The contributions of the Mining Program to improvements in workplace health and safety are considered major in some areas (respirable disease prevention, traumatic injury prevention), moderate in some areas (hearing loss prevention, ground failure prevention), and likely in a number of areas (disaster prevention, musculoskeletal injury prevention). Mining Program outputs are evaluated, accepted, and incorporated into stakeholder operations, and training outputs find wide use in the industry. The Mining Program is engaged in technology transfer activities. Based on the Framework Committee criteria for scoring (see Box 4-1), a score of 4 for impact is appropriate. A lower score would not acknowledge the fact the Mining Program has gone beyond mere production of outputs. A higher score is not justified because outcome data are not available for several research areas. Though some outputs have the potential to improve future health and safety conditions in the workplace, the path from output to outcome is affected by external factors.