Workers in a number of different occupational sectors are exposed to workplace vibration on a daily basis. This exposure can come through use of powered-hand tools or hand-transmitted vibration (HTV). Workers can also be exposed to whole body vibration (WBV) by driving delivery vehicles, earth moving equipment, or through the use of tools that generate vibration at low dominant frequencies and high amplitudes, such as jack hammers. Occupational exposure to vibration has been associated with an increased risk of musculoskeletal pain in the back, neck, hands, shoulders and hips. It may also contribute to the development of peripheral and cardiovascular disorders and gastrointestinal problems. In addition, there are more recent data suggesting that occupational exposure to vibration may increase the risk of developing certain cancers. This paper provides a review of the occupations where exposure to vibration is most prevalent, and a description of the health effects associated with occupational exposure to vibration. The various experimental methods used to measure and describe the characteristics of vibration generated by various tools and vehicles, the etiology of vibration-induced disorders, and how these data have been used to assess and improve intervention strategies and equipment that reduces the transmission of vibration to the body. Finally, there is a discussion of the research gaps that need to be investigated to further reduce the incidence of vibration-induced illnesses and injuries.