Guidelines for an effective hospital employee health and safety program are presented, focusing on occupational safety and health hazards to which hospital employees may be exposed. Guidelines are intended to serve as a complement to the hospital's standard operating procedures. Some of the frequently violated OSHA safety and health regulations are listed. Discussion of health and safety guidelines includes an overview of the goals of the health and safety program, employee training, and occupational health and environmental control. Hazards which may be present in the entire hospital are noted, including electrical hazards, floors, and soaps and detergents. Hazards are noted for specific areas, including the food service area, pharmacy area, radiology, patient care, office, central supply, laboratory, and maintenance areas. Safety regulations often violated by hospitals apply to hazardous materials, walking and working surfaces, ventilation, noise exposure, personal protective equipment, first aid, sprinkler systems, machine guarding, and the National Electrical Code. An appendix includes checklists for safety inspection, OSHA recordkeeping requirements, and additional sources of information pertaining to hospital safety.