Efforts to incorporate health and safety courses in engineering curricula were discussed. Despite significant effort and investment to reduce occupational hazards, the cost of occupational injuries, diseases, and deaths has continued to rise. To help ameliorate these costs, in 1980 NIOSH initiated the Safety and Health Awareness for Preventive Engineering (SHAPE) project. The aim was to encourage engineering academic institutions to include occupational safety and health topics in their courses. Under SHAPE, a number of NIOSH sponsored workshops recommended that undergraduate engineering curricula incorporate at least one course dealing with occupational safety and health issues. In response, NIOSH initiated engineering curriculum development projects at Purdue University, Ohio State University, Georgia Institute of Technology, and Tufts University. The project recommended that topics such as air contaminants, control technology, electrical safety, emission control, engineering controls, epidemiology, ergonomics or human factors, fire protection, materials handling, mechanical guarding, monitoring, noise control, occupational diseases, occupational injuries, personal protective equipment, product liability, radiation control, systems safety, vibration control, waste disposal, and work practices be included in engineering curricula. NIOSH interactions with engineering societies and faculties to promote occupational health and safety in engineering curricula were outlined.