The Kentucky Occupational Injury and Illness Surveillance (KOSHS) programs are located in the Kentucky Injury Prevention and Research Center, a unique partnership between the University of Kentucky and the Kentucky Department for Public Health. Since 1994, KOISS programs have combined research, service, and practice to address occupational injuries and illnesses in the Commonwealth of Kentucky. Partners and stakeholders at the local, state, and national levels are integral to our programs so that the safety and health concerns of Kentucky workers are identified, and targeted research is initiated.