Haramaya University College of Health and Medical Science MSc. in Occupational Health and Safety Advanced Industrial Hygiene • Dechasa. Adare (MSc.) • dechasaadare@gmail.com 2023Academic year 1 Course objectives Describe the concept and principles of industrial hygiene Discuss industrial hazards (biological, chemical, physical, ergonomic and safety) Explain basic modes of entry for Discuss hazard communication and occupational limits Explain methods used for assessment of workplace hazards Discuss the mechanism of prevention of industrial hazards occupational related hazards 2 Introduction • Industrial Hygiene – the science of protecting the health and safety of workers through: Anticipation, Recognition, Evaluation, and Control • …of workplace conditions that may cause workers’ injury or illness. 3 Cont… Industrial Hygiene: It the science and art devoted to: Anticipation, recognition, evaluation, and control of environmental factors arising in the workplace which may cause :Sickness Impaired health and well-being Significant discomfort Inefficiency among workers or among citizens in the community. • American Industrial Hygiene Association 4 Cont… Industrial Hygienist as occupational safety and health professionals concerned with the control of environmental stresses or occupational health hazards. American Industrial Hygiene Association (AIHA) 5 6 History and Basis of Industrial Hygiene The first occupational injury victim may well have been a by cave man The development of civilized society led to a division of labor During the middle ages, work was primarily cottage industries, and workers essentially protected themselves. In 1473 Ellenbog published about occupational diseases, and In 1556 Agricola wrote a book that included descriptions of injuries and sicknesses of miners describing:Treatments Preventions 7 Cont… In 1700 Bernardo Ramazzini published concerning occupational diseases. A few other advances were made in the 18th century (linkage of cancer to chemical exposure) The industrial revolution altered the nature of work and increased the numbers of workers. English Factory Acts of 1833 (Compensation rather than safe practices) In the first decade of the 20th century Alice Hamilton:Dedicated to the health and welfare of workers Identified hazards and Raised public consciousness about the safety of workers. 8 Cont… In first decade of 20th century universities began studies of in occupational Governmental Industrial Hygienists organized health Providing degree in industrial hygiene (in 1918) The In 1938, American Conference of 1930s; advances In 1939, American Industrial Hygiene Association originated in promotion of worker safety In 1966, the Metal and Nonmetal Mine Safety Act created. The industrial hygiene profession formed and gained recognition. The Federal Coal Mine Health and Safety Act of 1969 9 Scope of Industrial Hygiene Recognition, Evaluation, and Control of hazards or agents in the working environment Chemical Agents Dusts, mists, fumes, vapors, gases and Insects, molds, yeasts, fungi, bacteria, viruses Physical Agents Ionizing Biological Agents Ergonomic Agents nonionizing radiation, noise, vibration, Fatigue, repetitive motion and temperature extremes 10 Importance of an Effective Industrial Hygiene To prevent occupational injury and illness Allows safety professionals to scientifically quantify worker occupational exposures Serve to identify, quantify, and prioritize workplace hazards. Development of corrective measures to control health hazards Improve productivity 11 Principles of Industrial Hygiene • Five basic principles of industrial hygiene to prevent injury and illness. 1. Anticipation 2. Recognition Respect hierarchy of controls 5. Confirm Exposure assessment of • Measurement strategy Evaluation Basics IH 3. Evaluation 4. Control • Monitoring • Evaluation of the results • Report Control Identification Identification of risks 12 Steps for managing industrial hygiene 13 1. Anticipation of Health Hazards It is the first principle of industrial hygiene and essential to keeping workplaces safe Typically requires a survey of workplace design, operations, processes, work tasks, materials , worker population A current inventory and their MSDS are used to identify hazards. The hazardous properties can help to prioritize which hazards need to be investigated. 14 2. Recognition of Health Hazards It is the second principle of industrial hygiene. It is important to recognize and understand the potential hazards in: The work environment Internal processes/operation Job tasks It is important to understand occupational exposure limits or restrictions for the hazardous products identified in inventory. 15 3. Evaluation of Exposure Used to evaluate the risk of exposure Qualitative Monitoring should be done by a analysis of data from monitoring is qualified professionals. Monitoring address the exposure level of workers during their work and quantitative used to determine if exposure results are acceptable, unacceptable, or uncertain. activities. Used to determine exposures level (above or below limits ) 16 17 Evaluating the risk Evaluating the risk allows the H&S practitioner to determine the answers to these questions: o Is the particular risk from exposure acceptable? o Does it meet regulatory requirements? o Will it need controlling to make it healthy and safe? o Are there special controls for this hazard? o How much control is needed? o What is the most effective control mechanism for this process? 18 4. Control over worker exposure Although people instinctively When hazardous exposure is think of Personal Protective determined to be unacceptable, Equipment or PPE first, it should controls be the last control applied after: need to be Elimination implemented. The should hierarchy be decisions. used of controls to guide Substitution Engineering controls Administrative control are considered. 19 Implementing controls measures requires knowledge of: o The hazard o o The degree of risk o Routes of entry o Various practicable control Comparative effectiveness of different control procedures o Costs of implementation o User acceptability over long strategies (elimination, periods substitution, PPE etc) o How much control is required o Any social impacts of implementing controls. 20 5. Confirmation of Control Measures This step importance highlights of assessing the the performance of: Maintaining data and reports is also key to track and trend Hazard control measures the success in measures to Subsequent worker exposures. prevent Investigating existing or potential issues and applying corrective Injury, illness, or Negative effects. actions 21 Industrial Safety Elements And Strategies Three elements are responsible for industrial health and safety People/Industrial workers Systems developed to run the show The working environment. 22 SAFETY’ S – System development & working systematically: keys for success of any safety campaign A – Attitude: Active participation, Awareness & Alertness are important to boost safety F – Fundamentals: clear and strong foundation for safety yield desired results E – Experience of Past and Expert Advice leads to right approach T – Team Work, Training and Timely Accomplishments are mandatory for success Y – You Means you, you – i.e. Participation By Everyone: From Top To Bottom is a must. 23 Occupational diseases & Industrial Hygiene Exposure to chemical, physical or biological hazards can cause occupational diseases. It can be acute or chronic (gradual or delayed) reactions and are very diverse. To avoid occupational diseases: The exposure should be prohibited, regulated, restricted, limited or controlled by industrial hygiene practices & IH-programs. 24 Industrial Health Hazards 25 Related terms Hazard – the potential for something to cause harm– an intrinsic property… Risk – the likelihood of that hazard to actually cause harm… Risk = likelihood of an event (Probability) X severity of outcome Industrial gains and adverse impacts. Direct stockholders – Industrial workers Indirect stockholders – those affected by the industrial activities. 27 What leads to industrial hazards and what is the solutions ? 28 Industrial Health Hazards Hazardous substances are substances that can have a harmful effect on health Biological hazards (Mold, insects/pests, communicable diseases, etc.) Safety hazards (Slips, trips and falls, faulty equipment, inappropriate machine guarding etc.) Chemical & dust hazards Ergonomic hazards (Cleaning products, pesticides, asbestos, etc.) (Repetition, lifting, awkward postures, etc.) Psychosocial hazards: Physical hazards (stress, violence, etc) (Noise, temperature extremes, radiation, etc.) 29 Industrial health hazards Immediate or acute reactions Shortness of breath or nausea Can be caused by a one-time event, (e.g., a chemical spill). Gradual reactions Delayed reactions or diseases Take a long time to develop Lung cancer or loss of hearing, can be caused by longterm exposure. Asthma or dermatitis (skin rashes) Reactions can be noticed long Can get worse and persist when after the job is over. there is exposure over longer periods Reactions tend to last for a longer time 30 1. CHEMICAL HAZARD CHEMICAL HAZARD BIOLOGICAL HAZARD 31 1. CHEMICAL HAZARD Forms • Chemical Hazards Dusts Mists Solids Liquids Gases and vapors Aerosols - dust, mist, fumes Chemical hazard Fumes Vapors Gases Welding fumes Spraying mist 32 Effects of chemical exposures: Health Risk Safety Risks o Lung Damage o Sterility o Kidney Damage o Burns o Liver Damage o Fire o Explosion o Corrosion o Rashes 33 Examples of chemical exposure symptoms: Eye, nose, throat, upper respiratory, skin irritation Difficulty breathing Memory difficulties Sleeplessness Mental confusion Fatigue Loss of coordination 34 Types of health effects Acute Chronic o Immediate Delayed o Short-term Generally for years o High concentration Continuous; for long i.e: H2S exposure within a periods of time confined space i.e: Asbestosis 35 Chemical effects can be: Local - at the site of exposure Systemic: o Affects the entire body Local (direct) effects: o Irritation (dryness, redness, cracking) o Corrosion (chemical burn) - acid o Upper Respiratory Track o Target organs - organs Infection – inhaling particles or systems where symptoms of exposure appear 36 Systemic effects: Hepatotoxins o o Cause liver damage Carbon tetrachloride, nitrosamines Neurotoxins o Cause nerve damage o Mercury, lead, carbon disulfide Hematotoxins o Cause blood system damage Nephrotoxins o Cause kidney damage o Uranium, halogenated hydrocarbons o Carbon monoxide, cyanides Anesthetics o Depress nervous system o Hydrocarbons, propane, isopropyl ethers 37 Factors affecting exposures o Form and chemical o Ability of chemical to be absorbed o Metabolism Dosage, especially o Distribution within the body dose-time relationship o Excretion o Exposure route o Presence of other chemicals o Age o Sex activity o 38 A chemical is determined to be a The degree of worker risk from exposure to any given substance depends on the: factors:o Toxicity: how much of the substance is required to cause harm o Nature and potency of o Route of exposure o Dose the toxic effects o Magnitude hazard depending on the following and duration of exposure. o Duration o Reaction and interaction: other substances you are exposed o Sensitivity: how your body reacts to the substance compared to other people. 39 Toxicology The science that studies the poisonous or toxic properties of substances Toxic effects: Dose o Concentration – amount o Duration of Exposure – time 40 Occupational Exposure Limits (Standards) OEL can be defined as the concentration of an air contaminants and levels of physical agents to which an employee can be safely exposed for an 8hr period in one workday without any adverse health effects. Exposure limits are numerical values that indicate whether an exposure may cause harm or not At best such values represent bench-marks, or guides for protection action. 8/30/2023 41 Maximal Allowable Concentration (MAC) Peak or maximum concentration of an airborne to which most workers could be safely exposed. LD 50 - Dose lethal to 50% of test animals Threshold Limit Value (TLV)-: Average concentration of a substance to which most workers could be safely exposed over an 8 hr/day or 40 hr/wk throughout a working lifetime Point at which toxicity first appears Occurs at the point where the body's ability to detoxify or repair toxic injury has been exceeded. 43 Cont… • Exposure limit/ Threshold Limit Values (TLV) is the concentration at which a large number of workers can tolerate without adverse affects on health, even if repeated for consecutive days. Also called tolerance levels • It is most widely used occupational limits For gases and vapors,TLV is stated as ppm/ m³ of surrounding air For fumes,mists,and dusts as mg / m³ of surrounding air. 44 TLV is classified in three ways: 1. Time-weighted average (TLV-TWA) 14 exposure limit: 12 • The maximum average concentration of a chemical in air for a normal 8hour working day and 40-hour week. • Levels vary over the shift duration • These limits protect from chronic diseases Exposure in PPM PEL 10 8 6 T 4 2 0 8:00 AM 9:00 AM 10:00 AM 11:00 AM 12:00 PM 1:00 PM 2:00 PM 3:00 PM 4:00 PM Time 45 Cont.. 2. Ceiling exposure limit (TLV-C) Maximum exposure concentration 60 Ceiling 50 that should not be exceeded under any circumstance/the work shift Exposure 40 30 20 These limits protect from acute disease or health effects 10 PEL 0 Time 46 3. Biological limit value (BLVs) or biological tolerance value : Is defined as the maximum permissible deviation from the norm of biological parameters induced by these substances in exposed humans. It can be biological exposure monitoring or biological effect monitoring Can be defined as concentration or rates of formation or excretion (quantity per unit time). BLVs are conceived as ceiling values for healthy individuals. Established for blood and urine 47 OEL reference periods 1. 8 hour reference period TLV-TWA – • The 8 hour TWA exposure to which it is believed the workers may be for a working lifetime, without adverse effect 2. 15 minute reference period – called Short Term Exposure Limit (STEL) • The 15 minute TWA exposure that should not be exceeded at any time during a work day, even if the 8 hour TWA is within the TLV-TWA. – • Above the TLV-TWA but below the TLV-STEL Should not occur more than 4 times a day, with 60 minutes at least between successive exposures. 3. Ceiling (TLV-C) – the concentration that should not be exceeded during any part of the working exposure. 48 Calculation of OEL • The approach used to set OELs was based on the:– "no-observed-effectlevel/safety factor“(NOEL/SF) approach • NOEL: No-observed-effect-level The highest dose that did not cause an effect in the most sensitive health endpoint The LOEL (lowest-observed effectlevel): Is the lowest dose that causes an effect in the most sensitive health endpoint. For calculating the OEL a NOEL is not available, then a LOEL can be used. 49 OEL = [(NOEL) x (human body weight)] [(safety factor)n x (human breathing rate)] NOEL is typically in units of milligram of chemical administered/kilogram of animal body weight/day; Human body weight typically is assumed to be 70 kilograms for an adult male Safety factors for accomodating limitations in the data, Breathing rate in workers typically is assumed to be 10 m3/8- hour workday. 50 Example of OEL Calculation Example: The NOEL in humans has been estimated to be around 3.5 μg/day. (Because it is reported in these units, there is no need to multiply by the human body weight). If one assumes a safety factor of 10 for the human variability in response and a breathing rate 10 m3/8-hour workday:.. Determine OEL……………?. 51 What if I work more than eight hours per day or 40 hours per week? • When working shifts longer than eight hours, the exposure time is increased and the recovery period between exposures is decreased. 52 Principles of Major Organ Physiology A. Routes of Entry Inhalation 1. The Respiratory System /inhalation • Inhalation is the main routs of entry due to the speed with which toxic substances are absorbed and enter the blood stream. 8/30/2023 53 Respiratory Effects of Inhaled particles or dusts • Health effects, which may result from exposure to different types of dust, include:- 1. Pneumoconiosis (accumulation of dust in the lung) Asbestosis/white lung/ Silicosis Byssinosis/brown lung/brown lung disease (caused by endotoxin produced by bacteria) Black lung (coal miners' pneumoconiosis) caused by coal dusts 8/30/2023 54 Cont… 2. Lung Cancer 4. Allergic responses Exposure to much less asbestos + • Some dusts may cause cigarette smoking. allergic reactions in the 3. Irritation and inflammatory respiratory system. lung injuries • Certain dusts have irritant effects up respiratory on tract the and upper can produce chronic bronchitis or • The two main respiratory diseases of allergic type are: – Occupational asthma and – Extrinsic allergic alveiolitis. it lead to chronic emphysema. 8/30/2023 55 Cont… B. Gastrointestinal Tract/ ingestion • GIT is another route of entry for toxic substances and is a major route of excretion. • In the workplace, ingestion of toxic chemicals is:– Usually accidental and – Most commonly results from Ingestion handling contaminated: 8/30/2023 56 Cont… C. The Skin • The skin is not only the largest organ of the Skin Contact body, it is also the organ most exposed to the external environment. • Effects of Substances on the skin include:– Burns: i.e NaOH, H2SO4, H2O2 – Rashes: i.e Formaldehyde, Benzene – Dermatitis (skin irritation): Formaldehyde, Benzene , Xylene – Skin cancer 8/30/2023 57 Routes of excretion Gastro-intestinal (feces) Renal (urine) Respiratory (exhalation) Skin (sweat) 2. BIOLOGICAL HAZARD Pets Livestock Wild animals Insects Food Water Air Fetus and babies Other humans Humans • Transmissible (infectious) disease • No transmissible diseases 59 • Sources biological hazards : – Food production, – Activities where there is contact with animals and/or products of animal origin, – Health care – Clinical, veterinary and diagnostic laboratories – Refuse disposal plants, – Sewage purification installations. 60 • Types of biological hazards : – Viruses (e.g. hepatitis C, yellow fever) – Fungi or Molds – Bacteria (e.g, salmonella ) – Plants – Insects – Animals 61 Biological agents are classification based on the level of risk of G 3 = can cause severe human disease infection: and present a serious hazard to workers • G 1 = unlikely to cause human disease; • G 2 = can cause human disease and might be a hazard to workers – It is unlikely to spread to the community – There is effective prophylaxis or treatment • It may present a risk of spreading to the community • There is effective prophylaxis or treatment G 4 = causes severe human disease and is a serious hazard to workers • it may present a high risk of spreading to the community • There is usually no effective prophylaxis or treatment. Disease (type of agent) Deaths per year Pneumonia and flu (bacteria and viruses) 3.2 million HIV/AIDS (virus) 3.0 million Diarrheal diseases (bacteria and viruses) 2.1 million Malaria (protozoa) 2.0 million Tuberculosis (bacteria) Hepatitis B (virus) Measles (virus) 1.6 million 1 million 800,000 WHO, 2009 Healthcare facility, waste mngt and Biological hazards • Medical waste refers to all categories of waste generated from: Health facilities Clinics Veterinary hospitals Clinical laboratories, and Home based treatment of patients Dechasa.A 64 Why healthcare facilities ideal for disease transmission? Healthcare staff are constantly exposed to potentially infectious materials Patients may have infections that are easily transmitted Patients may be more susceptible to infections due to illness Services are provided in a limited physical space Dechasa.A 65 Infectious Medical Waste Infectious Medical Waste is defined Waste is considered infectious when it is: as: Healthcare wastes that are Contaminated by pathogenic organism suspected to contain: Pathogenic microorganisms The organism is in significant quantity to transmit disease. (or their toxins) in sufficient concentration or quantity to Dechasa.A cause diseases 66 Cont… Blood and blood products Contaminated sharps, Isolation Wastes, Laboratory wastes Unfixed pathological tissues Any materials contaminated by the BBFs Dechasa.A 67 Cont… Dechasa.A 68 Exposure to blood and body fluids Exposures to blood and fluid borne pathogens in the medical setting typically occur as the result of:‣ Puncture from contaminated needles, broken glass, or other sharps ‣ Contact between skin and infectious blood and body fluids ‣ Direct contact between mucous membranes and infectious body fluids Example: A splash in the eyes, nose, or mouth Dechasa.A 69 Factors increase risk of pathogen transmission Infected Source : the disease stage of the source, nature etc. Route of Entry: puncture wound, broken skin, or direct contact with mucus membrane Infective Dose: the amount and type of fluid, as well as the amount of infectious agent in BBFs. Susceptible Host: immunocompromised, health status of the host.. Dechasa.A 70 Sources of Disease Transmission Main sources for contact transmission of infection to patients is from: Hands of medical staff Contaminated equipment used on patients Poorly cleaned surfaces and rooms Main source of transmission of infection to medical staff and waste handlers: Needle-stick injuries and other contaminated materials Dechasa.A 71 Routes of Disease Transmission Skin Contact If infectious waste is inadequately managed, these microorganisms/toxins can be transmitted by: – Direct physical contact – Transfusion or injection – Inhalation Inhalation – Ingestion Ingestion Dechasa.A 72 Vulnerable group/host • Staffs Mostly exposed to : Needle-sticks Blood and other fluids Pathogenic aerosols • Patients Mostly exposed to : Improperly discarded sharps Exposure to accidental spills • Community Waste pickers or collectors Waste scavengers Residents in illegal recycling sites Can be exposed to: • Discarded medical waste washing up on beaches • Infectious waste bags found by children • Reuse of discarded sharps Spread of hospital infections Dechasa.A 73 Cont… Biohazard bags must be labeled with the international biohazard symbol Appropriate wording such as: “Biohazard,” “Biomedical waste,” “infectious medical waste,” or “regulated medical waste” Containers should never be completely filled, nor filled above the full line indicated on box. Dechasa.A 74 Cont… Different color coding has to be used for effective segregation, as: Black : Non-Risk waste. Red: Risk waste with Sharps. Blue: Risk Waste without sharps. Yellow: Radioactive waste Green: Chemicals like Mercury & Cadmium Dechasa.A 75 Cont… • When you mix infectious waste and regular solid waste together, you are not permitted to separate them. • Once combined, the entire contents are considered infectious waste Dechasa.A 76 Healthcare-associated infection Healthcare-associated infection (HCAI) is one of the most common complications of health care management. It is a serious health hazard as it leads to increased: Patients’ morbidity and mortality Length of hospital stay and The costs associated with hospital stay Dechasa.A 77 Healthcare-associated Infection prevention and control Infection control can be defined as measures, practices, protocols and procedures to prevent and control infection transmission in health care settings. Application of standard Precautions: Standard precautions include the following components: Hand hygiene Respiratory hygiene Personal protective equipment Environmental cleaning Prevention of needle stick and other Waste disposal sharps injuries Dechasa.A Reprocessing of patient care equipment 78 Cont… Dechasa.A 79 Infection control for health care providers The following measures must be implemented to prevent and control the infections: Pre-placement and safety program Risk assessment Health workers immunization Treatment of exposed health worker Personnel health and safety Regular follow up and monitoring education Report and recording of the incidents Periodic infectious disease screening of healthcare workers Dechasa.A 80 Biological Hazards in the food industry Biological hazards are organisms, or substances produced by organisms, that pose a threat to human health. Major biological hazards include – - Bacteria - Salmonella spp., - Escherichia coli, - Campylobacter jejuni, - - Virus ex: - hepatitis A virus, - Norwalk viruses, - Rotavirus Parasites - Toxoplasma gondii, Listeria monocytogenes - Cryptosporidia, - Staphlococcus aureus - Giardia spp. - Clostridium botulinum etc - Taenia solium etc. 81 1. Food Borne Infections: – Result when a person consumes food containing pathogens 2. Food Borne Intoxications • Result when a person consumes food containing toxins in it; that cause discomfort or disease. 82 Biological Hazards in the food causes Food Borne Infections – Result when a person consumes food containing pathogens; which grow in the human intestine Food Borne Intoxications – Result when a person consumes food containing toxins produced by the microorganism – Typical symptoms of a ‘food borne intoxication’ appear quickly. 8/30/2023 83 3. Physical Hazard 8/30/2023 84 Noise • Noise is defined as unwanted sound or noise pollution. • Noise is measured in decibels (dB). • An 'A-weighting' sometimes written as 'dB(A)', is used to measure average noise levels, • 'C-weighting' or 'dB(C)', to measure peak, impact or explosive noises. • Remember every 3 dB doubles the noise. 85 Sound level measurement • L = 10 * Log (I/I0)2 L = Sound intensity, decibels (dB) P = Sound pressure, rms (Pa) I0 = Reference sound pressure, rms (20 Pa) Typical Noise Sources Source Rocket Sound Level (dB) 195 Jet Engine 160 Rock Band 115 Power Lawn Mower 95 Factory 90 Noisy Office 80 Conversation 65 Quite Room 40 OSHA Sound Level PEL’s Sound Level (dB) < 90 90 95 100 105 110 115 > 115 Exposure Time Limit (hr) No Limit 8 4 2 1 ½ ¼ 0 Effects of noise • Hearing impairment and hearing disorders • Work related stress • Influence on work tasks • Disturbance of speech communication • Noise as a cause of accidents • Other health effects 89 Hearing impairment and hearing disorders • Excessive exposures to noise are probably the most common cause of hearing loss due to damage of the inner ear. • Prolonged exposure to sound levels > 85 dB(A) is potentially hazardous. • Irreversible damage begins at 130–140 dB(C) peak level. – i.e explosions, firearm reports, or electric arcs. 90 Noise & health surveillance Health surveillance for hearing damage usually means: – Regular hearing checks in controlled conditions; – Telling employees about the results of their hearing checks; – Keeping health records; – Ensuring employees are examined by the where hearing damage is identified. Risk prevention Actions to prevent risks are :– Assessment of the risks; – Prevention of exposure, including the use of personal hearing protection; – Limitation of exposure in accordance with exposure and action levels; – Health surveillance; – Information, consultation, and training to, with, and of workers. 92 Risk assessment … Assessment of risks arising from exposure to noise should consider : – The level, type, and duration of exposure – The exposure limit values – Effects of noise on the H&S of workers in ‘risk groups’; – Effects on workers' H&S resulting from interactions between noise and work-related substances – Any indirect effects on workers 93 Cont.. • Information on noise emission provided by manufacturers • The alternative work equipment designed to reduce the noise; • The extension of exposure to noise beyond normal working hours • Information obtained from health surveillance • The availability of hearing protectors 94 The reduction in risks from exposure to noise should take into account: • The choice of suitable work equipment • Taking account of the work to be done • The design and layout of workplaces and work stations • Adequate information and training 95 – The choice of suitable work equipment – Taking account of the work to be done – The design and layout of workplaces and work stations – Adequate information and training Cont.. • Noise reduction by technical means: – Reducing airborne noise by means such as shields, enclosures etc. – Reducing structure-borne noise by isolation • Appropriate maintenance programs for work equipment • Organization of work to reduce noise, by: – Limitation of the duration and intensity of the exposure; – Appropriate work schedules with adequate rest periods. 96 Organizational & administrative noise control • Measures should consider:– Noise emissions as an evaluation factor in a procurement policy; – Working methods which generate less noise; – Organization of work to reduce noise.. 97 The organization could limit the duration and Intensity of exposure by: • Keeping the number of exposed workers to a minimum; • Task rotation; • Scheduling noisy activities • Appropriate work schedules Hearing protection Some types of hearing protection devices : • Earplugs : Vinyl, silicone, spun fiberglass, cotton/wax combinations, and closed-cell foam products that are inserted or semi-inserted in the ear canal • Earmuffs : Ear cups, usually of rigid plastic material with an absorptive liner, that completely enclose the outer ear and seal around it. • Earmuffs With incorporated active noise cancellation : a new technology that especially for the lower frequency range offers an active noise-level-dependent attenuation. 98 Information and training • On the measures taken in order to eliminate or minimize the risks; • The exposure limit and exposure action levels • The explanation of their significance and potential risks • The characteristics and properties of the hearing protectors • The correct use of hearing protectors • Why and how to detect and report signs of hearing damage • The circumstances in which health surveillance is applicable; • Safe working practices to minimize exposure to noise. VIBRATIONS Vibrations • Vibration is mechanical oscillation about a reference position. • Vibration is an everyday phenomenon, we meet it in our homes, during transport and at work. • Vibration is often a destructive and annoying side effect of a useful process, but is sometimes generated intentionally to perform a task. • For occupational health the exposures to hand-arm vibrations and whole-body vibrations are concerns. 101 Hand-arm vibrations • Hand-arm vibration: the mechanical vibration transmitted to the human hand-arm system, entails risks to the health and safety of workers. • The assessment of the exposure is based on the calculation of the daily exposure value normalized to an 8-hour reference period 102 Whole-body vibrations • Whole-body vibration: the mechanical vibration transmitted to the whole body and risks to the health and safety of workers • The assessment of the exposure to vibration is based on the calculation of daily exposure expressed as equivalent continuous acceleration over an 8-hour period 103 Vibrations Hand-arm Whole body OEL 5m/s² 1,15m/s² Action levels 2,5m/s² 0,5m/s² Reduction program for exposure to vibrations Technical and/or organizational measures : • Choice of appropriate work equipment • The provision of auxiliary • Adequate information and training to instruct workers • Limitation of the duration and equipment that reduces vibration • Appropriate maintenance programs for work equipment, the workplace and workplace systems; • The design and layout of workplaces 104 intensity of the exposure • Appropriate work schedules with adequate rest periods • Provision of clothing to protect from cold and damp Temperature Extremes • Heat Stress Heat cramps Cramps in the body, usually legs Heat exhaustion Dizziness, fainting attack, blurring of vision, cold, clammy and sweaty skin Heat stroke Cyanosis (bluish or grey color of skin), disorientation, convulsions Heat stress sources • Body’s Energy Balance – Metabolic rate – Radiation – Convection – Sweating • External Conditions – Temperature – Humidity – Air movement – Radiation In a typical healthy individual the internal core body temperature may rise as much as 3°C during heat stress Cold Stress • Less Common in Industrial Situations – Cold climates – Refrigerated space – Wind chill • Responses to Cold Stress – Body core temperature is typically 37°C – Shivering when body Tc < 36°C – Lose Consciousness at Tc < 34°C Health Effects of Cold Temperature • Frostbite: reddening of skin, localized burning pain and numbness. Fingers, toes, cheeks, nose, ears are most susceptible. trench foot or immersion foot: numbness, pain, cramps, ulceration and gangrene. 108 Radiation 8/30/2023 109 Radiation • Ionizing radiation energy) – Alpha-Beta-Gamma (high • Non-ionizing energy) • UV-light • Visible light • Infrared • Radio waves • Microwaves radiation (low Ionizing radiation (high energy) • Ionizing radiation is transmitted by radioactive materials and certain equipment • It can permeate through many materials • There are 3 types of ionizing radiation – Alpha radiation – Beta radiation – Gamma radiation 111 Effects of ionizing radiation on health;- • Radiation sickness occurs after exposure to a very high dose of radiation. • It normally leads to death. • Exposure to a moderate dose can lead to radiation tumors. • Other effects are changes in the hereditary material (DNA) like:– Infertility – Malformation of the unborn child – Cancer 112 Non-ionizing radiation (low energy) • Is electromagnetic radiation with a lower frequency. • There are different types; – UV : eg. Welding arcs, lasers – Visible light : lamps, welding arcs, lasers – Infrared : heat lamps, electrical heaters, welding process – Radio waves : heating, signal transfer, plastic sealing – Microwaves : electromagnetic waves 113 Cont.. • High exposure levels can heat up the body tissue. • Prolonged exposure to low levels could cause health damage, depending on:• The wavelength • The energy content • The depth of the penetration • Inflammations of the eye • Skin burns • Reduced fertility. 114 Electromagnetic Spectrum Source Frequency in hertz (Hz) • X-rays, about 1 billion billion Hz can penetrate the body and damage Gamma rays internal organs and tissues by damaging important molecules like X-rays DNA. Ultraviolet radiation • Microwaves, several billion Hz, can Visible light have “thermal” or hearing effects on Infrared radiation body tissues Microwaves • Power frequency of 50 or 60 Hz carry very little energy, have no ionizing effects and usually no thermal effects. • They can, cause very weak electric currents to flow in the body. Radio waves 800 - 900 MHz 15 - 30 Hz & 50 - 90 Hz Very low frequency (VLF) 3,000 - 30,000 Hz Extremely low frequency (ELF) 3 - 3,000 Hz Direct current 22 10 20 10 18 10 16 10 14 10 12 10 10 10 8 10 6 10 4 10 2 10 60 Hz 0 Non-Ionizing Radiation • Ultraviolet Radiation – UV-A 400 to 320 nm • Harmful only to eyes, causes • Low frequency -~ 3 m wavelength • Microwaves -3 m to 3 mm sun tan – UV-B 320 to 280 nm • Causes skin damage (sun burn), source arc welding – UV-C 280 to 220 nm • Severe damage, source germicidal lamps • Infrared -3 mm to 750 nm • Visible light - 750 nm to 400 nm • Ultraviolet Radiation • UV-A 400 to 320 nm • Harmful only to eyes, causes sun tan • UV-B 320 to 280 nm • Causes skin damage (sun burn), source arc welding • UV-C 280 to 220 nm • Severe damage, source germicidal lamps Control measures for radiation – Implement consequent personal hygiene. – Leave the packaging of radioactive material intact. – Do not dismantle radioactive sources. – Use specific personal protective equipment. – Place warning signs. – Cordon off the areas around a radioactive source. 118 Protection from Ionizing Radiation • Alpha, Beta- Little protection required • X-ray, Gamma - Extensive high density shielding • Neutrons Special shielding techniques - V: Ergonomic Hazards Ergonomics is about 'fit': the fit between people, the things they do, the objects they use and the environments they work, travel and play in. • Back pain, • Musculoskeletal injuries (MSI) The Organization The Environment 8/30/2023 The task (Job content & context) The Tool The Workstation 120 Cont… 8/30/2023 121 What is ergonomics?, its gool? • Goal – To reduce work-related musculoskeletal disorders (MSDs) developed by workers • MSDs are injuries and illnesses that affect muscles, nerves, tendons, ligaments, joints or spinal discs. 8/30/2023 122 Risk Factor: ERGONOMICS Static posture Awkward posture Extreme range of motion Forceful exertion Repetitive movement Ergonomics BOSH Training 2009 OSHC IV: Psychosocial Hazards Psychosocial hazards : Those aspects of the design and management of work, and its social and organizational contexts, which have the potential for causing psychological or social harm Work overload and time pressure Lack of influence or control over how day-to-day work is done Lack of social support from supervisors or co-workers Too little or too much responsibility Discrimination or harassment Lack of respect for employees and the work they do. 8/30/2023 125 Job Hazard Analysis 126 The Job Hazard Analysis Defined • A Job Hazard Analysis is a technique that focuses on job tasks as a way to identify hazards before they result in injury, illness, property damage, or worse • It focuses on the relationship between the worker, the task, the tools, and the work environment • A JHA is also known as a Job Safety Analysis Completing your JHAs is a good thing! Benefits of JHAs include: • Reduced injuries Sets performance standards • Reduced absenteeism Standardizes operations based on acceptable safe practices and PPE • Increased productivity • Increased morale Provides a documentation regarding the employee’s knowledge of the job • It protects employees! requirements. Complies with many OSHA requirements JHA process The breaking down of a job into its component steps and then evaluating each step for potential or known hazards Each identified hazard is then corrected or a control method of worker protection (safe practice or PPE) is identified and implemented The final product is a written standard of safe operation for that particular job. JHA form Department Name and Description of Job Assessed Your basic course of action will be to…. • Involve your employees • Review your accident history • Conduct a preliminary job review • List/rank/set priorities for hazardous jobs • Finally…Complete a Job Hazard Analysis using the 2010 UAF JHA form! Involve your Employees… • They possess a unique understanding of their specific jobs • This knowledge is important for assessing job details and identifying hazards • Helps minimize oversights (by using the experts) • Ensures a quality analysis • They will share ownership in their safety and health program Review your Accident History • Accidents and occupational illnesses that needed treatment • Losses that required repair or replacement, and • Any “near misses” - events in which an accident or loss did not occur, but could have. • These events are indicators that the existing hazard controls may not be adequate and needs further evaluation. Conduct a preliminary job review • Brainstorm with your co-workers. • Start by making a list of the jobs you do • Discuss with your employees the hazards they know • Ensure the employees understand you are evaluating the jobs they perform • It is a major step in completing a JHA Which Jobs need a JHA? • Jobs with high accident and injury rates • Jobs with the potential to cause a problems • Jobs where there has been close calls/near misses • New jobs (never evaluated) • Jobs with new procedure or process changes • Jobs complex enough to require written instructions Prioritize the jobs assessed • Jobs that present unacceptable risks where hazards are most likely to occur should be a first priority – A job with prior related injury resulting in fatality – The need for medical attention – The loss of one or more workdays – Result in loss of consciousness – Jobs where one simple human error could lead to a severe accident or injury Who should perform the JHA? • Make sure you have a knowledgeable person assist with the assessment. • It should be a joint effort between:- – Those actually performing the job – Supervisors – Safety personnel – Maintenance personnel – Any other persons having specific knowledge of the particular job being evaluated Step in performing JHA Step 1 Watch the job Step 2 Break the job down Step in performing JHA Step 3 Identify the hazards Video, observation, photos and sketches List each job step in order of occurrence (sequence) Which, nature, type and effects Step 4 Recommend actions Appropriate actions 139 Hazard Communıcatıon • GloballyHarmonized System of communication (GHS) • Main objective of hazard communication is:- • To provide information to employees on how to protect themselves against hazards in the workplace How hazard communication works: 8/30/2023 141 Worker Rights Workers are entitled to safe and healthful conditions. The OSH Act provides workers with the right to: Ask OSHA to inspect their workplace; Review employers’ records of work-related injuries and illnesses Get copies of their medical records; and Receive information and training about hazards and their prevention, using applicable OSHA standards. 8/30/2023 142 Four Components of HazCom 1. The employer’s responsibilities 2. Written Hazard Communication (HazCom)Program and its components 3. Describe the requirements of HazCom through labels, and SDS. 4. Ensure “right to understanding” the provisionsof GHS requirements. 8/30/2023 143 Seven major elements in the GHS-aligned Hazard Communication Standard 8/30/2023 144 Hazard Communıcatıon, applies to hazards, such as • Health hazards (e.G., Irritation, and carcinogenicity) • Physical hazards (e.G., Flammability, and corrosion) • Environmental hazards (e.G. Aquatic toxicity) • Hazard Communication Standard • The “Right-to-Know” standard • Requires employers to inform and train workers about hazards • Focusing on possible health and physical hazards in the workplace • Hazard Communication Standard has 10 sections: a) Purpose b) Scope and Application c) Definitions d) Hazard Classification e) Written Hazard Communication Program f) Labels and Other Forms of Warning g) Safety Data Sheets h) Employee Information and Training i) Trade Secret j) Effective Dates Hazard Classıfıcatıon in Haz-com • The manufacturers are required to classify chemicals with respect to their hazards by using a full range of available scientific literature or other evidences concerning potential hazards. • It divides hazards into three groups HAZARDS Physical Hazards Health Hazards Environmental Hazards • Physical, Health and Environmental hazards are further classified based on hazard severity expressed by numbers and letters etc. Hazard Groups (Physical, Health and Environmental) Hazard Class (Explosives,Acute Toxicity,…) Hazard Categories (1,2 or Type A,B…) Hazard Subcategories (1A,1B, 2A…) Physical Hazard Classıfıcatıon • Classification of Physical Hazards • Explosives • Substances which, in contact with water emit flammable gases • Flammable Gases • Oxidizing Liquids • Flammable Aerosols • Oxidizing Solids • Oxidizing Gases • Organic Peroxides • Flammable Liquids • Corrosive to Metals • Flammable Solids • Self-Heating Substances Physical Hazard Categories Hazard Class Hazard Categories Unstable Explosives Div. 1.1 Flammable Gases 1 2 • Flammable Aerosols 1 2 • Oxidizing Gases 1 • Gases Under Pressure 1 • Flammable Liquids 1 2 • Flammable Solids 1 2 • Self Reactive Substances Self Heating Substances Type A 1 Substances which in contact with water emit flammable gases • • Explosives • Div. 1.2 Div. 1.3 3 4 Type B 2 Type C Type D Type E Type F Type G 1 2 3 Oxidizing Liquids 1 2 3 • Oxidizing Solids 1 2 3 • • Organic Peroxides Corrosive to Metals Type A 1 Type B Type C Type D Type E Type F Type G • • Div. 1.4 Div 1.5 Div 1.6 Physical Hazard Classıfıcatıon • The flammable liquids class has 4 categories (1, 2,3 and 4), with a hazard statement, signal word and pictogram Categories Hazard Statement Signal Word Symbol (Pictogram) “Danger” Flame “Danger” Flame Category 3 Flammable liquid and vapor “Warning” Flame Category 4 Combustible liquid “Warning” No symbol Category 1 Extremely flammable liquid and vapor (Flash point < 23°C and initial boiling point ≤ 35°C) (95°F) Category 2 Highly flammable liquid and vapor ( Flash point < 23°C and initial boiling point > 35°C) (95°F) (Flash point ≥ 23°C and ≤ 60°C) (140°F) Flash point ≥ 60°C (140°F) and ≤ 93°C (200°F) Environmental Hazards • Classification of Environmental Hazards is non-mandatory Hazardous to the aquatic environment Acute aquatic toxicity Category 1 Category 2 Category 3 Chronic aquatic toxicity Category 1 Category 2 Category 3 Category 4 • Chronic Aquatic Toxicity hazard class has 4 categories (1,2,3 and 4) Categories Hazard Statement Signal Word Symbol (Pictogram) Category 1 Very toxic to aquatic life with long lasting effects “Warning” Fish and tree Category 2 Toxic to aquatic life with long lasting effects No signal word Fish and tree Category 3 Harmful to aquatic life with long lasting effects No signal word No symbol Category 4 May cause long lasting harmful effects to aquatic life No signal word No symbol Wrıtten Hazard Communıcatıon Program • Employers are required to maintain a written hazard communication program in the workplace that must include • Safety data sheets (sdss), labels and other forms of warning about the chemicals present • A list of existing chemicals using a product identifier (unique name or number) referenced on SDS • Training information about hazards of non-routine works (e.G., The cleaning of reactor vessels) Wrıtten Hazard Communıcatıon Program – Multiemployer Cases • For multi employer workplaces, each employer should individually prepare a hazard communication program that • Includes access to safety data sheets by other employers’ employees • Provides precautionary measures taken to protect other employers’ workers from possible hazards • Has methods to inform the employees of the other employers about the existing labeling system Labels and other Forms of Warnıng • Labels are • Written, printed or graphical information elements concerning hazardous substances 8/30/2023 158 Labels and other forms of warnıng • Employer can use any labeling system as long as the labels contain the mandatory sections and information. • Labels must be • Legible • Clearly displayed • In English (othere languages can be added if needed) Labels and other forms of warnıng • Manufacturers, importers and distributors are required to:- – Label, – Mark or tag their chemicals before the chemicals leave the workplace. • Labels must contain • Product identifier • Symbols (Hazard pictograms) • Signal word • Hazard statement(s) • Precautionary Statement(s) • Name, Address, Phone Number of manufacturer, importer or responsible party. • Sample label Pıctograms Health hazard pictogram Flame pictogram •Carcinogen •Flammables •Mutagen •Pyrophorics •Reproductive Toxicity •Self-Heating •Respiratory Sensitizer •Emits Flammable Gas •Target Organ Toxicity •Self-Reactives •Organic Peroxides Gas cylınder pictogram •Gases under Pressure •Substance is compressed, liquefied, or dissolved at 29 psi or more Exclamatıon Mark Pictogram •Irritant (skin and eye) •Skin Sensitizer •Acute Toxicity (harmful) •Narcotic Effects •Respiratory Tract Irritant •Hazardous to Ozone Layer (Nonmandatory) Corrosıon pictogram •The corrosion pictogram appears on containers of chemicals which cause skin corrosion or burns, and eye damage •Skin Corrosion/Burns •Eye Damage •Corrosive to Metals Flame over cırcle pictogram •Oxidizers •Substances that release oxygen to another material for purpose of combustion Envıronment pictogram (Non mandatory) •Aquatic Toxicity • Toxic to plants and aquatic life Skull and crossbones pictogram •Acute toxicity (severe) •Overexposure may be toxic or fatal Sıgnal words • Signal words show the severity of the possible hazard and lead people to taking precautions. • Signal words are used to indicate the severity of the possible hazard and lead people to taking precautions Warning Signal Words Danger • Warning - used for less severe hazards • Danger - used for more severe hazards • Signal words for different categories of hazard classes are shown with different colors Danger Warning No Signal Word Environmental Hazard Classes Hazard Categories Acute Aquatic Toxicity 1 2 3 Chronic Aquatic Toxicity 1 2 3 4 Sıgnal Words Color Coded For Physical Hazards Physical Hazard Classes Explosives Hazard Categories Div. Unstable Explosives 1.1 Flammable Gases 1 2 Flammable Aerosols 1 2 Oxidizing Gases 1 Gases Under Pressure 1 Flammable Liquids 1 2 Flammable Solids 1 2 Self Reactive Substances Type A Div. 1.2 Div. 1.3 3 4 1 2 1 2 3 Oxidizing Liquids 1 2 3 Oxidizing Solids 1 2 3 Type A Corrosive to Metals 1 Div 1.5 Div 1.6 Type B Type C Type D Type E Type F Type G Self Heating Substances Substances which in contact with water emit flammable gases Organic Peroxides Div. 1.4 Type B Type C Type D Type E Type F Type G Sıgnal words color coded for health hazards Health Hazard Classes Acute Toxicity Hazard Categories 1 2 3 4 1A 1B 1C 2 Serious Eye Damage/ Eye Irritation 1 2A 2B Respiratory Sensitization 1 Skin Sensitization 1 Skin Corrosion/Irritation Germ Cell Mutagenicity 1A 1B 2 Carcinogenicity 1A 1B 2 Reproductive Toxicology 1A 1B 2 Target Organ Systematic Toxicity (Single Exposure) 1 2 3 Target Organ Systematic Toxicity (Repeated Exposure) 1 2 Aspiration Toxicity 1 Effects on or via lactation Hazard statement • Hazard statement describes the nature of the hazard(s) of a chemical for each hazard class (i.e., physical, health, environmental) • Examples • “Causes serious eye damage through prolonged or repeated exposure.” • “Toxic if inhaled.” Precautionary statement • Precautionary statement helps prevent or minimize adverse effects of hazardous chemical products during handling, transportation or storage • There are four types of precautionary statements • Prevention (to minimize exposure) • Response (what to do in case of exposure, e.G., First aid) • Storage (requirements for storage) • Disposal (consistent with regulations) Supplementarytatements • Producer, importer or employer can add some helpful information and instructions to labels in the form of supplementary statements (optional) • Examples are • Recommended personal protective equipment (PPE) • Ingredients in chemical products, etc. Safety Data Sheet (SDS) • SDS is a document containing details of specific hazardous chemicals and their usage • HCS requires chemical manufacturers, distributors, or importers to provide SDS to communicate hazards of chemical products Safety data sheets • Updated SDSS should be • Shipped with the first shipment of the hazardous product • Made available to workers at all times in the workplace • If the employer notices that the SDS is not available, • It is required that the manufacturer be informed immediately and the sds be obtained as soon as possible. • The manufacturer must send any SDS requested by a customer as soon as possible Safety Data Sheets • Employers shall have a SDS in the workplace for each hazardous • SDS must be • In English • Based on scientific evidence • Revised within 3 months when new information becomes available Safety Data Sheets • There are 16 sections in SDS, which are as follows: • Identification • Hazard(s) identification • Composition/information on ingredients • First-aid measures • Fire-fighting measures • Accidental release measures • Handling and storage Employee ınformatıon and traınıng • Employees should be informed about • Training requirements and information on chemicals they will work with • Operations in the workplace where hazardous chemicals are located and used • Location and availability of the written hazard communication program, safety data sheets, and list(s) of hazardous chemicals Employee ınformatıon and traınıng • Employees should be trained on • Methods and observations used to detect presence or release of hazardous substance • Measures that employees can take to protect themselves • Details of the hazard communication program developed by employer, including • Labels on received containers • Labeling system of the employer • Safety data sheets, where to find them, and how to use the information in SDS. Risk Assessment 8/30/2023 182 What is a risk assessment? The main aim of risk Assessment Risk assessment is the process of: • Identifying hazards, • Analyzing / evaluating the To protect workers’ health and safety. To minimize the possibility of the associated risk workers and environment harmed •Determining appropriate ways due to work-related activities to eliminate or control the hazard Risk assessment helps to…. •Determine if existing control measures are adequate or if more should be done •Prevent injuries or illnesses when done at the design or planning stage •Prioritize hazards and control measures How do you do a risk assessment? • Identify hazards, • • • Review available health and Evaluate the likelihood of an safety information injury or illness and severity, • Identify actions necessary to Consider normal operational eliminate or control the risk situations as well as non- • Monitor and re-evaluate to standard events such as shutdowns, power cuts, emergencies, etc., confirm the risk is controlled, • Keep any documentation or records that may be necessary Principle of Crocodile • Identify the risk • Substitute the risk • Evaluate the risk • Isolate the risk • Eliminate the risk • Use PPE Or else….Run away ! Thank you 8/30/2023 187