The number of Hispanics in the construction work force continues to grow and their fatal and nonfatal occupational injuries are higher than those in any other ethnic group in the United States. Focusing on safety and health for this group may reduce injuries and promote safe workplaces. However, involving hard-to-reach workers is a difficult process because of language and cultural differences within ethnic groups. This article presents findings on effective design, development, and dissemination of safety and health educational materials targeted to Hispanic construction workers. How to utilize a linguistically and culturally sensitive approach is described. The author stresses the need for collaboration among researchers, unions, community development organizations, and advocacy groups in this effort.