Occupational Safety and Health Concerns in Logging: A Cross-Sectional Assessment in Virginia
Abstract
:1. Introduction
2. Materials and Methods
2.1. Participants
2.2. Questionnaire
2.3. Data Analysis
3. Results
3.1. Characteristics of Questionnaire Respondents
3.2. Prevalence of Work-Related Injury, Symptoms Related to Diesel Exhaust Exposure, and MSD Symptoms
3.3. Perceived Safety Concerns and Recommendations
4. Discussion
4.1. Workplace Injuries and MSDs
4.2. Symptoms Related to Diesel Exhaust Exposure
4.3. Safety Concerns and Opinions of Loggers
5. Conclusions
Supplementary Materials
Acknowledgments
Author Contributions
Conflicts of Interest
References
- American Forest & Paper Association Economic Impact. Available online: http://www.afandpa.org/our-industry/economic-impact (accessed on 4 April 2016).
- National Institute for Occupational Safety and Health Logging Safety. Available online: http://www.cdc.gov/niosh/topics/logging/ (accessed on 18 April 2016).
- Albizu-Urionabarrenetxea, P.; Tolosana-Esteban, E.; Roman-Jordan, E. Safety and health in forest harvesting operations. Diagnosis and preventive actions. A review. For. Syst. 2013, 22, 392–399. [Google Scholar] [CrossRef]
- Roberts, T.; Shaffer, R.M.; Bush, R.J. Injuries on mechanized logging operations in the southeastern United States in 2001. For. Prod. J. 2005, 55, 86–89. [Google Scholar]
- Shaffer, B.; Roberts, T. Logging Injuries Continue Downward Trend; Forest Operations Review: Rockville, MD, USA, 2003; pp. 21–22. [Google Scholar]
- Lefort, A.J., Jr.; de Hoop, C.F.; Pine, J.C. Characteristics of injuries in the logging industry of Louisiana, USA: 1986 to 1998. Int. J. For. Eng. 2003, 14, 75–89. [Google Scholar]
- Bureau of Labor Statistics Census of Fatal Occupational Injuries (CFOI)—Current and Revised Data. Available online: https://www.bls.gov/iif/oshcfoi1.htm#2015 (accessed on 8 September 2017).
- Bureau of Labor Statistics. TABLE R5. Incidence Rates for Nonfatal Occupational Injuries and Illnesses Involving Days Away from Work per 10,000 Full-Time Workers by Industry and Selected Natures of Injury or Illness, Private Industry, 2015. Available online: https://www.bls.gov/iif/oshwc/osh/case/ostb4757.pdf (accessed on 4 April 2016).
- Nieuwenhuis, M.; Lyons, M. Health and safety issues and perceptions of forest harvesting contractors in Ireland. Int. J. For. Eng. 2002, 13, 69–76. [Google Scholar]
- Shaffer, R.M.; Milburn, J.S. Injuries on feller-buncher/grapple skidder logging operations in the Southeastern United States. For. Prod. J. 1999, 49, 24–26. [Google Scholar]
- Myers, J.R.; Fosbroke, D.E. Logging fatalities in the United States by region, cause of death, and other factors—1980 through 1988. J. Saf. Res. 1994, 25, 97–105. [Google Scholar] [CrossRef]
- Axelsson, S.Å.; Pontén, B. New ergonomic problems in mechanized logging operations. Int. J. Ind. Ergon. 1990, 5, 267–273. [Google Scholar] [CrossRef]
- Lynch, S.M.; Smidt, M.F.; Merrill, P.D.; Sesek, R.F. Incidence of MSDs and Neck and Back Pain among Logging Machine Operators in the Southern U.S. J. Agric. Saf. Health 2014, 20, 211–218. [Google Scholar] [PubMed]
- Hagen, K.B.; Magnus, P.; Vetlesen, K. Neck/shoulder and low-back disorders in the forestry industry: Relationship to work tasks and perceived psychosocial job stress. Ergonomics 1998, 41, 1510–1518. [Google Scholar] [CrossRef] [PubMed]
- U.S. Department of Health and Human Service. National Institute for Occupational Safety and Health Current Intelligence Bulletin 50; U.S. Department of Health and Human Service: Cincinnati, OH, USA, 1988.
- Crump, K.; Van Landingham, C. Evaluation of an exposure assessment used in epidemiological studies of diesel exhaust and lung cancer in underground mines. Crit. Rev. Toxicol. 2012, 42, 599–612. [Google Scholar] [CrossRef] [PubMed]
- Straif, K.; Benbrahim-Tallaa, L.; Baan, R.; Grosse, Y.; Secretan, B.; Ghissassi, E.F.; Bouvard, V.; Guha, N.; Freeman, C.; Galichet, L.; et al. WHO International Agency for Research on Cancer Monograph Working Group A review of human carcinogens—Part C: Metals, arsenic, dusts, and fibres. Lancet Oncol. 2009, 10, 453–454. [Google Scholar] [CrossRef]
- Boffetta, P.; Harris, R.E.; Wynder, E.L. Case-control study on occupational exposure to diesel exhaust and lung cancer risk. Am. J. Ind. Med. 1990, 17, 577–591. [Google Scholar] [PubMed]
- Attfield, M.D.; Schleiff, P.L.; Lubin, J.H.; Blair, A.; Stewart, P.A.; Vermeulen, R.; Coble, J.B.; Silverman, D.T. The Diesel Exhaust in Miners study: A cohort mortality study with emphasis on lung cancer. JNCI 2012, 104, 869–883. [Google Scholar] [CrossRef] [PubMed]
- Bhatia, R.; Lopipero, P.; Smith, A.H. Diesel Exhaust Exposure and Lung Cancer. Epidemiology 1998, 9, 84–91. [Google Scholar] [CrossRef] [PubMed]
- Pandya, R.J.; Solomon, G.; Kinner, A.; Balmes, J.R. Diesel exhaust and asthma: Hypotheses and molecular mechanisms of action. Environ. Health Perspect. 2002, 110, 103–112. [Google Scholar] [CrossRef] [PubMed]
- Conway, S.H.; Pompeii, L.A.; Casanova, V.; Douphrate, D.I. A qualitative assessment of safe work practices in logging in the southern United States. Am. J. Ind. Med. 2016, 60, 58–68. [Google Scholar] [CrossRef] [PubMed]
- Bordas, R.M.; Davis, G.A.; Hopkins, B.L.; Thomas, R.E.; Rummer, R.B. Documentation of hazards and safety perceptions for mechanized logging operations in East Central Alabama. J. Agric. Saf. Health 2001, 7, 113–123. [Google Scholar] [CrossRef] [PubMed]
- Lipscomb, H.J.; Schoenfisch, A.L. Reflections on Occupational Injury Control. Saf. Sci. Monit. 2014, 18, 1–8. [Google Scholar]
- Bolding, M.C.; Barrett, S.M.; Munsell, J.F.; Groover, M.C. Characteristics of Virginia’s logging businesses in a changing timber market. For. Prod. J. 2010, 60, 86–93. [Google Scholar] [CrossRef]
- Rudell, B.; Wass, U.; Hörstedt, P.; Levin, J.O.; Lindahl, R.; Rannug, U.; Sunesson, A.L.; Ostberg, Y.; Sandström, T. Efficiency of automotive cabin air filters to reduce acute health effects of diesel exhaust in human subjects. Occup. Environ. Med. 1999, 56, 222–231. [Google Scholar] [CrossRef] [PubMed]
- Laumbach, R.J.; Kipen, H.M.; Kelly-McNeil, K.; Zhang, J.; Zhang, L.; Lioy, P.J.; Ohman-Strickland, P.; Gong, J.; Kusnecov, A.; Fiedler, N. Sickness Response Symptoms among Healthy Volunteers after Controlled Exposures to Diesel Exhaust and Psychological Stress. Environ. Health Perspect. 2011, 119, 945–950. [Google Scholar] [CrossRef] [PubMed]
- Kuorinka, I.; Jonsson, B.; Kilbom, A.; Vinterberg, H.; Biering-Sørensen, F.; Andersson, G.; Jørgensen, K. Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl. Ergon. 1987, 18, 233–237. [Google Scholar] [CrossRef]
- Core Team R. A Language and Environment for Statistical Computing; R Foundation for Statistical Computing: Vienna, Austria, 2015. [Google Scholar]
- Lilley, R.; Feyer, A.-M.; Kirk, P.; Gander, P. A survey of forest workers in New Zealand. Do hours of work, rest, and recovery play a role in accidents and injury? J. Saf. Res. 2002, 33, 53–71. [Google Scholar] [CrossRef]
- Fan, Z.J.; Bonauto, D.K.; Foley, M.P.; Silverstein, B.A. Underreporting of Work-Related Injury or Illness to Workers’ Compensation: Individual and Industry Factors. J. Occup. Environ. Med. 2006, 48, 914–922. [Google Scholar] [CrossRef] [PubMed]
- Gallis, C. Work-related prevalence of musculoskeletal symptoms among Greek forest workers. J. Ind. Ergon. 2006, 36, 731–736. [Google Scholar] [CrossRef]
- Sehra, G.; Barnes, P.; Rogers, D.; Donnelly, L. Effect of diesel exhaust particles (DEP) on monocyte-derived macrophage (MDM) mediator release and phagocytosis in chronic obstructive pulmonary disease (COPD). Eur. Respir. J. 2013, 42, 618. [Google Scholar]
- Bureau of Labor Statistics Injuries, Illnesses, and Fatalities. Available online: http://www.bls.gov/iif/osh_nwrl.htm (accessed on 23 August 2017).
- Roberts, E.T.; Bolding, M.C. A Ten Year Analysis of Timber Harvesting Injuries in the Southeastern United States; Master of Forestry Paper; Virginia Tech: Blacksburg, VA, USA, 2012; pp. 1–28. [Google Scholar]
- Lagerstrom, E.; Magzamen, S.; Rosecrance, J. A mixed-methods analysis of logging injuries in Montana and Idaho. Am. J. Ind. Med. 2017, 25, 1–11. [Google Scholar] [CrossRef] [PubMed]
- Kaber, D.B.; Endsley, M.R. The effects of level of automation and adaptive automation on human performance, situation awareness and workload in a dynamic control task. Theor. Issues Ergon. Sci. 2007, 5, 113–153. [Google Scholar] [CrossRef]
- Durso, F.T.; Rawson, K.A.; Girotto, S. Comprehension and Situation Awareness. In Handbook of Applied Cognition; Durso, F.T., Nickerson, R.S., Dumais, S.T., Lewandowsky, S., Perfect, T.J., Eds.; John Wiley & Sons Inc.: New York, NY, USA, 2007; p. 163. [Google Scholar]
- Wickens, C.D.; Hollands, J.G.; Banbury, S.; Parasuraman, R. Engineering Psychology & Human Performance; Psychology Press: London, UK, 2015. [Google Scholar]
- Endsley, M.R.; Bolte, B.; Jones, D.G. Designing for Situation Awareness; CRC Press: Boca Raton, FL, USA, 2003. [Google Scholar]
- Robson, L.S.; Stephenson, C.M.; Schulte, P.A.; Amick, B.C.I.; Irvin, E.L.; Eggerth, D.E.; Chan, S.; Bielecky, A.R.; Wang, A.M.; Heidotting, T.L.; et al. A systematic review of the effectiveness of occupational health and safety training. Scand. J. Work Environ. Health 2011, 38, 193–208. [Google Scholar] [CrossRef] [PubMed]
- Nelson, A.; Baptiste, A.S. Evidence-Based Practices for Safe Patient Handling and Movement. Clin. Rev. Bone Miner. Metab. 2006, 4, 55–69. [Google Scholar] [CrossRef]
- Bell, J.L.; Grushecky, S.T. Evaluating the effectiveness of a logger safety training program. J. Saf. Res. 2006, 37, 53–61. [Google Scholar] [CrossRef] [PubMed]
- Helmkamp, J.C.; Bell, J.L.; Lundstrom, W.J.; Ramprasad, J.; Haque, A. Assessing safety awareness and knowledge and behavioral change among West Virginia loggers. Inj. Prev. 2004, 10, 233–238. [Google Scholar] [CrossRef] [PubMed]
- Mujuru, P.; Helmkamp, J.C.; Mutambudzi, M.; Hu, W.; Bell, J.L. Evaluating the impact of an intervention to reduce injuries among loggers in West Virginia, 1999–2007. J. Agric. Saf. Health 2009, 15, 75–88. [Google Scholar] [CrossRef] [PubMed]
- Teizer, J.; Allread, B.S.; Fullerton, C.E.; Hinze, J. Autonomous pro-active real-time construction worker and equipment operator proximity safety alert system. Autom. Constr. 2010, 19, 630–640. [Google Scholar] [CrossRef]
- Ahn, S.Y.; Jeon, Y.W.; Yun, J.M.; Kang, P.; Ko, J.H.; Park, P. Development of a forward visibility assessment tool based on visibility angle. Int. J. Autom. Technol. 2015, 16, 1051–1055. [Google Scholar] [CrossRef]
- Reed, M.P.; Manary, M.A.; Flannagan, C.A.; Schneider, L.W. Effects of vehicle interior geometry and anthropometric variables on automobile driving posture. Hum. Factors 2000, 42, 541–552. [Google Scholar] [CrossRef] [PubMed]
- Vogt, C.; Mergl, C.; Bubb, H. Interior layout design of passenger vehicles with RAMSIS. Hum. Factors Ergon. Manuf. Serv. Ind. 2005, 15, 197–212. [Google Scholar] [CrossRef]
- Di Gironimo, G.; Monacelli, G.; Patalano, S. A Design Methodology for Maintainability of Automotive Components in Virtual Environment. In Proceedings of the 8th International Design Conference (DESIGN 2004), Dubrovnik, Croatia, 16–19 May 2004; pp. 1–12. [Google Scholar]
- Reed, M.P.; Ebert, S.M.; Hoffman, S.G. Modeling Foot Trajectories for Heavy Truck Ingress Simulation; CRC Press: Miami, FL, USA, 2010. [Google Scholar]
- Choi, N.-C.; Lee, S. Discomfort Evaluation of Truck Ingress/Egress Motions Based on Biomechanical Analysis. Sensors 2015, 15, 13568–13590. [Google Scholar] [CrossRef] [PubMed]
- Teizer, J. Wearable, wireless identification sensing platform: Self-Monitoring Alert and Reporting Technology for Hazard Avoidance and Training (SmartHat). J. Inf. Technol. Constr. 2015, 20, 295–312. [Google Scholar]
n | (%) | Work-Related Injury | Symptoms Related to Diesel Exhaust Exposure 1 | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
n | Prev | PR | (95% CI) | n | Prev | PR | (95% CI) | ||||
Overall | 122 | (100) | |||||||||
Years worked in logging | |||||||||||
<10 | 41 | (33.6) | 12 | 0.29 | 1.00 | 24 | 0.58 | 1.00 | |||
10 to <30 | 53 | (43.4) | 29 | 0.55 | 1.87 | (1.14, 3.38) | 33 | 0.62 | 1.06 | (0.77, 1.51) | |
≥30 | 25 | (20.5) | 20 | 0.80 | 2.73 | (1.69, 4.86) | 12 | 0.48 | 0.82 | (0.48, 1.30) | |
Missing | 3 | (2.5) | |||||||||
Physiographic region | |||||||||||
Coastal Plain | 59 | (48.4) | 32 | 0.54 | 1.00 | 31 | 0.53 | 1.00 | |||
Piedmont | 42 | (34.4) | 19 | 0.45 | 0.83 | (0.54, 1.24) | 25 | 0.60 | 1.13 | (0.79, 1.61) | |
Mountain | 21 | (17.2) | 11 | 0.52 | 0.97 | (0.56, 1.48) | 14 | 0.67 | 1.27 | (0.82, 1.84) | |
Primary job | |||||||||||
Machine operator | 62 | (50.8) | 30 | 0.48 | 1.00 | 38 | 0.61 | 1.00 | |||
Supervisor/foreman/owner 2 | 41 | (33.6) | 22 | 0.54 | 1.11 | (0.74, 1.62) | 21 | 0.51 | 0.84 | (0.57, 1.18) | |
Deckhand 3 | 5 | (4.1) | 3 | 0.60 | 1.24 | (0.40, 2.15) | 4 | 0.80 | 1.31 | (0.60, 1.84) | |
Missing | 14 | (11.5) | |||||||||
Daily machine operation duration (h) | |||||||||||
<4 | 12 | (9.8) | 7 | 0.58 | 1.11 | (0.57, 1.71) | 7 | 0.58 | 1.00 | (0.52, 1.51) | |
4 to <8 | 20 | (16.4) | 7 | 0.35 | 0.67 | (0.31, 1.15) | 9 | 0.45 | 0.77 | (0.41, 1.20) | |
≥8 | 82 | (67.2) | 43 | 0.52 | 1.00 | 48 | 0.59 | 1.00 | |||
Missing | 8 | (6.6) | |||||||||
Perceived safety of job | |||||||||||
Not at all/somewhat dangerous | 43 | (35.2) | 22 | 0.51 | 1.00 | 25 | 0.58 | 1.00 | |||
Moderately dangerous | 56 | (45.9) | 30 | 0.54 | 1.05 | (0.72, 1.56) | 28 | 0.50 | 0.86 | (0.59, 1.25) | |
Very/extremely dangerous | 19 | (15.6) | 10 | 0.53 | 1.03 | (0.57, 1.67) | 15 | 0.79 | 1.36 | (0.93, 1.93) | |
Missing | 4 | (3.3) | |||||||||
Attitude toward using PPE | |||||||||||
Not at all important | 11 | (9.0) | 6 | 0.55 | 1.15 | (0.54, 1.85) | 5 | 0.45 | 0.75 | (0.31, 1.27) | |
Moderately important | 26 | (21.3) | 16 | 0.62 | 1.29 | (0.85, 1.84) | 14 | 0.54 | 0.89 | (0.56, 1.26) | |
Very/extremely important | 84 | (68.9) | 40 | 0.48 | 1 | 51 | 0.61 | 1 | |||
Missing | 1 | (0.8) |
n | Neck (%) | Shoulder (%) | Elbow (%) | Wrist (%) | Upper Back (%) | Lower Back (%) | Hip (%) | Knee (%) | Foot (%) | |
---|---|---|---|---|---|---|---|---|---|---|
All | 122 | 27.9 | 35.3 | 17.2 | 28.7 | 16.4 | 49.2 | 11.5 | 37.7 | 21.3 |
Experience (years) | ||||||||||
<10 | 41 | 31.7 | 39.0 | 22.0 | 31.7 | 24.4 | 51.2 | 17.1 | 46.3 | 31.7 |
10 to <30 | 53 | 26.4 | 28.3 | 18.9 | 28.3 | 86.8 | 52.8 | 7.6 | 34.0 | 13.2 |
≥30 | 25 | 28.0 | 48.0 | 8.0 | 24.0 | 12.0 | 44.0 | 12.0 | 36.0 | 20.0 |
Primary job | ||||||||||
Machine operator | 62 | 22.6 | 30.7 | 14.5 | 30.7 | 16.1 | 40.3 | 6.5 | 41.9 | 16.1 |
Supervisor/foreman/owner | 41 | 36.6 | 41.5 | 19.5 | 24.4 | 22.0 | 58.5 | 22.0 | 34.2 | 24.4 |
Deckhand | 5 | 20.0 | 40.0 | 40.0 | 40.0 | 0.0 | 40.0 | 20.0 | 20.0 | 40.0 |
Daily machine operation duration (h) | ||||||||||
<4 | 12 | 8.3 | 25.0 | 0.0 | 16.7 | 0.0 | 41.7 | 16.7 | 8.3 | 16.7 |
4 to <8 | 20 | 25.0 | 35.0 | 15.0 | 30.0 | 80.0 | 45.0 | 20.0 | 30.0 | 25.0 |
≥8 | 82 | 32.9 | 37.8 | 20.7 | 31.7 | 81.7 | 51.2 | 9.8 | 46.3 | 23.2 |
Category | Sub Category | Response Examples | Freq. (%) |
---|---|---|---|
Struck-by/against hazards | Chainsaw operation | Cut with a chainsaw Use of chainsaw | 21 (27.3) |
Felling, delimbing, or topping | Hit by tree tops Falling/flying debris Broken limbs Fell/delimb trees | 13 (16.9) | |
Moving/rolling logs | Logs move around/roll | 3 (3.9) | |
Category total = 37 (48.0) | |||
Poor situational awareness (SA) | Inattention/distraction/work speed | Do not pay attention Distraction Know what others do and where they are Complacency Get in a hurry Watch out for ground workers | 14 (18.2) |
Machine operation | Do not run over or hit deck workers Too close to machines Work near machines (in the decking area) | 4 (5.2) | |
Communication | Lack of communication | 2 (2.6) | |
Category total = 20 (26.0) | |||
Machine-related hazards | Maintenance | Climb onto the machine to repair Work on the machine Slip on the machine | 6 (7.8) |
Ingress and egress | In and out of machine | 3 (3.9) | |
Operation | Rollover Malfunction | 2 (2.6) | |
Category total = 11 (14.3) | |||
Slips, trips, and falls | Slips, trips, and falls Walk on the wood when it is wet | 3 (3.9) | |
Others | Poor judgment Learning first time Do not wear personal protective equipment (PPE) Weather conditions Presence of non-workers | 6 (7.8) |
Category | Sub Category | Response Examples | Freq. (%) |
---|---|---|---|
Poor situational awareness (SA) | Inattention/distraction | Do not pay attention Do not stay focused Do not watch out for machines Complacency | 17 (19.5) |
Proximity to hazards (e.g., machine) | Too close to machines Keep safe distance from machines | 15 (17.2) | |
Communication | Do not make an operator see you | 3 (3.4) | |
Category total = 35 (40.2) | |||
Visibility hazards | Visible Do not stay in the blind spot of an operator Stay in the sight of an operator | 30 (34.5) | |
Struck-by/against hazards | Felling, delimbing, or topping | Falling/flying debris/limbs Fell trees | 14 (16.1) |
Machine-related (Operation) | Lose control of logs in the log grapple Knock logs (or other objects) onto ground workers | 5 (5.7) | |
Moving/rolling objects | Rolling objects | 1 (1.1) | |
Category total = 20 (23.0) | |||
Others | Backup alarms are too quiet Common sense | 2 (2.3) |
Category | Sub Category | Response Examples | Freq. (%) |
---|---|---|---|
More safety training & education | Proper training for all employees More safety meetings and classes | 22 (23.9) | |
Improved situational awareness (SA) | Attention & comprehension | Pay more attention Slow down and think Stay alert | 19 (20.7) |
Communication & Teamwork skills | Look after each other Communicate at all times Signal for warnings Better communication | 12 (13.0) | |
Category total = 31 (33.7) | |||
Machine-related enhancement | Safety & comfort | More comfortable/safe machine | 5 (5.4) |
Housekeeping | Cleaner machine (e.g., no greasy surface in walk paths) Keep windows clean | 2 (2.2) | |
Knowledge | Know the mechanics of your machine Know how to operate a chainsaw | 2 (2.2) | |
Category total = 9 (9.8) | |||
Use of personal protective equipment (PPE) | Wear all PPE Wear hard hats all the time Use proper PPE More comfortable PPE | 13 (14.1) | |
Improved visibility | More visible High visibility vest/shirt | 11 (12.0) | |
Others | Teach common sense Put phone in truck Should be able to tell the rescue squad how to get to the job Fewer workers | 6 (6.5) |
© 2017 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
Share and Cite
Kim, S.; Nussbaum, M.A.; Schoenfisch, A.L.; Barrett, S.M.; Bolding, M.C.; Dickerson, D.E. Occupational Safety and Health Concerns in Logging: A Cross-Sectional Assessment in Virginia. Forests 2017, 8, 440. https://doi.org/10.3390/f8110440
Kim S, Nussbaum MA, Schoenfisch AL, Barrett SM, Bolding MC, Dickerson DE. Occupational Safety and Health Concerns in Logging: A Cross-Sectional Assessment in Virginia. Forests. 2017; 8(11):440. https://doi.org/10.3390/f8110440
Chicago/Turabian StyleKim, Sunwook, Maury A. Nussbaum, Ashley L. Schoenfisch, Scott M. Barrett, Michael Chad Bolding, and Deborah E. Dickerson. 2017. "Occupational Safety and Health Concerns in Logging: A Cross-Sectional Assessment in Virginia" Forests 8, no. 11: 440. https://doi.org/10.3390/f8110440
APA StyleKim, S., Nussbaum, M. A., Schoenfisch, A. L., Barrett, S. M., Bolding, M. C., & Dickerson, D. E. (2017). Occupational Safety and Health Concerns in Logging: A Cross-Sectional Assessment in Virginia. Forests, 8(11), 440. https://doi.org/10.3390/f8110440