NEBOSH International General Certificate PHYSICAL & PSYCHOLOGICAL HEALTH HAZARDS and RISK CONTROL 2017 Physical & Psychological Health Hazards and Risk Control Instructor: Mr. Masood Ali Khan Slide 2 Learning Outcome 8.1 Outline the health effects associated with exposure to noise and appropriate control measures. 8.2 Outline the health effects associated with exposure to Vibration and appropriate control measures. 8.3 Outline the health effects associated with ionising and non-ionising radiation and appropriate control measures. 8.4 Outline the meaning, causes and effects of work related stress and appropriate control measures. Physical & Psychological Health Hazards and Risk Control Slide 3 Physical & Psychological Health Hazards and Risk Control Slide 4 Effects of Noise Physical & Psychological Health Hazards and Risk Control Slide 5 EXAM QUESTION a) Outline the possible health effects from exposure to high levels of noise. (6) b) Give TWO examples of noise techniques, other than personal hearing protection, that would benefit all workers. (2) Physical & Psychological Health Hazards and Risk Control Slide 6 EXAM QUESTION a) Describe the possible effects on hearing from exposure to noise. (4) b) Outline the factors that are likely to affect the performance of personal hearing protection. (4) Physical & Psychological Health Hazards and Risk Control Slide 7 Physical & Psychological Effects on Hearing üCauses annoyance and irritation. üAffects concentration and efficiency. üCauses fatigue and makes one prone to accidents. üPrevents ear from registering other sounds, instructions and warnings. üShort exposures to very excessive noise causes damage to the inner ear, and permanent loss of hearing. üRegular exposure to excess noise causes damage to the inner ear, and permanent loss of hearing. Physical & Psychological Health Hazards and Risk Control Slide 8 Threshold Shift üTemporary threshold shift. üPermanent threshold shift. üTinnitus. üA continual noise in the ear, e.g. a ringing or roaring, usually caused by damage to the hair cells of the inner ear Physical & Psychological Health Hazards and Risk Control Slide 9 Noise Induced Hearing Loss Undamaged Sensory Hairs Physical & Psychological Health Hazards and Risk Control Noise Induced Damage Slide 10 Intensity & frequency wavelength amplitude The number of cycles per second is measured in hertz (Hz) and sensed as pitch. Physical & Psychological Health Hazards and Risk Control Slide 11 Noise – Basic Principles Noise can be defined as unwanted sound. • Frequency - this determines the pitch or tone. • Audible range - the range of frequencies that humans can hear. • Amplitude - volume or loudness. Physical & Psychological Health Hazards and Risk Control Slide 12 Frequency Frequency is the number of vibrations or pressure waves per second. We perceive frequency as the pitch of a sound. The human ear (when perfect) is capable of detecting sound frequencies between about 20 to 20,000 Hz. Physical & Psychological Health Hazards and Risk Control Slide 13 Amplitude üThis is the pressure difference between the peaks and troughs of the sound waves, and is measured in Pascals. üThe lowest detectable pressure change we can note is known as the threshold of hearing. üThe highest level we can tolerate is the threshold of pain. üWe perceive this pressure difference as loudness. Physical & Psychological Health Hazards and Risk Control Slide 14 Decibel Scale üThe difference between the threshold of hearing and the threshold of pain is some 1,000,000,000,000,000 times. üSince this does not lend itself to a linear scale, a logarithmic scale is used instead the decibel (dB) scale. üThreshold of hearing = 10 dB. üThreshold of pain = 140 dB. Physical & Psychological Health Hazards and Risk Control Slide 15 The Add 3 dB Rule As a consequence of the logarithmic scale, if you want to double the sound intensity, you must not double the dB value. You simply add 3 dB. So 88 dB is twice as intense as 85 dB. Physical & Psychological Health Hazards and Risk Control Slide 16 Typical Noise Levels - dB(A) Brushwood cutter Chainsaw Pneumatic drill Heavy lorry (5-7m) Raised voice at 2 metres Traffic Loud radio Busy office Normal speech Physical & Psychological Health Hazards and Risk Control 120 115 105 95 90 80 70 60 50 Slide 17 Noise - dB(A) and dB(C) A-weighting (dB(A)) reflects the way the human ear responds to different frequencies. C-weighting (dB(C)) gives a more accurate measurement for impulse noise, e.g. loud bangs! Physical & Psychological Health Hazards and Risk Control Slide 18 Control of Noise at Work There are three exposure values: Lower Exposure Action Value (LEAV) = 80 dB(A) /135 dB(C). Upper Exposure Action Value (UEAV) = 85 dB(A) /137 dB(C). Exposure Limit Value (ELV) = 87 dB(A) /140 dB(C). These values are based on the recent EU Physical Agents Directive. Physical & Psychological Health Hazards and Risk Control Slide 19 Lower Exposure Action Value If noise exposure exceeds 80 dB(A) LEP,d and/or 135 dB(C) impulse noise, but does not hit the upper value, then an employer must: • Arrange for a noise assessment by a competent person. • Make hearing protection available. • Provide information, instruction and training. Physical & Psychological Health Hazards and Risk Control Slide 20 Upper Exposure Action Value üIf noise exposure exceeds 85 dB(A) LEP,d and/or 137 dB(C) impulse noise, then an employer must: ü Arrange for a noise assessment by a competent person. ü Reduce exposure by means other than PPE. üIf still above this exposure value, the employer must: ü Designate a hearing protection zone (sign). ü Issue PPE and enforce its use. ü Provide information, instruction and training. Physical & Psychological Health Hazards and Risk Control Slide 21 Exposure Limit Value üAn employer may not expose employees to noise above this value: ü87 dB(A) LEP,d. ü140 dB(C) impulse noise. üIf the employer does so, he must stop the exposure, find out why the limit value is exceeded, and modify the controls. Physical & Psychological Health Hazards and Risk Control Slide 22 Basic Noise Control Measures Other working methods which reduce noise exposure: üChoice of appropriate work equipment. üDesign & layout of workplaces. üInformation & training for workers. üReduction of noise by technical means. üMaintenance programs for work equipment. üLimitation of duration & intensity of exposure. üAppropriate work schedules with adequate rest periods. Physical & Psychological Health Hazards and Risk Control Slide 23 Basic Noise Control Measures üNoise can be controlled at different points in the following chain that lead to exposure: üThe source üThe path üThe receiver Physical & Psychological Health Hazards and Risk Control Slide 24 EXAM QUESTION Identify FOUR types of engineering controls that may be used to reduce noise in the workplace AND Give a practical example of EACH. (8) Physical & Psychological Health Hazards and Risk Control Slide 25 Engineering Controls üIsolation: Rubber Mounts üAbsorption: Foam, wool etc. üInsulation: Brick wall, lead sheet etc. üDamping: Metal, plastic, metal panels etc. üSilencing: Engine exhaust silencers etc. üForce reduction: rubber pads, lower drop heights üAir exhaust & jet silencers üActive: equal but opposite phase noise. Physical & Psychological Health Hazards and Risk Control Slide 26 Noise at Work üFactors influencing the effectiveness of ear defenders Physical & Psychological Health Hazards and Risk Control Slide 27 Personal Hearing Protection Cost: • Cheaper ear defenders attenuate by 8 to 15 dB(A) at low frequencies, and 35 to 40 dB(A) at high frequencies. • More expensive earmuffs attenuate by 20 to 25 dB(A) at low frequencies, and 45 to 50 dB(A) at high frequencies. Physical & Psychological Health Hazards and Risk Control Slide 28 Personal Hearing Protection Practical reduction of ear defender effectiveness: • Long hair, thick spectacle frames, and jewellery. • Helmets or face shields preventing good fitting. • Ear plugs not properly inserted into the ear. Physical & Psychological Health Hazards and Risk Control Slide 29 Occupations with potential noise exposure problems üCONSTRUCTION SITES. üUNIFORMED SERVICES. üENTERTAINMENT. üMANUFACTURING. üCALL CENTERS. Physical & Psychological Health Hazards and Risk Control Slide 30 8.2 Vibration Physical & Psychological Health Hazards and Risk Control Slide 31 Hand Arm Vibration Video Physical & Psychological Health Hazards and Risk Control Slide 32 DEFINITION OF HAND-ARM VIBRATION ü“‘Hand-arm vibration’: the mechanical vibration that, when transmitted to the human hand-arm system, entails risks to the health & safety of workers, in particular vascular, bone or joint, neurological or muscular disorders” Source: EU, Directive 2002/44/EC Physical & Psychological Health Hazards and Risk Control Slide 33 Vibration White Finger Physical & Psychological Health Hazards and Risk Control Slide 34 EXAM QUESTION A maintenance worker regularly uses a hand grinder, and is exposed to vibration. a) Identify the symptoms that the worker may experience due to this exposure. (2) b) Outline SIX control measures that can be used to reduce the risk from vibration. (6) Physical & Psychological Health Hazards and Risk Control Slide 35 HAND-ARM VIBRATION üEFFECTS ON THE BODY ü Fingers go numb. ü Sharp tingling pains in the affected area. ü Painful deep red flush. üCONTRIBUTORY FACTORS ü Vibration frequency. ü Duration of exposure. ü Contact force. ü Factors affecting circulation – temperature, smoking ü Individual susceptibility Physical & Psychological Health Hazards and Risk Control Slide 36 HAND-ARM VIBRATION üEXAMPLES OF RISK ACTIVITIES üUse of hand-held chain saws in forestry. üUse of hand-held rotary tools in grinding, sanding, polishing etc. üUse of hand-held percussive metal-working tools or holding of metal being worked upon by percussive tools in riveting, chipping, hammering etc. üUse of hand-held powered percussive drills or hammers in demolition or on roads or footpaths, including road construction. Physical & Psychological Health Hazards and Risk Control Slide 37 DEFINITION OF WHOLE BODY VIBRATION “‘Whole body vibration’: the mechanical vibration that, when transmitted to the whole body, entails risks to the health & safety of workers, in particular lower back morbidity and trauma of the spine” Source: EU, Directive 2002/44/EC Physical & Psychological Health Hazards and Risk Control Slide 38 WHOLE BODY VIBRATION üEFFECTS ON THE BODY ü Fatigue ü Insomnia ü Stomach problems ü Headaches ü Increased heart rate ü Increased respiration ü Increased oxygen uptake ü Changes in blood and urine ü Vibration sickness ü Back pain Physical & Psychological Health Hazards and Risk Control Slide 39 WHOLE BODY VIBRATION EXAMPLES OF RISK ACTIVITIES üDriving rough terrain vehicles like dumper trucks. üProlonged used of compactors. Physical & Psychological Health Hazards and Risk Control Slide 40 Risk Assessment The employer should make a suitable & sufficient assessment of the risk created by the work that is liable to expose the workers to the risk from vibration. Consideration should be given to the: ü Type of vibration, ü Duration of exposure, ü Effects of exposure, ü Exposure limit/action values, ü Effects on workers at particular risk, ü Temperature and ü Information from health surveillance etc. Physical & Psychological Health Hazards and Risk Control Slide 41 EAV & ELV HandAr m Vi br at i on Whol eBody Vi br at i on Dai l yEx posur e Dai l yEx posur e Act i onVal ue Li mi tVal ue 2. 5m/ s2 5m/ s2 0. 5m/ s2 Physical & Psychological Health Hazards and Risk Control 1. 15m/ s2 Slide 42 Exposure Action Values When a worker is likely to be exposed to vibration at or above an exposure action value, the employer should: üPlace the worker under suitable health surveillance and, üProvide the worker and their representatives with suitable and sufficient information, instruction and training. Physical & Psychological Health Hazards and Risk Control Slide 43 Exposure Limit Values If an exposure limit value is exceeded the employer must immediately: üReduce exposure below the limit value. üIdentify the reason for the limit value being exceeded. üModify the measures taken to prevent a reocurrence. Physical & Psychological Health Hazards and Risk Control Slide 44 BASIC VIBRATION CONTROL MEASURES AND üPREVENTIVE MEASURES üCHOICE OF EQUIPMENT üMAINTENANCE üLIMITING EXPOSURE Physical & Psychological Health Hazards and Risk Control PRECAUTIONARY Slide 45 8.3 Radiation Physical & Psychological Health Hazards and Risk Control Slide 46 Radiation What is Radiation? Radiation is a form of energy. It travels as a stream of particles or as a waveform from a source. üSources can be natural or man-made. üIt is found in two types: ü Ionising radiation. ü Non-ionising radiation. Background radiation – we are exposed to all forms, all the time! Physical & Psychological Health Hazards and Risk Control Slide 47 Non-Ionising Radiation Is a form of radiation without the ability to ionise tissue, but it can cause harm. Most forms of non-ionising radiation have an effect on the skin and eyes and can cause damage to them. Physical & Psychological Health Hazards and Risk Control Slide 48 Non-Ionising Radiation üThis type of radiation is electromagnetic and does not cause ionisation of the material through which it passes. üForms occurring are: üUltraviolet. üVisible light (including LASERs) üInfrared. üRadio frequency. üMicrowaves. Physical & Psychological Health Hazards and Risk Control Slide 49 ULTRAVIOLET - SOURCES ü The sun. ü Electric arc welding and cutting. ü Insect killers, to attract insects. ü Sunbeds and sunlamps. ü Crack detection equipment. ü Water treatment. ü Tanning. ü Adhesive curing equipment. ü Forgery detectors. ü Some lasers. ü Mercury vapour lamps. ü Tungsten halogen lamps. Physical & Psychological Health Hazards and Risk Control Slide 50 ULTRAVIOLET – Potential Health Effects üSunburns. üSkin thickening. üSkin cancer. üInflammation of the eye. üCataract formation. Physical & Psychological Health Hazards and Risk Control Slide 51 VISIBLE LIGHT- SOURCES üLaser operating in visible wavelength. üFurnaces or fires. üMolten metal. üWelding and cutting. üHigh intensity light beams and light bulbs. üLights in photocopiers and printers. üThe sun. Physical & Psychological Health Hazards and Risk Control Slide 52 VISIBLE LIGHT– Potential Health Effects üSkin burns. üHeat exhaustion. üDehydration. üCornea and lens damage. üCataract. üRetinal damage. Physical & Psychological Health Hazards and Risk Control Slide 53 INFRARED- SOURCES üFurnaces or fires. üMolten metal or glass. üBurning and Welding. üHeat lamps. üSome lasers. üThe sun. Physical & Psychological Health Hazards and Risk Control Slide 54 INFRARED– Potential Health Effects üSkin burns. üHeat exhaustion. üDehydration. üCornea and lens damage. üCataract. üRetinal damage. Physical & Psychological Health Hazards and Risk Control Slide 55 RADIO FREQUENCY & MICROWAVE - SOURCES üRadio transmitters. üTelevision transmitters. üHigh voltage electrical cables. üInduction heating of metals. üIntruder detectors. üCooking equipment. Physical & Psychological Health Hazards and Risk Control Slide 56 RF & Microwave– Potential Health Effects üBurns can be caused. Jewellery worn by workers will absorb the energy, become hot and cause burns. üMicrowaves can cause the same deep heating effect in the live tissue as they can produce in cooking. Physical & Psychological Health Hazards and Risk Control Slide 57 Ionizing Radiation It is a form of energy, which has the strength to alter the electrical charge of an atom or molecule, i.e. to ionise it. ü It can also penetrate the body and cause serious and permanent harm to a person, dependent on the dose. üION – is an atom or group of atoms that has acquired an electric charge by losing or gaining one or more electrons. Physical & Psychological Health Hazards and Risk Control Slide 58 Ionization üAn atom is made up of the nucleus which contains protons and neutrons, and electrons which orbit the nucleus. üProtons are positively charged & neutrons are neutral. They both have measurable mass. üElectrons are negatively charged & have negligible mass. üIf unstable, atoms fall apart (decay), releasing radiation. Physical & Psychological Health Hazards and Risk Control Slide 59 EXAM QUESTION a) Identify FOUR types of ionizing radiation. (4) b) Outline the main control measures for ionizing radiation. (4) Physical & Psychological Health Hazards and Risk Control Slide 60 Forms of Ionising Radiation üAlpha emission. üBeta emission. üGamma rays. üX-rays. üRADON Physical & Psychological Health Hazards and Risk Control Slide 61 Alpha Particles üMade up of 2 protons and 2 neutrons. üHeavy and slow moving, charged (2++). üShort range and stopped by a few centimetres of air, tin foil or outer layer of dead skin. üOnly hazardous if inside the body. If ingested, causes very localised ionisation, so then considered dangerous. üOccupational uses – smoke detectors (encapsulated), science and medical labs. Physical & Psychological Health Hazards and Risk Control Slide 62 Beta Particles üCharged (-ve), but very light (almost no mass) and very fast moving (<speed of light). üTravel further (less likely to hit anything). üPenetrate further - through skin. üCan cause secondary radiation emission. üExamples – sterilisation and thickness gauges. Physical & Psychological Health Hazards and Risk Control Slide 63 Gamma Rays üA form of electromagnetic radiation. üMuch higher frequency and higher energy than light. üOnly emitted by radioactive decay. üTravel at speed of light, over vast distances. üVery penetrating. üUsed in industrial radiography – source material is Caesium 137. Ex. Building structure X – ray procedure. (NDT test) Physical & Psychological Health Hazards and Risk Control Slide 64 Ionising Radiation Physical & Psychological Health Hazards and Risk Control Slide 65 X-Rays ü Another form of electromagnetic radiation. ü Lower frequency and energy than gamma rays. ü Can be generated - bombard a metal target in a vacuum tube with electrons. ü Can be switched off. ü Used in medical radiography. Physical & Psychological Health Hazards and Risk Control Slide 66 RADON RADON is a naturally occurring radioactive gas that can seep out of the ground and enter buildings. It occurs naturally from decaying uranium. Once inhaled into the lungs, the gas decays into other radioactive isotopes of lead, bismuth etc. Some decay products emit alpha particles which, when breathed in, can cause harm to the sensitive cells of the lungs. It can also cause lung cancer. Physical & Psychological Health Hazards and Risk Control Slide 67 Occupational Sources üMedical and Dental radiographic diagnosis: x-rays. üNuclear power: power stations and defence (nuclear submarines). üNon-destructive testing: gamma rays. üLaboratory analysis, diagnosis and research. üSmoke detectors. Physical & Psychological Health Hazards and Risk Control Slide 68 Health Effects ü Ionising radiation changes DNA (cell nucleus). ü High doses kill the cell (as in radiotherapy). ü Survivable dose may prevent division (eventually death) or cause mutation. ü In somatic cells - may cause cancer. ü In reproductive cells - may cause sterility, mutation of offspring, etc. ü Acute effects: skin burns, radiation sickness, hair loss and death. ü Chronic effects: cancers (including leukaemia), sterility, mutations, damage to developing foetus, cataracts and skin damage. Physical & Psychological Health Hazards and Risk Control Slide 69 Controls for Ultraviolet Radiation üBarrier creams. üUV rated clothing & head protection. üEye protection. üFrequent breaks in shades. üSegregation of UV emitting sources. üUse of warning signs. üShielding with partitions / plastic curtains. Physical & Psychological Health Hazards and Risk Control Slide 70 Controls for Visible Light üEyelids and Iris. üConfinement of high-intensity sources. üMatt finishes to nearby paint work. üProtective glasses. üWarning signs. üRestricted process areas. Physical & Psychological Health Hazards and Risk Control Slide 71 Controls for Infrared Radiation üRemote controls. üScreening. üInterlocks and clamps. üPPE. üEnforced maximum working periods. üCurtains. üRestricted access. Physical & Psychological Health Hazards and Risk Control Slide 72 Controls for Radio Frequency & Microwaves üShielding at source. üRestrictions on entry and working near an energised microwave device. üMetals, tools flammable and explosive materials should not be left in the electromagnetic field. üWarning devices. Physical & Psychological Health Hazards and Risk Control Slide 73 Controls for Ionising Radiation üBest achieved by dose limitation. üTime limitation of exposure. üMaintain distance from the source: üInverse square law applies. üShielding of the source. Physical & Psychological Health Hazards and Risk Control Slide 74 Protection Strategies Key aspects of radiation control Appointment of specialists: üRadiation Protection Advisors (RPAs) and Radiation Protection Supervisors (RPSs) may need to be appointed to offer specialist advice and offer supervision. üDesignated areas may need to be defined and managed. Access must be restricted. Warning signs used, named authorised workers and SSWs. Physical & Psychological Health Hazards and Risk Control Slide 75 Controlling Exposure Dosimetry & Medical Surveillance The International Commission on Radiological Protection (ICRP) has set dose limits to exposure: ü General public must not be exposed to more than 1 mSv per year. ü Occupational exposure must not exceed 20 mSv per year. ümSv - millisievert Physical & Psychological Health Hazards and Risk Control Slide 76 Controlling Exposure Ensure compliance to the limits by means of: üPersonal Monitoring üWorkers in controlled and supervised areas use personal dosimeters, either whole body or part of the body. üMedical Examination üRoutine examination conducted before employment and every 12 months. üArea monitoring üLevels assessed and equipment maintained regularly. Physical & Psychological Health Hazards and Risk Control Slide 77 8.4 Stress Physical & Psychological Health Hazards and Risk Control Slide 78 Physical & Psychological Health Hazards and Risk Control Slide 79 STRESS “ Work-related stress is the response people may have when presented with work demands and pressures that are not matched to their knowledge and abilities and which challenge their ability to cope”. Source: WHO “Stress is the adverse reaction people have to excessive pressures or other demands placed on them”. Source: UK, HSE Physical & Psychological Health Hazards and Risk Control Slide 80 EXAM QUESTION Outline the factors that may lead to occupational stress amongst workers. (8) Physical & Psychological Health Hazards and Risk Control Slide 81 CAUSES OF STRESS ü Job Content üMonotonous, under-stimulating, meaningless tasks. üLack of variety. üUnpleasant tasks. üAversive tasks. üNoise, vibration, temperature and lighting. üLone working. Physical & Psychological Health Hazards and Risk Control Slide 82 CAUSES OF STRESS üWorkload and Work pace üHaving too much or too little to do. üWorking under time pressures. üWorking hours üStrict and inflexible working hours. üLong and unsocial hours. üUnpredictable working hours. üBadly designed shift systems. Physical & Psychological Health Hazards and Risk Control Slide 83 CAUSES OF STRESS üParticipation and control ü Lack of participation in decision making. ü Lack of control over work methods, work pace etc. üCareer development, status and pay ü Job insecurity. ü Lack of promotion prospects. ü Under promotion or over promotion. ü Work of low social value. ü Piece rate payment schemes. ü Unfair performance evaluation systems Physical & Psychological Health Hazards and Risk Control Slide 84 CAUSES OF STRESS üRole in the organisation üUnclear role. üConflicting roles within the same job. üResponsibility for people. üContinuously dealing with other people. üOrganisational change. Physical & Psychological Health Hazards and Risk Control Slide 85 CAUSES OF STRESS üInterpersonal relationships üInadequate, inconsiderate or unsupportive supervision. üPoor relationships with co-workers. üBullying, harassment, abuse and violence. üIsolated or solitary work. üNo agreed procedures for dealing with problems or complaints. üPoor communication between individuals and management. Physical & Psychological Health Hazards and Risk Control Slide 86 CAUSES OF STRESS üOrganisational culture üPoor leadership. üConflicting priorities. üLack of clarity about organisational objectives and structure. üPoor communication. üLack of support from line managers or co-workers or a feeling of isolation. Physical & Psychological Health Hazards and Risk Control Slide 87 CAUSES OF STRESS üHome-work interface üConflicting demands of work and home. üLack of support for domestic problems at work. üLack of support for work problems at home. Physical & Psychological Health Hazards and Risk Control Slide 88 EFFECTS OF STRESS üPhysical Effects üIncreased Heart Rate. üIncreased sweating. üHeadache. üDizziness. üBlurred vision. üAching neck and shoulders. üSkin rashes. üLowered resistance to infection. Physical & Psychological Health Hazards and Risk Control Slide 89 EFFECTS OF STRESS üBehavioural Effects üIncreased anxiety. üIrritability. üIncreased alcohol intake. üIncreased smoking. üErratic sleep patterns. üPoor concentration. üFeeling of inability to cope with everyday tasks. Physical & Psychological Health Hazards and Risk Control Slide 90 EFFECTS OF STRESS This can result in üLack of motivation. üLack of commitment. üPoor timekeeping. üIncrease in mistakes. üIncrease in sickness absence. üPoor decision making. üPoor planning. Physical & Psychological Health Hazards and Risk Control Slide 91 EFFECTS OF STRESS Stress is reflected in relationships at work as üTension between colleagues/supervisors. üPoor service to clients. üDeterioration in industrial relations. üIncrease in disciplinary problems. Physical & Psychological Health Hazards and Risk Control Slide 92 PREVENTION STRATEGIES üDEMAND üCONTROL üSUPPORT üWORK RELATIONSHIPS üROLE üCHANGE Physical & Psychological Health Hazards and Risk Control Slide 93 Learning Outcome 8.1 Outline the health effects associated with exposure to noise and appropriate control measures. 8.2 Outline the health effects associated with exposure to Vibration and appropriate control measures. 8.3 Outline the health effects associated with ionising and non-ionising radiation and appropriate control measures. 8.4 Outline the meaning, causes and effects of work related stress and appropriate control measures. Physical & Psychological Health Hazards and Risk Control Slide 94 The END Physical & Psychological Health Hazards and Risk Control Slide 95