Elements basic to the building of an occupational safety program were presented as a discussion guide for the occupational health nurse. According to the authors, the nurse must realize that the goal of management is efficient production. This necessitates that the safety and health program formed must control injuries, illnesses and capital losses, resulting in efficient production. Four major elements of safety and health programs were management commitment and employee involvement, worksite analysis, hazard prevention and control, and safety and health training. The support of management clearly indicates that the company is willing to dedicate the time and resources needed to achieve its safety and health goals and objectives. During worksite analysis not only are existing hazards identified, but conditions and operations in which changes might create hazards are also noted. An effective program will then continue to develop and monitor the worksite as new conditions arise. The four components of hazard prevention and control included engineering techniques which may be used to lessen the danger, procedures for safer work which should be developed and understood by the workers, provision of personal protective equipment, and reduction of the duration of exposure through administrative decision making. The workers must be trained and understand the hazards in their jobs, and the management must also be educated to their own responsibilities for the safety of the entire operation.