Workers in high-risk occupations or who work in hazardous environments face significant risk of injury, which may lead to opioid or other substance use, overdose, or death. Workers involved in emergency response, law enforcement, health care, and environmental services also face the risk of occupational exposure to opioids. These at-risk workers and other populations often lack the necessary resources and education to protect themselves. The NIEHS Worker Training Program (WTP) has developed an awareness-level training tool on the prevention of occupational exposure to fentanyl and other opioids, and a second curriculum designed to address the impact of the opioid crisis on workers, the workplace, and the community. Available resources are found below, along with additional health and safety resources related to opioid exposure, use, and prevention.
For additional resources related to occupational exposure to illicit drugs and the hazardous substances used to produce them, please visit our Illicit Drug Exposure page.
The National Clearinghouse creates training tools to aid in the development of awareness-level courses or other awareness-level materials.
Opioids and the Workplace Training Tool
This course is intended for workers and employers who may be impacted by the opioid crisis. The goal of the course is to provide an evidence-based worker awareness training program that identifies workplace risk factors and solutions for opioid use, misuse, and addiction.
- Opioids and the Workplace: Prevention and Response(8.4MB)
- Opioids and the Workplace: Prevention and Response(47.2MB)
- Supporting Materials for Training Tool
Fentanyl and Other Opioids Training Tool
- Opioids Training Tool Fact Sheet(3.8MB)
- Prevention of Occupational Exposure to Fentanyl and Other Opioids(41MB)
- Prevention of Occupational Exposure to Fentanyl and Other Opioids(4MB)
Other NIEHS Resources
WTP Technical Workshops
- Spring 2019 Technical Workshop – Exploring Workplace Training Interventions Addressing Workplace Stress and Addiction
- Fall 2018 Technical Workshop – Opioid-Related Hazards in the Workplace
Federal Links and Documents
Centers for Disease Control and Prevention (CDC)
National Institute for Occupational Safety and Health (NIOSH)
- Fentanyl: Protecting Workers at Risk
- Opioids in the Workplace
- Science Blog: Fentanyl Exposure Risks for Law Enforcement and Emergency Response Workers
U.S. Department of Homeland Security (DHS)
U.S. National Library of Medicine (NLM)
- InterAgency Board Recommendations on Selection and Use of PPE and Decontamination Products for First Responders Against Exposure Hazards to Synthetic Opioids, Including Fentanyl and Fentanyl Analogues
- National Council for Occupational Safety and Health Opioid and Work
- Office of National Drug Control Policy: Fentanyl Safety Recommendations for First Responders
State/Local Links and Documents
- Massachusetts Health Officers Association and Education Development Center: Opioid Toolkit
- North Carolina Department of Health and Human Services: Fentanyl Safety for First Responders
Please refer to your state or local health department website for additional guidance on health risks related to occupational exposure to opioids and other drugs.
Other Links and Documents
- Justice Institute of British Columbia: Fentanyl Safety for First Responders
- National Academy of Medicine Action Collaborative on Countering the U.S. Opioid Epidemic