3
3
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82 PART 2: Hazards and Agents
NUCLEAR TRAGEDY
In March 2011 the world witnessed the second and accident emergency responses. A final report
worst nuclear power disaster unfold as a 15- metre into the accident makes a number of recommen-
tsunami caused by an earthquake approximately dations to ensure that Tokyo Electric is better pre-
130 kilometres off the coast of Japan destroyed pared for such natural disasters. Specifically the
the Fukushima Daiichi and Daini Nuclear Power committee made recommendations that Tokyo
Plants of Tokyo Electric Power Company. The Electric reevaluate their attitudes towards the
International Atomic Energy Agency (lAEA) classi- assessment of the risks posed by natural disasters,
fied it as a level 7 out of 7 (major accident) on the in particular the risks posed by hazards that are
International Nuclear Event Scale (lNES) due to the viewed to have a low probability of occurrence or
high amounts of radioactive material released into considered to be difficult to predict. While a final
the environment. On May 24, 2011 a committee report has been released, the tragedy emphasizes
was created to determine whether the proper the need to properly assess and control hazards
precautions were in place at Tokyo Electric. Upon and risks within the workplace, as well as maintain
investigation into the incident the committee a positive and proactive culture of safety. Hazard
determined much of the damage at the company recognition and risk assessment and control are
was the result of a number of causes, citing a lack the backbone of workplace OH&S programs and
of preventative measures, disaster preparedness, is the focus of this chapter.
Source: Secretariat of the National Diet of Japan Fukushima Nuclear Accident Independent Investigation Commission. Found at: http://
naiic.go.jp/wp-contentiuploads/2012107 INAIIC_reporchUes4.pdf; http://icanps.go.jp/eng/SaishyuRecommendation.pdf.
Almost every workplace has recognizable hazards to which people are exposed.
There are many different definitions of the term hazard however, the term is typi-
cally defined as any source of potential adverse health effects, damage, or harm
to something or someone under certain conditions at work. 1 Hazards within the
work environment pose a risk to those within that environment and in order
to manage that risk, the hazard and its potential must be properly understood,
assessed, and controlled using a systematic process known as hazard/risk assess-
ment and control.
TERMINOLOGY
Hazard identification and risk assessment and control involve very specific terms,
some of which are incorrectly used interchangeably. Though the following terms
seem similar to one another, each has a distinctive use in the OH&S field:
hazard • A hazard is any object, action, or condition that can be a source of poten-
any source of potentia l tial adverse health effect, damage, or harm to people, processes, or equip-
adverse health effect, ment within the workplace. Examples of objects that can be considered
damage, or harm on some- workplace hazards are chemicals used to disinfect a surface, or sharp
thing or someone under
certain conditions at work objects and machinery. Examples of hazardous conditions are icy steps,
or an understaffed shift rotation. Examples of hazardous actions are not
wearing personal protective equipment (e.g., gloves), or not following
safety procedures.
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Chapter 4: Hazard Recognition, Risk Assessment, and Control 83
OH&S Today
A Controversial Term
Though the term "accident" is commonly used to refer and safety professionals suggest the term accident
to an unwanted event that causes harm, more and more implies the event was unavoidable and uncontrollable
health and safety professionals avoid using it, preferring and as such there are no "accidents" in this sense. They
the term "incident." This preference is based on two reject the view that "accidents will happen," relying
observations. First, effective health and safety manage- instead on effective means of hazard recognition, risk
ment is more appropriately focused on understanding assessment, and control whereby we can prevent inci-
incidents and the root cause(s). Second, some health dents and injury from occurring.
• Generally the term incident is defined as an event or occurrence that had incident
or could have had a negative impact on people, property, or processes. an event or occurrence that
Events which could have had a negative impact are frequently referred had or could have had a
negative impact on people,
to as close calls or near-miss incidents. A close call or near-miss inci-
property, or processes
dent is any unplanned event wherein harm or equipment loss almost
occurred but was successfully prevented or mitigated. Examples of close
risk
calls include not wearing safety glasses when operating a power saw and
the probability or the
nearly being hit by flying debris, or brushing against hot objects with extent to which a hazard
unprotected hands without getting burned. Close calls or near-miss inci- is likely to cause harm
dents involve the presence of a hazard but mayor may not result in harm to people, processes, or
or loss. equipment
People
Humans create hazards in the workplace by their actions or inactions. Proper
training, administration, leadership, and supervision are required to ensure that
unsafe act
employees engage in the appropriate workplace behaviours. Incidents involving
a deviation from standard
humans are referred to as unsafe acts. An unsafe act generally refers to a deviation job procedures or practices
from standard job procedures or practices that increases the potential for an inci- that increases a worker's
dent and harm. A human action that may cause an immediate event of any type, and exposure to a hazard
NEL
84 PART 2 : Hazards and Agents
over which the person has control, is considered a direct, unsafe act (sometimes: - - - -
referred to as a substandard practice). An example would be improper modifica-
tions to a respirator used in a paint booth to allow a cigarette to be smoked through
the filter cassette. An indirect, unsafe act is one in which the human action is only
indirectly involved. Consider the following example. A designer of a machine alters
a braking system on a punch press that allows the machine to complete its oper-
ating cycle after the emergency stop is activated instead of immediately stopping.
In this instance there is overlap between an indirect unsafe act and an unsafe condi-
tion. The machine defect started as an indirect unsafe act but resulted in an unsafe
condition for the operators using the machine.
Unsafe acts are observable behaviours that are the direct outcome of a deci-
sion made by an individual. Unsafe acts that contribute to or cause an incident are
labelled as human factors .
When a worker or another person causes an incident by commission (doing
something), poor judgment, or omission (failing to do something), the cause is
human factor labelled a human factor. However, when conducting an incident investigation and
when a person causes determining the role of human factors there is a distinction between fact finding and
an accident by commis- fault finding. A human action may have been directly or indirectly involved in the
sion, poor judgment, or event, but "human error" or blame should never be used nor implied. In a similar vein,
omission (failing to do
something)
no one would willingly or intentionally injure himself or herself, which tends to sup-
port the idea that a human action should not be considered "human error" and have
blame assigned. No matter how many backup systems are in place, some shortcut
or personal foible can cause the system to fail. The intent of hazard recognition, risk
assessment, and control is not to find a scapegoat, but to correct procedures and
behaviours so that the likelihood of the incident occurring again is reduced. Similarly;
there are techniques that can permit a professional to identify hazardous conditions
or activities and implement correct procedures before hazardous events occur.
Equipment
Under certain conditions or situations the tools, machines, or equipment people
use and work near can be hazardous. Examples of equipment that can be haz-
ardous include defective tools (broken ladder), unguarded moving machinery
(unguarded saw blades in a butcher shop). When considering the equipment in
the workplace that can be hazardous it is important to carefully consider what
falls under workplace equipment and to make sure that everyday equipment like
office, lunchroom, or kitchen equipment are considered.
Environment
Some hazards can be created by the work environment and can be either natu-
rally occurring (e.g., weather in outdoor work environments) or the result of an
unsafe condition caused by poorly maintained equipment, tools, or facilities.
The following are examples of an unsafe work environment:
• Improper illumination-too dark or too much glare
• Poor exhaust or ventilation systems-the toxic vapours from a process
hang in the air rather than being removed
• Defective equipment and materials-not to the required specifications
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Chapter 4: Haza rd Recognition, Risk Assessment, and Control 85
Materials
Materials are any workplace substance, matter, or provisions used for produc-
tion that have the potential to cause harm or loss especially if handled improp-
erly. Examples of materials include supplies and raw materials such as wood
within a carpentry shop, dry cleaning chemicals, paint, or cleaning chemicals.
When materials are improperly handled or misused or if the wrong materials
are used during production they can become a hazard or create hazardous condi-
tions. For instance certain cleaning materials such as ammonia and bleach should
never be mixed together because the mixture results in a toxic chemical reaction.
Ensuring the proper handling and use of workplace materials is very important
and requires training (e.g., WHIMIS training).
Processes
When combining people, equipment, environment, and materials with the pur-
pose of production of a good or service a process is involved. Processes involve
the flow of work and include factors such as design, pace, and organization of the
various types of work via policies, procedures, and work processes. Work pro-
cesses can result in various hazardous byproducts when combined with people,
equipment, environment, and materials. While the objects and equipment in and
of themselves are types of hazards, when combined with using a poor process or
procedure then the process or procedure itself is a hazard.
FIGURE II
Example of a Fault Tree
Forei.gn particlel
In eye
r (metal chip) I T
I
Area visitor
~close ' B
r------~~--------,
1-_ L
A
NEL
88 PART 2' Hazards and Agents
can be assessed by rating the probability of an incident followed by rating the conse-
quences and assigning a level of priority (e.g., very high risk). It can also be measured
by consulting statistics (e.g., accident statistics) and calculating the probability of an
event. Risk assessment methods that are based on numerical calculations are some-
times referred to as quantitative risk assessments while those not based on numer-
ical calculations are referred to as subjective risk assessments. An argument can be
made for choosing one type of risk assessment method over another given the sub-
jective nature of risk perceptions however, there is evidence to support that the actual
or objective level risk and an individual's interpretation are not always disparate.
Research involving offshore oil and gas platform employees showed that workers
had "reasonably accurate perceptions of risk" and suggest that the factors that influ-
ence risk perceptions are similar to those which influence more objective assessment
methods (Le., quantitative risk assessments). Regardless of the assessment method
chosen the necessity of conducting a risk assessment cannot be negated.
probability Probability refers to the chance or likelihood that an event will happen and
the chance or like lihood will result in harm or loss. Within the context of workplace safety and risk assess-
that an event wi ll occur and ments probability is typically expressed in terms describing the likelihood (e.g.,
will result in harm or loss very unlikely, likely, very likely) however there are numerous ways to express prob-
ability and it is up to the organization to ensure they are appropriate within a par-
ticular context, environment, or situation. The Canadian Centre for Occupational
Health and Safety (CCOHS) proVides the following terminology for probability:
• Very likely-Typically experienced at least once every six months by an
individual.
• Likely-Typically experienced once every five years by an individual.
• Un likely- Typically experienced once during the working lifetime of an
individual.
• Very unlikely-Less than 1 % chance of being experienced by an individual
during their working lifetime. 6 '
consequences Consequences correspond to the severity of the injury, harm, or loss and can
the results or severity of range from dust in the eye, to amputation of a finger, to death. Consequences of
the injury hazard can be expressed in various ways and can include the consequences of
harm and or the loss to equipment. It is important for organizations to select ter-
minology that is appropriate for a given job, situation, or context. Consequences
are often expressed in terms of severity of harm or loss (e.g., slight harm, moderate,
or extreme). CCOHS provides the following indicators of severity of consequences:
• Slightly harmful (e.g., superficial injuries; minor cuts and bruises; eye irritation
from dust; nuisance and irritation; ill-health leading to temporary discomfort).
• Moderate harm (e.g., lacerations; burns; concussion; serious sprains;
minor fractures; deafness; dermatitis; asthma; work-related upper limb
disorders; ill-health).
• Extremely harmful (e.g., amputations; major fractures; poisonings;
multiple injuries; fatal injuries; occupational cancer; other severely
life-shortening diseases; acute fatal diseases)'?'
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Chapter 4' Hazard Recognition, Risk Assessment, and Control 89
Determining the risk level of hazard is done by gauging likelihood and the
consequence of a hazard and assigning it a rating. Risk can be rated as very low,
moderate, high, or very high. The rating or priority of risk can be determined by
an organization however, it is extremely important that each ranking or priority
rating of risk be clear to all those who conduct risk assessments. In other words,
employees conducting risk assessments should be clear on what is defined as "low
risk." CCOHS provides guidance on defining risk and is a useful resource that is
based on the British Standards Institute (UK equivalent of ISO) (see Table 4.1). For
example, very low risk is defined as acceptable and does not require further action
other than ensuring existing controls are maintained. CCOHS (see Table 4.2) pro-
vides a sample layout that can be used for hazard inventory and risk evaluation,
which is also based on the British Standards Institute.
Follow-Up
The information obtained through hazard identification and risk assessment should
be communicated to the appropriate manager, the immediate supervisor, and the
health and safety committee. Some reports may be forwarded to the Ministry of
Labour (if the substance is under assessment) or the Ministry of Environment, or
TABLE
•
Risk Assessment
Likelihood of Harm Severity of Harm
Slight Harm Moderate Harm Extreme Harm
Very unlike ly Very low risk Very low risk High risk
Unlikely Very low risk Medium risk Very high risk
Likely Low risk High risk Very high risk
Very likely Low risk Very high risk Very high risk
TABLE
•
Sample Hazard Inventory and Risk Evaluation
to the corporation's lawyers. Safety professionals and supervisors who do not pass
on information about unsafe conditions to a responsible manager could be charged
under the jurisdiction's occupational health and safety act.
When presented with information about hazards, management may decide to
(1) take no action, (2) take corrective action, or (3) consider a cost-benefit anal-
ysis to determine whether the anticipated losses are worth the cost of correcting
the problem.
TYPES OF INJURIES
injury
A look at the nature of workplace injuries will help us identify the types of work-
any trauma, physical or
place hazards we are concerned with. There are at least two broad classes of
mental, direct or indirect,
acute or chronic, experi-
injuries in workplaces. Overt traumatic injuries (e.g., cuts, fractures, burns)
enced by a human being typically result from coming into contact with an energy source (e.g., falling, being
struck by material). In contrast, overexertion injuries (e.g., sprains, back pain,
overt traumatic inj uries
tendonitis, carpal tunnel syndrome) typically are caused by excessive physical
injuries resulting from
coming into contact with
effort, repetitive motions, and, possibly, awkward working positions. From this
an energy source observation it follows that hazard identification and control should focus on iden-
overexertion inju ries
tifying and controlling sources of energy that can result in injury as well as in
injuries resulting from
conditions of work that may lead to overexertion.
excessive physical effort,
repetitive motions, and,
Overt Traumatic Injuries
possibly, awkward working One of the most common causes of workplace accidents is individuals coming
positions into contact with objects and equipment. For example, individuals may be struck
by objects that are falling from overhead or may drop materials on themselves,
resulting in crush injuries. Material may be flying through the air because of
grinding or cutting operations. The use of compressed air in many industrial set-
tings is a particular hazard, as the stream of compressed air may cause small par-
ticles of material to accelerate rapidly through the work environment. Individuals
may also be struck by moving equipment (e.g., vehicles, forklifts).
Another form of contact with equipment occurs when individuals become
caught in, under, or between (CIUB) machinery. Industrial presses, for example,
are often associated with crush injuries when individuals who are feeding the
machine stock get their hands caught in the machinery as it presses. Conveyer
belts and other power transmission systems (e.g., belts, pulleys) may have "pinch
points" in which individuals can become entangled.
Falls are another significant source of workplace injury. This category includes
falls from a height (e.g., off a ladder, or down a set of stairs) as well as falls on the
same level (e.g., slipping on the floor). As we might expect, falls from a height are
common in construction, where ladders and other temporary structures (e.g., scaf-
folding) are frequently used. Falls on the same level often result from spilled material
(e.g., oil) or from tripping over poorly placed material, uneven surfaces, and so on.
Overt traumatic injuries also result from coming into contact with sources of
energy such as electricity, chemicals (e.g., chemical burns), and heat (e.g., touching
a hot surface results in a burn). Prolonged kneeling and the use of abrasives can
result in abrasive injuries in which the skin is torn or rubbed raw.
In all situations, prevention focuses on (1) recognizing the source of the hazard (Le.,
the potential energy source), (2) eliminating the hazard, and (3) protecting workers
from exposure to the energy source (e.g., through personal protective equipment).
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Chapter 4. Hazard Recognition, Risk Assessment, and Control 91
Overexertion Injuries
There are many types of overexertion or repetitive strain injuries. Most of them,
though, have one of three basic causes: lifting, working in an awkward position,
or repetition.
Materials handling, which involves lifting, carrying, and lowering, is an often-
performedoperationinmanyorganizationsthatcanresultinhigh-riskinjuriesthrough
overexertion and poor posture, both of which are the primary cause oflow back pain.
Lifting tolerances can be estimated using formulae developed by the National Institute
for Occupational Safety and Health (NIOSH) in the United States.8 Back injuries
-from stabbing pain to total disability-can have far-reaching effects for the worker,
the worker's family, and the company. Low back pain, often associated with materials
handling, accounts for more than 50% of all musculoskeletal complaints and is the
fastest growing category of disability (see OH&S Notebook 4.1).9
1. Size up the load and check the overall conditions: 7. Avoid any unnecessary bending: Do not place
Is the load being picked up in the open, or is it sur- loads on the floor but on a platform or rack if
rounded by other boxes? Is it too large to grasp? they have to be picked up again later. Bend the
How far does it have to be carried? How high does knees, and do not stoop.
it have to be lifted? Is the floor dry or slippery? 8. Avoid unnecessary twisting: No twisting is accept-
2. Choose the lifting position that feels the best: able. Turn the feet, not the hips or shoulders.
The~e are several "correct" ways to lift a load. 9. Avoid reaching out: Keep all loads as close to
Figure 4.2 illustrates two of the more common the body as possible. The farther away from
ones: the straight-back leg lift and the stoop lift. the body centre, the greater the disc load and
3. Check for slivers, nails, sharp edges, and so on: hence the greater the stress (see Figure 4.3).
Sustaining a penetration injury while lifting is 10. Avoid excessive weight: If the load is too heavy
both painful and awkward. or too awkward, get help. The definition of
4. Lift by gripping the load with both the fingers "excessive" will depend on the individual and
and the palms of the hand: The more the hand his or her physical condition and training .
is in contact with the object, the better the con- 11. Lift slowly and smoothly: Use your body weight
trol and the more positive the application of the to start the load moving, and then lift using your
lifting force. legs and arms.
5. Keep the back straight: A straight back (not a
12. Keep in good physical shape: The better your
vertical back) will reduce stress on the spine and
physical condition, the easier lifting will be and the
make the load distribution on eacb vertebral disc
lower the risk of sustaining a lower-back injury.
uniform.
6. Maintain good balance: If you are not steady on
your feet, an off-balance motion can impose sig-
nificant stress on the discs.
NEL
92 PART 2: Hazards and Agents
FIGURE
Lift Positions
NEL
Chapter 4: Hazard Recognition, Risk Assessment, and Control 93
FIGURE
II
Relationship between Load Position and Lower Back Stress
lifting can be greatly reduced. Some workers use supports that force the back to
remain straight but do not prevent the worker from lifting or handling heavier
loads. Though the logic of using back supports is appealing, agencies such as NIOSH
in the United States have suggested that there is no scientific evidence in favour
of the use of such devices. The Canadian Task Force on Preventive Health Care found
that randomized control trials did not support the use of back supports. 10 Of the
five trials reviewed, three found no effect and the remaining two found marginal
effects.
NEL
94 PART 2: Hazards and Agents
of 20 have experienced RSI.n This translates into 2.3 million cases, most ofwhicn
result from work activities. The origins of RSI can be traced to the following four
general conditions:
• Unnatural joint position or posture. Whenever a joint is forced to work in
a position that is unnatural or stressed, the risk of RSI is increased. For
instance, during keyboarding the wrists are forced out of axial alignment
with the arm. The use of a hand tool such as a pair of pliers can force the
wrist-arm axes out of line, creating a stress condition that could eventu-
ally cause joint irritation.
• Force application to hinge joints. When hinge joints are forced to carry
applied loading, particularly when flexed, the joint load distribution of the
cartilage is uneven, causing excessive stress in a small area of the joint.
The wrist is a good example of a hinge joint. When performing a task such
as lifting while bent, this joint can begin to ache. Repetition of the activity
can result in a loss of strength.
• Activity repetition. Tasks such as keyboarding (computer operator) or
using a hammer (carpenter) involve a repetitive flexing of the fingers
and wrists. The action of typing applies low-load repetition to the fin-
gers (touching the keys) and medium loading to the wrist (supporting
the hand). The action of hammering applies a high-impact loading to the
wrist, which is flexed into a nonaligned axis on impact. The shock effect
increases the potential risk of tissue damage.
• Pre-existing conditions. Ailments such as arthritis and circulation dis-
orders can have a synergistic effect on RSI conditions. For example,
arthritis-an inflammation condition of the joints-can be aggravated by
the stress associated with hammering or keyboarding.
If you search for RSI on the Web, you will mostly find hand or body positions. Intense preparation for a per-
articles focused on the hazards of computer work and formance, learning new pieces (requiring extensive
industrial jobs that involve repetitive motions. It may practice and repetition), changes in techniques or instru-
surprise you to know that people in other occupations- ments, and prolonged performances are all risk factors
such as dancers and musicians-are also at risk for RSI. for performing artists. Dancers are at risk because of
These occupations involve considerable repetition these factors but also because forceful exertions can
(practice, practice, practice) and often involve awkward lead to stress fractures and similar injuries.
Source: Safety and Health in Arts, Production, and Entertainment, "Preventing Musculoskeletal Inju ry (MSI) for Musicians and
Dancers." Found at http://www.shape.bc.ca/resources/pdf/msi.pdf(Accessed Feb. 7, 2007); NOASH, "Health, Preventing Back Injury
in Manual Materials Handling." Found at: http://www.naosh.org/english/documents/mmh.html(Accessed Feb. 7, 2007); WorkSafeBC,
"Top Seven Dangers for Young Workers." Found at: http://youngworker.healthandsafetycentre.org/slTop-Seven-Dangers.
asp?ReportID533144 (Accessed Feb. 7, 2007).
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Chapter 4: Hazard Recognition, Risk Assessment, and Control 95
HAZARD CONTROL
Hazard control refers to the program or process used to establish preventive hazard control
and corrective measures as the final stage of hazard recognition, risk assess- the program or process
ment, and control. The goal is to eliminate, reduce, or control hazards so as to used to establish pre-
minimize injuries and losses, including accidents, property damage, and time ventative and corrective
measures
lost. It is useful to think of hazard control as comprising three levels of in terv en-
tion (1) precontact control (addressing issues before an incident or accident p recontact control
occurs), (2) contact control (identifying ways in which a hazardous situation addressing issues before an
can be prevented from becoming worse and harming workers), and (3) post- incident or accident occurs
contact control (putting in place medical and cleanup operations and ensuring contact cont ro l
that the event cannot be repeated). Controls at each of these levels could com- identifying ways in which a
prise engineering controls, administrative controls, and control through per- hazardous situation can be
sonal protective equipment. prevented from becoming
worse and harming workers
Precontact Control postcontact contro l
Precontact control is the first method of controlling hazards by preventing putting in place medical
hazards from reaching individuals within the workplace. Precontact control and cleanup operations
means using methods such as isolation, housekeeping, safe work poliCies and and ensuring that the event
cannot be repeated
procedures, machine guarding, and replacing or retrofitting hazardous equip-
ment. Precontact control of hazards involves various engineering, adminis-
trative, and personal protective equipment based controls. It is important
that organizations consult with their provincial occupational health and
safety act and regulations because many precontact controls are legislated,
for example the Nova Scotia Department of Labour and Advanced Education
provides information within the general occupational health and safety reg-
ulations for housekeeping and other methods for preventing contact with
various hazards.
When precontact control measures are not feasible or practical given the
work environment then employers must engage point of contact controls that
mitigate the risk associated with that hazard (e.g., using personal protective
equipment). In some situations hazards result in an incident in which case con-
tact control must be implemented.
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96 PART 2: Hazards and Agents
Contact Control
If workplace, equipment, machines, or buildings are damaged as a result of an
incident or if a hazard results in an emergency, then control of the hazard site is
necessary so that the worker can be protected. Many contact controls fall under
the engineering, administrative and PPE categories.
The main purpose of contact control is to ensure that the workers and emer-
gency crews-fire fighters-are not added to the injury list. Steps to be taken can
be grouped into the five following categories:
• Suppression. Reduce or eliminate the ongoing hazard condition by using
standard fire fighting techniques: install fans to help clear the contami-
nants from the surrounding air, and turn off the power and utilities to the
area. Another example: dust from an explosion in a mining operation can
be controlled by spraying water at the rock surface.
• Barriers. Install barriers between workers and sources of the emergency
to keep unauthorized personnel out of the area.
• Modifications. Identify and modify equipment or structures that need to
be strengthened in order to prevent further damage from occurring, such
as adding shoring to weakened walls to prevent collapse.
• Substitution . Eliminate potentially harmful energies that have been
unleashed by the event and replace them with safer, independent devices.
For example, use portable floodlighting to replace the existing plant
lighting if there is a possibility that damaged electrical equipment could
cause a fire.
• Isolation. Isolate energy sources from the emergency personnel and
plant workers. Shut off all energy sources in the plant to prevent addi-
tional problems, and replace with outside equipment if possible, such as
a portable air compressor to replace the one in the damage area. Shut
down any expensive equipment that could be damaged by energy surges.
Postcontact Control
The following are some steps that should be taken in the aftermath of an event:
1. Ensure that any injured worker receives immediate and thorough emer-
gency care. The injury could be anything from a blow to the head to expo-
sure to a hazardous chemical. Provisions for first aid and emergency care
should have been made during the precontact control process. The extent of
these provisions will depend on the number of workers in an organization
and the types of hazards they face.
2. Lock out the machinery involved until the accident investigation is complete
and the damage is repaired.
3. Keep unauthorized people out of the area.
4. Determine what can be salvaged and what waste must be disposed of.
Environmental regulations may prohibit the easy removal of certain
hazardous wastes (e.g., PCB-contaminated oils from a damaged power
transformer).
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Chapter 4: Hazard Recognition, Risk Assessment, and Control 97
ENGINEERING CONTROL
Engineering control refers to the modification of work processes, equipment, eng ineering control
and materials in order to reduce exposure to hazards.12 Hazard control should be modification of work
built into the design of the work itself. Before equipment and materials are pur- processes, equipment,
and materials to reduce
chased, specifications for efficient and safe operations should be determined. For
exposure to hazards
example, noise emission limits for noisy equipment can be specified before the
equipment is purchased, thus reducing possible worker exposure. Engineering
control also refers to the installation of auxiliary equipment, such as physical
barriers and ventilation systems, in order to reduce hazards dealing with the
source and path. Because engineering controls avoid hazards or eliminate them
entirely, they are always the first (Le., most preferred) way to deal with hazards.
The redesign of common hand tools is a good example of engineering control.
The common in-line screwdriver configuration, for example, requires that
the hand and wrist be forced out of line. In contrast, the T-bar handle in the ergo-
nomic screwdriver allows the hand and arm to be kept in alignment by producing
a lower wrist-arm angle (see Figure 4.4). The key to effective hand tool design
is to maintain natural joint alignment such as that illustrated by the ergonomic
hammer in Figure 4.5.
Safety professionals can sometimes replace hazardous equipment or materials
with those that are less hazardous. For example, replacing a light, fluffy powder
with the same material in granular form will result in a reduction of airborne dust
levels. Lead paints can be replaced with less toxic materials such as water-based
coatings. Similarly, electric trucks can be substituted for gasoline-powered ones,
with a resultant decrease in exposure to carbon monoxide. The substitute should,
of course, be checked for other types of hazards. The introduction of electric trucks
will reduce the serious risk of carbon monoxide exposure but increase less serious
exposure to flammable hydrogen or electric shock from batteries.
Controls and displays can be designed to reduce confusion. Automobile
instrument panels and machine operating panels should exhibit the following
four characteristics:
• Visibility. The display must be within the worker's field of vision, with no
obstructions. Characters should be of a readable size, with high contrast .
• Legibility. Characters must be adequately spaced as well as distinguish-
able (a "3" should not look like an "8"). No more than one line or pointer
should appear on each display.
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98 PART 2: Hazards and Agents
FIGURE
Screwdriver Configurations
a) conventional screwdriver
wrist axi:s--.;?-::::::-:-~:t:S::::--:: _ _ __
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Chapter 4: Hazard Recognition, Risk Assessment, and Control 99
FIGURE
II
Hammer Configurations
A_oc__
-----
~
-~rm axis
~
wrist axis
a) conventional hammer
b) ergonomic hammer
knee. Work seating must be completely adjustable in all directions and planes. A
forward-tilting seat may be preferred by employees who must lean over a work-
station. (Interestingly, a study by Ontario Hydro revealed that only 5% of users
adjust their furniture. 13 ) Seat cushions should have about a 2.5 cm compression,
with minimal contouring to allow ease of position shift. Permeable fabrics allow
ventilation and absorption of perspiration.
The backrest should be curved on the vertical and horizontal planes. It
should also be vertically adjustable (so that the point of contact fits the small of
the back in the lumbar region) as well as horizontally adjustable. Armrests are
recommended unless a wide variety of arm movements are required. The chair
base should provide stability and mobility. Five casters with a wide spread will
prevent tipping.14 Visit http://www.ccohs.ca/oshanswers/ergonomics/sitting/
sitting...position.html for illustrations and information on recommended chair
settings and body positions.
Lighting within an office environment is also extremely important and has
two main purposes: to illuminate the tasks, and to increase the safety and com-
fort of the worker. Bright overhead lighting can produce glare and annoying
reflections on a computer screen, resulting in eyestrain and headaches. Choosing
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100 PART 2: Hazards and Agents
the correct lighting for a workplace will involve consideration of the following
factors:
• Intensity: the amount of light given off by a source
• Luminance: the amount of light uniformly reflected or emitted from a
surface and the background
• Reflectance: the amount of light reflected from a surface (luminance) and
the amount of light falling on the surface (illuminance). A dull black sur-
face has 9% reflectance, while a shiny white surface has closer to 100%
reflectance.
• Luminaire: a complete lighting device
• Contrast: the relationship between the amount of light from a surface and
the background
• Glare: the reduction of visibility caused by brightness differences between
an object and its background
Both the quantity and the quality of light must be considered. In the context
of workstation design, quantity refers to the correct amount of light needed to
perform a task. Quality is more complex and includes measures of distribution
(or spread), glare, diffusion, shadows, contrast, and colour.
Process Modification
Sometimes changing the manner in which the work is done can increase safety.
Moving from a manual operation to an automated one, or from batch processes to
continuous processes, may result in fewer hazards.
Effective job design is key to worker safety and efficiency. Frederick Taylor
(1856-1915), the founder of industrial engineering, tried to increase both by
breaking a job into its basic components and then assigning to each task specific
times and methods (motions). Taylor's ideas were applied to the shovelling of coal
at the Bethlehem Steel Company in what was to become a classic motion study.
This application demonstrated that a stoker could shovel more coal into the blast
furnace by using a larger shovel and engaging in fewer work cycles. Decreasing
the repetition of the task reduced fatigue and back strain.
Subsequent efficiency experts addressed the tedium associated with simple
task repetition. Inspired by the Hawthorne studies of the 1920s, the socio-
technological approach to work design was concerned with enhancing worker
involvement and satisfaction. What has this to do with health and safety? The
more interested and motivated the worker, the lower the probability of a serious
accident or injury.
Isolation or Segregation
In this approach, the hazardous job or task is isolated from the employees in
order to reduce their exposure. Isolation strategies may be as simple as putting
a physical barrier around a chemical or noise source, or it can involve removing
a hazardous operation to a separate facility. Robots can handle tasks that are too
dangerous for humans.
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Chapter 4 Hazard Recognition, Risk Assessment, and Control 101
Machine Guarding
Machine guarding is necessary to protect a worker from the hazards and machine guarding
energies created by moving machinery. According to Ontario's Ministry of protection for workers
Labour, more orders citing problems are written for nonexistent or improper from the hazards and
guarding than for any other. 1S The problem is serious enough to have prompted energies created by
moving machinery
the Canadian Standards Association to issue standard Z432-94, Safeguarding
of Mach inery, 16 which thoroughly covers the topic of machine guarding.
The following basic guidelines for machine guarding apply, regardless of the
type or operation of the equipment:
• The guard must be sturdy enough to resist external source damage that
would interfere with the operation of the machine, such as being struck
by a forklift truck.
• The guard must permit required maintenance tasks without excessive
dismantling or reassembly labour.
• The guard must be properly and securely mounted to prevent rattling,
which is a distraction, or part interference, which can cause snags and
force the operator to attempt to free them, possibly without proper
precautions.
• There should be no parts that, if removed, would compromise the protec-
tion provided by the guard-there should always be some guarding left.
• Construction should be relatively simple so that problems can be immedi-
ately identified and corrected during an inspection.*
Thoroughness in guard design is essential. An incomplete guard may be as
much of a hazard as no guard at all. The guard must not create a false sense of
security that may cause accidents and possible injuries. When the guard is in
operation, all parts of the body must be excluded, and no access is permitted.
The barrier or guard will prevent a worker from being caught in, on, or between
moving equipment (kinetic energy), or from being struck by flying, sliding, or
falling objects (gravity energy).
Floor barriers installed around pumps and other hazardous equipment
must be strong enough to resist damage by, for example, forklift truck impact
(mechanical energy), and high enough that a worker will not trip or fall over
them. Expanded metal should fill the open spaces to prevent parts from rolling
into the hazard area and fingers from being poked through.
Several devices can be used to control pOint-of-operation hazards. Barrier
or enclosure guards prevent workers from entering a hazardous area. The bar-
rier may be mechanical (a cage that covers the work action) or electrical (a pho-
tocell that will not permit the machine to cycle while the beam is broken). The
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102 PART 2 Hazards and Agents
emergency stop button is another form of guard; for it to be effective, the machine'- - -
must be equipped with a braking system that will stop the machine in mid-cycle.
Guarding by distance involves keeping workers physically removed from
the machine hazard. One of the most common methods is the two-handed trip
guard or control, which is located near but not in the midst of the hazard site.
Both hands are required to press each button simultaneously for the machine
to cycle.
Hand-removal devices are designed to physically remove the worker's hands
and arms from the activated machine. The "hand pullout" is a harness-like system
fastened to the worker's wrists at one end and to the machine at the other end.
When the machine (say a punch press) is activated, the harness mechanism phys-
ically pulls the worker's hands out of the way. Short of removing the harness, the
worker cannot win the ensuing tug of war.
The sweep away is a device with one or two arms (single sweep or double
sweep) that, when activated by the machine cycle, will swing across in front of the
worker, forcibly removing his or her hands from the danger area. A small panel
attached to each arm screens the swept area to keep the worker's hands from
re-entering the danger zone after the sweep arm passes. The sweep-away device
is not a recommended guard.
The photoelectric eye is a light beam that, when broken, will not allow the
machine to cycle. This type of device has the advantage of not adding to the
machine any obstructions that can make maintenance difficult. It is generally
expensive to install and maintain but very effective.
Feeding tools include hand-held tongs, push sticks, or clamps that allow the
operator access to the machine while keeping his or her hands out of the way.
Metal tools are usually made of aluminum or magnesium, which will crush easily
if caught in the machine, thereby saving the die sets and not allowing the type of
kickback kickback that could direct the worker's hands into the machine. A press forge
action of having a work operator will use a set of special tongs to hold a red-hot piece of metal in place in
piece suddenly thrown the dies while the machine forms the part. In a similar manner, a set of handles
backward into the operator
secured to sheet glass or metal by vacuum will permit a worker to handle the
material without being cut by sharp edges.
ADMINISTRATIVE CONTROL
administrative control Administrative control is the use of management involvement, employee
management involvement, training, employee rotation, environmental sampling, and medical surveillance
training of employees, to protect individualsY Administrative control is the second level of priority
rotation of employees,
for worker protection, after engineering controls but before personal pro-
environmental sampling,
and medical surveillance to
tective equipment. Against some negative attitudes, administrative controls
protect individuals can have some effect in minimizing hazardous conditions. The most serious
failure of this method relates to a company's reluctance or lack of apprecia-
tion. Using administrative controls, the HR practitioner can be effective by (1)
introducing preplacement examinations so that employees are chosen who
have suitable characteristics for the job (e.g., the ability to lift materials), (2)
scheduling job rotations so that workers spend time in less hazardous jobs,
thereby reducing exposures (e.g., working with toxic materials in the morning
and with nontoxic materials in the afternoon) , (3) moving workers to other
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Chapter 4' Hazard Recognition, Risk Assessment, and Control 103
permanent jobs after exposure to toxic materials, and (4) performing periodic
monitoring,
Some common examples of administrative control include safety awareness
programs, incentive programs, housekeeping programs, preventive maintenance,
and the development of policies and training modules for unique situations such
as confined space entry.
Safety Awareness
Safety awareness refers to programs that attempt to inform workers about health
and safety issues and to remind them of the importance of health and safety,
Visible Reminders
Posters and signs at worker entrances and other points of entry are one way
to promote safety awareness. A company-designed booklet dealing with
health and safety issues can be issued to employees. Safety message inserts
can be added to paycheques. Place mats and napkins in the dining area can
be imprinted with safety messages. Decals (self-adhesive or magnetic) can
be applied to specific objects as safety reminders. In addition, safety displays
can be set up at entrances and in cafeterias. These displays can feature photo-
graphs of the Safe Employee of the Month or brief statements by workers who
were saved from injury by, for example, correct use of personal protective
equipment (e.g., safety glasses). Newsletters, bulletin boards, and billboards
are other vehicles for promoting safety awareness. Finally, safety campaigns
can be used to target specific hazards or unsafe practices. These efforts and
presentations, though, will not be effective unless the senior managers are
fully behind the programs.
Special Events
Numerous special events and campaigns have been developed to promote safety
awareness in the workplace (e.g., National Safe Driving Week). In general, the
intent of these special events is to increase awareness of safety issues in the
workplace by focusing on safety or a specific element of safety in the workplace
(see OH&S Today 4.3).
In response to the high rate of injuries among Insurance Board and is delivered through various
young workers, almost ev.ery jurisdiction has begun agencies. The intent of the program is to increase
to address the issue of young workers' health and young people's awareness of health and safety
safety. The Young Werker Awareness Program in issues, the importance of health and safety, and their
Ontario is funded by the Workplace Safety and rights under the law.
Source: Workplace Safety and Insurance Board of Ontario, "Young Worker Awareness Program. " Found at: http:ttywap.ca/english -
(Accessed Feb. 7, 2007).
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104 PART 2' Hazards and Agents
Housekeeping
Ensuring that the worksite is clean and that workers have access to cleaning
facilities will contribute to the control of hazards. A clean, orderly workplace can
reduce hazards and at the same time increase efficiency. Every worksite contains
potentially hazardous tools and equipment. For example, a plant site may have
containers of chemicals such as solvents, tools such as drills, and processes that
generate dust or scrap material. Maintaining a clean and orderly job site reduces
the risk of injury due to falls, fires, and so forth. Furthermore, it is easier to locate
first aid equipment or exits in an environment in which all tools and equipment
are in their assigned places (see OH&S Notebook 4.2).
Housekeeping is not just a good practice-it is a legal requirement under
most health and safety legislation. Though legislation varies across jurisdictions,
Good housekeeping practices are perhaps the simplest • Keeping floors free of debris or spills
and most effective way to prevent slips and falls in the • Marking hazards (e.g., spills, debris) until they
workplace. These include the following: can be cleaned up
• Keeping walkways and stairwells clear of clutter • Ensuring adequate lighting
• Closing drawers, doors, and storage bins after use
Source: CCOHS, "Why should we pay attention to housekeeping at work?" Found at: http://www.ccohs.ca/oshanswers
Ihsprograms/house,html (Accessed Feb. 7, 20(7).
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Chapter 4: Hazard Recognition, Risk Assessment, and Control 105
the Canadian Health and Safety Regulations under the Canada Labour Code (see
the Weblink) are typical:
1. Every exterior stairway, walkway, ramp, and passageway that may be used
by employees shall be kept free of accumulations of ice and snow or other
slipping or tripping hazards.
2. All dust, dirt, waste, and scrap material in every workplace in a building
shall be removed as often as is necessary to protect the health and safety
of employees and shall be disposed of in such a manner that the health and
safety of employees is not endangered.
3. Every travelled surface in a workplace shall be
a. slip resistant; and
b. kept free of splinters, holes, loose boards and tiles, and similar defects.
(SOR/2000-374, s. 2; SOR/2002-208, s. 6.)*
The cleaning process itself should be evaluated. Besides the obvious hazards
posed by solvents used for cleaning, other hazards may be involved in operations
such as dust removal. Workers using compressed air may be tempted to blow
dust off work surfaces and even clothing; however, compressed air can be forced
through the skin, enter the bloodstream, and cause death.
Organizations that employ workers who handle toxic materials should
ensure that washing facilities are located close to the work area. Workers should
wash before drinking or eating to prevent the ingestion of toxic materials. No
food or drink should be permitted at the worksite. Workers exposed to chemi-
cals should have showers and change clothes before leaving the worksite. Where
appropriate, hazardous material (hazmat) suits should be available and workers
should be trained in their use.
Preventive Maintenance
Preventive maintenance refers to the orderly, continuous, and scheduled pro- preventive maintenance
tection and repair of equipment and buildings. The primary goals of preventive the orderly, continuous,
maintenance are to determine potential problems and to implement corrective and scheduled protection
and repair of equipment and
actions. The main benefits of this process are uninterrupted production and the
buildings
reduction of potential hazards caused by equipment failure.
Generally speaking, equipment failures do not happen without warning. We
are all familiar with the atypical noises that our cars or air conditioners produce
as signals that something needs to be fixed. However, maintenance should enter
the picture before warning signs emerge. It is more cost effective to perform main-
tenance routinely while the equipment or machines are still operating than it is
after they have failed, necessitating shutdown of the entire operation. Checking
the level of oil in your car at every second fuel stop is preventive maintenance. To
let the oil level drop and the engine seize is expensive and unnecessary.
Recordkeeping is essential to any preventive maintenance program. Maintenance
information should be recorded at the time the maintenance work is done. Pertinent
data will include part replacement and frequency, lubrication, bearings and drive
repairs, electrical failures, and cleanliness. Once the historical information is
* Canada Occupational Health and Safety Regulations {SOR/86-304J. Found at: http://laws-Iois.justice.
gc.ca/eng/ regulations/ SOR-86-304/ page-7 .html#h-20.
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106 PART 2: Hazards and Agents
To reduce injuries attributable to falling objects: To reduce "caught in, under, or between" (ClUB)
• Provide and require the use of safety injuries:
helmets. • Use lockout procedures that require the
• Provide safety signage and warning where operator or maintenance provider to turn the
overhead hazards are present power off and to lock the switch in the off
• 'Train and ensure the use of safe-rigging and position using a persona l padlock. Because
safe-storage procedures. each worker is the on ly one with the key to his
• Provide and require the use of safety or her lock, it is impossible to inadvertently
shoes. start the machine during maintenance.
available, failure trends can be anticipated and addressed. (This approach is often
referred to as failure mode analysis or maintenance hazard analysis.)
Work Permits
Before any high-risk work is undertaken, a series of work permits must be in
place, one for each type of activity. These permits are, in effect, in-house licences
to perform dangerous work. Permits are required for confined space entry, elec-
trical work, excavation work, safety valve work, scaffolding work, radiation work,
and equipment-disconnecting work (lockout procedures). "Hot work" permits
may be required for activities such as cutting, welding, and soldering wherein the
heat involved may trigger the fire alarm system or present a fire hazard. A sample
work permit for scaffolding is shown in Figure 4.6.
Lockout Procedures
When maintenance or adjustment is performed on any machine, the machine
must be shut off and locked out. For example, replacing the signal light on a resi-
dential stove involves accessing the appliance's interior. Shutting off the stove
entails turning off the switches; locking it out entails turning off the power at the
main fuse box or circuit breaker and removing the appropriate fuses in either the
power panel or the stove. With these precautions, no one can turn the stove on
and cause an electrical shock or burn injury. For a more complicated appliance
such as a furnace, not only must the fuses be removed, but also the fuel lines must
be shut off, and the supply flange joint must be disassembled.
The following are some of the precautions that must be taken during the
lockout process:
• Only one person should be in charge of the lockout procedure .
• The worker must ensure that the machine is shut off completely, that
all internal pressure sources (hydraulic, air, steam) are bled off to atmo-
spheric levels, that the valves are locked open, and that any movable
parts, such as flywheels or rams, are immobilized.
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Chapter 4' Hazard Recognition, Risk Assessment, and Control 107
FIGURE
SIRTE OIL
COMPANY
•
Example of Scaffold Use Permit
THE EQUIPMENT AND/OR LOCATION WHERE THE WORK IS TO BE DONE HAS BEEN IN USE
INSPECTED & POINTS 1-7 ABOVE HAVE BEEN INVESTIGATED TO MY SATISFACTION. o-STRUCTURE INSPECTED DAILY?
D TRAFFIC HAZARDS?
SIGNATURE OF PERSON AUTHORIZING THIS PERMIT D OVERLOADING?
I UNDERSTAND THE HAZARDS INVOLVED IN THE ABOVE PERMITTED WORK D USE OF PERSONAL PROTECTION?
AND THE LIMITATIONS REQUIRED HAVE BEEN EXPLAINED TO ME. D RESPONSE TO EMERGENCY KNOWN?
I
SIGNATURE OF AUTHORIZED CRAFTSMAN
I DISMANTLING
D METHOD AGREED TO?
SIDE 1 SIDE 2
• After the machine has been shut down, all the disconnect points, such as
the electrical panel, must be left open.
• Before work begins, complete testing must be undertaken to ensure that
all energy sources are inoperative.
• The worker must use an approved lockout tag and single-key padlock to
secure the equipment.
• Only the workers who installed each lock are permitted to remove that
lock, in the reverse order to the lock installation, beginning and ending
with the project manager.
• Each worker must sign off the work permit as his or her lock is
removed.
When the project is finished, the equipment will be activated in the reverse
sequence to the shutdown. Checks must be made to ensure that guards are in
NEL
108 PART 2. Hazards and Agents
place, isolation devices have been removed, all tools are accounted for, energy
controls have been closed and put back into operating condition, and tags and
locks have been removed. The last lock removed is that of the manager of the
project from the shift on which the lock was applied.
Confined-Space Entry
confined space Confined space refers to a space that is potentially deficient in oxygen and that
a space that is poten- could contain toxic aerosols. Sewers, tanks, and boilers are all examples of con-
tially deficient in oxygen fined spaces. Other examples include any long, small tunnel, a shower stall, and
and could contain toxic
some specialty rooms such as computer equipment rooms that are completely
aerosols
independent from any adjacent spaces.
At home, cleaning the bathroom shower stall with the door closed and using
a tile cleaner will trap the vapours from the cleanser. These vapours may accu-
mulate near the floor where the work is being done, displace oxygen, and cause
drowsiness or fainting.
Entry into industrial confined spaces is addressed in various OH&S regula-
tions. One of the first things to determine is whether the space to be entered is in
fact a confined space. CCOHS provides helpful information on identification of a
confined space, how to manage the space, and how to develop a confined-space
safety program.
Once it has been established that a confined space exists, the follOWing steps
should be taken:
1. Issue a proper work permit and follow all the lockout procedures.
2. Determine the ease of access to and from the space and develop appropriate
contingency plans for worker emergencies.
3. Make sure that all the proper tools and equipment are on hand to do the job.
4. Communicate to workers that no smoking or open flames are to be per-
mitted at or near the worksite.
5. Purge the space of all contaminants and test the air quality several times to
ensure that all impurities have been removed.
6. Ensure that a constant forced airflow into the space is provided.
7. Clean the interior of the space to ensure that no hazardous scale or deposits
are present.
S. Post a trained safety lookout outside the space. (The inside workers should
be kept in full view at all times.)
9. Attach a lifeline to each worker in the space. (The free end should be con-
trolled by the safety lookout.)
On completion of the confined-space work, equipment start-up can be under-
taken in the reverse order to the shutdown. The permit and lockout systems
should be followed without deviation.
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Chapter 4: Hazard Recognition, Risk Assessment, and Control 109
from specific hazards. A construction worker, for example, might wear steel-
toed safety boots (typically with a nonconductive, nonslip sole), a helmet, safety
glasses or goggles, work gloves, and hearing protection.
It is relatively easy to control the wearing of some PPE. For example, in many
industries the use of steel-toed safety boots/shoes is a standard policy. Since
most of us don't remove or change our shoes during the working day, a worker
who puts on safety boots is likely to continue to wear them. The use of other PPE
can be more variable. Safety goggles or glasses (for example) can steam up on a
hot day, and workers may find that they are uncomfortable. Hearing protection
can make it difficult to converse with coworkers. Moreover, workers can simply
forget. For example, when working on a construction site it is easy to "forget"
to put on your safety glasses before using a saw. Individuals may opt for "style"
that reduces the effectiveness of some PPE. One often sees construction workers
wearing helmets with the peak to the back or perched improperly on the head.
Helmets worn in an improper position do not provide the same level of protec-
tion as when properly worn.
Though PPE offers protection to workers, its use can be highly variable
because of factors like this. As a result, the use of PPE is recognized as the least
preferred means of controlling hazards. Though PPE of one sort or another is
required in many workplaces, it is most properly considered to be an adjunct
or "backup" to other methods of control. It should never be the sole means of
protecting workers from hazards.
SOURCE-PATH-HUMAN CONTROLS
Hazards can be controlled or eliminated by identifying and attacking the source
of the hazard, the path it travels, and the employee or recipient of the hazard.
The strategies discussed in this chapter can be regrouped along these lines, as
shown in Figure 4.7. This schematic provides a useful summary of the informa-
tion on hazard control. Placing control strategies in categories is less important
than having a thorough understanding that hazard control is necessary and
possible.
FIGURE
Source-Path-Human Controls
NfL
110 PART 2: Hazards and Agents
RECORDKEEPI NG
Information obtained at all stages of the hazard control process should be stored
in a database. These records are used to identify frequency of events as well as
trends in hazards. They are also a source of information on worker training and
equipment maintenance. The provision of monthly updates to managers will
assist them in their efforts at ongoing hazard control. The length of time that
records should be kept varies with the nature of the record. Records on individual
employees should be kept for as long as that individual is with the company. In
some cases (e.g., individual records of exposure to radiation) records may have
to be kept for the length of employment plus an additional period (e.g., 10 years).
SUMMARY
In this chapter we introduced the concept of hazard recognition, risk assessment,
and control. A hazard was defined as any source of potential damage, harm or
adverse health effects on something or someone under certain conditions at work.
Hazards typically involve exposure to some kind of energy, and hazard recognition
involves the systematic identification of the hazards and risks associated with them.
We discussed various tools for hazard recognition. Risk assessment refers to the
evaluation of the likelihood of harm posed by the hazard. Such an assessment needs
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Chapter 4. Hazard Recognition, Risk Assessment, and Control 111
Terms
administrative control 102 kickback 102
confined space 108 machine guarding 101
consequences 88 overexertion injuries 90
contact control 95 overt traumatic injuries 90
engineering control 97 positive tree 87
fault tree 87 postcontact control 95
hazard 82 precontact control 95
hazard analysis 87 preventive maintenance 105
hazard control 95 probability 88
human factor 84 risk 83
incident 83 risk perception 83
injury 90 safety sampling 86
job description 86 unsafe act 83
job specifications 86 walk-through survey 86
Weblinks
Association for Mineral Exploration in British Columbia, "Canadian Mineral
Exploration Health & Safety Awards"
http://www.amebc.ca/policy/health-and-safety/ame-bc-health-and-safety-awards.aspx
Canada's Occupational Health and Safety Magazine
http://www.ohscanada.com/ news/ alberta-worker-suffers-finger-injuries-in-press-
accident/1 001 059825
Canada Safety Council 2012 Safety Campaigns
https://canadasafetycouncil.org/campaigns
Canadian Centre of Occupational Health and Safety, OHS Answers, Confined Space
http://www.ccohs.ca/ oshanswers/hsprograms/confinedspace_intro.html
Canadian Construction Association, '~wards"
http://www.cca-acc.com/ en/ about-cca/ awards
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112 PART 2: Hazards and Agents
Discussion Questions
1. Explain why hazard control at the precontact stage is better than hazard
control at the other stages.
2. In recent years there has been a move to make ergonomic design and
ergonomic standards mandatory in workplaces. Should your jurisdiction
Exercises
1. In law, the "thin skull argument" refers to a perfectly healthy person whose
minor trauma resulted in serious injury. Were it not for the trauma, the
individual would not have been hurt. However, other individuals who
experience the trauma are not hurt. Imagine, for example, four workers
who are struck on the head by flying objects. Three workers suffer no
injury whatsoever; the other (perhaps because of an abnormally thin skull)
suffers serious brain damage. Is the damage a result of the hazard or the
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114 PART 2 Hazards and Agents
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Chapter 4: Hazard Recognition, Risk Assessment, and Control 115
HAZARD CONTROL
A new plating machine had been installed and was being checked for proper
operation. During this check it was discovered that the bearings on the caustic
solution circulating pump were defective and had to be replaced. The pump was
removed and repaired and was being reinstalled. An electrician was assigned to
make the electrical connections, while a plumber performed the necessary pipe
connections on the same pump.
The electrician finished the assignment except for checking the direction of
shaft rotation. Since the plumber was out of the area, the electrician asked the
company representative supplying the equipment if the pump was ready to be
tried out. The representative stated that it was. The electrician walked to the
end of the plater to start the motor, just as the plumber appeared. The plumb-
er's shouts to the electrician not to start the pump were too late-the pump
had already been turned on. At that moment, hot caustic solution showered
out of the pipe flange, which had not been tightened after reassembly. The solu-
tion splashed onto the plumber; two engineers in the area, another plant engi-
neering employee, and the vendor representative. The plumber received burns
requiring immediate hospitalization and was off work for about two months.
One engineer required subsequent hospitalization for eye burns and was off
work for more than a week. The other three involved received minor burns. The
accident occurred at 10:45 a.m. on a Wednesday.
What would you recommend for contact and postcontact control?
NOTES
1. Canadian Centre for Occupational Health and Safety, OHS Answers, "Hazard and Risk,"
accessed September 19, 2012, http://www.ccohs.ca/oshanswers/hsprograms/hazard_
risk.html.
2. M. Fleming, R. Flin, K. Mearns, and R. Gordon, "Risk Perceptions of Offshore Workers on
UK Oil and Gas Platforms," Risk Analysis 18: 103-1 O.
3. G. Rampton, I. Turnbull, and G. Doran, Human Resources Management Systems, (Toronto:
Nelson, 1996).
4. R.J. Firenze, The Process of Hazard Control (Dubuque: Kendall/Hunt, 1978).
5. M. Fleming, R. Flin, K. Mearns, and R. Gordon, "Risk Perceptions of Offshore Workers on
UK Oil and Gas Platforms," Risk Analysis 18: 103-10.
6. Canadian Centre for Occupational Health and Safety, OHS Answers "Risk Assessment,"
accessed September 19, 2012, http://www.ccohs.ca/oshanswers/hsprograms/risk_
assessment.html.
7. Ibid.
8. National Institute of Occupational Safety and Health, A Work Practices Guide for Manual
Lifting: Technical Report 81-122 (Cincinnati: U.S. Department of Health and Human
Services, 1983).
9. P. Kim, J.A. Hayden, and S.A. Mior, "The Cost-Effectiveness of a Back Education Program
for Firefighters: A Case Study," Journal of the Canadian Chiropractic Association 48, no. 1:
(2004): 13-19.
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116 PART 2: Hazards and Agents
10. C. Ammendolia, M.S. Kerr, and C. Bombardier, "The Use of Back Belts for Prevention
of Occupational Low Back Pain: Systematic Review and Recommendations," CTFPHC
Technical Report 02-1, London, ON, 2002.
11. Statistics Canada, Canadian Community Health Survey (Ottawa : 2001) .
12. C.W. Pilger, "Hazard Control Procedures," presentation to the 23rd Intensive Workshop in
Industria l Hygiene, September 27, 1994.
13. H. McDonald, "Know Thy Users," Accident Prevention, March-April 1995, 11-12.
14. Canad ian Standards Association, "Office Ergonomics," CSA Standard, CAN/
CSAZ412-M89, section 5, 1995.
15. S. Somasunder, "Machine Safeguarding," OH&S Canada 9, no. 5 (September-October
1993): 30-31.
16. Canadian Standards Association, "Safeguarding of Mach inery," Standard Z432-94, 1995.
17. S. DiNardi, ed ., The Occupational Environment-Its Evaluation and Control, 2nd ed .
(Fairfax: American Industrial Hygiene Association, 1997).
18. S.L. Dolan and R.S. Schu ler, Human Resources Management: A Canadian Perspective
(Toronto: Nelson, 1994).
19. P.M. Laing, ed., Accident Prevention Manual for Business and Industry: Administration and
Programs, 10th ed. (Washington : National Safety Council, 1992).
20. J . Taylor, "Guide to Health and Safety Management: 20 proven programs," Safety Auditing
(Toronto: Southam Business Communications, 1991).
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CHAPTER LEARNING OBJECTIVES
After reading this chapter, you should be able to:
• identify common physical agents within the workplace
• explain how and when many of the commonly found physical agents can be
considered hazardous
• identify methods of controlling physical agents within the workplace
NEl 117
118 PART 2: Hazards and Agents
Look around your workplace, the bus you take to there is research to support that brain cancer rates
school, the supermarket where you shop, and count "may be elevated in long term/heavy cell phone
the number of people you see with a cellphone. users," while at the same time there are studies that
Health Canada indicates that by the end of 2010 do not support tnese findings.
the number of cell phone users in Canada reached Health Canada also indicates that while health
24 million people. In 1987 the number of users in risks associated with the non-ionizing radiation
Canada was 100,000. Now, consider how much time emitted from cell phones is debated, there are
during the day those 24 million users spend on other risks associated with using them. Cellphones
their cellphone talking, texting, surfing the Internet, can be a distraction, and can interfere with impor-
or even playing games. What, if any impact does tant equipment (e.g., pacemakers and hearing
using a cellphone have on your health? Cellphones aids) as well technology (e.g., aircraft communica-
give off what is referred to as non-ionizing radia - tion and navigation systems). The risks associated
tion, which does not break down chemical bonds in with many of the physical agents we are exposed
your body unlike other forms of radiation but, does to on a daily basis, such as cellphones, is complex.
that mean there are no harmful effects? According Consequently, mitigating the risks associated with
to the Canadian Centre for Occupational Health them can also be complex. The first step in man-
and Safety (CCOHS) and Health Canada, the jury aging these risks is ensuring that all employees are
is still out on whether the radiation emitted from able to identify physical agents within the workplace
cell phones is hazardous. Health Canada indicates and the danger they pose to their health and safety.
Sources: Health Canada, "Safety of Cell Phones and Cell Phone Towers," It's Your Health, October 2011 . Found at: http://www.hc-sc.
gc.ca/hl-vs/aICformats/pacrb-dgapcr/pdf/iyh-vsv/prod/celI-eng.pdf; CCOHS.
In this chapter we consider the effects of physical agents in the workplace and
physical agents how best to control them. Physical agents are sources of energy that may cause
sources of energy that may injury or disease if they are not controlled or managed properly. Examples include
cause injury or disease noise, vibration, radiation, and extremes in temperature and pressure. Each of
ambient
these agents may be ambient or acute (Le., resulting from a single exposure).
all-encompassing condition
associated with a given NOISE
environment, being usually
a composite of inputs from Noise is defined as any unwanted sound and is often referred to as the most
sources all around us common workplace hazard. Technically, it refers to "the auditory sensation
evoked by the oscillations in pressure in a medium with elasticity and viscosity,"
such as air.l Sound and noise differ by definition in that that noise is unwanted
sound. It would be difficult to find a profession where employees are not exposed
to some type of sound or noise; however construction workers, cafeteria workers,
and farmers are among some of the professions most at risk for hearing damage,
early warn ing change
specifically, early warning change, as a result of noise. One Canadian study
a deterioration of hearing
reported that approximately 95% of construction workers were exposed to high
in the upper frequency-
the earliest detectable sign levels of noise on a daily basis. 2 Even in office settings and computer labs, annoy-
of noise-induced hearing ance, stress, and interfering with communicating are some of the concerns asso-
loss ciated with noise.
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Chapter 5' Physical Agents 119
What makes the issue of noise within the workplace so complex, is the fact
that a sound considered to be noise by one individual, may not be considered to
be noise by another, meaning various circumstances can change whether a sound
is considered to be noise and therefore harmful. Furthermore there are char-
acteristics about the ear which add to the complexity of managing noise in the
workplace. For instance, one major characteristic of the human ear and hearing
is that we do not hear everything in a nice, neat fashion. If sound were measured
electronically, the sound spectrum might appear more or less as a straight line.
However, what the human ear hears or perceives is significantly different. Sound
is often assessed using a unit of measurement known as Hertz or Hz (equal to
one cycle per second). The human hearing range of frequencies is approximately
20 Hz to 20,000 Hz. Thus, a person can hear a bass note from a tuba or a shrill
note from a piccolo, but not a dog whistle. This has direct implications for human
hearing problems. Just because we cannot hear the sound does not mean that it is
not present and possibly causing hearing damage.
The response of the human ear to sound is usually represented as a graph
that illustrates the threshold of hearing. The term threshold of hearing refers to
the envelope or range of sound that the human ear can perceive or hear. The stan-
dards for the measurement of noise use the unit of a decibel, or dB (also referred
to as sound pressure level). Decibels are measured on a logarithmic scale so that
very small differences in the numbers can translate into very large actual differ-
ences. For example, a 3 dB difference (e.g., going from 80 to 83 dB) represents
a doubling of the "loudness" (83 dB is twice as loud as 80 dB), and a 10 dB dif-
ference represents a tenfold difference (90 dB is 10 times louder than 80 dB).
A 20 dB difference is a 100-fold increase (90 dB is 100 times louder than 70 dB).
Thus what may seem to be a very small numeric difference actually represents
a very large difference in loudness. When the human response is involved, the
unit becomes dB (A) or A-weighted decibel. This response is built into the sound
meters used for measuring noise exposure in the workplace.
Human hearing response is conditional on three characteristics: frequency,
duration, and loudness. Any noise level investigation must take into account
these three elements. Most noise sources and sounds, such as music, are made
up of a variety of frequencies, which the ear blends to create a pleasant or
not-so-pleasant sound. As noted previously, noise beyond the range of human
hearing response can be damaging even though not "heard." Similarly, certain
frequencies in a noise that is made up of a variety of frequencies can be extra-
loud and thus damaging without being noticed, even within the human range.
It is important to consider frequency response when dealing with hearing
protection.
The duration of the sound is one of those conditions that the human ear
responds to in a strange way. A loud noise of very short duration, like a gunshot,
is perceived to be "quieter" than the same sound level heard for a longer dura-
tion. They can both be damaging, but only the latter one "sounds" like it. The
short-duration noise is referred to as impact or impulse noise, which has a dura-
tion of about 1 millisecond (1/1000th of a second). The third characteristic of
human response is loudness. This term is self-explanatory. The louder (volume)
the noise, the more problems it can cause.
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120 PART 2 Hazards and Agents
FIGURE
•
The Auditory System
cochlea
nerves
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Chapter 5: Physical Agents 121
Noise e~posure standards vary across provinces noise absorbed by OF impinged on an organ (the
and territories in terms of their relative stringency. ear or the body) in a given unit of t ime. The expo-
the standards are based on worker exposure sure limits in Canadian jurisdictions are available
during a defined time frame. This relationship is at: http://www.ccohs.ca/oshanswers/phys_agents/
referred to as dose, which describes the amount of exposure_can.html.
Sources: CCOHS, "Noise - Occupational Exposure Limits in Canada." Found at: http://www.ccohs.ca/oshanswers
Iphys_agents/exposure_can.html.
such a device is of little assistance when the hearing loss has been caused by
noise exposure or sensorineural loss, because the hair cells in the cochlea have
been destroyed.
The second effect of noise is also physiological but a slightly different cat-
egory of physiological in that it is more general. It is sometimes referred to as
sociological hearing loss and causes extra-auditory effects such as a startled
response to a loud, unexpected noise; cardiovascular, neurologic, endocrine, and
biochemical changes; and nausea, malaise, and headaches. 3 Other laboratory and
field studies have demonstrated vasoconstriction, hyperreflexia, fluctuations vasoconstriction
in hormonal secretions, and disturbances in equilibrium and visual functions. In the process of causing a
the past companies would hire workers with hearing loss to work in high noise constriction of the blood
environments on the notion that the damage was done, however it is now known vessels
Though the actual noise level may be well below acceptable standards and may
not be measurable with a sound level meter, it is nonetheless very real (often
referred to as "selective hearing") and can cause stress and other possible non-
auditory effects.
NOISE CONTROL
Noise can be controlled by using various methods, but the process for control
follows the source- path- human strategies used by health and safety profes-
sionals, The first strategy for reducing noise is to make the source quieter.
There are a number of possible approaches. If the problem consists of a noisy
machine, for instance, it may be possible to make the machine quieter by adding
sound-absorbing materials, placing vibration padding under it, redesigning the
operation so that the machine performs in a different manner, isolating the
machine in a separate room or sound-deadening enclosure, or purchasing a
new machine.
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122 PART 2: Hazards and Agents
Though nothing will replace accurate measurement If any of the above statements are true, a noise
of noise levels in the workplace, the Canadian Centre assessment or survey of the workplace should be
for Occupational Health and Safety suggests that a undertaken. Noise exposure tests can be done by
workplace might be too noisy if an outside specialist or by a trained person on staff
using various pieces of equipment including:
• people have to raise their voices to be
understood • sound pressure level meter-measures gross
• employees have ringing in the ears at the end noise levels
of the workday • octave band analyzer-measures noise level
• employees find that they have to turn their in each frequency range
radio up on the drive home (compared with • a dosimeter-measures a person's exposure
the volume on the way to work) to noise as a percentage for one shift
• individuals who have worked in the workplace • or an audiometer-determines the sensitivity
for years have difficulty understanding con- of a person's hearing or degree of hearing
versations at parties or restaurants loss
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Chapter 5: Physical Agents 123
For each application and to be properly fitted for max- showing attenuation by octave band frequencies.
imum protection, there are 10 factors to consider when Generally, the higher the number, the greater
deciding on the most effective hearing protection. the level of attenuation. A good rule of thumb
1. Comfort: Earmuffs in particular can be hot in relationship is expressed with the equation
Sources: E.H. Berger, W.D. Ward, J.e. Morrill, and l.H. Royster, eds., Noise and Hearing Conservation Manual, 4th ed. (Akron:
American Industrial Hygiene Association, 1988); CCOHS, "What Is Personal Protective Equipment?" Found at: http://www.ccohs.
ca/oshanswers/prevention/ppe/designin.html (Accessed May 29,2010).
VIBRATION
Another physical agent within the workplace that can be hazardous, but may not
be thought about as often, is vibration. Vibration refers to the oscillating motion
of a particle or body moving about a reference position.4 Vibration is measured
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124 PART 2. Hazard s and Agents
O"&S Today
When Vibrations Help
Can you think of an object you use on a daily basis that along the centre line to warn drivers of when they are
vibrates and when it does, it is helpful to you? Consider dangerously close to the edge or middle of the roads.
when you put your cellphone on vibrate; this allows Have you ever played a video game and had the con-
you to take phone calls without requiring the use of the troller vibrate, warning that you are about to go off
ringer thus minimizing any annoyance or disturbance course or lose control? All these are ways in which vibra-
to others. On some highways in Nova Scotia "rumble" tions can be helpfl!l; the difficult aspect is_kno.win.g how
strips have been cut along the sides of highways and much vibration is too much.
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Chapter 5: Physical Agents 125
headache, and "shakiness" and some situations may be connected to bowel, respi-
ratory, circulatory, and back disorders. s Additionally, health effects of whole-body
vibration can also include inhibition of muscular reflexes, impaired or blurred
vision, and alterations of brain electrical activity. Whole-body vibration effects
can result from driving a motorcycle, truck, or tractor, or from working near large
machines such as air compressors or punch presses.
As the frequency of vibration increases, parts of the body-not the whole
body-will be affected by a process called segmental vibration. Segmental vibra-
tion effects include sore neck and shoulder muscles and sore joints; Raynaud's
phenomenon, or white fingers, caused by restricted blood circulation in the
fingers; neuritis and degenerative alterations of the central nervous system;
fragmentation, necrosis, and decalcification of the carpal bones; and muscle necrosis
atrophy and tenosynovitis (see OH&S Notebook 5.4). death or decay of tissue
One term that often arises in discussions of vibration is resonance, which
decalcification
refers to the effect that occurs when an object reacts strongly to some particular
loss of lime salts (calcium)
frequency. If you sing in a tiled shower stall, you will occasionally hear a note that in the bones
sounds louder than most, which means that the space is resonant to that note.
Parts of the human body can resonate when exposed to some lower frequencies. resonance
For instance, the head and shoulders can resonate at 20 Hz to 30 Hz, while the the effect that occurs when
an object reacts strongly to
eyeballs resonate at 60 Hz to 90 Hz.6 If your vision becomes blurry when you have
some particular frequency
been working with a power tool such as a belt sander, you are experiencing minor
levels of eyeball resonance, which is harmless unless prolonged.
Controlling Vibration
The first step in controlling vibration in the workplace is being knowledgeable
about the standards or exposure limits. The CCOHS website contains information
about exposure limits and can be found at: http://www.ccohs.ca/oshanswers/
phys_agents/vibration/vibration_effects.html.
Working with handheld power tools (particularly in • whitening (blanching) of the fingers when
cold weather) can result in vibration-induced white exposed to cold;
finger 0/WF)-or, more generally, hand-arm vibra- • loss of grip strength; and
tion syndrome (HAVS). HAVS results from changes in • development of cysts in fingers and wrists.
blood circulation and the nervous system associated
HAVS is a progressive disorder and is also known
with vibration and is characterized by
as Ray,naud's phenomenon. Prevention efforts fOGUS
• tingling in the fingers; on reducing vibration, using ergonomically designed
• loss of sensation in the fingers (numbness); tools, keeping hands warm and dry, and taking ~est
• loss of sense of light touch; breaks.
Sources: J. Mason, " Bad Vibrations," Occupational Health, Vol. 55, No.7 (2003) Pg. 24; E. Weir and L. Lander, "Hand-Arm
Vibration Syndrome," Canadian Medical Association Journal, Vol. 172, No.8 (2005) Pg. 1000-1.
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126 PART 2: Hazards and Agents
TH ERMAL STRESS
Thermal stress conditions involve cold and hot temperature extremes. The human
homeostasis body can be seen as a machine that takes in chemical energy (food) and converts
the balance of heat it to mechanical energy (muscles) and heat (see Figure 5.2). The balance of this
generation heat generation, referred to as homeostasis, is the basis for examining the effects
Strategies for whole body and segmental vibration • adding dampening devices to equipment to
control include reduce vibrations;
• avoiding tbe source by rev:ising the task; • decreasing w0rker exposure time; and
• using equipment that produces lower • isolating the worker from the source.
vibrations;
Source: CCOHS, "How can you measure vibration?" Found at: http://www.ccoMs.ca/oshanswers/ phys_agents/vibration
/vibration_ measure.html (Accessed Feb. 7, 2007).
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Chapter 5. Physical Agents 127
FIGURE
•
The Body as a Machine System
HUMAN
• a constant
temperature
INPUT ENERGY process OUTPUT ENERGY
Chemical (thermoregulatory) Mechanical
• internal energy
• heat generated
• food • sit, stand
(metabolism)
/J
• air • walk, run, jump
• water • work - push
- pull
Heat rejected
to environment
(loss)
of heat and cold on the body. Simple thermodynamic theory shows that tempera-
ture, like water, flows from the high point to the low point. Thus, in cold climates,
heat will flow from the body into the surrounding environment, making the
person feel cold. Similarly, in hot climates, heat will be absorbed by the body,
making the person feel hot. Adding physical work to either of these situations will
increase body heat and shift the thermal balance. When an imbalance occurs, the
body is stressed thermally. This body thermal balance can be illustrated by the
mathematical model below: 7
s = (M - W) ± R ± C ± V - E
where S is the body heat storage or loss, M is the metabolic heat production of the
body, W is the work output, R is the radiative heat gain or loss, Cis the convective heat
gain or loss, V is the respiratory heat gain or loss, and E is the evaporative heat loss.
When there is heat, the body will gain heat if R, C, and Vare positive; similarly,
when there is heat loss, then R C, V, and E are negative. In medical terms, heat
gain is referred to as hyperthermic; heat loss is referred to as hypothermic; and a
condition of neither gain nor loss is known as balance (see OH&S Notebook 5.6).
There are three methods of heat transfer that apply to the body, as well as
to any other thermal condition. The first method, conduction, occurs when two conduction
surfaces are in contact (e.g., the skin touches a hot stove, resulting in a local burn). heat transfer occurring
The second method, convection, occurs when one surface adds heat to the sur- when two surfaces are in
contact
roundings (e.g., the skin is close to air flow emanating from a flame or a heater).
The third method, radiation, occurs when energy is transmitted by electromag- convection
netic waves (e.g., the skin is exposed to sunlight). heat transfer occurring
The body has remarkable temperature control, with the blood system and when one surface adds
the skin being the major players. As body heat increases, blood flow increases, heat to the surroundings
capillaries move closer to the surface of the skin (they actually open up), and radiation
sweating increases, thereby allowing increased heat exchange to the atmosphere. heat transfer occurring
As body heat decreases, blood flow slows and the capillaries withdraw from the when energy is transmitted
skin surface, thus reducing the amount of heat transferred to the atmosphere. by electromagnetic waves
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128 PART 2: Hazards and Agents
STRESS
Thermal stress is measured using the wet bulb Humidex Range (0e) Comfort
globe temperature (WBGT) index. This index
20-29 Comfortable
measures the effect of heat and humidity on a
30-39 Varying degrees of
worker.
discomfort
40-45 Uncomfortable
46 and over Many types of labour
must be restricted
Source: CCOHS, "Humidex Rating and Work," Table 1. Found at: http://www.ccohs.ca/oshanswers/phys3gents/humidex.html.
The effects of heat and cold on health are well recognized by anyone who
spends a lot of time outside in summer and winter. The focal point of most
thermal stress and control is at the body core-from the neck to the groin and
between the shoulders. The body core temperature range is 35°( to 38.5°(,
with "normal" being 37°(, Fluctuations in the body's core temperature typically
stay within 1°( and occur during various times of the day or when engaged in
a physical activity or an emotionally arousing situation. In some situations the
environment can cause the body's core temperature to increase more than 1°(,
We typically see greater changes in the body's core temperature when an indi-
vidual is ill. When the core temperature goes outside the normal range, serious
problems can result.
Heat-Related Illnesses
There are a number of factors that influence the risk that heat poses to an indi-
vidual. For instance health, weight, age, low fitness level, and medical condi-
tions such as high blood pressure are factors that influence the risk that heat
poses to an individual. s There are a number of heat-related illnesses. Heat
edema occurs most often in individuals who are not acclimatized to working
in hot environments and typically results in parts of the body swelling (e.g.,
ankles). Heat rash is one ofthe first signs of the body's intolerance to heat and
results in the sweat glands becoming swollen and plugged. Small red spots
appear on the skin and cause an individual to feel a tingling sensation or itchi-
ness. Heat cramps occur in the muscles of the body and mayor may not occur
in conjunction with other heat-related illnesses such as heat rash. Heat cramps
are the result of an imbalance of salt in the body and are often felt in the arms
and legs first. Heat syncope or fainting is the result of an inadequate amount
of blood in the brain due to lowered blood pressure and often occurs while
an individual is standing or working. Fainting as a result of heat often occurs
in individuals who are not acclimatized however, recovery is typically rapid
after a period of rest in a cool area. Heat exhaustion occurs when an individual
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C ha pter 5' Ph YS ica l Agents 129
is sweating excessively and loses too much body water. Individuals suffering
from heat exhaustion exhibit one or more of the following symptoms: exces-
sive sweating, dizziness, blurred vision, nausea, headache, vomiting, heart
palpitations, and numbness in the hands and or feet. Heat stroke and heat
hyperpyrexia occur when the body is unable to control its thermal balance
resulting in a dangerous rise in core temperature (above 41°C) . Symptoms of
heat stroke include either a partial or complete loss of consciousness while
the symptoms of heat hyperpyrexia are similar but the skin remains moist or
wet. Heat stroke and heat hyperpyrexia are the most serious of heat-related
illnesses and require immediate first aid and if left untreated can result in
damage to the brain, kidneys and heart.
Controlling Heat
Provincial legislation requires that employers take every reasonable precaution
to prevent heat-related illnesses and the risks of heat exposure. If employees are
at risk for heat-related illnesses the employer is required to conduct heat assess-
ments and implement the proper controls. 9 Engineering controls are the most
effective method for controlling heat exposure however, they are often imprac-
tical in certain environments such as outdoors. Examples of engineering con-
trols include reducing worker activity, insulating heat sources or hot surfaces,
shielding or protecting workers, providing air conditioning, or increased venti-
lation. When engineering controls are not feasible then administrative controls
should be put into place. Administrative controls include proper supervision,
arranging for work-rest cycles, and implementing work methods or require-
ments that help to acclimatize workers (e.g., physical fitness, water drinking).
Personal protective equipment including proper clothing, such as proper eye
protection, cooling vests, hats, and sunblock are also useful and effective methods
for minimizing the risk of heat- related illnesses however, they should be used in
combination with other administrative and engineering control mechanisms.
Cold Environments
Cold environments can be very hazardous to an individual's health and require
similar precautions as hot environments. Cold work environments include not
only outdoor environments exposed to weather but also environments that are
refrigerated such as large industrial freezers and pools.
OH&S Today
Men and Women in the Cold
How we react to cold temperatures varies not only slowly than men's, they are not able to create as much
from person to person but varies between men and body heat through activities like exercise and shivering.
women. 10 CCOHS studies have demonstrated that This is an important consideration for both employees
wh ile wom en's core body temperature decreases more and employers.
Source : Adapted from: CCOHS, "Cold Environments - GeneraL" Found at: http://www.ccohs.ca/oshanswers/phys_agents/cold_generaL
html (Accessed Jan. 19, 2013).
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130 PART 2: Hazards and Agents
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Chapter 5: Physical Agents 131
TABLE
Stage
•
Signs and Symptoms of Hypothermia
Core
Temperature Signs and Symptoms
Mild 37.2-36.1°C Normal, shivering may begin.
hypothermia (99-97° F)
36.1-35°C Cold sensation, goose bumps, unable to perform complex tasks with
(97-95°F) hands, sh ivering can be mild to severe, hands numb .
Moderate 35-33.9°C Shivering, intense, muscle incoordination becomes apparent, move-
hypothermia (9S-93°F) ments slow and laboured, stumb ling pace, mild con fusi on, may appear
alert . Use sobriety test, if unable to walk a 9-metre (30-foot) straight line,
the person is hypothermic.
33.9-32ZC Violent shivering persists, difficulty speaking, sluggish thinking, amnesia
(93-90°F) starts to appear, gross muscle movements sluggish, unable to use hands,
stumbles frequently, difficulty speaking, signs of depression, withdrawn .
Severe 32.2-30°C Shivering stops, exposed skin blue or puffy, muscle coordination very
hypothermia (90-86°F) poor, inability to walk, confusion, incoherent/irrational behaviour, but
may be able to maintain posture and appearance of awareness
30-27.8°C Muscle rigidity, semiconscious, stupor, loss of awareness of others, pulse
(86-82° F) and respiration rate decrease, possible heart fibrillation.
27.8-25.6°C Unconscious, a heartbe at and resp iration erratic, a pulse may not be
(82-78°F) obvious.
25.6-23.9°C Pulmonary edema, cardiac and respiratory failure, death . Death may
(78-75°F) occur before this temperature is reached.
Source: CCO HS, "Cold Environments - Health Effects and First Aid." Found at: http://www.ccohs.ca/oshanswers/ phys_agents
Ico ld_health .html.
Controlling Cold
Similar to heat there are engineering, administrative, and PPE mecha-
nisms that reduce the risk of suffering from a cold-related injury or ill -
ness. Engineering controls include equipment like heaters and shields that
protect an individual from the cold environment or object. Administrative
controls include work and rest schedules and cold weather procedures such
as shut down or closure requirements . Clothing is one of the most effective
methods for reducing the risk of a cold-related injury or illness. Protective
clothing should be carefully selected based on what is required by legisla-
tion, the conditions of the environment, as well as the nature of the work
being performed.
RADIATION
Radiation is divided into two distinct groups-ionizing and non-ionizing.
These two types of radiation are identified primarily by wavelength range-
short for ionizing and long for non-ionizing-and by their action on tissue.
This section will be general since any worker employed by a company
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132 PART 2. Hazards and Agents
Ionizing Radiation
Ionizing radiation is any form of electromagnetic energy capable of producing
ions through interaction with matter. Types of ionizing radiation include X-rays,
gamma rays, alpha particles, beta particles, and neutrons. X-radiation is most
commonly found in medical facilities. The other forms of ionizing radiation are
commonly found in nuclear operations or research companies. All ofthese forms,
except X-rays, occur naturally as well as in manufactured states. Natural radia-
tion is found in ground-grown food, cosmic bombardment, building materials
such as concrete, and fertilizers such as phosphorus. Most of these sources are
measurable with very sensitive instruments but are insignificant from a health
standpoint. Some harmful ionizing radiation, which might occur in basements
and mines, is radon gas.
Radiation exposure or dosage is usually measured in a unit called a rem
(roentgen equivalent man). Natural radiation is approximately 125 mrem (mil-
lirem) per year. A dose of approximately 75 rem (75,000 mrem) per year can
cause serious health effects.
Manufactured ionizing radiation can be found in a number of products or
operations other than nuclear energy. Most home smoke detectors use a source
that emits alpha particles, which are harmless; older "glow in the dark" watch
faces were painted with very low radioactive paint. In industry, ionizing radiation
can be found in bulk-material measuring devices, high-voltage electronic devices,
and medical equipment such as X-ray machines or scanners; none of these poses
a health hazard to the general population.
The biological effects of equal amounts of different radiations depend on
several factors, including whether the exposure is whole body or local (for
example, the arm), acute, or chronic. Genetic effects can include cell mutation,
burns, and radiation sickness. Control of exposure will include regular moni-
toring, shielding, job rotation, protective equipment, and extensive training.
This is why the dentist places a lead apron over your body and neck when
taking X-rays.
Non-Ionizing Radiation
Non-ionizing radiation refers to electromagnetic radiation that does not
have energies great enough to ionize matter. Types of non-ionizing radiation
include ultraviolet radiation, visible (white light) radiation, infrared radia -
tion, microwave radiation, and radio waves. The sun can be a source of all
these radiations. The eye is the primary organ at risk from non-ionizing radia-
tion (see Figure 5.3).
Control of non-ionizing radiation exposures usually includes isolation
or separation, protective equipment, and training. With respect to separa-
tion, a pregnant computer worker should be offered another job where she
is not exposed to a VDT. Even though there is no hard evidence of fetal risk,
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Chapter 5. Physical Agents 133
FIGURE
•
General Absorption Properties of the Eye for Electromagnetic
Radiation
I
- " High-energy X-rays, gamma rays;
•• 99% pass completely through the eye.
1% is absorbed.
" /
\' .•" /
" Microwave; generally transmitted with
partial absorption in all parts of the eye.
and such a move may be impractical in a small firm, the company should
not put itself in the position of subjecting one of its employees to a possible
health risk.
Controlling Radiation
Controlling or mitigating the health risks of radiation using specially
designed equipment that prevents access to radiation include various types
of engineering controls. Engineering controls include specially designed
equipment such as shields, walls, locked doors, warning indicators, dis-
plays, and ventilation systems. Typically in an environment wherein the
risk of exposure is high there are mUltiple engineering controls in place
in order to protect a worker should one of those control mechanisms fail
or be bypassed. Administrative controls include regular inspections and
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134 PART 2: Hazards and Agents
Specific health effects of nom-ionizing radiation forms • Micmwave radiation (originating from micro-
can be itemized as follows: wave ovens, radar, induction heating equip-
ment, and diathermy equipment): deep tissue
• Ultraviolet radiation (originating from mercury
damage (cooking), surface skin rash, cataracts
vapour lamps and fluorescent tubes): con-
and eye lens opacities, biochemical changes
junctivitis and keratitis (inflammation of the
and central nervous effects, pacemaker
cornea), reddening of the skin (sunburn), skin
interference.
cancer.
• Radio waves (originating from radio and
• Infrared radiation (originating from incandes-
television broadcasting, most electronic
cent, fluorescent, high-intensity discharge
devices-e.g., video-display terminals [VDTsl
lights, and hot metals and glass): corneal and
and power lines): a mumber of conditions,
retinal burns, overheating of the iris, cata-
imduding tumours, none of which have been
racts, skin burns.
conclusively proven .
Source: Ontario Ministry of Labour, "Radiofrequency and Microwave Radiation in the Workplace." Found at: http://www.labour.
gov.on.ca/english/hs/guidelines/radiation/index.html (Accessed Feb. 7, 2oo7).
SUMMARY
This chapter has focused on four physical agents that are commonly encountered
in industry-noise, vibration, thermal stress, and radiation. Industries in which
agents such as ionizing radiation are encountered have implemented extensive,
specialized training programs and procedures. In most situations, however,
simple prevention policies and programs are adequate for reducing and control-
ling worker exposure to phYSical agents.
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Chapter 5: Physical Agents 135
Key Terms
ambient 118 necrosis 125
attenuated or attenuation 122 physical agents 118
conduction 127 radiation 127
convection 127 resonance 125
decalcification 125 segmental vibration 124
early warning change 118 vasoconstriction 121
homeostasis 126 whole body vibration 124
hyperreflexia 121
Weblinks
Canadian Centre for Occupational Health and Safety Answers "Cold
Environments-Health Effects and First Aid"
http://www.ccohs.ca/ oshanswers/ phys_agents/ cold_health.html
Canadian Centre for Occupational Health and Safety Answers "Hearing Protectors"
http://www.ccohs.ca/oshanswers/prevention/ppe/ear_prot.html
Canadian Centre for Occupational Health and Safety Answers "Working in the Cold"
http://www.ccohs.ca/oshanswers/phys_agents/cold_general.html
CBC News Marketplace, "How Loud Is Your House? A Look at the Dangers of 'Noise'"
http://www.cbc.ca/marketplace/pre-2007/files/home/noise
Hearing Center Online, "Name That Sound-What Does Hearing Loss Sound Like?"
http://www.hearingcenteronline.com/sound.shtml
Radiation Safety Institute of Canada, "Issues in Radiation Safety"
http://www.radiationsafety.ca/commu nitytissues
WorkSafeBC, "Part 7: Noise, Vibration, Radiation, and Temperature"
http:// reg ulation. healthandsafetycentre. org/s/Part7 .asp
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136 PART 2: Hazards and Agents
Discussion Questions
1. Workers in a manufacturing division in your jurisdiction have made a
formal complaint that three machines are too noisy. Noise measurements
are taken: the results are 83 dB, 87 dB, and 88 dB. Do the workers have a
legitimate complaint?
2. What are the health risks associated with vibrations?
3. All jurisdictions in Canada have access to the same science. Yet jurisdictions
vary in legislated standards. Why might different standards apply in dif-
ferent jurisdictions?
4. Many occupations involve inherent exposure to a physical agent resulting
in excessive exposure to noise, vibration, thermal conditions, and so on.
Outline the steps an employer can take to protect employees when avoiding
the exposure is not possible.
Exercise
OH&S legislation establishes standards for exposure to various forms of physical
agents in the workplace. Think of common forms of after-work entertainment
(e.g., movies, bars, restaurants, malls). What physical agents are present in these
settings? What risks do they pose for customers? What about the employees of
these establishments?
MONTY'S PROBLEM
The newly appointed corporate medical director, a physician, paid an initial visit
to one of the company's branch plants. For the first time, he met the occupational
health nurse, an RN and recent CCOHN, who had been appointed from the local
community some years previously. Occupational hygiene and safety at the plant was
the responsibility of one of the senior production engineers, a P.Eng. who had been
at the plant for many years. Neither of these individuals had received any formal
instruction in occupational health nursing or occupational health and safety, respec-
tively, since such training had not been available when they were appointed to these
positions. The director was disturbed to note that medical records maintained by
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Chapter 5. Physical Agents 137
the nurse appeared to be available to the personnel department and that there
was no defined OH&S program. The plant manager was absent on the day of the
director's visit and unavailable to discuss these concerns.
On returning to corporate headquarters, the physician sent a directive to
the occupational health nurse instructing her that medical records were to be
regarded as private and that information was not to be released without his
express permission. He also asked the OH&S person to purchase a simple class 2
sound level meter and to carry out a survey of noise levels at the branch
plant. This information was to be available for discussion when the director
next visited the operation.
Unfortunately, these requests caused considerable difficulties. The nurse
had an argument with the personnel department over the availability of med-
ical records, and this led to strong internal friction. The production engineer /
health and safety specialist resented the physician's interference and com-
plained to the plant manager, whom he had known personally for many years.
The plant manager, Monty James, called head office to ensure that the director
did not visit the plant without his permission or without at least giving notifi-
cation so that Monty would be available.
In reply, the physician pointed out that the noise levels at the site were
clearly excessive and that the so-called OH&S specialist was not capable of car-
rying out his duties.
When Monty James heard this response, he telephoned his superior, the
general manager at corporate. If you were Monty, what would you say to your
superior and how would you go about resolving the situation?
EXPENSIVE JEWELLERY
As a newly hired HR specialist, you are touring the floor of the manufacturing
plant. You are surprised to see that many workers are wearing their hearing pro-
tectors around the neck like a necklace instead of covering their ears. Moreover,
the style seems to be to wear safety glasses perched on top of the head rather
than in a position that would protect eyes. Employees working with acids are
doing so in street clothes and barehanded even though rubber gloves and safety
aprons are hanging on hooks next to the workstations. Even from your brief
tour, it is clear that the company has invested in the best personal protective
equipment available. Yet workers do not seem to be using the equipment to
protect themselves. One of your new responsibilities is health and safety pro-
gramming. What do you do?
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This appendix illustrates some of the techniques some hearing problems. Any other ambient noise in
and calculations for noise and hearing protection this workplace could cause the noise level to exceed the
that could prove useful to the HR practitioner when safety standards. This calculation can be used for deci-
examining workplace conditions, adding new noise- bels (dB) as above, or for A-weighted decibels (dB[A]).
generating equipment, or working with a consul- An easier way to make this same calculation is
tant, government inspectors, or certified members shown in Table 5.2. In our example, the difference in
of the JHSC. Noise calculations are pertinent to the noise level between the two machines is 88 - 85, or 3
combining of noise levels from various operating dB. Using the table, find the line that shows a difference
machines or the purchase of new equipment. Some of of 3. The line at which the difference ranges from 2.8
this material may be required by the student's specific to 3.0 gives a factor of 1.8, which is to be added to the
course of study. highest noise level. Thus, 88 + 1.8 gives a total of 89.8,
or 90 dB, as before. 13
CALCULATING NOISE LEVELS This table can be used for more than two sound
sources. When there are more than two, the sound
Noise level is measured in decibels or dB. This is a sources must be dealt with in pairs. For example,
unit of measure for sound pressure level (SPL), which
there are four machines in an area that are running
is the technical name for noise level or the "amount" and causing noise. The ratings are 82, 85, 88, and
of noise we hear. This relationship can be mathemati- 88 dB. Take these noise levels in pairs, 82 and 85,
cally expressed as
88 and 88. In the first instance, the difference is 3
dB = 20 log (p/pO) (equation 5.1) dB, which from the table, as above, gives a factor
of 1.8, which is added to the highest value. Thus
where dB is the sound pressure level (SPL), P is the
85 + 1.8 = 86.8. Perform this same operation with
sound pressure, and Po is a reference pressure, usually
the second pair, 88 and 88. The difference between
0.00002 Pascal (N/m2) or 0.0002 microbars.
these is O. From the table for 0.00 to 0.1, the factor
Though equation 5.1 has little practical application
is 3.0, which when added to the highest value gives
other than to identify the basics of noise, a variation of
88 + 3.0 = 91.3. Now we have two new pairs-86.8
it can assist in noise level evaluation. The variation is
and 91.3. The same operation is again performed.
expressed as
The difference is 4.5. From the table for 4.4 to 4.7,
total dB = 10 log (10 dBl/l0 + 10 dB2/10 the factor is 1.3, which is added to the higher of the
+ ... + 10 dBn/l0) two values. Thus 91.3 + 1.3 = 92.6. The total noise
(equation 5.2) level in this example becomes 92.6 dB, which by any
standard is too high.
where the various dB values are for any number of
If equation 5.2 is used, then
machines or noise sources in an area. For example,
one manufacturer had a machine with a noise level, or total dB = 10 log (1082/10 + 1085/10
SPL, of 88 dB. The manufacturer decided to purchase + 1088/10 + 1088/10)
an additional machine. The supplier insisted that the
noise level of the new machine was 85 dB, below the
=92.4 dB
current noise standard. However, when the values for
each of these machines were entered into the relation- SHI FT ADJUSTMENT FOR NOISE
ship expressed in equation 5.2, the result was a total EXPOSURE
dB = 10 log (10 88 / 10 + 1085 / 10) = 89.8 or 90 dB, which All of the TLV values for chemical and noise exposure
reached the current limit and could possibly create are based on an eight-hour shift. If the shift is longer,
138 NEL
Chapter 5. Physical Agents 139
TABLE
II
Measuring Noise Levels
say 12 hours, or shorter, say four hours, then the time In a similar fashion, if the worker spent only four
weighted average (TWA) should be adjusted. This hours at the job, then the new TWA will become
adjustment for noise uses the equation:
Leq.4 = 85 - 10 log 4/8 = 88.0 dB(A)
(equation 5.3)
These calculations are mathematically correct.
where Leq is the noise exposure level limit for an However, conditions such as long-term exposure, physical
8-hour shift; L eq , t is the noise exposure level limit for condition, and a 40-hour workweek must be considered.
the time exposure t; Tl is the time period worked; and
T is the nominal time period. HEARING PROTECTION TYPES OR
Example: If a worker works a 12-hour shift at a CLASSIFICATIONS
location where the limit for an eight-hour period is 85
The early part of this chapter noted that there are two
dB(A), then the exposure limit for the 12-hour shift
basic styles of hearing protection devices-plugs and
will be
muffs. Table 5.3 shows a more detailed breakdown of
Leq .12 =85 - 10 log 12/8 =83.2 dB(A) the styles and their designations.
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140 PART 2: Hazards and Agents
TABLE
II
Types of Industrial Hearing Protection
NOTES
1. E.H. Berger, W.O. Ward, J.e. Morrill, and L.H. Royster, eds., Noise and Hearing
Conservation Manua l, 4th ed . (Akron: American Industrial Hygiene Association, 1988).
2. A. Tidsskrift, "Hearing Loss Among Construction Workers in Edmonton," Journal of
Occupational and Environmenta l Medicine 42 (2000): 57-63; WorkSafeBC Health and
Safety Centre, Hearing Conservation in British Co /umbia-2003, http://www2.worksafebc.
com/PDFs/hearing/stati stics/annua l_update_2003 .pdf.
3. M.M. Key, A.F. Henschel, J. Butler, R.N. Ligo, I.R. Tabershaw, and L. Ede, Occupational
Diseases: A Guide to Their Recognition, rev. ed. (Cincinnati: U.S . Department of Health,
Education, and Welfare, 1977).
4. J.T. Broch, Mechanical Vibration and Shock Measurements, 2nd ed . (Naerum: Bruel and
Kj<er, 1980).
5. "Vibration Health Effects," Canadian Centre for Occupational Hea lth and Safety Answers,
accessed January 19, 2013, http://www.ccohs.ca/oshanswers/phys_agents/vibration
Ivibration_effects. htm I.
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Chapter 5: Physical Agents 141
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