Blacktip reef sharks are regularly caught by inshore fisheries and are vulnerable to depletion because of their small litter sizes and long gestation periods. Traumatogenic. May become aggressive to spear fishers and are reported to bite people wading in shallow water. Generally marketed fresh (as fillet), may be dried, salted, smoked or frozen. Fins are valued for shark-fin soup; a market that is decimating shark populations worldwide. They are also sought for their liver as source of oil.

Although there are no active reef shark fisheries in the US Pacific, the reef sharks' disappearance could be caused by recreational fishing or illegal shark finning, which, combined, kill 26 million to 73 million sharks each year. Another possible explanation is that the reef sharks are starving. Their food sources, including coral reef fishes, are decreasing in number because of habitat destruction and human exploitation, and could be taking the sharks with them.
Another danger posed to humans by the Caribbean reef shark involves the accumulation of toxins in the flesh of the shark. Since sharks are apex marine predators, they may contain toxic levels of mercury and other heavy metals due to bioaccumulation (increasing concentrations at higher levels in the food web). It was found that methylmercury levels (MeHg) in sharks off the coast of Florida were higher than the FDA guidelines.
The coloration is grey above, sometimes with a bronze sheen, and white below. The entire rear margin of the caudal fin has a distinctive, broad, black band. There are dusky to black tips on the pectoral, pelvic, second dorsal, and anal fins.[9] Individuals from the western Indian Ocean have a narrow, white margin at the tip of the first dorsal fin; this trait is usually absent from Pacific populations.[5] Grey reef sharks that spend time in shallow water eventually darken in color, due to tanning.[10] Most grey reef sharks are less than 1.9 m (6.2 ft) long.[4] The maximum reported length is 2.6 m (8.5 ft) and the maximum reported weight is 33.7 kg (74 lb).[9]
Reef sharks play a major role in shaping Caribbean reef communities.  As the top predators of the reef and indicator species for marine ecosystems, they help maintain the delicate balance of marine life in reef environments.  Reef sharks are highly valued for their meat, leather, liver oil, and fishmeal, which make them prone to overfishing and targeting. Yet, their importance for the tourism industry makes them more valuable alive than dead. In 2011, Honduras declared its waters to be a permanent sanctuary for sharks, making fishing for these species completely forbidden.
Social aggregation is well documented in grey reef sharks. In the northwestern Hawaiian Islands, large numbers of pregnant adult females have been observed slowly swimming in circles in shallow water, occasionally exposing their dorsal fins or backs. These groups last from 11:00 to 15:00, corresponding to peak daylight hours.[28] Similarly, at Sand Island off Johnston Atoll, females form aggregations in shallow water from March to June. The number of sharks per group differs from year to year. Each day, the sharks begin arriving at the aggregation area at 09:00, reaching a peak in numbers during the hottest part of the day in the afternoon, and dispersing by 19:00. Individual sharks return to the aggregation site every one to six days. These female sharks are speculated to be taking advantage of the warmer water to speed their growth or that of their embryos. The shallow waters may also enable them to avoid unwanted attention by males.[10]
One useful definition distinguishes reefs from mounds as follows: Both are considered to be varieties of organosedimentary buildups – sedimentary features, built by the interaction of organisms and their environment, that have synoptic relief and whose biotic composition differs from that found on and beneath the surrounding sea floor. Reefs are held up by a macroscopic skeletal framework. Coral reefs are an excellent example of this kind. Corals and calcareous algae grow on top of one another and form a three-dimensional framework that is modified in various ways by other organisms and inorganic processes. By contrast, mounds lack a macroscopic skeletal framework (see stromatolite). Mounds are built by microorganisms or by organisms that don't grow a skeletal framework. A microbial mound might be built exclusively or primarily by cyanobacteria. Excellent examples of biostromes formed by cyanobacteria occur in the Great Salt Lake in Utah, and in Shark Bay on the coast of Western Australia.