NIOSH 2011 Stakeholders Meeting
Agricultural Breakout Session
Pittsburgh, PA
March 29, 2011
1
Break Out Session Hosts
• Kim Faulkner, Epidemiologist
– NIOSH/NPPTL, Pittsburgh PA
• Kevin Keaney, Chief EPA Pesticide Worker Safety Program
– EPA Headquarters, Washington DC
• Stan Thomas, Health Agriculture Manager
– Oregon OSHA, Bend OR
• Kerry Hoffman-Richards, Pesticide Education Program
– The Pennsylvania State University, University Park PA
2
Goals
P rio ritize id en tified ba rriers a n d d evelo p so lu tio n s
3
Panel Members
• Pesticide handler/Advocates
• Yolanda Gomez, Anne Katten, Virginia Ruiz , Mario
Molina
• Commercial Applicators
• Josh Bossard
• Growers/Advocates
• Kiley Harper-Larsen, Frank Gasperini
• Educators
• Cesar Asuaje, Ofelio Borges
• Regulators
• Lisa Candelore
• Other professionals
• Natalie Roy, Kim Faulkner, Dennis Groce
4
Panel Members, cont.
• Pesticide Manufacturers
• Curt Lunchick, Allan Hovis
• Pesticide Suppliers
• David Yoder
• PPE Manufacturers
• Jeffrey Birkner, Craig Colton, George
Gianforcaro
• PPE Suppliers
• Mike Smeaton, Steve McGough
5
Audience
Response
System
6
About the Clickers
• Please return them!
• They are of no use to you outside
of this room
• They are NOT calculators or TV
remote controls
7
About the Clickers
• They are part of an
interactive audience response system
• They provide instant feedback to
multiple-choice questions
8
About the Clickers
• Your answers are
anonymous, so don’t be shy
• A chart will appear after
everyone answers to reveal the
percentage of people who
selected a certain answer
9
About the Clickers
• Only one answer per clicker
• However, if you want to change
your original answer you can do
so… just push a different button
associated with your new answer
10
About the Clickers
• To select your answer,
simply push the desired button
• Once the polling is closed for that
question, the clicker will not work
11
Are you left handed?
1. YES
2. NO
Answer Now
0%
NO
YE
S
0%
12
Which is your pick for lunch today?
0%
Ve
g
et
ab
le
0%
ee
f
0%
Ro
as
tB
Tu
rk
ey
Answer Now
0%
Ha
m
1. Turkey and Havarti on
a Croissant
2. Ham and Swiss on
Ciabetta
3. Roast Beef and
Cheddar on Rye
4. Grilled Vegetable
Wrap
13
Which group best identifies you?
0%
0%
0%
0%
0%
Ot
he
r
0%
Ha
nd
le
r
Gr
ow
M
er
an
u/
Su
pp
Ed
uc
at
or
Re
gu
la
to
r
1. Pesticide Handler
2. Grower
3. Manufacturer or
supplier
4. Educator
5. Regulator
6. Other profession
14
Using appropriate gloves when mixing,
loading and applying pesticides can
reduce your exposure by?
15%
45%
82%
99%
0%
99
%
0%
82
%
0%
45
%
0%
15
%
1.
2.
3.
4.
15
Which glove is most protective against
most classes of pesticides?
C
0%
ch
lo
rid
e
0%
Po
ly
v
in
yl
Ni
tri
le
rl
am
in
at
e
0%
Ba
rr
ie
1. Barrier Laminate
2. Nitrile
3. A
Polyvinalchloride
B
16
What protective eye wear would NOT
be acceptable for use with a Warning,
Danger or Danger-Poison Pesticide?
4.
0%
0%
Re
sp
ira
to
r
Fa
ce
Sh
ie
ld
0%
gl
es
0%
Go
g
2.
3.
Gl
as
se
s
1.
17
This must be read in order to
determine what PPE must be worn?
1. New York Times
2. The Material Safety
Data Sheet
3. The Pesticide Label
4. An Operators Manual
0%
La
be
l
M
SD
S
0%
0%
M
an
ua
l
NY
Ti
m
es
0%
18
This helmet would be considered
appropriate if the label read: “wear a
chemical resistant wide brimmed hat.”
1. True
2. False
se
0%
Fa
l
Tr
ue
0%
19
Is this considered a NIOSH Approved
respirator?
1. True
2. False
se
0%
Fa
l
Tr
ue
0%
20
4.
Ru
bb
er
B
Sn
ow
0%
oo
ts
0%
Bo
ot
s
0%
Sn
ea
ke
rs
Bo
ot
s
0%
bo
y
3.
2.
Co
w
1.
Which shoe or boot is
appropriate PPE?
21
Regulatory Primer
• EPA – Worker Protection Standard
(WPS)
• OSHA – Personal Protective Equipment
Standards (PPE)
22
OSHA State Plans
23
Breakout Session #1
• Overcoming barriers to using the correct
personal protective equipment (PPE):
Insufficient knowledge
Limited access
Handler does not accept
24
Which barrier contributes most to
using incorrect PPE?
1. Lack of knowledge
2. Limited access
3. Lack of acceptance
ce
pt
an
ce
0%
Ac
ce
ss
0%
Ac
Kn
ow
le
dg
e
0%
25
Why might a handler not
understand the correct
PPE to wear for a task?
0%
0%
0%
0%
Un
cle
ar
la
In
be
ad
l
eq
.T
ra
De
in
al
in
er
g
in
fo
un
cle
PP
E
ar
la
be
lu
nc
le
ar
1. Information on the pesticide
label is unclear, incomplete or
outdated
2. Inadequate Pesticide
Safety Training
3. Dealer Distributor
Information Unavailable
4. The PPE packaging label
is unclear
26
Next Steps
• What are some of the challenges in
overcoming this barrier?
• Are we satisfied with our suggested solutions?
• Who would be the likely key players that could
assist with this issue?
27
When correct PPE is known, what are
barriers for obtaining it?
Lim
ite
d
co
rr
ec
t
ID
0%
m
ar
ke
t
0%
PP
E
0%
nc
le
ar
La
be
ls
u
va
ila
bl
e
0%
No
ta
1. It is not available
2. The PPE packaging/
labels are unclear
3. Identifying correct
PPE during the
purchasing process
4. Limited market for
pesticide related PPE
28
Next Steps
• What are some of the challenges in
overcoming this barrier?
• Are we satisfied with our suggested solutions?
• Who would be the likely key players that could
assist with this issue?
29
When correct PPE is available, what is
the major reason it is not accepted?
0%
Fu
nc
tio
na
lit
y
0%
fo
rt
0%
nd
er
st
an
d
Do
n’
tu
Sa
fe
ty
c
ul
tu
re
0%
Co
m
1. Safety Culture/
Fear of Retaliation
2. Don’t understand
Health Hazard
3. Comfort
4. Functionality
30
Next Steps
• What are some of the challenges in
overcoming this barrier?
• Are we satisfied with our suggested solutions?
• Who would be the likely key players that could
assist with this issue?
31
Have you changed your mind?
Which barrier is most important
to using correct PPE?
1. Lack of knowledge
2. Limited access
3. Lack of acceptance
ce
pt
an
ce
0%
Ac
ce
ss
0%
Ac
Kn
ow
le
dg
e
0%
32
Goals
P rio ritize id en tified ba rriers a n d d evelo p so lu tio n s
33
Audience
Response
System
34
About the Clickers
• Please return them!
• They are of no use to you outside
of this room
• They are NOT calculators or TV
remote controls
35
About the Clickers
• They are part of an
interactive audience response system
• They provide instant feedback to
multiple-choice questions
36
About the Clickers
• Your answers are
anonymous, so don’t be shy
• A chart will appear after
everyone answers to reveal the
percentage of people who
selected a certain answer
37
About the Clickers
• Only one answer per clicker
• However, if you want to change
your original answer you can do
so… just push a different button
associated with your new answer
38
About the Clickers
• To select your answer,
simply push the desired button
• Once the polling is closed for that
question, the clicker will not work
39
Decontamination includes, soap, water,
paper towels and
Hot Tub
Hand Sanitizer
Loofah
Change of Coveralls
ra
lls
0%
Co
ve
Ha
nd
0%
Lo
of
ah
0%
Sa
ni
tiz
er
ub
0%
Ho
tT
1.
2.
3.
4.
40
When do you need to
change out a respirator
cartridge?
Ne
w
4
ry
0%
Ye
ar
sE
ve
0%
ho
ur
s
hi
ft
0%
of
s
En
d
Ev
e
ry
2
w
ee
ks
0%
Ev
e
1. Every two weeks
2. At the end of every
work shift
3. Every four hours of use
4. On New Year’s Eve
41
A respirator should be inspected
1. Before each days use
2. Every Tuesday
3. After an application
0%
Af
te
ra
pp
lic
a
tio
n
0%
Tu
es
da
y
ry
Ev
e
Ev
e
ry
da
y
0%
42
In the absence of cleaning
information from the
manufacturer or the pesticide
label, PPE shall be cleaned with:
en
t
0%
w
at
er
/d
et
er
g
Cl
ea
ne
r
0%
Ho
t
x
0%
W
in
de
1. Windex
2. A solvent based cleaner
3. Hot water and
detergent
43
Storing respirators
with pesticides is an
acceptable practice.
se
0%
Fa
l
ue
Tr
1. True
2. False
0%
44
A long sleeve shirt, long pants and boots is
considered personal protective equipment.
1. True
2. False
se
0%
Fa
l
Tr
ue
0%
45
Breakout Session #2
• Overcoming barriers to not wearing,
storing, decontaminating, maintaining,
and inspecting PPE properly
Insufficient knowledge
Handler does not accept
46
Which aspect of proper use of PPE is
most important?
Wearing incorrectly
Improper storage
Improper decontamination
Improper inspection
pr
op
er
in
sp
e.
..
0%
Im
pr
op
er
Im
0%
de
co
n.
..
0%
st
or
a.
..
pr
op
er
Im
ea
rin
gi
nc
or
r
...
0%
W
1.
2.
3.
4.
47
Based on the previous slide, which is
the most significant barrier to doing
that task appropriately?
1. Not knowing how to do
the task appropriately
2. Lack of acceptance for
the need to do the task
0%
ep
ta
nc
e
of
ac
c
La
ck
No
tk
no
w
in
g
ho
w
0%
48
What is the most important reason why
handlers don’t know how to use PPE properly
for the specific item you selected?
No
nc
le
ar
0%
gu
id
an
ce
0%
In
ad
eq
.T
ra
in
in
g
0%
La
be
li
su
1. Information on pesticide
label is unclear or incomplete
2. Inadequate Pesticide Safety
Training
3. No guidance available with
the PPE packaging for specific
task or what is available
is confusing
49
Next Steps
• What are some of the challenges in
overcoming this barrier?
• Are we satisfied with our suggested solutions?
• Who would be the likely key players that could
assist with this issue?
50
When it is known how to use PPE properly for
the item you selected, what is the most
important reason why handlers don’t do it?
0%
0%
0%
0%
0%
Fe
as
Do
ib
n’
ili
tu
ty
nd
er
st
Sa
an
fe
d
ty
cu
ltu
re
Co
m
fo
Fu
rt
nc
tio
na
lit
y
1. Feasibility – nature
of the job
2. Don’t understand
the hazard
3. Safety Culture
4. Comfort
5. Functionality
51
Next Steps
• What are some of the challenges in
overcoming this barrier?
• Are we satisfied with our suggested solutions?
• Who would be the likely key players that could
assist with this issue?
52
Have you changed your mind? Which is the
most significant barrier to using PPE
properly for the item you selected?
1. Not knowing how to do
the task appropriately
2. Lack of acceptance for
the need to do the task
0%
ep
ta
nc
e
of
ac
c
La
ck
No
tk
no
w
in
g
ho
w
0%
53
Have you changed your mind?
Which aspect of proper use of PPE is
most important?
0%
pr
op
er
Im
pr
op
er
Im
0%
in
sp
e.
..
0%
st
or
a.
..
pr
op
er
Im
W
ea
rin
gi
nc
or
r
...
0%
de
co
n.
..
1. Wearing incorrectly
2. Improper storage
3. Improper
decontamination
4. Improper inspection
54
Conclusions
Questions
&
Answers