About Health and Safety Works, LLC 

Health and Safety Works, LLC specializes in:


  • employee health and wellness education
  • Health care professionals re: OSHA and Federal Motor Carrier Safety Administration (FMCSA) regulations
  • How to participate in the rule-making process
  • FMCSA physical qualifications for CMV drivers
  • National Registry of Certified Medical Examiners

Advising employers, health care professionals and government entities 

  • Relationship of medical conditions to regulations and rule-making 
  • Compliance with physical qualification regulations for bus and truck drivers, 
  • FMCSA’s National Registry of Certified Medical Examiners
  • Compliance with OSHA regulations 
  • Establishing health and wellness programs 

Presentations conducted on a variety of subjects such as:

  • How to participate in rule making
  • The National Registry of Certified Medical Examiners: what does it mean for you?
  • Assessing your Occupational Health Services

Researching medical conditions and their relationship to occupational and transportation regulations 

About Elaine Papp

Elaine Papp

Founder and CEO: Elaine M. Papp RN, MSN, CM, COHN-S FAAOHN

For the last 30 years, Elaine’s dedication and passion has been the safety and health of general industry employees and CMV drivers including helping them reach optimum health through wellness programs. 

Elaine is a board certified occupational health nurse with over 35 years of experience in occupational and transportation health. She has worked for the Occupational Safety and Health Administration (OSHA), the Federal Motor Carrier Safety Administration (FMCSA), World Health Organization (WHO) and the International Council of Nursing (ICN) as well as private industry and a variety of health care institutions. 

Elaine has a broad picture of the health care in America from doctor’s offices to intensive care units, hospitals, clinics, charitable organizations, home care and the formation of health policy and regulations. 



Leadership Education: a Master’s degree in Nursing Administration, and a graduate of the 2011 Federal Executive Institute and the USDA Graduate School’s Executive Leadership Program (ELP). Elaine understands leadership concepts. and has put them into practice in both her personal and professional life. 

Leadership Experience 30 years of experience in a variety of leadership positions: Professional: Since the 1980s Elaine served for many years in several supervisory positions - TRW Federal Systems Group, Social Security Employee Health Services, The Medical Programs Division of FMCSA. She has led a teams on a variety os subjects from TRW Health and Wellness, Ergonomics Program development, to FMCSA’s National Registry of Certified Medical Examiners and the Medical Certificate Integration Team. employees in the Medical Programs Division of FMCSA. She led many successful initiatives — examples include leadership such as the TRW Healthstyles Program, the Social Security initiative for breast-feeding mothers and FMCSA’s hearing and Seizure exemption programs for drivers. She developed high performance teams and led them to successfully accomplish their missions.

Elaine served on the American Board of Occupational Health Nursing, the credentialing body of the nursing specialty. In this capacity she contributed to the development of board certification examinations, and assisted in the development of a wide variety if documents related to the Board certification. 

In her personal life Elaine has chaired many civic, charitable and faith-based committees and organizations. She has led several successful initiatives, such as fund raising. She is organized, understands how to work effectively with a variety of people to motivate them and develop high performance teams.


Elaine has strong communication skills. During her professional career she has been a speaker in a variety of forums receive accolades for her clear explanations of complex subjects. She has conducted presentations to groups of all sizes at conferences, through webinars, on radio talk shows. 

Elaine has also written extensively. She has published several articles in professional journals and authored two documents for the International Council of Nursing “Health Care Waste Management : A Handbook for Nurses” and a guideline entitled, “Occupational Health and Safety Management Programme for Nurses.” 

Elaine also spearheaded many outreach and compliance assistance materials while at OSHA and FMCSA, for example, the OSHA’s Occupational Health Management Assessment Tool, and the FMCSA’s Complete Guide for Medical Examiner Certification. 


Elaine has a broad understanding of the health care system in the US but her focus is occupational and transportation health. She is an expert in Occupational Health Nursing. She was awarded the title “Fellow” by The American Association of Occupational Health Nurses (FAAOHN) and is board certified as a Certified Occupational Health Nurse Specialist (COHN-S) and Case Manager (CM). 

Elaine’s has expert knowledge of the formulation of health policy, regulatory agencies, the Administrative Procedures Act, regulation writing and the difference between guidance and regulations. She is an expert in the FMCSA’s physical qualifications for commercial motor vehicle drivers and the National Registry of Certified Medical Examiners. She has extensive knowledge of OSHA’s regulations and how to comply with them. 

Her experience in private industry, non-governmental charitable organizations, as well as work for US government and international organizations gives her a wide perspective all aspects of health care.



Most recently Elaine served as Division Chief for the Medical Programs Division at FMCSA. In that capacity she was responsible for establishing and implementing FMCSA’s National Registry of Certified Medical Examiners (National Registry), the Seizure and Hearing Exemption Programs for Commercial Motor Vehicle (CMV) drivers as well as writing regulations, conducting research for evidence-based rule-making, writing regulations and guidance documents. 

A big part of her job was providing compliance assistance to drivers, carriers and medical professionals via telephone, email, webinars, webpages and public presentations in a variety of forums.

Implementation and oversight of the National Registry was complex and involved establishing a web site, managing the data, developing the Core Curriculum for National Registry training and working with a team of medical examiners and test development specialists to construct the Medical Examiner’s test for National Registry certification. Elaine also oversaw the creation of resource materials for training organizations, test administration organizations and medical examiners. 


During her 13 years at OSHA, Elaine planned, developed, coordinated and managed occupational health nursing projects designed to provide expert technical assistance to OSHA's National Office, regional offices, individuals, professional organizations and educational institutions. She led a team in the development of OSHA's Report to the Senate Appropriations Committee. “OSHA's Handling of Immigrant and Latin/Hispanic Injuries/Illnesses and Fatalities,” resulting in no further congressional inquiries on the topic. She also represented OSHA at the USPS United Command Center for the Anthrax Crisis, the Town Hall Meeting and the multi-agency Joint Information Center for the decontamination of the Brentwood Processing and Distribution Center, USPS. Elaine Conceived of, analyzed OSHA Health standards, developed and oversaw the publication of Screening and Surveillance: A Guide to OSHA Standards, OSHA Publication number 3162. in addition she developed an evaluation tool, Occupational Health Care Assessment Tool (OHCAT), to assess an employer’s occupational health services. 

While at OSHA, Elaine was selected for the Executive Leadership Program (ELP). As a part of this program, she spent a few months in Geneva Switzerland working with the World Health Organization (WHO) and the International Council of Nursing (ICN).


Elaine’s time in Geneva was very productive and led to her authoring two publications for the ICN “Guidelines for a Health and Safety Program for Nurses” and a monograph entitled “A Guide to Health Care Waste Management for Nurses.” In 2004, she attended the World Health Assembly, Geneva, Switzerland as an International Council of Nursing Delegate. 

Health Care Settings 

As a registered nurse, Elaine has worked in a diversity of health care institutions in a variety of positions — neonatal intensive care, coronary care, a doctor’s office, hospital medical surgical units, visiting nurse association, charitable organizations and health policy groups. organize


Elaine established the first occupational health unit and program at TRW Systems Integration Group, creating applicable policies, procedures, case management system. She also designed clinic space to meet the group business needs. In addition Elaine established a a strategic plan, budget, a system for evaluating the cost effectiveness of the occupational health services, She administered industrial hygiene, biological monitoring, and ergonomics programs and instituted one of the first employee wellness and fitness programs. 

Education and Certificates 

  • Masters of Science in Nursing – 2003 – George Mason University, Fairfax, Virginia
  • Diploma of Nursing as a Registered Nurse – 1968 - St. Luke's Hospital School of Nursing, Cleveland, Ohio, in affiliation with Kent State University, Kent Ohio
  • Inducted into Phi Theta Tau, Honors Society for Community College
  • Inducted into Sigma Theta Tau, Honors Society for NursingMember, American Nurses Association

Memberships and Affiliations 

  • Member, American Association of Occupational Health Nurses
  • Member, American Nurses Association 
  • Member, Sigma Theta Tau, Honor Society for Nursing

Previously, Board member, Specialty Certification Board — American Board for Occupational Health Nursing, Inc. 


  • 2014 Department of Transportation, Secretary’s Award for the Medical Certification Enforcement Team National Federal Motor Carrier Safety Administration Administrator’s Award for service on the Occupational Safety and Health Program Team.
  • Selected as Nurse Luminary in 2007. The Luminary Project: Nurses Lighting the Way by the Nurses Work Group of Health Care Without Harm (posted on the Internet at http://www.theluminaryproject.org/story.php?detail=185)
  • Federal Government Merit Step increase for outstanding work performance – March 2005. 
  • International Council of Nursing Delegate to the World Health Assembly, Geneva, Switzerland, 2004.
  • Department of Labor, Secretary's Exceptional Achievement Award, 2003, Anthrax Response Team
  • Department of Labor, Secretary's Exceptional Achievement Award, 2002, Bloodborne Pathogen Legislative Revision Team.
  • Occupational Safety and Health Administration, Assistant Secretary's Team Impact Award, 2002, Anthrax response Team.
  • Department of Labor, Secretary's Exceptional Achievement Award, 2000, Screening and Surveillance Group.
  • Department of Labor, Secretary's Exceptional Achievement Award, 2000, Health and Cold Stress Cards Group
  • Department of Labor, Secretary's Exceptional Achievement Award for Excellence, 1999, Oak Ridge Pilot Project Team
  • Department of Labor, Secretary's Exceptional Achievement Award for Excellence, 1999, Safer Needle Devices Group
  • American Red Cross’ Citation for Outstanding Leadership on Fundraising 1981 and 1982.
  • Outstanding Young Women of America, 1981


  • Papp, E. (2009). Health Care Waste Management: A Guide for Nurses. International Council of Nursing, Geneva, Switzerland.
  • International Labor Organization. Work Improvements for Small Enterprises (WISE Training Program)
  • International Council of Nursing. (2006). Guidelines for Occupational Health and Safety for Nurses 
  • Papp, E., & Miller. A. (2000). Screening and Surveillance: OSHA's Medical Surveillance Provisions- AAOHN Journal. 48(2), 59.
  • Papp. E. (2000). Starting a Business as a Nurse Consultant: Practical Considerations.
  • AAOHN Journal, 48(3), 136.
  • Rainer, S. & Papp, E. (2000). The self-employed occupational health nurse: maximizing business success by managing financial resources. AAOHN Journal, 48(4), 185.

Licenses & Certifications

  • Registered Nurse. Active: Maryland, Virginia, and District of Columbia. Inactive - Ohio.
  • Certified Occupational Health Nurse, American Board of Occupational Health Nurses. Inc. (since 1990)
  • Certified Case Manager through American Board of Occupational Health Nurses (Since l998)