This chapter describes disaster worker protection strategies and health surveillance activities in terms of temporal phases to address disaster safety management before, during, and after a disaster event. The protective strategies discussed in the chapter integrate assessments of on-scene hazards and health or safety impacts and require pre-event planning and coordination across multiple entities. The chapter also addresses the integration of physical, psychological and behavioral health approaches. The chapter addresses the complexities of hazard assessment and control, worker education and training, worker illness and injury surveillance, and access to healthcare services, along with a box on community preparedness. These activities are performed by diverse groups of occupational and environmental health professionals. Various illustrative examples are presented to describe how basic concepts of protection and medical evaluation are applied in specific situations. The U.S. federal system for protecting disaster rescue and recovery workers is described in detail.