees included 19 state health departments, 2 state Departments of Labor, and 5 formal partnerships between state health departments and universities (bona fide agents). More information about these OSH surveillance programs is available on the NIOSH Extramural Program website.
With this funding announcement, NIOSH maintains its priority to develop OSH surveillance capacity within state and jurisdictional public health systems, utilizing public and other data sources such as electronic medical and laboratory reporting, hospital discharge databases, death records, cancer registries, and public health surveys. OSH surveillance, when coupled with other public health surveillance efforts, also provides the opportunity to assess the role of work in the overall health status of the U.S. population.
State public health agencies and their partners can link OSH surveillance findings with voluntary interventions, education, and outreach activities. While federal and state regulatory programs establish and enforce health and safety standards, they do not include all workplaces and may have limited jurisdictional authority. Through the application of public health approaches, state OSH surveillance programs can identify new problems, develop tailored interventions, encourage participation, and evaluate impacts with a broader scope and in ways that regulatory counterparts cannot. By working in partnership with NIOSH, these programs help fill critical gaps to protect the health and safety of all working people.
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