This document proposed approaches that can be taken by state and territorial health departments to implement the occupational safety and health objectives in Healthy People 2000, a program addressing major prevention goals for occupational safety and health. Approaches discussed included surveillance, policy development, and intervention. A surveillance program should be able to identify specific cases of injury, illness or hazardous exposure requiring a targeted public health response, identify disease and injury patterns that suggest problem areas, monitor trends over time, and help evaluate effectiveness of interventions. Policy development should involve planning and priority setting, regulatory and legislative action, and resource mobilization. Intervention would involve professional and worker education, consulting on the design of health and safety programs, hazard reduction activities, enforcement of laws and regulations, and delivery of medical services. Infrastructure and resources for state based occupational health programs were described.