OSHA’s New Guidance on Workplace Opioid Overdoses: What Employers Need to Know

On September 24, 2026, the Occupational Safety and Health Administration (OSHA) released new guidance encouraging employers to prepare for opioid-related overdose emergencies in the workplace. The fact sheet, Opioid Overdose Rescue with Reversal Medications, offers practical recommendations for recognizing overdoses, making life-saving medication accessible, and training employees to respond quickly.

Although the guidance does not create new OSHA compliance requirements, it serves as a reminder that workplace safety planning should account for medical emergencies, including opioid overdoses.

Key Recommendations for Employers

OSHA recommends that employers consider:

• Keeping FDA-approved opioid reversal medications, such as naloxone, available at the workplace. These medications can temporarily reverse the effects of an opioid overdose and help restore normal breathing.
• Storing overdose response kits in visible, easily accessible locations, similar to first-aid kits and automated external defibrillators (AEDs).
• Educating workers on potential overdose symptoms, including slow or stopped breathing, blue lips or skin, pinpoint pupils, and unresponsiveness.
• Training employees in proper administration, safe positioning of the affected individual, and appropriate care while awaiting emergency personnel.

OSHA emphasizes that administering reversal medication does not eliminate the need for professional medical attention. Employees responding to a suspected overdose should call 911 immediately, because the medication’s effects may be temporary.

What Does OSHA’s New Guidance Mean for Employers?

Employers should review their existing workplace safety procedures and evaluate whether additional preparation is appropriate. Policies should be tailored to the workplace’s particular risks and operational needs.

Employers can acquire medications like naloxone without a prescription from pharmacies or other retailers. Some local and state health departments distribute naloxone at low or no cost.

Legal Implications of Administering Reversal Medications

Employers should also be aware of state Good Samaritan laws, which may provide some legal protections to individuals who seek or provide emergency medical assistance during a suspected drug overdose. These laws are intended to encourage people to address medical emergencies rather than delay lifesaving care out of fear of legal consequences.

Because these protections vary by jurisdiction and depend on specific circumstances, employers should review applicable state law with employment counsel when developing or updating workplace overdose response policies.