This is a review paper covering the key environmental and safety issues and how they have been handled in the various magnetic and inertial confinement concepts and reference designs. The issues treated include: tritium accident analyses, tritium process control, occupational safety, HTO formation rate from the gas-phase, disposal of tritium contaminated wastes, and environmental impact--each covering the Joint European Tokamak (J.E.T. experiment), Tokamak Fusion Test Reactor (TFTR), Russian T-20, The Next Step (TNS) designs by Westinghouse/ORNL and General Atomic/ANL, the ANL and ORNL EPR's, the G.A. Doublet Demonstration Reactor, the Italian Fintor-D and the ORNL Demo Studies. There are also the following full scale plant reference designs: UWMAK-III, LASL's Theta Pinch Reactor Design (RTPR), Mirror Fusion Reactor (MFR), Tandem Mirror Reactor (TMR), and the Mirror Hybrid Reactor (MHR). There are four laser device breakeven experiments, SHIVA-NOVA, LLL reference designs, ORNL Laser Fusion power plant, the German ''Saturn,'' and LLL's Laser Fusion EPR I and II
