Back ground-Throughout the world, occupational exposure to cement dust and noise continue torncause serious public health problems and are leading cause of disability and disease amongrnworkers. There are 2 million work-related deaths annually worldwide. Studies done in Ethiopiarnon textile factory, Iron and steel factory and among small and medium scale industries,rnoccupational injury is the cause for hospitalization, disability and death of workers. There is nornstudy done on the prevalence and associated factors of occupational injury in cement factory.rnObjectives-this study investigated the prevalence and determinants of occupational injuriesrnamong cement factory workers in Mugher.rnMethods -An institution based cross sectional study complemented with work place observationrnchecklist and record review was conducted. Stratified random sampling by job category was usedrnto get the desired sampling unit. The study participants were selected using simple randomrnsampling technique, lottery method. Data was collected by trained data collectors using pretestedrnAmharic version questionnaire through face to face interview of the study participants afterrngetting ethical clearance from responsible bodies and informed verbal consent from studyrnparticipants. The raw data was edited, entered in to a computer using Epi Info version 3.5.0 thenrnexported to IBM SPSS version 21 and cleaned. Data was analyzed using IBM SPSS version 21.rnBivariate analysis &multivariate analysis was done.95% confidence interval and p-value