Ten coal mining deaths occurred underground and six occurred at surface operations. Main stressed that, to prevent deaths, mine operators must maintain effective safety and health management programs that are constantly evaluated, continue find-and-fix programs to identify and eliminate mine hazards, and provide training for all mining personnel. Among the measures MSHA has undertaken to prevent mining deaths in coal operations are increasing surveillance and strategic enforcement through impact inspections at mines with troubling compliance histories, enhancing pattern of violations actions at mines with chronic violation histories, implementing special initiatives, such as Rules to Live By, which focuses attention on the most common causes of mining deaths, and engaging in outreach efforts with the mining community. These actions by MSHA, along with the efforts of the coal mining industry, are leading to safer and healthier mines.