IG2 Element 7
IG2 Element 7
IG2 Element 7
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7.1 Forms of, Classification of and Health
Risks from Hazardous Substances
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Forms of Chemical Agents
• Solid.
• Dust.
• Fumes.
• Gas.
• Mist.
• Vapour.
• Liquid.
• Fibres.
The physical form greatly affects the hazard presented and the
route of entry into the body.
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Forms of Biological Agents
• Fungi:
‒ e.g. farmer’s lung.
• Bacteria:
‒ e.g. Legionnaires’ disease, leptospirosis.
• Viruses:
‒ e.g. HIV, hepatitis B.
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Acute and Chronic Health Effects
Acute: Chronic:
• Short-term effect. • Long-term effect.
• High levels of exposure. • Lower levels of exposure.
• Short exposure time.
• Long exposure time, e.g.
• Quick effect, e.g. exposure multiple exposures to
to high concentration of asbestos.
chlorine gas.
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Classification of Chemicals Hazardous to Health
• Physico-chemical effects:
‒ e.g. highly flammable, explosive or oxidising.
• Health effects:
‒ e.g. toxic, carcinogenic.
• Environmental effects:
‒ e.g. harmful to aquatic life.
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Classification of Chemicals Hazardous to Health
• Acute Toxicity
− Small doses cause death or serious illness.
• Skin Corrosion/Irritation
− Destroys living skin tissue or causes inflammation.
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Classification of Chemicals Hazardous to Health
• Germ Cell Mutagenicity
− Causes hereditary genetic mutation.
• Carcinogenicity
− Causes cancer.
• Reproductive Toxicity
− Causes sterility or is harmful to unborn child.
• Aspiration Hazard
− Harmful if inhaled into the lungs.
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Classification of Chemicals Hazardous to Health
Sensitising agents (chemicals):
• Respiratory sensitisers:
‒ Causes occupational asthma, e.g. flour dust, isocyanates.
• Skin sensitisers:
‒ Cause allergic dermatitis, e.g. epoxy resin.
Dermatitis:
Non-infectious skin condition where the skin becomes dry,
flaky, cracked and painful.
• Primary Contact Dermatitis:
‒ Skin reacts at point of contact only, remove agent and skin
recovers.
• Allergic or Secondary Contact Dermatitis:
‒ Sensitisation reaction; dermatitis all over skin.
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7.2: Assessment of Health Risks
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Group Exercise
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Routes of Entry
• Inhalation:
‒ Inhalable dust (all particles).
‒ Respirable dust (only smaller particles).
• Ingestion.
• Absorption through the skin.
• Injection through the skin:
‒ Needle-stick.
‒ Cuts and grazes.
‒ Bites.
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Defence Mechanisms
The body has two main defence mechanisms to combat
attack by biological agents and damage by chemicals:
• Cellular (internal) defence – cells fight bacteria and other
toxins from blood, respiratory and ingestion entry routes.
• Superficial (external) defence – protects against toxins
that enter through the skin and contaminants in the nose
and throat.
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Respiratory Defences
• Sneeze reflex.
• Filtration in nasal cavity.
• Mucociliary escalator.
• Macrophages/
phagocytes.
• Inflammatory
response.
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Skin Defences
• Waterproof barrier
comprised of:
‒ Outer layer (epidermis).
‒ Inner layer (dermis).
• Defence mechanisms
include:
‒ Replenishment of dead cells.
‒ Sebum - biocidal properties.
• Inflammatory response.
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Assessment of Health Risks
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Assessment of Health Risks
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Product Labels
Set requirements:
• Name of substance/mixture.
• Hazardous components.
• Risk phrases indicating danger.
• Precautions.
• Details of supplier.
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Guidance Documents
• HSE Guidance Note EH40:
‒ Sets UK legal Workplace Exposure Limits (WELs).
‒ Maximum concentrations of airborne substances.
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Group Exercise
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Safety Data Sheets
1. Identification of substance 9. Physical/chemical
and supplier. properties.
2. Hazard identification. 10. Stability and reactivity.
3. Composition of ingredients. 11. Toxicological information.
4. First-aid measures. 12. Ecological information.
5. Fire-fighting measures. 13. Disposal considerations.
6. Accidental release 14. Transport information.
measures.
15. Regulatory information.
7. Handling and storage.
16. Other information.
8. Exposure controls/PPE.
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Limitations of Information
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The Role of Hazardous Substance Monitoring
Monitoring personal exposure to hazardous substances is sometimes
necessary to quantify the concentration of a substance that a worker
is potentially exposed to.
For example, personal dosimeter for dust exposure:
• A filter and air pump is worn by worker while working.
• Gives average value over time.
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The Role of Hazardous Substance Monitoring
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Limitations of Hazardous Substance Monitoring
• Accuracy of results.
• Variations in personal exposure:
‒ Habits and practices.
• Absence of a standard:
‒ Not everything has a limit.
• Other exposure routes:
‒ Monitoring focuses only on airborne contaminants.
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End of Section 7.2 Exercise
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7.3: Occupational Exposure Limits
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Occupational Exposure Limits
• Around the world, there are different Occupational Exposure
Limits (OELs) for hazardous substances:
‒ There is no global standard.
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Occupational Exposure Limits
Definition of WEL:
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Short-Term and Long-Term Limits
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The Purpose of Time-Weighted Averages
A worker might be exposed to different levels of a
hazardous substance throughout the working day.
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Limitations of Exposure Limits
Being below a limit does not prove it is safe:
• Only concerned with inhalation.
• No account of individual sensitivity or susceptibility.
• No account of synergistic or combined effects.
• Invalid if normal environmental conditions change.
• Some limits do not consider all possible health effects of a
substance.
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International Standards
UK: Workplace Exposure Limits
EU: Indicative Limit Values
US:
- The American Conference of Governmental Industrial Hygienists (ACGIH) sets
Threshold Limit Values (TLVs).
- The National Institute for Occupational Safety and Health (NIOSH)
recommends Recommended Exposure Limits (RELs).
- The American Industrial Hygiene Association (AIHA) has developed Workplace
Environmental Exposure Limits (WEELs).
- The Occupational Safety and Health Administration (OSHA) enforces
Department of Labour Permissible Exposure Limits (PELs).
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End of Module Exercise
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7.4: Control Measures
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The Need to Prevent or Control Exposure
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Principles of Good Practice
• Minimise emission, release and spread of hazardous substances.
• Consider routes of exposure.
• Use control measures proportionate to the risk.
• Choose effective and reliable control measures.
• Use PPE where control cannot be achieved by other means.
• Check control measures regularly.
• Inform and train employees.
• Ensure new control measures do not increase overall risk.
In the EU and UK, these eight principles are a legal requirement. In the UK
they are set out in Schedule 2A of the Control of Substances Hazardous to
Health Regulations 2002.
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Group Exercise
A gardener is spraying a weed killer in a domestic garden in
windy conditions.
The gardener has no means of washing his hands, etc., and
the house owners have children and a dog.
The weed killer is an organophosphate labelled ‘toxic’.
Using the ‘hierarchy of control’, discuss how the risk may
be reduced.
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The Practical Control of Exposure
• Elimination or substitution.
• Process change.
• Reduce exposure times.
• Enclosure and segregation.
• Local Exhaust Ventilation (LEV).
• Dilution ventilation.
• Respiratory protective equipment.
• Other PPE.
• Personal hygiene and protection regimes.
• Health surveillance.
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Elimination or Substitution and Process Change
• Elimination or substitution:
‒ Eliminate process, e.g. outsource painting.
‒ Change work, e.g. screw rather than glue.
‒ Dispose of unwanted stock.
‒ Substitute hazardous for non-hazardous, e.g. irritant to non-
hazardous floor cleaner, or corrosive to irritant.
‒ Change physical form of substance to one that’s less harmful.
• Process change:
‒ Apply solvent by brush instead of spraying.
‒ Vacuum rather than sweep.
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Reduce Exposure Times
● Double the time, double the dose; half the time,
half the dose.
● Minimise the time period over which people are
working with hazardous substances.
● Link to OELs.
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Enclosure and Segregation
Enclosure: Segregation:
• Totally enclose the • Keep people away.
substance. • Designated areas.
• Prevent access to it.
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Local Exhaust Ventilation
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Local Exhaust Ventilation
Will be reduced by:
• Poorly positioned intake hoods.
• Damaged ducts.
• Excessive amounts of contamination.
• Ineffective fan.
• Blocked filters.
• Build-up of contaminant in the ducts.
• Sharp bends in ducts.
• Unauthorised additions to the system.
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Local Exhaust Ventilation
• Periodic testing:
‒ Ensure air velocities are adequate.
‒ COSHH requirement every 14 months.
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Dilution Ventilation
• Diluting the contaminant.
• Changes the air.
• Passive dilution – vents.
• Active dilution – powered fans.
• Used where:
– WEL is high.
– Formation of gas or vapour is slow.
– Operators are not close to contamination.
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Dilution Ventilation
Passive Dilution Ventilation
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Dilution Ventilation
Limitations are:
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Respiratory Protective Equipment
Two types:
• Respirators:
‒ Filter contaminated air from the atmosphere around the
wearer.
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Respirators
Filtering Facepiece Respirators
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Respirators
Half-Mask or Ori-Nasal Respirators
Use and benefits Limitations
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Respirators
Full-Face Respirators
Use and benefits Limitations
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Respirators
Powdered Respirators
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Breathing Apparatus
Supply of air is not time-restricted if a compressor Hose can be long, but not endless
is used
Positive pressure inside facepiece
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Breathing Apparatus
Self-contained BA: pressurised cylinder
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Selection, Use and Maintenance of Respiratory
Protective Equipment
Factors to consider:
• Concentration of the • Compatibility with other
contaminant and its hazards. items of PPE.
• Physical form of the • Shape of the user’s face.
substance. • Facial hair.
• Level of protection offered by • Physical requirements of
the RPE. the job.
• Presence or absence of • Physical fitness of the
oxygen. wearer.
• Duration of time that it must
be worn.
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Selection, Use and Maintenance of Respiratory
Protective Equipment
Users should understand:
• How to fit the RPE.
• How to test it to ensure that it is working effectively.
• The limitations of the item.
• Any cleaning requirements.
• Any maintenance requirements (e.g. how to change filter).
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Other Personal Protective Equipment
• Hand protection:
‒ Gloves, gauntlets.
‒ Chemicals, biological agents, physical
injury.
• Eye protection:
‒ Spectacles, goggles, visors.
• Body protection:
‒ Overalls, aprons, whole-body
protection.
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Personal Hygiene and Protection Regimes
• Hand-washing routines.
• Careful removal and disposal of PPE to prevent cross-
contamination to normal clothes.
• Prohibition of eating, drinking and smoking in work areas.
• Washing facilities.
• Changing facilities.
• Rest and food preparation areas.
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Personal Hygiene and Protection Regimes
Vaccination:
• Against biological agents, e.g.:
‒ Hepatitis B.
‒ Tetanus.
‒ Typhoid.
• Worker consent required.
• Immunity not always achieved.
• False sense of security.
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Health Surveillance
Health monitoring:
• Looks for signs and symptoms of disease.
• E.g. bakery workers have lung function tests to check for asthma
because flour dust is a respiratory sensitiser.
Biological monitoring:
• Looks for the contaminant in blood, urine or breath.
• E.g. lead in blood for a lead-worker.
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Further Control of Carcinogens, Mutagens and Asthmagens
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Further Control of Carcinogens, Mutagens and Asthmagens
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7.5: Specific Agents
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Asbestos
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Asbestos
Use:
• Asbestos cement roofs.
• Ceiling tiles.
• Fire break walls.
• Floor tiles.
• Downpipes.
• Pipe lagging.
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Health Risks Associated with Asbestos
Diseases:
• Asbestosis.
• Lung cancer.
• Mesothelioma.
• Diffuse pleural thickening.
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Managing Asbestos in Buildings
The Control of Asbestos Regulations 2012 require:
• Awareness of presence of asbestos by occupiers/owners.
• Need for an asbestos management plan.
• Maintaining an Asbestos Register – identifying locations.
• Record of regular inspections.
• Monitoring the condition.
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Blood-Borne Viruses
Any virus present in and transmissible by blood; e.g.
Human Immunodeficiency Virus (HIV) and hepatitis virus.
• Hepatitis B and C:
‒ Transmitted in blood and other body fluids.
‒ Risk to healthcare workers, fire-fighters, police, waste
disposal workers, etc.
‒ Symptoms are jaundice, liver damage.
‒ Can be a chronic disease.
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Blood-Borne Viruses
Typical controls for hepatitis:
• PPE: gloves, eye protection.
• Disposal of material as clinical waste.
• Prevention of needle-stick injuries.
• Decontamination and disinfection.
• Vaccination.
• Accident procedures, e.g. needle-stick injuries.
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Carbon Monoxide
Colourless, odourless gas:
• By-product of partial combustion, e.g. poorly maintained
boilers.
• Inhalation hazard.
• Prevents red blood cells transporting oxygen.
• Chemical asphyxiation:
‒ Low levels (0.005%) – worsening headache.
‒ High levels (1.3%) – rapid unconsciousness and
death.
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Carbon Monoxide
Typical controls:
• Competent engineers for gas systems.
• Maintenance and testing of boilers and flues.
• Good ventilation.
• LEV for workshop vehicle exhausts.
• Siting of equipment containing combustion engines.
• CO alarms.
• Confined space entry controls.
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Cement
Used to make mortar and concrete.
Harmful effects:
• Irritation of the:
Eyes.
‒
‒ Respiratory tract.
‒ Skin.
• Corrosive burns to skin on
repeated/prolonged contact.
• Allergic dermatitis.
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Cement
Typical controls:
• Eliminating or reducing exposure.
• PPE - gloves, dust masks, eye protection.
• Removal of contaminated clothing.
• Good hygiene and washing skin on contact.
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Legionella Bacteria
Health Risk
• Water-loving soil bacteria.
• Legionnaires’ disease.
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Legionella Bacteria
Management controls:
• Risk assessment, written control scheme and review of control measures.
• Nominated responsible person.
Practical controls:
• Avoid water temperatures between 20°C and 45°C.
• Avoid water stagnation.
• Avoid using material that can harbour bacteria and provide them with
nutrients.
• Control the release of water spray.
• Keep water, storage systems and equipment clean.
• Use water (chemical) treatments where necessary.
• Carry out water sampling and analysis.
• Ensure correct and safe operation and maintenance of water systems.
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Leptospira Bacteria
Leptospirosis:
• Infected urine from: rats, mice, cattle and horses.
• Contaminated water in contact with cuts, grazes, etc.
• Occupations at risk are dairy farmers, sewage workers, water sports instructors.
• ’Flu-like symptoms, jaundice, liver damage (Weil’s disease).
Typical controls:
• Preventing rat infestation – good
housekeeping, pest control.
• Good personal hygiene.
• PPE, especially gloves.
• Covering cuts and grazes.
• Issuing ‘at risk cards’ to workers.
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Silica
• Component of rock (quartz).
• Found in quarries, pottery and construction industry.
• Inhalation hazard (respirable crystalline silica).
• Causes scar tissue to form in lungs (silicosis).
Typical controls:
• Alternative work methods.
• Dust suppression by water.
• LEV.
• RPE.
• Health surveillance.
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Wood Dust
• Inhalation hazard – causes irritation.
• May cause asthma.
• Some hardwoods can cause cancer.
Typical controls:
• LEV.
• Vacuuming rather than sweeping.
• RPE.
• Health surveillance.
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Summary
In this element, we have:
• Outlined the different physical forms of chemicals and biological
agents that can be hazardous to health.
• Identified the meaning of the terms ‘acute’ and ‘chronic’ when
used to describe health effects.
• Outlined the classification of hazardous chemicals.
• Explained the main routes of entry into the body.
• Noted some principles for assessing risk from exposure to
hazardous substances and the sources of information used.
• Identified the requirement to undertake basic monitoring to
assess concentrations of hazardous substances in the workplace.
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Summary
• Outlined the principle of OELS, such as WELs, and the purpose of
STELs and LTELs.
• Outlined the principles of good practice for controlling exposure.
• Described a hierarchy of controls for hazardous substances.
• Outlined basic principles of LEV and dilution ventilation.
• Described types of RPE: respirators and BA.
• Described the ill-health effects of asbestos, various chemicals and
biological agents found in workplaces, and the general controls
required.
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