
The health and environmental impact of the coal industry includes issues such as land use, waste management, water and air pollution, caused by the coal mining, processing and the use of its products. In addition to atmospheric pollution, coal burning produces hundreds of millions of tons of solid waste products annually, including fly ash, bottom ash, and flue-gas desulfurization sludge, that contain mercury, uranium, thorium, arsenic, and other heavy metals. Coal is the largest contributor to the human-made increase of carbon dioxide in Earth's atmosphere.

In February 2014, an Eden, North Carolina facility owned by Duke Energy spilled 39,000 tons of coal ash into the Dan River. The company later pled guilty to criminal negligence in their handling of coal ash at Eden and elsewhere and paid substantial fines. The U.S. Environmental Protection Agency (EPA) has since been responsible for overseeing cleanup of the waste. EPA and Duke Energy signed an administrative order for the site cleanup.

In September 2018, a dam failure caused by Hurricane Florence led to the leakage of coal ash into the Cape Fear River about five miles northwest of Wilmington, North Carolina. The coal ash came from two storage areas owned and operated by Duke Energy. Contaminants from the coal ash may have leached into the water source but long term testing has yet to be done by the U.S. Environmental Protection Agency or other environmental agencies. Clean up efforts were led by Duke Energy and mostly consisted of skimming the coal ash off the top of the water.

An ash pond, also called a coal ash basin or surface impoundment, is an engineered structure used at fossil fuel power stations for the disposal of two types of coal combustion products: bottom ash and fly ash. The pond is used as a landfill to prevent the release of ash into the atmosphere. Although the use of ash ponds in combination with air pollution controls decreases the amount of airborne pollutants, the structures pose serious health risks for the surrounding environment.

Bottom ash is part of the non-combustible residue of combustion in a power plant, boiler, furnace or incinerator. In an industrial context, it has traditionally referred to coal combustion and comprises traces of combustibles embedded in forming clinkers and sticking to hot side walls of a coal-burning furnace during its operation. The portion of the ash that escapes up the chimney or stack is, however, referred to as fly ash. The clinkers fall by themselves into the bottom hopper of a coal-burning furnace and are cooled. The above portion of the ash is also referred to as bottom ash.

Fly ash or flue ash, also known as pulverised fuel ash in the United Kingdom, is a coal combustion product that is composed of the particulates (fine particles of burned fuel) that are driven out of coal-fired boilers together with the flue gases. Ash that falls to the bottom of the boiler's combustion chamber (commonly called a firebox) is called bottom ash. In modern coal-fired power plants, fly ash is generally captured by electrostatic precipitators or other particle filtration equipment before the flue gases reach the chimneys. Together with bottom ash removed from the bottom of the boiler, it is known as coal ash. Depending upon the source and composition of the coal being burned, the components of fly ash vary considerably, but all fly ash includes substantial amounts of silicon dioxide (SiO2) (both amorphous and crystalline), aluminium oxide (Al2O3) and calcium oxide (CaO), the main mineral compounds in coal-bearing rock strata.

A coal-seam fire is a burning of an outcrop or underground coal seam. Most coal-seam fires exhibit smoldering combustion, particularly underground coal-seam fires, because of limited atmospheric oxygen availability. Coal-seam fire instances on Earth date back several million years. Due to thermal insulation and the avoidance of rain/snow extinguishment by the crust, underground coal-seam fires are the most persistent fires on Earth and can burn for thousands of years, like Burning Mountain in Australia. Coal-seam fires can be ignited by self-heating of low-temperature oxidation, lightning, wildfires and even arson. Coal-seam fires have been slowly shaping the lithosphere and changing atmosphere, but this pace has become fast and extensive at modern times, triggered by enormous mining activities.

Fly ash or flue ash, also known as pulverised fuel ash in the United Kingdom, is a coal combustion product that is composed of the particulates (fine particles of burned fuel) that are driven out of coal-fired boilers together with the flue gases. Ash that falls to the bottom of the boiler's combustion chamber (commonly called a firebox) is called bottom ash. In modern coal-fired power plants, fly ash is generally captured by electrostatic precipitators or other particle filtration equipment before the flue gases reach the chimneys. Together with bottom ash removed from the bottom of the boiler, it is known as coal ash. Depending upon the source and composition of the coal being burned, the components of fly ash vary considerably, but all fly ash includes substantial amounts of silicon dioxide (SiO2) (both amorphous and crystalline), aluminium oxide (Al2O3) and calcium oxide (CaO), the main mineral compounds in coal-bearing rock strata.

Coal ash, also known as coal combustion residuals (CCRs), is the mineral residue that remains from burning coal. Exposure to coal ash and to the toxic substances it contains may pose a health risk to workers in coal-fired power plants and residents living near coal ash disposal sites.

The Kingston Fossil Plant coal fly ash slurry spill was an environmental and industrial disaster that occurred on Monday December 22, 2008, when a dike ruptured at a coal ash pond at the Tennessee Valley Authority's Kingston Fossil Plant in Roane County, Tennessee, releasing 1.1 billion US gallons of coal fly ash slurry. The coal-fired power plant, located across the Clinch River from the city of Kingston, used a series of ponds to store and dewater the fly ash, a byproduct of coal combustion. The spill released a slurry of fly ash and water, which traveled across the Emory River and its Swan Pond embayment, onto the opposite shore, covering up to 300 acres (1.2 km2) of the surrounding land. The spill damaged multiple homes and flowed into nearby waterways including the Emory River and Clinch River, both tributaries of the Tennessee River. It was the largest industrial spill in United States history.