NIOSH Total Worker Health® Affiliate Program

Updated September 8, 2022

The mission of the NIOSH Total Worker Health (TWH) Affiliate Program is to advance worker safety, health, and well-being through non-funded collaborations with governmental and nonprofit organizations, including labor, education, training, and research organizations. The goal of the NIOSH TWH Affiliate Program is to:

  1. Increase the visibility, adoption, and impact of TWH approaches to advance the safety, health, and well-being of workers through NIOSH assistance to Affiliates.
  2. Attract and assist new collaborators to enrich and broaden TWH research and communication activities.
  3. Collaborate to enrich and broaden TWH practice and outreach efforts.
  4. Publicly recognize the contributions of the Affiliate organizations to the development of TWH research and practice.
NIOSH TWH Affiliate Activities

Below are examples of collaborative activities conducted between NIOSH and TWH Affiliates:

  • engage in joint research
  • develop TWH programs and interventions,
  • collaborate on seminars, meetings, trainings, and educational events
  • create and disseminate publications and other communication products
  • cross-promote individual and joint activities

Potential Affiliates include:

  • nonprofit institutions conducting TWH-related research, education, or training activities
  • labor organizations
  • Federal, state, and local government agencies
  • nonprofit employer organizations
  • nonprofit professional or membership associations engaged in worker safety, health, or well-being

Organizations interested in becoming Affiliates should disclose any existing or potential occupational safety and health issues which may create an appearance of misalignment with TWH principles. This includes investigations or citations by federal, state, or local health, environment, and labor agencies and violations of occupational safety and health regulations or laws.  Please note that organizations awarded Affiliate status are not provided with any funding.  There are also no fees associated with Affiliate status.

Becoming an Affiliate

Organizations interested in becoming an Affiliate first discuss shared goals and plan possible joint activities with NIOSH representatives. A Memorandum of Agreement (MOA) or similar document formalizes the Affiliate arrangement. While being an Affiliate is not a requirement to conduct join activities with the NIOSH TWH program, Affiliate status demonstrates a long-term commitment to shared values and goals. Participation in the program is voluntary, and the relationship can be discontinued at any time by NIOSH or the Affiliate. Affiliates discuss renewal and continuation of Affiliate status with NIOSH on an annual basis.

Organizations interested in advancing worker safety, health, and well-being by becoming a NIOSH TWH Affiliate may contact us at

Current NIOSH TWH Affiliates

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