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Possible exposures are explored. In the workplace, for example, this would include an industrial hygiene evaluation of historic and current exposures. In addition to the case definition, these exposures should suggest possible etiologic hypotheses. Of note, these can be fairly vague to begin with. For example, in the occupational disease cluster, an initial hypothesis can be the job title, such as F-4 airplane mechanic.

These etiologic hypotheses should then be tested in an epidemiologic study. The most common study designs are case control and prevalence studies since they tend to be quicker and somewhat less expensive than a cohort study, either retrospective or prospective.