Staying Safe After the Storm: Health and Safety Messages for Employers, Workers, and Volunteers

Posted on by Douglas Trout, MD, MHS; CDR Alice M. Shumate, PhD, MPH; CAPT Chad H. Dowell, MS, CIH; CDR Sherry Burrer, DVM, MPH, DACVPM; Scott Earnest, PhD, PE, CSP
Photo © Getty Images

When hurricanes and floods strike, the aftermath may be as dangerous as the storm itself. From unstable structures to contaminated water, flood-damaged areas pose serious risks to response teams and cleanup crews. Employers, volunteer organizations, and workers— from first responders to recovery workers—should take proper safety measures and receive targeted safety guidance to stay protected on the job.

In May 2025, the Centers for Disease Control and Prevention (CDC), National Institute for Occupational Safety and Health (NIOSH) published the Hurricane and Flood Key Messages for Employers, Workers, and Volunteers, Third Edition. This preparedness and response resource provides guidance for public health partners on protecting workers, volunteers, and other partners during the aftermath of a flood or hurricane.

Photo © Getty Images

The following are a range of hazards commonly associated with flood and hurricane aftermath:

  • Floodwater
  • Carbon monoxide poisoning
  • Mold
  • Infectious diseases

The key messaging can be adapted for multiple communication formats, such as websites, press releases, media talking points, social media, fact sheets, and more to effectively convey information on workplace hazards and recommended mitigation strategies.

Each topic in the document includes a section with guidance for employers and worker organizations responsible for maintaining a safe working environment, and another section with information specifically for workers and volunteers. Employers, volunteer organizations, public health officials, emergency management personnel, and others can also use this document as a resource for planning and post-disaster evaluation before and after flooding events.

Floodwaters and Response to Hurricane and Flooding Events

Floodwaters pose significant hazards to workers involved in disaster response, including those performing rescue operations and assessing and cleaning up after a hurricane or flood. Some workers, such as those involved in utility restoration and search and rescue, may have the proper training, equipment, and experience to address these hazards effectively. However, many other workers, including volunteers, may not be trained in the hazards posed by floodwaters or in safe post-flood response practices. The Key Messages document serves as a valuable resource for all employers, workers, and volunteers engaged in responding to flooding events.

The Key Messages document includes the following sections:

  • Overall Safety and Health
    • For example: personal hygiene and handwashing, personal protective equipment
  • Animals
    • For example: displaced animals, livestock, and insects
  • Biological Agents
    • For example: mold, infectious diseases
  • Chemical
    • For example: carbon monoxide, household cleaners
  • Physical
    • For example: chainsaws and tree removal, fall prevention, motor vehicle safety

 

 

 

 

 

 

 

 

 

Flood response and recovery work is essential, but it comes with hazards. The updated Key Messages document provides critical information to help prevent injuries and illnesses among response and recovery workers during and after a flooding event. It also emphasizes the need for advance planning by employers and volunteer organizations in areas such as training and the provision of necessary equipment, including personal protective equipment. Proper training on the use of this equipment, along with the implementation of good work practices, is crucial for improving worker safety.

Public health partners and city and state governments can use information in the Key Messages document to develop their own messaging, improving the communication of safety and health recommendations to their communities during and after a flood. Employers and volunteer organizations are also encouraged to access the document to improve the safety and well-being of all involved in hurricane and flood response and recovery efforts.

 

Douglas Trout, MD, MHS, is Deputy Director, Office of Construction Safety and Health at NIOSH.

CDR Alice M. Shumate, PhD, MPH, is the NIOSH Deputy Associate Director for Emergency Preparedness and Response

CAPT Chad H. Dowell, MS, CIH, is the NIOSH Associate Director for Emergency Preparedness and Response

CDR Sherry Burrer, DVM, MPH, DACVPM, is a Senior Epidemiologist for the NIOSH Emergency Preparedness and Response Office

Scott Earnest, PhD, PE, CSP, is the Associate Director for the NIOSH Office of Construction Safety and Health.

Resources

NIOSH [2025]. Hurricane and Flood Key Messages for Employers, Workers, and Volunteers, Third Edition. Atlanta, GA: U.S. Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, DHHS (NIOSH) Publication No. 2025-106.

Also available in Spanish Mensajes clave sobre huracanes e inundaciones para empleadores, trabajadores y voluntarios.

Prior versions of the Key Messages document are available in Chinese, and Vietnamese.

NIOSH Web Pages

Responding to Natural Disasters and Extreme Weather

Update: NIOSH Warns of Hazards of Flood Cleanup Work

NIOSH advierte sobre los peligros de limpieza después de una inundación

Centers for Disease Control and Prevention

Floods and Your Safety

Preparedness and Safety Messaging for Hurricanes, Flooding, and Similar Disasters (Second Edition | 2022)

Occupational Safety and Health Administration

Keeping Workers Safe during Disaster Cleanup and Recovery

Flood Preparedness and Response


Posted on by Douglas Trout, MD, MHS; CDR Alice M. Shumate, PhD, MPH; CAPT Chad H. Dowell, MS, CIH; CDR Sherry Burrer, DVM, MPH, DACVPM; Scott Earnest, PhD, PE, CSP
Page last reviewed: August 5, 2025
Page last updated: August 5, 2025