OCCUPATIONAL HYGIENE IN

CONSTRUCTION WORK

CONSTRUCTION WORK

OCCUPATIONAL HYGIENE

OCCUPATION HYGIENE IN
CONSTRUCTION WORK

INTRODUCTION
The Occupational Health and Safety Act, 1993 (Act no 85 of 1993) requires employers
to provide a healthy, and safe working environment that is free from hazards.
Construction is one of the most dangerous occupations in the world, incurring more
occupational fatalities than any other sector.
For this reason the construction sector has been identified as one of the high-risk
sectors in the country by the Department of Labour and in order to reduce injury
and disease in the construction sector a Health and Safety accord has been signed
between Government, organised business and organised Labour organisations.

DEFINITIONS
Construction work means any work in connection with:
The construction, erection, alteration, renovation, repair, demolition or dismantling
of or addition to a building or any similar structure
The construction, erection, maintenance, demolition or dismantling of any
bridge, dam, canal, road, railway, runway, sewer or water reticulation system; or
the moving of earth, clearing of land, the making of excavation, piling, or any
similar civil engineering structure or type of work.
Construction site means a work place where construction work is being performed.
Construction contractor means an employer who performs construction work.

PURPOSE OF THE BOOKLET

The purpose of this booklet is to:

make employers and employees aware of occupational health and hygiene

stressors
Raise awareness about occupational hygiene stressors and disease
Identify hazards
Assess risks
Control exposure
To assist employers and employees to identify, assess and control their
working environment.

This booklet must be used in conjunction with other booklets published by the
Department as well as relevant legislation. It should be noted that this is just a
guidance book and the requirement of the Occupational Health and Safety Act, 1993
still apply and employers must still comply with the requirement of the legislation.

CONSTRUCTION WORK

OCCUPATIONAL HYGIENE

OCCUPATIONAL HYGIENE STRESSORS

During construction work employees can be exposed to the following stressors/
hazards and excessive exposure to these stressors may result in acute injury, chronic
illness, permanent disability or even death.

CONSTRUCTION WORK

Type of occupational
hygiene stressor

Type of exposure

Chemical

Dust (e.g. Asbestos /Silica/Hazardous Chemical substances)

Fumes (welding fumes)
Smoke
Mists (e.g. spray painting)
Gases

Physical

Illumination (Poor/excessive lighting)

Noise
Vibration
Temperature
Radiation

Ergonomics

Heavy lifting
Un-natural posture
Repetitive motion

Psychological

Shift work, bullying and distance from family and work

stress

Biological

Poor hygiene and snake bites

OCCUPATIONAL HYGIENE

CHEMICAL STRESSORS IN THE CONSTRUCTION SECTOR

DUST/ASBESTOS/SILICA
Asbestos is the name given to a group of naturally occurring minerals used in certain
products, such as building materials and vehicle brakes, to resist heat and corrosion.
Definitions
Asbestos work means work that exposes or is likely to expose any person to asbestos
dust.
Registered asbestos contractor means a mandatory or employer conducting abestos
removal work, who is registered with the Chief Inspector.
Asbestos work must be carried out by a Registered Asbestos Contractor (criteria
to register as an Asbestos Contractor is available from the Department) and during
asbestos removal, Approved Inspection Authority (list of AIAs is also available) must
be appointed to monitor the release of fibres in the air.
Often wet methods are employed when removing asbestos containing building
material to reduce the release of hazardous fibres. Asbestos waste must be safely
removed and disposed of.
Building material containing Asbestos includes: cement, insulation boards, tile, pipe
sand lagging, roof sheeting, ceiling boards and ducts.
Cement dust
Cement dust occurs commonly in the cement production and construction industry.
Cement dust can be very harmful if inhaled or swallowed. The cement dust will
harden when exposed to the moisture in the body. Cement dust causes lung
function impairment, chronic obstructive lung disease, restrictive lung disease,
pneumoconiosis and carcinoma of the lungs, stomach and colon.

CONSTRUCTION WORK

OCCUPATIONAL HYGIENE

Hazardous chemical substance

Workers may be exposed to harmful chemical substances and when exposed they may
become ill or are likely to die due to exposure to these harmful chemicals. According
to the Regulation for the Hazardous Chemical Substances (1995), HCS means any
toxic, harmful, corrosive, irritant or asphyxia substance or a mixture for which an
Occupational Exposure Level is prescribed or is not prescribed but create a hazard
to health.
Effect of exposure to chemicals may include chemical burns, asthma, allergies, irritant
contact dermatitis, allergic contact dermatitis, skin infection, skin cancer, asphyxiant,
reproductive problems and even death.

Welding fumes and gases

Welding fume exposure in the workplace is a serious occupational hazard. All welding
processes produce these the fumes, but the most fumes are produced during arc
welding.
The contents of the welding fumes depend on the components of the base metal,
coatings and/or filler materials and the temperatures used in the welding process.
Types of metals commonly found in welding fumes include aluminum, beryllium,
cadmium oxides, chromium, copper, fluorides, iron oxide, lead, manganese,
molybdenum, nickel, vanadium and zinc oxides.
Welding fumes also produce gases, which can contain carbon monoxide, fluorine,
hydrogen fluoride, nitrogen oxide and ozone. Inhalation of these fumes can be very
hazardous to a workers health, even more so if the worker is a smoker.

CONSTRUCTION WORK

OCCUPATIONAL HYGIENE

Effect of welding fumes and gases includes hoarseness, sore throat, eye irritation and
metal fume fever and the long-term effects includes bronchitis, cancer and may cause
damage to the central nervous system.

Spray-painting/mists
Employees can be exposed to highly volatile and toxic materials during spray-painting.
Spray-painting is the process where a liquid coating substance, usually paint, is
changed into a mist or aerosol, in order to apply a coating onto an object or surface.
Hazards associated with spray-painting involve exposure to hazardous substances
through either inhaling of vapours, injection of paint or skin contact, fire and explosion,
electricity, plant and noise.

Short-term health effects that spray painting can cause are irritation contact
dermatitis, burns to the skin and eyes, vomiting and diarrhea, irritation to the nose,
throat and lungs, headaches, dizziness, nausea and fatigue.
Long-term health effect that can result from spray-painting are occupational asthma,
allergic contact dermatitis, lung cancer, painters syndrome which is prolonged
inhalation of paints and solvents resulting in brain damage, damage to the reproductive
system and kidney or liver damage.

CONSTRUCTION WORK

OCCUPATIONAL HYGIENE

Physical stressors in the construction sector

Illumination
The Enviromental regulations for workplaces require an employer to ensure that
the workplace be lighted. This can be achieved by using the illuminance values
specified schedule. Health effects of exposed to excessive or poor lighting include eye
discomfort, eye strain, eye irritation, blurred vision, dry burning eyes and headache.
poor sight leading to accidents.

Here are some of the examples of lux level

Location/Industry

Place or type of activity

Illuminance (lux)

Ablutions

Wash-room, toilets and changing rooms

100 (at floor level)

Building and
construction

Industrialised building plants

200

Concrete shop

150w

General working areas

20

Walkways and access

5 (at floor level)

Rubbing, dipping, ordinary painting,

spraying and finishing

200

Paint shops and

spraying booths

Fine painting, spraying and finishing

Retouching and matching

300
500

Noise
Noise is commonly agreed to be unwanted sound. Sound can be considered unwanted
due to reasons of volume, type of noise, the time of day, or any factor making sound
unpleasant or annoying. Noise is one of the mostly highly present physical stressor in
the construction sectors. Types of noise sources in the construction sector include:
Construction and demolition process
Building operation
From use of heavy machinery and tools e.g. excavators, roller, concrete drills,
concrete grinders and concrete vibrators (jag hammer).

CONSTRUCTION WORK

OCCUPATIONAL HYGIENE

The Noise-Induced Hearing Loss Regulation strictly stipulates that no employer or

self employed person shall permit any person to enter any workplace where a person
might be exposed to noise at or above 85 dB noise-rating limit.
Effects of noise exposure to human health include tinnitus, annoyance, and
hypertension, sleeping disorder, hearing impairment and hearing loss.

Vibration
Vibrations enters the body from the organ in contact with vibrating equipment, when an
employee operates handheld equipment such as chainsaw or jackhammer; vibration
affects hands and arms. Such exposure is called handheld vibration exposure. When
an employee sits or stand on a vibrating floor or seat the vibration affects almost the
entire body and thus is called whole body vibration exposure.

Temperature
Both very cold and very hot temperatures could be dangerous to your health. Excessive
exposure to heat is referred to as heat may cause stress and excessive exposure to cold
is referred to as cold stress.
The most serious concern in a very hot environment is heat stroke and can be fatal if it
does not get medical attention. Heat exhaustion and fainting (syncope) are less serious
types illnesses which are not fatal but interfere with a persons ability to work.
When employees are exposed to very cold temperatures, the concern to health is
hypothermia or dangerous overcooling of the body. Another serious effect of cold
exposure is frostbite or freezing of the exposed extremities such as fingers, toes, nose
and ear lobes. Hypothermia could be fatal in absence of immediate medical attention.

Radiation (ultraviolet rays)

Construction workers or outdoor workers can be exposed to too much (ultraviolet)
radiation in the sunlight that can be harmful to the skin. Construction workers have
a higher risk of skin cancer than many other workers due to long periods exposed to
UV radiation from direct sunlight and UV rays reflected from nearby surfaces such as
concrete.
Short-term exposure can cause reddening of the skin or sunburn can blister the skin.
Long-term exposure can increase the chance of developing skin cancer.

CONSTRUCTION WORK

OCCUPATIONAL HYGIENE

Ergonomics
Employees in the construction site can be exposed to ergonomic risk factors such
as lifting heavy items, bending, reaching overhead, pushing and pulling heavy loads,
working in a awkward body posture and performing the same task repetitively. When
employees are exposed they can develop muscular skeletal disorders (MSDs). MSDs
affect the muscles, nerves and tendons and can cause temporary or permanent
disability.
Neck pain, back pain (upper extremities and lower back) are some of the work-related
MSDs. Employers can do a risk assessment and come up with programmes to reduce
such risks.

Pshychological stressors
Work-related stress can be an occupational health issue for the construction sector.
Working long hours, having too much work to do at the same time, being bullied at
work, family problems and distance from family are some of the factors that can cause
stress. Employers can establish employee health and wellness programmes to assist
employees.

Biological stressors
Employees at the construction site may be exposed to vector-borne disease, microorganisms vernomous wildlife, insects and poisonous plant during construction
work (mostly during construction site establishment). Examples include poison
ivy, scorpions and spider bites, mosquitoes and snakes. Poor hygiene can also be a
contributing factor to spreading disease.
Construction site hygiene encourages good housekeeping, provides workers with
clean drinking water, sanitary restroom and washing facilities.

CONSTRUCTION WORK

OCCUPATIONAL HYGIENE

The Regulation for Hazardous biology Agents (20010 prescribe methods to handle
hazardous biology agents safety.

What is a health risk assessment

A human health risk assessment is the procedure to evaluate the nature and probability
of adverse health effects in humans who may be exposed to environmental stressors.
To explain this better, a human health risk assessment addresses questions such as:
What types of health problems may be caused by environmental stressors?
What is the chance that people will experience health problems when exposed to
different levels of environmental stressors?
Is there a level below which some chemicals dont pose a human health risk?
What environmental stressors are people exposed to and at what levels and for
how long?
Are some people more likely to be susceptible to environmental stressors
because of factors such as age, genetics, pre-existing health conditions, ethnic
practices, gender, etc.?
Are some people more likely to be exposed to environmental stressors because
of factors such as where they work, where they play, what they like to eat, etc.?

Monitoring of occupational environmental stressors

Occupational hygiene monitoring is a process of evaluating and documenting potential
exposures to environmental stressors. Only Approved Inspection Authority (AIA) can
monitor environmental stressors in the workplace. AIAs are approved by the Chief
Inspector of the Department of Labour.

CONSTRUCTION WORK

OCCUPATIONAL HYGIENE

HEIRACHY OF CONTROL FOR ENVIRONMENTAL

STRESSORS
The Occupational Health and Safety Act (1993) clearly specify that employers must provide
a working environment that is safe and free from hazards/danger. If the hazards cannot be
removed the employer must have control measures in place to prevent employees from
exposure to hazards/danger.

ELIMINATION
SUBSTITUTION
ENGINEERING CONTROLS
ADMINISTRATIVE CONTROLS
PERSONAL PROTECTIVE EQUIPTMENT

Option 1: Hierarchy of control

Option 2:Different approach to control

(Elimination) - can be by
substitution of chemicals used or
automation

Selection of workers by doing the preemployment examination, interview,

psychological testing and pre-placement
medical examination

(Engineering control) - by
isolating the process (noise zones),
screening (welding zones) or by
introducing wet spray method
in a dusty environment (dusty
environment)

Induction of employees on legislative

requirement (OHSACT): good housekeeping
policy and procedure, personal hygiene,
signs and symptoms of excessive exposure to
substances and educational programmes

(Administrative control) - by
demarcation, good housekeeping
and training. Control access, safe
working procedure and reduce
number of exposed employees

Control at source by eliminating the problem

by automation or substitution, or change
process

(Personal protective equipment)

- using masks, goggles or hearing
protectors etc.

Control along the path: Partition or

screening, and insulation
Control at worker: limiting time of exposure,
issuing personal protecting equipment
Improve work environment.

CONSTRUCTION WORK

10

OCCUPATIONAL HYGIENE

WHO SHOULD BE INVOLVED IN HEALTH AND SAFETY

ISSUES IN THE WORKPLACE?
Occupational health and safety is a team effort, it requires constant inter-action between
employer, employee and Government.

Duties of the employer

Provide and maintain a safe system of work

Identify hazards and evaluate risks
Take steps to eliminate or mitigate all hazards before resorting to PPE
Provide information, training and supervision
Provide means to apply safety measures
Do not permit employees to work unsafely
Enforce health and safety measures at work
Ensure that every person on the premises knows the Act
Ensure that supervisor have work-related safety training
Empower supervisors with authority.

Duties of employees

Take reasonable care of their own health and safety and of other who may be affected
by their acts or omission
Cooperate with the employers to enable him/her to comply with the Act
Carry out ant lawful order, and obey the health and safety rules
Report any unsafe situation to the employer or to the health and safety representative.

CONSTRUCTION WORK

11

OCCUPATIONAL HYGIENE

Functions of an inspector

Enter any workplace without notice to conduct an inspection

Conduct incident investigations and interview employees
Conduct information session with employees, employers or Organised Labour
Attend and solve dispute or complains between employers and employees
Issue out improvement or, contravention notice
Prohibit dangerous work environment or activities.

Contact Details
Labour Head Office:
Telephone Numbers: (012)3094000
Email Address:

Fax Numbers: (012) 320 2059

[email protected]

Provincial Offices:
Eastern Cape Provincial Office

Telephone Numbers: (043) 701 3128

Free State Provincial Office

Telephone Numbers: (051)5056200

Gauteng Provincial Office

Telephone Numbers: (011)853 0300

KwaZulu-Natal Provincial Office

Telephone Numbers: (031)3662000

Limpopo Provincial Office

Telephone Numbers: (015)2901744

Mpumalanga Provincial Office

Telephone Numbers: (013)6558700

North West Provincial Office

Telephone Numbers: (018)3878100

Northern Cape Provincial Office

Telephone Numbers: (053)8381500

Western Cape Provincial Office

Telephone Number(s): (021)4418000

CONSTRUCTION WORK

12

OCCUPATIONAL HYGIENE

Fax Numbers: (043) 722 1012/

Fax Numbers: (043) 743 9719

Fax Numbers: (051) 447 9353

Fax Numbers: (011) 853 0470

Fax Numbers: (031) 366 2300

Fax Numbers: (015) 290 1608

Fax Numbers: (013) 690 2622

Fax Numbers: (018) 384 2745

Fax Numbers: (053) 832 4798

Fax Numbers: (021) 441 8135

DEPARTMENT OF LABOUR WORKING FOR YOU

CONSTRUCTION WORK

14

OCCUPATIONAL HYGIENE