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By Raj K. Rajamani, Samira Rashidi

High pressure grinding rolls have been utilized in various operations during the past four decades, simply due to their inherent mode of breakage that offers metallurgical benefits with pronounced energy reduction. For every new application, wear and in particular roll surface wear protection has always been the focal point of HPGR trade-off studies. Wear remains an important issue throughout a mine’s life given inevitable variations in the ore deposits properties. Hence, the capability of continuous scanning of rolls provides ample information about any deviations in the design values as well as their effect on the wear pattern. In part I of this manuscript, we present the feasibility of in-line scanning of roll surface in a 200 × 100 mm lab-scale HPGR. First, the in-line scanning was developed in a mock-up roll and then the scanner was moved to the laboratory-scale HPGR. We present the choice of scanners and the methods adopted to achieve high-level accuracy of determining wear. Even though we planned for micron-level precision of scanning, the inherent variability in shaft rotation was higher than the variability in the roll diameter due to wear. The hundred-kilogram mass processed in the HPGR was not sufficient to create enough wear that is discernible to the in-line scanner. Yet, the method tested is a promising avenue for inline scanning of HPGR rolls.

By T. Grammatikopoulos, C. Gibson, M. Aghamirian

"Lithium is a silver-white alkali metal that has recently become a target commodity for many junior mining companies. Lithium has a wide range of applications including ceramics and glass, lubricating greases, air treatment, continuous cast mold flux powders, polymer production, and primary aluminium production, but the current popularity of lithium can be attributed to an anticipated increase in demand for lithium ion batteries. The most common lithium-bearing minerals occur globally in pegmatites and granites. Spodumene [LiAl(Si2O6)] is the most desirable economic lithium-bearing mineral due to its high lithium content (theoretical Li2O content of about 8 wt%). However, lithium can also be hosted in petalite, micas, tourmaline, and phosphate minerals. In Canada there are a number of spodumene deposits in Ontario and Quebec at development stage that have the potential to help narrow the forecast lithium supply gap stemming from the widespread acceptance and use of electric vehicles. This paper discusses the beneficiation of hard rock lithium deposits, including an in depth review of the use of flotation to upgrade spodumene. A review of the use of dense media separation (DMS), magnetic separation, and roasting as means to process spodumene bearing ores is also discussed. INTRODUCTION Lithium is a soft, silver-white alkali metal with atomic number 3. As of 2015, the end use of lithium was estimated to be as follows: lithium-ion batteries (35%), ceramics and glass (32%), lubricating greases (9%), air treatment (5%), continuous casting mould flux powders (5%), polymer production (4%), primary aluminium production (1%) and other uses (9%) (Jaskula, 2014). Lithium is found in brine lake deposits containing lithium chloride and in hard rock pegmatite deposits. It can be sold in a range of product types; as mineral concentrate, brine, compound (lithium carbonate or lithium hydroxide) and metal depending on its intended end use (Goonan, 2012; Jaskula 2014). In the 1990s the United States and Chile were the largest producers of lithium globally, primarily from brine operations (Ober, 1994). Most of the lithium compounds produced over this period were consumed in the glass, ceramics and aluminium industries. In the 1980s and 1990s there were two major lithium operations in the United States: brine operations at Silver Peak, Nevada, and a spodumene mine and lithium carbonate/lithium hydroxide plant in Kings Mountain, North Carolina. The Kings Mountain operations ceased production in 1991 and were eventually dismantled in 1994. Brine operations were also active in Argentina and Chile, while the largest lithium ore deposit in the world was operated at Greenbushes, Western Australia. During this period it was predicted that major shifts in demand for lithium would come from the success and widespread use of electric vehicles (Ober, 1994)."

Jan 1, 2017

By A. Bascetin

It was recently proposed to use the pastefill technology as a surface tailings management method. Surface paste is an economic and safe storage method that respects current environmental regulations. There are many problems related to accidents that occur in conventional tailings damps. In this study, the applicability of the surface paste disposal (SPD) method for a Pb-Zn mine in western Turkey was examined. Density was 3.084 and specific surface area was 0.899 m2/g. The mill tailings have very low plasticity and show characteristics of clays and silts in terms of the Unified Soil Classification System. The particle size distribution of the tailings was 39.2% particles finer than 20 µm. The results of this study showed that the physical and chemical properties of mill tailings make them suitable for SPD.

Feb 23, 2014

By James P. Rider

Significant advances in longwall mining technology and equipment have occurred over the last decade by the late 1990s, longwall mine output accounted for 40% of all underground output in the U.S. and today longwall mines account for approximately 50% of coal produced underground in the United states. A 51% increase in average shift production rates has occurred over the last 15 years. this increased longwall productivity has meant that far more dust is being produced and controlling respirable coal dust presents an ongoing challenge for coal mine operators the National Institute for Occupational safety and Health (NIOSH) conducted a series of benchmark surveys at longwall operations across the country to identify current operating practices and the types of controls being used. Gravimetric and instantaneous dust sampling was completed to quantify the dust levels generated by major sources on the longwall section and to identify different control technologies in use today substantial reductions in dust levels were realized at sampling locations on the face when compared with ongwall surveys conducted in the 1990s results from the underground dust surveys and current longwall dust control technology and operating practices will be discussed. Mining Engineering, 2011, Vol. 63, No. 9, pp. 74-80. Official publication of the society for mining, metallurgy and exploration, Inc.

Jan 1, 2011

By T. McCallum, C. Cooper, B. Hutzler

"In copper solvent extraction, managing the quality of the organic phase is a key parameter to ensure optimal physical and metallurgical performance in the plant. Increased throughput as a result of declining ore grades coupled with advances in plant design and practice, resulting in reduced organic losses, has pushed the limits of the status quo with respect to organic quality. Clay treatment of plant and recovered organic at the optimal dosage is critical in maintaining quality, however, achieving the optimal dosage through existing filtration capacity and practice can be difficult. Cytec has developed a process aid that increases efficiency of existing filtration equipment that has been successfully implemented at two commercial SX operations. ACORGA® CB1000 enables higher dosages of clay while allowing for more efficient use of existing filtration capacity. This study analyzes results from commercial trials and demonstrates that improved organic quality and clarity is achievable through optimization of current treatment practices. INTRODUCTION Decreasing ore grades have prompted copper solvent extraction operations to raise PLS flow rates, increasing plant throughput to maintain production1. The ability to process higher flow rates through existing mixer-settlers historically came at the expense of increased entrainments2. However, advances in mixer-settler design, practices and improvements in organic recovery processes have enabled operations to maintain, and in some cases reduce organic losses while achieving higher flow rates through existing equipment. Based on the increased demand on the SX equipment and reduced losses (or more efficient recovery) maintenance of the circuit organic quality through efficient clay treatment is now more important than ever. This paper discusses common industry practices and related issues in organic clay treatment, and presents benefits achieved in commercial operations through the use of ACORGA® CB1000 Clay Binder. IMPROVEMENTS IN DESIGN AND PLANT PRACTICE Mixer-settler design has improved since the first commercial copper SX operation in the late 1960s. Advanced designs in mixer, settler, and settler internals have contributed to reductions in entrainments. For example, improved impeller designs have been reported to decrease organic in aqueous entrainment from the ‘old designs’ of 50-200 ppm3 to as low as 4 – 10 ppm confirmed via diluent and reagent consumptions . Similarly, operations are reporting a 20-50% decrease in reagent consumption when compared to the original design criteria3. Operations have optimized settler internals to increase coalescence and have improved settler operating practices which have been shown to reduce entrainments7. Comparison of the SX world operating data from 1999 and 2007 shows reductions in organic entrainment losses with increases in flow rates."

Jan 1, 2015

By D. Wenstrup, K. Perry, J. Hatfield, P. Sainato, B. Lusk

Concrete-infused cloth is used in several civil and mining surface applications whose circumstances are similar to some of those in underground mining. A feature of this material is that it cannot be overhydrated. In underground conditions, however, the excess supply of water to the cloth for hydration could lead to muddy and potentially unsafe working conditions, as well as resource wastage by supplying more water to the construction site than is needed. The objective of this study is to verify the water-to-cloth ratio and study the effect of hydration level on the strength of the Concrete Cloth product. We found that the strength increases with increased hydration up to a 1:2 water-to-cloth ratio by weight, after which the strength holds steady regardless of additional hydration. This confirms the 1:2 water-tocloth ratio by weight for hydration and confirms that strength is retained even if the cloth is excessively hydrated.

Jan 1, 2014

By A. Bhattacherjee

Industries in general and the mining industry in particular have become more safe than ever before. However, there is a need to increase the search for the causes of mining work-related injuries and to contribute to their reduction through job design, work procedures, and worker training. Mine accident and hazard control has to be practiced in a manner which is consistent with the overall objectives of the mine management, among which are the optimum allocation and effective utilization of the resources. The purposes of this paper are to (i) review the role risk analysis in safety management with references from mining and other industries; (ii) discuss the risk measures appropriate for injury analysis; (iii) present a set of analytical tools to injury experience data in under-ground coal mines; (i v) apply these tools on case study example; (v) discuss the results of the case study; and (vi) amplify the application limitations and the future research needs.

Jan 1, 1991

By V. T. McLemore

"Production of industrial minerals remains important to the rural economy of New Mexico. In 2014, 226 active mines and mills were registered in New Mexico and included four coal, eight potash, 11 metal, 33 industrial mineral and 170 aggregate and stone operations. New Mexico leads U.S. domestic production of potash, perlite, zeolite and travertine. Other production includes aggregate, humate, pumice, gypsum, salt, common and fire clay, scoria, limestone, fly ash, cement, magnetite, silica and decorative stone. New Mexico also has the potential for additional production of industrial minerals. One company is exploring for garnet. Cretaceous black sandstones in the San Juan Basin have drawn interest for titanium, rare earth elements (REEs), niobium and zircon, and other REE deposits are being explored. REE-thoriumuranium veins have been found in the Gallinas, Capitan and Cornudas Mountains and Laughlin Peak-Chico Hills. Exploration for beryllium has occurred in the Ojo Caliente No. 2, Cuchillo Negro and Victorio mining districts. Companies also are examining high-calcium limestone and high-magnesium dolomite for potential development, while aggregate continues to be important in urban areas and along highways. IntroductionIndustrial minerals and rocks are literally the building blocks of our way of life. They are an exceptionally diverse and vital group of raw materials that underpin almost all aspects of human activity, infrastructure and standard of living. Industrial minerals and rocks are used in the manufacture of many products, from ceramics to plastics to refractories to paper. Although industrial minerals permeate nearly every aspect of daily life, their presence and their roles are typically invisible. A widely used definition of industrial minerals and rocks is “any rock, mineral, or other naturally occurring substance of economic value, exclusive of metal ores, mineral fuels, and gemstones: one of the nonmetallics” (Bates, 1975). This definition includes the important construction materials sector as well as specialized industrial minerals, but complex interactions between consumer industries produce a number of apparent anomalies to this definition. Some metals are included as industrial minerals because their use is industrial rather than as a metal. Sulfur is now predominantly extracted as a byproduct of cleaning natural gas, one of the world’s major energy fuels.Production of industrial minerals has been and remains important to the rural economy of New Mexico. Industrial minerals constitute nearly 41 percent of the more than $3.1 billion generated by mineral production in New Mexico in 2014 (Table 1). In 2014, 226 active mines and mills were registered in New Mexico and included four coal, eight potash, 11 metal, 33 industrial mineral and 170 aggregate and stone operations (New Mexico Mining and Minerals Division, 2015a). New Mexico leads U.S. domestic production in potash, perlite, zeolite and travertine. Other industrial minerals production from New Mexico includes aggregate, humate, pumice, gypsum, salt, common and fire clay, scoria, limestone, fly ash, cement, magnetite, silica and decorative stone. Additional production statistics can be found in Harben et al. (2008). Major industrial mineral districts are shown in Fig. 1."

Jan 6, 2017

By A. Cecala, J. Noll, J. Hummer

The National Institute for Occupational Safety and Health has observed that many control rooms and operator compartments in the U.S. mining industry do not have filtration systems capable of maintaining low dust concentrations in these areas. In this study at a mineral processing plant, to reduce respirable dust concentrations in a control room that had no cleaning system for intake air, a filtration and pressurization system originally designed for enclosed cabs was modified and installed. This system was composed of two filtering units: one to filter outside air and one to filter and recirculate the air inside the control room. Eighty-seven percent of submicrometer particles were reduced by the system under static conditions. This means that greater than 87 percent of respirable dust particles should be reduced as the particle-size distribution of respirable dust particles is greater than that of submicrometer particles, and filtration systems usually are more efficient in capturing the larger particles. A positive pressure near 0.02 inches of water gauge was produced, which is an important component of an effective system and minimizes the entry of particles, such as dust, into the room. The intake airflow was around 118 cfm, greater than the airflow suggested by the American Society of Heating, Refrigerating, and Air-Conditioning Engineers (ASHRAE) for acceptable indoor air quality. After one year, the loading of the filter caused the airflow to decrease to 80 cfm, which still produces acceptable indoor air quality. Due to the loading of the filters, the reduction efficiency for submicrometer particles under static conditions increased to 94 percent from 87 percent.

Jan 1, 2015

By S. E. Vanderslice, J. A. Hummer

"The results of laboratory evaluations were used to compare the potential of two alternative, biomass-derived fuels as a control strategy to reduce the exposure of underground miners to aerosols and gases emitted by diesel-powered equipment. The effects of fatty acid methyl ester (FAME) biodiesel and hydrotreated vegetable oil renewable diesel (HVORD) on criteria aerosol and gaseous emissions from an older-technology, naturally aspirated, mechanically controlled engine equipped with a diesel oxidation catalytic converter were compared with those of widely used petroleum-derived, ultralow-sulfur diesels (ULSDs). The emissions were characterized for four selected steady-state conditions. When fueled with FAME biodiesel and HVORD, the engine emitted less aerosols by total particulate mass, total carbon mass, elemental carbon mass and total number than when it was fueled with ULSDs. Compared with ULSDs, FAME biodiesel and HVORD produced aerosols that were characterized by single modal distributions, smaller count median diameters, and lower total and peak concentrations. For the majority of test cases, FAME biodiesel and HVORD favorably affected nitric oxide (NO) and adversely affected nitrogen dioxide (NO2) generation. Therefore, the use of these alternative fuels appears to be a viable tool for the underground mining industry to address the issues related to emissions from diesel engines, and to transition toward more universal solutions provided by advanced engines with integrated exhaust aftertreatment technologies. IntroductionDiesel engines have been the workhorses of modern society for industrial and transportation enterprises. Diesel engines of all generations are extensively used in a variety of light-, medium- and heavy-duty applications in underground mining operations around the world. Fuels obtained from various sources and with wide-ranging chemistries have been combusted in diesel engines. However, the bulk of the currently used fuel can still be traced to nonrenewable petroleum sources. The petroleum-derived diesel fuels are primarily made up of saturated acyclic hydrocarbons (parafins or alkanes), aromatic hydrocarbons (arenes or aryl hydrocarbon), and unsaturated hydrocarbons with double bonds (olefins and alkenes). Improvements in the quality of petroleum-based diesel fuels was identified in federal regulations as an important piece in resolving the puzzle of diesel engine emissions (Environmental Protection Agency, 2001, 2004). The reduction of U.S. diesel fuel sulfur content below 15 ppm had the effect of lowering sulfate emissions and enabling the development and implementation of catalyzed emissions control technology across a wide spectrum of applications."

Jan 12, 2017

By Wenjun Ju, Xiaodong Sun, Jianwei Zheng, Bingding Yi, Zhaorui Ma, Pengfei Jiang, Lingfu Zhu, Yangfa Zheng

The presence of hard roof poses a significant threat to the safety of underground coal mining. In this study, a mechanical model is established for underground stopes to analyze the overburden structure with the advancing of the mining face. It is indicated that the load-bearing arch structure (LBAS) is formed above the stope for roofs with regular hardness, whereas the reversed-basin bearing structure (RBBS) is formed for hard roofs. Compared with the LBAS, the RBBS can induce an additional pressure at the foot of the bearing structure, and this effect becomes less as the distance between the hard roof and stope increases. The ultra-deep borehole hydro-fracturing technique (UHT) is proposed to weaken the hard roof for pressure release, and the associated equipment and procedures are also presented. The UHT is based on horizontal drilling along the axial direction of the roadway in the roof, and then the receding segmented hydraulic fracturing technique is used to achieve the purpose of fracturing (weakening) of the surrounding rocks. Field tests are carried out in 3022 roadway of Daliangwan coal mine in Yulin to assess the developed technique, equipment, and fracturing procedures. To evaluate the fracturing effect, deep borehole stress-meters are installed at different depths of the fractured and un-fractured zones of the roadway, along with hydraulic support pressure sensors placed at the mining face. The results show that compared with the un-fractured zone, the pressure on the wall and pillar sides is lower than that in the fractured zone, and the associated weighting duration and weighting area ratio of the fractured are reduced by 53.23% and 33.59%, respectively. This indicates that the presented UHT can provide a new solution for the prevention and control of mining disasters induced by hard roof failures in underground coal mining.

Nov 2, 2020

By T. E. Wayland

Bentonites are clay materials composed principally of minerals in the montmorillonite group. Distinctive physical properties of the montmorillonite minerals are responsible for selected bentonite deposits having become the raw materials source of industrial clay products which are virtually essential to the maintenance of high production standards in the petroleum, foundry, taconite and other basic industries. These versatile materials have no suitable substitutes in either their major applications or in hundreds of speciality products, The economics of the bentonite mining industry follows closely the established pattern of other non-metallic raw materials. Aggressive competition, advanced technologies, progressive marketing techniques, substantial reserves, and vast unmeasured resources insure the continued supply of high quality bentonite to industry at bargain prices. The purpose of this paper is to discuss the geology and economics of bentonite deposits, summarize both major domestic mining districts and foreign deposits, and report significant results of research and development.

Jan 1, 1970

By T. J. Loyd

The capabilities of the analog computer, the Mine Ventilation Simulator, installed at WHA's Safety and Health Technology Center in Denver, Colorado, are discussed. General opera- ting procedures are described showing how a mine model is produced, and how the model can subsequently be modified to produce a solution to a mine ventilation problem. A sample problem is included to illustrate the technique. The important role the Mine Ventilation Simulator plays in ventilation training is discussed, including experiences with the education of students at the Colorado School of Mines. This paper includes a summary of some of the advantages and disadvantages of the analog technique and suggests some design criteria for application to future development of analog computers, based on experience gained with the Mine Ventilation Simulator.

Jan 1, 1984

By H. J. van Antwerpen

AngloGold Ashanti operates the world`s deepest mine, Mponeng gold mine, in South Africa. A vast refrigeration and ventilation system provides acceptable working conditions 3800m below surface at 60°C rock temperature. In such a system, optimisation and assessment of modifications becomes very difficult. With that in mind, a research project was launched to determine whether recently developed system simulation technology can be applied to a mine as vast and complex as Mponeng. Using the techniques and methods as implemented in FLOWNEX software, it was indeed proven to be possible to do a mine-wide combined simulation of compressed air flow, ventilation air psychrometry and refrigeration water systems. Interactions between the various streams included heat transfer, pressure drop, evaporation and condensation. The simulation model was used in a parametric study to test various water flow and temperature operating points for the refrigeration system. It was found that, given current limitations, the mine refrigeration system is running fairly close to optimal but with some opportunities for improvement. The simulation model also provided useful insight for future changes or extensions to the system.

Feb 23, 2014

New Mexico?s active coal mines have reclamation challenges that are being successfully resolved through the application of geomorphic grading methods. Soils and overburden material are often of poor quality, and annual precipitation is low. Revegetation on south and west aspect slopes often failed to persist. The New Mexico Mining and Minerals Division had therefore been encouraging topographic diversity on reclamation to improve water harvesting and reduce the percentage of south aspect slopes. Steeply dipping, multiple coal seams may be mined by open pit methods. Structurally-controlled trellis drainage patterns that exist premine have to be replaced with dendritic drainage patterns on reclamation where the overburden had been pulverized. Sodic spoil material is prone to differential settling and the creation of piping features in areas where runoff ponds, which may lead to downslope instability. In each of these scenarios, the approximation of natural drainage patterns on the reclamation has reduced erosion and sedimentation by creating shorter slopes with correct profiles, and by improving conditions for revegetation establishment.

Jan 1, 2010

By Aldin Ardian, Mustafa Kumral, Jagjit Singh

Risk assessment of mining projects is a requirement in the mineral industries. In this process, many risk variables are timedependent, and the only available data are historical time series. Moreover, in the case of a multivariate scenario, conventional forecasting methods fail to capture conditional dependency across the variables, which is important when there is an underlying causal relationship that needs to be modeled for accurate project evaluation. Thus, we investigated the use of copulas to capture the conditional distribution of the factors involved in a mine risk assessment study. We employed a multivariate copula-based time-series approach to model several uncertain variables. The Autoregressive Fractionally Integrated Moving Average - Generalized Autoregressive Conditional Heteroscedasticity (ARFIMA-GARCH) model was used for the conditional mean and copulas were used to model the error distribution, thus capturing the collective variation and dependence pattern across the variables. The method was implemented to model gold prices, copper prices, and the 10-year US Treasury bond yields and to determine the project’s net present value and probability of being economically feasible. The proposed approach can be used for cases where simulation of multivariate time-series is conducted.

Apr 13, 2021

By F. Calizaya

This paper explains and discusses a computer program developed to determine the ventilation design parameters for complex auxiliary ventilation systems such as those found in the construction of long excavations with multiple headings. The program is based on the principle of partitioning the system into segments of finite length, and formulating and solving the resulting networks recursively. The application of the program is illustrated by the detailed solution of an auxiliary ventilation system proposed for the Exploratory Studies Facility (ESF) at the Yucca Mountain project, Nevada.

Jan 1, 1994

By H. Lawrence

In 1977, the Bureau of Mines awarded a grant to the State of South Carolina to explore the possibility of using Landsat multispectral scanner (MSS) data as an aid in monitoring surface mining activities in selected counties of the State. Work had been done in Aiken County prior to the grant by Bureau of Mines and State personnel at the EROS Data Center using both the GE Image 100 and ESL IDIMS systems. The initial work on the 1-100 consisted of locating and measuring the areas of various kaolin mines. The results were excellent on location, identification, and accurate area measurements of several mines as compared with aerial photos of each mine. The effort also included locating and measuring the size of all mines (including sand and gravel) within two U.S. Geological Survey (USGS) 7 ½ min quadrangle maps. Line printer overlays using the IDIMS equipment and software resulted in the location of all known mines within an estimated error less than ±91.4m (5300 feet). Mine acreage was calculated by counting each symbol (which represented one pixel) and multiplying by 1.1 (the number of acres per pixel). Figure 1 shows a portion of one quadrangle overlay. Table I gives a comparison of acreage measured for sever- al mines from the 1-100 and IDIMS systems vs. aerial photo measurements.

Jan 1, 1979

By Yi Luo, FENGLIANG WU

Explosions and fires originated from longwall gob due to the formation of methane-air mixture have been a severe threat to coal miner’s lives.Many numerical studies on coalmine fire and explosion hazards have focused on the airflow in roadways and mine gobs. However, most of these studies isolate the gob from its surrounding roadways, and the network analysis and the CFD method are applied independently tomodel the two classes of airflows. This approach greatly limits the ability of simulatingmine ventilation flow, especially unable to consider the effects of gob boundary conditions on air exchange between the gob and the surrounding airways. An innovative finite tube method (FTM) is developed to couple the one-dimensional mine ventilation network (MVN) and the 2D/3D gob flow field (GFF). In FTM, GFF is discretized into a finite number of flow tubes each of which is formed by any two adjacent stream lines. These tubes, representing the gob’s field flow, connect the MVN into a new coupling network. To solve the coupling model betweenMVN and GFF, an iterative solution technique is developed inwhich the MVN analysis is used to evaluate the boundary pressures for GFF simulation and in turn the FTM feeds the GFF results back to the coupling network. Based on the FTM approach, a model for gas migration in gob has been established for delineating the hazard zones of explosive methane concentration and spontaneous combustion. A computer program is developed to implement the FTM simulation. An illustrative example with five flow tubes representing the GFF is created to verify the stability and convergence of the FTM solution process. A simulation example also indicates that the accuracy of FTM is improved by 12% compared with previous method. Results of an application case show that the program is capable of quantitatively evaluating the gob’s risk zones prone for spontaneous combustion and gas explosion as well as performing risk analysis for various ventilation scenarios.

Jul 10, 2020

By Jonisha P. Pollard, F. Nasarwanji, Lydia M. Kocher

This study identifies nonfatal injury incidence rates, nature of injury, work activities, glove usage, and sources of hand and finger injuries in the U.S. mining industry, as reported to the Mine Safety and Health Administration (MSHA) from 2011 to 2017. Hand and finger injuries occur at a rate of 6.53 per 1000 full-time employees, which is nearly double the rate of the next highest affected body part, the back.

Feb 24, 2022