RESUMO
The carbon peaking and carbon neutrality goals drive innovation in pollution governance systems, unleashing the potential of social supervisory forces to achieve coordinated governance by multiple stakeholders. In order to improve dust pollution control in opencast coal mines, this study combines prospect theory with evolutionary game theory, analyzing the evolutionary game process of coordinated governance activities of coal mining enterprises, local regulators, and social camps in the management of dust pollution against the backdrop of national supervisions. The research indicates that the perceived value of dust pollution has a significant impact on the strategic choices of the three agents involved in the game. Coal mining enterprises tend to be risk averse, and by reducing the cost of dust pollution control and increasing the additional benefits of pollution control, it can promote pollution control behavior by coal mining enterprises. Local regulators are also risk averse, but not sensitive to risk benefits. Strengthening pollution subsidy incentives and environmental fines can help promote dust pollution control behavior by coal mining enterprises. However, increasing the strength of the rewards strategy is not conducive to local regulators' own regulatory responsibilities, and environmental fines have limited binding effects. The strategic choices of social camps' supervision have a restrictive effect on the strategic choices of coal mining enterprises and local regulators, promoting the evolution of equilibrium results in the direction of maximizing social benefits. When coal mining enterprises actively governance pollution, local regulators strictly regulated, and social camps do not monitor, the system reaches its optimal equilibrium state. The research results clarify the mechanism and specific effects of social supervision of opencast coal mine dust pollution control, guide the participation of the public in dust pollution control, and regulate the behavior strategies of coal mining enterprises and local regulators, providing the scientific basis for management.
Assuntos
Minas de Carvão , Poeira , Poluição Ambiental , Parcerias Público-Privadas , China , Minas de Carvão/legislação & jurisprudência , Minas de Carvão/métodos , Poeira/prevenção & controle , Poluição Ambiental/legislação & jurisprudência , Poluição Ambiental/prevenção & controle , Indústrias Extrativas e de Processamento/organização & administração , Teoria dos Jogos , Regulamentação Governamental , Modelos Organizacionais , Parcerias Público-Privadas/organização & administraçãoRESUMO
This final rule revises the regulations under the Black Lung Benefits Act (BLBA or Act) governing the payment of medical benefits and maintains the level of care available to miners. The final rule establishes methods for determining the amounts that the Black Lung Disability Trust Fund (Trust Fund) will pay for covered medical services and treatments provided to entitled miners. The Department based the rule on payment formulas that the Centers for Medicare & Medicaid Services (CMS) uses to determine payments under the Medicare program, which are similar to the formulas used by other programs that the Office of Workers' Compensation Programs (OWCP) administers. The Department is adopting these payment formulas for the black lung program because they more accurately reflect prevailing community rates for authorized treatments and services than do the internally-derived payment formulas that OWCP currently uses. In addition, the final rule eliminates two obsolete provisions.
Assuntos
Antracose/economia , Benefícios do Seguro/legislação & jurisprudência , Minas de Carvão/legislação & jurisprudência , Humanos , Seguro por Deficiência , Estados UnidosRESUMO
The article focuses on one central element of medical activity in the context of the German social insurance system: providing expert assessments in accident pension cases. Taking an example from interwar coal mining, it aims to reconstruct how social policy makers first conceived of "pneumatic tool damages" as occupational disease and how trauma surgeons had to deal with this new entity of social law once it had been institutionalized in 1929. Drawing on physicians' publications as well as archival sources from the supreme court in social insurance, the Reichsversicherungsamt, the article examines how the controversial generation of new knowledge took place. It argues that medical knowledge was neither simply applied to administration and law nor was it compromised by the necessity to adjust it to those fields of decision-making. Expert medical opinions should instead be understood as a specific form of medical knowledge.
Assuntos
Acidentes de Trabalho/história , Minas de Carvão/história , Prova Pericial , Seguro de Acidentes/história , Traumatologia/história , Acidentes de Trabalho/legislação & jurisprudência , Minas de Carvão/instrumentação , Minas de Carvão/legislação & jurisprudência , História do Século XX , Humanos , Seguro de Acidentes/legislação & jurisprudência , Doenças Profissionais/históriaRESUMO
A new noise regulation for the mining industry became effective in 2000, providing a consistent regulatory requirement for both coal and non-coal mining divisions. The new rule required mines to implement hearing conservation programs, including a system of continuous noise monitoring, provision of hearing protection devices, audiometric testing, hearing loss training, and record keeping. The goal of this study was to assess hearing conservation program compliance, and excessive noise exposure and hearing loss risks for both coal and non-coal mining divisions through evaluating MSHA citations. We analyzed 13,446 MSHA citations from 2000-2014 pertinent to 30 CFR Part 62. Descriptive statistics were generated and comparisons were made among mines of different commodities. In addition, one-way ANOVA on ranks was conducted to estimate the correlation between excess risks and establishment size. Results showed that 25.6% of coal mines and 14.7% of non-coal mines were cited at least once during this period of time. Larger numbers of noncompliance were seen in stone, sand, and gravel mines (SSG). Results also suggested inadequate efforts in both audiometric testing and minimizing risk after excessive noise exposure. Finally, establishment size of mine was correlated with the increasing risk of noncompliance. We anticipate that this study can guide resource allocation for preventing noise-induced hearing loss, and help improve risk management in mining.
Assuntos
Perda Auditiva Provocada por Ruído/epidemiologia , Perda Auditiva Provocada por Ruído/prevenção & controle , Mineração/estatística & dados numéricos , Minas de Carvão/legislação & jurisprudência , Minas de Carvão/estatística & dados numéricos , Dispositivos de Proteção das Orelhas/estatística & dados numéricos , Testes Auditivos/estatística & dados numéricos , Humanos , Mineração/legislação & jurisprudência , Ruído Ocupacional/efeitos adversos , Ruído Ocupacional/prevenção & controle , Exposição Ocupacional/prevenção & controle , Exposição Ocupacional/estatística & dados numéricos , Saúde Ocupacional/estatística & dados numéricos , Estados Unidos/epidemiologiaRESUMO
BACKGROUND: This is the second update of a Cochrane Review originally published in 2009. Millions of workers worldwide are exposed to noise levels that increase their risk of hearing disorders. There is uncertainty about the effectiveness of hearing loss prevention interventions. OBJECTIVES: To assess the effectiveness of non-pharmaceutical interventions for preventing occupational noise exposure or occupational hearing loss compared to no intervention or alternative interventions. SEARCH METHODS: We searched the CENTRAL; PubMed; Embase; CINAHL; Web of Science; BIOSIS Previews; Cambridge Scientific Abstracts; and OSH UPDATE to 3 October 2016. SELECTION CRITERIA: We included randomised controlled trials (RCT), controlled before-after studies (CBA) and interrupted time-series (ITS) of non-clinical interventions under field conditions among workers to prevent or reduce noise exposure and hearing loss. We also collected uncontrolled case studies of engineering controls about the effect on noise exposure. DATA COLLECTION AND ANALYSIS: Two authors independently assessed study eligibility and risk of bias and extracted data. We categorised interventions as engineering controls, administrative controls, personal hearing protection devices, and hearing surveillance. MAIN RESULTS: We included 29 studies. One study evaluated legislation to reduce noise exposure in a 12-year time-series analysis but there were no controlled studies on engineering controls for noise exposure. Eleven studies with 3725 participants evaluated effects of personal hearing protection devices and 17 studies with 84,028 participants evaluated effects of hearing loss prevention programmes (HLPPs). Effects on noise exposure Engineering interventions following legislationOne ITS study found that new legislation in the mining industry reduced the median personal noise exposure dose in underground coal mining by 27.7 percentage points (95% confidence interval (CI) -36.1 to -19.3 percentage points) immediately after the implementation of stricter legislation. This roughly translates to a 4.5 dB(A) decrease in noise level. The intervention was associated with a favourable but statistically non-significant downward trend in time of the noise dose of -2.1 percentage points per year (95% CI -4.9 to 0.7, 4 year follow-up, very low-quality evidence). Engineering intervention case studiesWe found 12 studies that described 107 uncontrolled case studies of immediate reductions in noise levels of machinery ranging from 11.1 to 19.7 dB(A) as a result of purchasing new equipment, segregating noise sources or installing panels or curtains around sources. However, the studies lacked long-term follow-up and dose measurements of workers, and we did not use these studies for our conclusions. Hearing protection devicesIn general hearing protection devices reduced noise exposure on average by about 20 dB(A) in one RCT and three CBAs (57 participants, low-quality evidence). Two RCTs showed that, with instructions for insertion, the attenuation of noise by earplugs was 8.59 dB better (95% CI 6.92 dB to 10.25 dB) compared to no instruction (2 RCTs, 140 participants, moderate-quality evidence). Administrative controls: information and noise exposure feedbackOn-site training sessions did not have an effect on personal noise-exposure levels compared to information only in one cluster-RCT after four months' follow-up (mean difference (MD) 0.14 dB; 95% CI -2.66 to 2.38). Another arm of the same study found that personal noise exposure information had no effect on noise levels (MD 0.30 dB(A), 95% CI -2.31 to 2.91) compared to no such information (176 participants, low-quality evidence). Effects on hearing loss Hearing protection devicesIn two studies the authors compared the effect of different devices on temporary threshold shifts at short-term follow-up but reported insufficient data for analysis. In two CBA studies the authors found no difference in hearing loss from noise exposure above 89 dB(A) between muffs and earplugs at long-term follow-up (OR 0.8, 95% CI 0.63 to 1.03 ), very low-quality evidence). Authors of another CBA study found that wearing hearing protection more often resulted in less hearing loss at very long-term follow-up (very low-quality evidence). Combination of interventions: hearing loss prevention programmesOne cluster-RCT found no difference in hearing loss at three- or 16-year follow-up between an intensive HLPP for agricultural students and audiometry only. One CBA study found no reduction of the rate of hearing loss (MD -0.82 dB per year (95% CI -1.86 to 0.22) for a HLPP that provided regular personal noise exposure information compared to a programme without this information.There was very-low-quality evidence in four very long-term studies, that better use of hearing protection devices as part of a HLPP decreased the risk of hearing loss compared to less well used hearing protection in HLPPs (OR 0.40, 95% CI 0.23 to 0.69). Other aspects of the HLPP such as training and education of workers or engineering controls did not show a similar effect.In three long-term CBA studies, workers in a HLPP had a statistically non-significant 1.8 dB (95% CI -0.6 to 4.2) greater hearing loss at 4 kHz than non-exposed workers and the confidence interval includes the 4.2 dB which is the level of hearing loss resulting from 5 years of exposure to 85 dB(A). In addition, of three other CBA studies that could not be included in the meta-analysis, two showed an increased risk of hearing loss in spite of the protection of a HLPP compared to non-exposed workers and one CBA did not. AUTHORS' CONCLUSIONS: There is very low-quality evidence that implementation of stricter legislation can reduce noise levels in workplaces. Controlled studies of other engineering control interventions in the field have not been conducted. There is moderate-quality evidence that training of proper insertion of earplugs significantly reduces noise exposure at short-term follow-up but long-term follow-up is still needed.There is very low-quality evidence that the better use of hearing protection devices as part of HLPPs reduces the risk of hearing loss, whereas for other programme components of HLPPs we did not find such an effect. The absence of conclusive evidence should not be interpreted as evidence of lack of effectiveness. Rather, it means that further research is very likely to have an important impact.
Assuntos
Dispositivos de Proteção das Orelhas , Perda Auditiva Provocada por Ruído/prevenção & controle , Ruído Ocupacional/prevenção & controle , Doenças Profissionais/prevenção & controle , Audiometria , Minas de Carvão/legislação & jurisprudência , Estudos Controlados Antes e Depois , Engenharia/métodos , Educação em Saúde/normas , Perda Auditiva Provocada por Ruído/diagnóstico , Humanos , Ruído Ocupacional/efeitos adversos , Ruído Ocupacional/legislação & jurisprudência , Doenças Profissionais/diagnóstico , Doenças Profissionais/etiologia , Avaliação de Programas e Projetos de Saúde , Ensaios Clínicos Controlados Aleatórios como AssuntoAssuntos
Minas de Carvão/legislação & jurisprudência , Doenças Profissionais/prevenção & controle , Exposição Ocupacional/efeitos adversos , Saúde Ocupacional/legislação & jurisprudência , Gestão da Segurança/organização & administração , Humanos , Avaliação das Necessidades , Pneumoconiose/etiologia , Pneumoconiose/prevenção & controle , Estados UnidosRESUMO
BACKGROUND: Coal workers' pneumoconiosis (CWP) steadily declined among US miners following dust control regulations in 1970. In 2000, severe forms of this disease reemerged among young miners, and are well described among working-but not former-miners. METHODS: Black lung benefits program (BLBP) data (2001 to 2013) were used to estimate respiratory disease burden among former miners including: (1) CWP (simple; advanced CWP, and progressive massive fibrosis [CWP/PMF]); and (2) respiratory impairment (FEV1 percent reference: mild, moderate, ≥moderately-severe). RESULTS: Among 24,686 claimants, 8.5% had advanced CWP/PMF; prevalence was highest among younger (less than or equal to 56 years: 10.8%) and older (greater than 70 years: 8.4%) miners and those who began work after versus before 1970 (8.3% vs. 4.0%). CONCLUSIONS: BLBP claims provide potentially useful data for monitoring the burden and severity of coal mine dust lung disease, and assessing efficacy of protective regulations.
Assuntos
Antracose/epidemiologia , Antracose/fisiopatologia , Minas de Carvão/legislação & jurisprudência , Exposição Ocupacional/legislação & jurisprudência , Vigilância da População/métodos , Indenização aos Trabalhadores/estatística & dados numéricos , Adolescente , Adulto , Distribuição por Idade , Idoso , Idoso de 80 Anos ou mais , Poeira , Volume Expiratório Forçado , Humanos , Pessoa de Meia-Idade , Exposição Ocupacional/efeitos adversos , Prevalência , Índice de Gravidade de Doença , Fatores de Tempo , Estados Unidos/epidemiologia , Adulto JovemRESUMO
Mining has been historically considered as a naturally high-risk industry worldwide. Deaths caused by coal mine accidents are more than the sum of all other accidents in China. Statistics of 320 coal mine accidents in Shandong province show that all accidents contain indicators of "unsafe conditions of the rules and regulations" with a frequency of 1590, accounting for 74.3% of the total frequency of 2140. "Unsafe behaviors of the operator" is another important contributory factor, which mainly includes "operator error" and "venturing into dangerous places." A systems analysis approach was applied by using structural equation modeling (SEM) to examine the interactions between the contributory factors of coal mine accidents. The analysis of results leads to three conclusions. (i) "Unsafe conditions of the rules and regulations," affect the "unsafe behaviors of the operator," "unsafe conditions of the equipment," and "unsafe conditions of the environment." (ii) The three influencing factors of coal mine accidents (with the frequency of effect relation in descending order) are "lack of safety education and training," "rules and regulations of safety production responsibility," and "rules and regulations of supervision and inspection." (iii) The three influenced factors (with the frequency in descending order) of coal mine accidents are "venturing into dangerous places," "poor workplace environment," and "operator error."
Assuntos
Acidentes de Trabalho/estatística & dados numéricos , Minas de Carvão/legislação & jurisprudência , Saúde Ocupacional/legislação & jurisprudência , China , Minas de Carvão/estatística & dados numéricos , Comportamento Perigoso , Humanos , Saúde Ocupacional/estatística & dados numéricos , Análise de SistemasRESUMO
The main objective of this review was to build upon a previous study on the root causes of truck-related fatalities in surface coal mining operations in West Virginia, and to develop intervention strategies to eliminate these fatalities. This review considers a two-pronged approach to accident prevention: one that is fundamental and traditional (safety regulations, training and education, and engineering of the work environment); and one that is innovative and creative (e.g., applying technological advances to better control and eliminate the root causes of accidents). Suggestions for improving current training and education system are proposed, and recommendations are provided on improving the safety of mine working conditions, specifically safety conditions on haul roads, dump sites, and loading areas. We also discuss various currently available technologies that can help prevent haul truck-related fatal accidents. The results of this review should be used by mine personnel to help create safer working conditions and decrease truck-related fatalities in surface coal mining.
Assuntos
Acidentes de Trabalho/prevenção & controle , Minas de Carvão , Veículos Automotores , Saúde Ocupacional , Gestão da Segurança/métodos , Tecnologia , Acidentes de Trabalho/mortalidade , Minas de Carvão/legislação & jurisprudência , Minas de Carvão/métodos , Educação não Profissionalizante , Fadiga/diagnóstico , Fadiga/prevenção & controle , Humanos , Manutenção , Segurança/legislação & jurisprudência , Treinamento por Simulação , West VirginiaAssuntos
Minas de Carvão/legislação & jurisprudência , Região dos Apalaches , Poluição Ambiental/efeitos adversos , Poluição Ambiental/legislação & jurisprudência , Poluição Ambiental/prevenção & controle , Regulamentação Governamental , Humanos , Estados Unidos , United States Environmental Protection Agency/legislação & jurisprudênciaRESUMO
In the United States, unions sometimes joined by worker advocacy groups (e.g., Public Citizen and the American Public Health Association) have played a critical role in strengthening worker safety and health protections. They have sought to improve standards that protect workers by participating in the rulemaking process, through written comments and involvement in hearings; lobbying decision-makers; petitioning the Department of Labor; and defending improved standards in court. Their efforts have culminated in more stringent exposure standards, access to information about the presence of potentially hazardous toxic chemicals, and improved access to personal protective equipment-further improving working conditions in the United States.
Assuntos
Sindicatos/história , Exposição Ocupacional/história , Saúde Ocupacional/história , United States Occupational Safety and Health Administration/história , Acidentes de Trabalho/história , Acidentes de Trabalho/prevenção & controle , Minas de Carvão/história , Minas de Carvão/legislação & jurisprudência , Revelação , Substâncias Perigosas , História do Século XX , História do Século XXI , Humanos , Ruído Ocupacional/prevenção & controle , Doenças Profissionais/história , Doenças Profissionais/prevenção & controle , Saúde Ocupacional/legislação & jurisprudência , Traumatismos Ocupacionais/história , Traumatismos Ocupacionais/prevenção & controle , Equipamentos de Proteção/história , Gestão da Segurança , Estados Unidos , United States Occupational Safety and Health Administration/legislação & jurisprudênciaRESUMO
With this action, the Department of Health and Human Services (HHS), in accordance with a final rule recently published by the Department of Labor's Mine Safety and Health Administration (MSHA), is amending its regulations to establish standards for the approval of facilities that conduct spirometry examinations and to require that all coal mine operators submit a plan for the provision of spirometry and X-ray examinations to all surface and underground coal miners.
Assuntos
Minas de Carvão/legislação & jurisprudência , Saúde Ocupacional/legislação & jurisprudência , Pneumoconiose/diagnóstico , Humanos , Radiografia Torácica , Espirometria , Estados UnidosRESUMO
One way coalbed methane production differs from traditional oil and gas extraction is in the large quantities of produced water. This water must be disposed of for production to occur. Surface discharge has proven to be a low-cost alternative; regulations are in place to protect surface water quality. This paper investigates the effects of alternative ownership regimes on regulatory compliance. A unique dataset linking coalbed methane wells in Wyoming to water disposal permit violations is used to explore differences in environmental performance across severed and unified minerals. Empirical analysis of these data suggest that ownership does impact environmental compliance behavior. Most violations occur on split estate. Federal split estate wells have more severe violations, though not necessarily more of them. Federal unified wells performed best, with fewer and less serious violations. Wells on private land have more, though not necessarily more severe, violations. These results suggest some room for policy proposals accounting for alternative ownership regimes.
Assuntos
Minas de Carvão/métodos , Carvão Mineral , Conservação dos Recursos Naturais/legislação & jurisprudência , Metano , Propriedade/estatística & dados numéricos , Eliminação de Resíduos Líquidos/legislação & jurisprudência , Poluição da Água/prevenção & controle , Minas de Carvão/legislação & jurisprudência , Minas de Carvão/estatística & dados numéricos , Conservação dos Recursos Naturais/estatística & dados numéricos , Licenciamento/legislação & jurisprudência , Licenciamento/estatística & dados numéricos , Propriedade/economia , Propriedade/legislação & jurisprudência , Eliminação de Resíduos Líquidos/estatística & dados numéricos , Poluição da Água/legislação & jurisprudência , WyomingRESUMO
This final rule revises the Black Lung Benefits Act (BLBA or Act) regulations to implement amendments made by the Patient Protection and Affordable Care Act (ACA). The ACA amended the BLBA in two ways. First, it revived a rebuttable presumption of total disability or death due to pneumoconiosis for certain claims. Second, it reinstituted automatic entitlement to benefits for certain eligible survivors of coal miners whose lifetime benefit claims were awarded because they were totally disabled due to pneumoconiosis. These regulations clarify how the statutory presumption may be invoked and rebutted and the application and scope of the survivor-entitlement provision. The rule also eliminates several unnecessary or obsolete provisions.
Assuntos
Avaliação da Deficiência , Pessoas com Deficiência/legislação & jurisprudência , Definição da Elegibilidade/legislação & jurisprudência , Reforma dos Serviços de Saúde/legislação & jurisprudência , Benefícios do Seguro/legislação & jurisprudência , Seguro por Deficiência/legislação & jurisprudência , Pneumoconiose , Minas de Carvão/legislação & jurisprudência , Humanos , Patient Protection and Affordable Care Act , Sobreviventes/legislação & jurisprudência , Estados UnidosRESUMO
This final rule modifies the Department of Health and Human Services (HHS) regulations for medical examinations of underground coal miners. Existing regulations established specifications for providing, interpreting, classifying, and submitting film-based roentgenograms (now commonly called chest radiographs or X-rays) of underground coal miners. The revised standards modify the requirements to permit the use of film-based radiography systems and add a parallel set of standards permitting the use of digital radiography systems. An additional amendment requires coal mine operators to provide the National Institute for Occupational Safety and Health (NIOSH) with employee rosters to assist the Coal Workers' Health Surveillance Program in improving participation by miners.
Assuntos
Minas de Carvão/legislação & jurisprudência , Exposição Ocupacional/legislação & jurisprudência , Saúde Ocupacional/legislação & jurisprudência , Exame Físico/normas , Pneumoconiose/diagnóstico por imagem , Intensificação de Imagem Radiográfica/normas , Radiografia Torácica/normas , Antracose/diagnóstico por imagem , Autopsia/normas , Minas de Carvão/normas , Humanos , National Institute for Occupational Safety and Health, U.S. , Exposição Ocupacional/prevenção & controle , Saúde Ocupacional/normas , Garantia da Qualidade dos Cuidados de Saúde/legislação & jurisprudência , Radiografia Torácica/instrumentação , Radiografia Torácica/métodos , Estados UnidosRESUMO
This final rule removes regulations on the Black Lung program from the Social Security Administration's (SSA) chapter of the Code of Federal Regulations (CFR). The Black Lung Consolidation of Administrative Responsibility Act transferred the responsibility for administering Part B of the Black Lung benefits program from SSA to the Department of Labor (DOL), and we are removing the regulations in recognition of the fact that we are no longer responsible for administering any aspect of the Part B Black Lung program. DOL concurs with this final rule removing the regulations.
Assuntos
Antracose/economia , Minas de Carvão/legislação & jurisprudência , Minas de Carvão/economia , Órgãos Governamentais/economia , Órgãos Governamentais/legislação & jurisprudência , Humanos , Previdência Social/economia , Previdência Social/legislação & jurisprudência , Estados UnidosRESUMO
This final rule announces updated requirements that the National Institute for Occupational Safety and Health (NIOSH or Agency), located within the Centers for Disease Control and Prevention (CDC) in the Department of Health and Human Services (HHS or Department), will employ to test and approve closed-circuit respirators used for escaping atmospheres considered to be immediately dangerous to life and health, including such respirators required by the Mine Safety and Health Administration (MSHA) for use in underground coal mines. NIOSH and MSHA jointly review and approve this type of respirator used for mine emergencies under regulations concerning approval of respiratory protective devices. NIOSH also approves these respirators for use in other work environments where escape equipment may be provided to workers, such as on vessels operated by U.S. Navy and Coast Guard personnel. The purpose of these updated requirements is to enable NIOSH and MSHA to more effectively ensure the performance, reliability, and safety of CCERs.
Assuntos
Aprovação de Equipamentos/normas , Segurança de Equipamentos/normas , Saúde Ocupacional/legislação & jurisprudência , Dispositivos de Proteção Respiratória/normas , Minas de Carvão/legislação & jurisprudência , Minas de Carvão/normas , Aprovação de Equipamentos/legislação & jurisprudência , Desenho de Equipamento/normas , Humanos , National Institute for Occupational Safety and Health, U.S. , Estados UnidosRESUMO
Queensland Mining has a strong focus on safety performance, but risk management of health, including Musculoskeletal Disorders (MSDs) continues to have a lower priority. The reliance on individual screening of workers and lower level approaches such as manual handling training is part of the coal mining 'culture'. Initiatives such as the New South Wales and Queensland Mining joint project to develop good practice guidance for mining has allowed for a more consistent message on participatory ergonomics and prevention of MSD. An evidence based practice approach, including the introduction of participatory ergonomics and safe design principles, was proposed to Anglo American Coal operations in Queensland. The project consisted of a skills analysis of current health personnel, design of a facilitated participatory ergonomics training program, site visits to identify good practice and champions, and a graduated mentoring program for health personnel. Early results demonstrate a number of sites are benefiting from site taskforces with a focus on positive performance outcomes.