21 occupational health I Flashcards

1
Q

what is this lecture about?

A

hazard recognition, exposure limits
-overview of hazard types
-case study
-TLV’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what are the types of hazards?

A

-physical
-chemical or particulate
-biological
-ergonomic
-psychological

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what are physical hazards?

A

sources of energy that lead to illness or injury
-noise
-radiation
-vibration
-temperature
-pressure (hyper/hypobaric)
-electricity
-contact with objects, machinery, surfaces, etc

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what are chemical or particulate hazards?

A

-dusts and mists
-gases and vapors
-systemic poisons
-irritants
-corrosives

for example: welding fumes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what are biological hazards?

A

-bacteria
-fungi
-viruses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what are ergonomic hazards?

A

-biochemical: repetitive motion, static postures, forceful and prolonged exertion, etc
-workplace design

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what are psychological hazards?

A

“stress”
-shift work
-abuse, harassment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is a case study information?

A

-37 year old male
-3-4 week history of frequent headaches
-otherwise healthy
-headaches only work related: start within a few hours, better evenings and weekends
-notices other symptoms as well: dizzy, lack of coordination, lightheaded, fatigued, “sluggish”
-co-worker similar

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what are the three points in assessing exposue?

A

-ask
-observe
-measure (quantify if possible)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what do we need to ask him?

A

whats his job?
-aircraft maintenance
-4 months ago, his company got a contract to repair/inspect military C-130 Hercules aircraft
-his job has been inspecting the fuel tanks in airplanes
-frequent exposure to jet fuel fumes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what was the cause of his headaches?

A

jet fuel: JP-4
-colorless to straw colored
-smells like gasoline/kerosene

made up of hydrocarbons
-kerosene
-alkanes
-cycloalkanes
-napthalenes
-benzene

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

how do we identify his exposure and hazard?

A

look at material safety data sheet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

how can we quantify his exposure?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what are OELs?

A

occupational exposure limits
-are legal exposure limits (usually airborne) for workplace contaminants
-go by various names depending on jurisdiction (US, Canada, Europe, etc.-in Sask they’re called contamination limits or CLs)
-most jurisdictions base many of their OELs on the threshold limit values (TLVs) published by ACGIH (American conference of governmental industrial hygienists)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

how are TLVs determined?

A

committees review existing published and peer reviewed literature in various disciplines:
-industrial hygiene
-toxicology
-occupational medicine
-epidemiology

-based on available literature, they conclude about appropriate levels of exposure
-this is an ongoing process, updates and changes occur every year

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is the definition of TLV?

A

“threshold limit values refer to airborne concentrations of substances and represent conditions under which it is believed that nearly all workers may be repeatedly exposed day after day over a working lifetime, without adverse health effects”
-TVLS are developed to protect workers who are normal, healthy adults

17
Q

what is the legalese TLV definition?

A

“TVLs are guidelines to be used by professional industrial hygienists”
-are intended for use only as guidelines or recommendations to assist in hazard evaluation and control
-not for other use such as community air pollution, extended work periods, or proving/disproving disease in an individual

18
Q

what is an important point in TLV definition in legalese?

A

“these values are not fine lines between safe and dangerous”

19
Q

what are the types of TLVs?

A
  1. TLV-TWA (time weighted average)
  2. TLV-STEL (short term exposure limit)
  3. TLV-C (ceiling)

usually referred to as TWA, STEL and ceiling

20
Q

what is TWA?

A

the average concentration for a conventional 8 hour workday and 40 hour work week, to which it is believed nearly all workers may be repeatedly exposed, day after day, for a working lifetime without adverse effect
-often referred to as the 8hr-TWA

21
Q

what is STEL?

A

a 15 minute average exposure that should not be exceeded at any time during a work day, even if the 8hr-TWA is within limits

the STEL is the concentration to which it is believed that workers can be exposed continuously for a short period of time with suffering from
-irritation
-chronic or irreversible tissue damage
-dose-rate-dependent toxic effects
-narcosis

22
Q

what is ceiling?

A

the concentration that should not be exceeded during any part of working exposure

23
Q

how do excursions work?

A

“excursions in worker exposure levels may exceed 3 times the TWA for no more than 30 minutes total during a workday, and under no circumstances should then exceed 5 times the TWA”
-this rule applies to those substances with a TWA that have no STEL

24
Q

what are TLV examples from AGGIH handbook?

25
Q

what are regulatory aspects?

A

-many jurisdictions have adopted the ACGIH TLVs as legal exposure limits
-enforced by occupational health and safety legislation

names vary (all mean the same thing)
-in Sask=contamination limits (CL)
-alberta=occupational exposure limits (OEL)
-US=permissible exposure limits (PEL)

26
Q

how are saskatchewan contamination levels organized?