5.2 Asbestos Surveilance Program Flashcards

1
Q

What does AMSP stand for?

A

Asbestos Medical Surveillance Program (AMSP).

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2
Q

What are the characteristics of asbestos?

A

Fibrous mineral which may contain iron, magnesium, calcium or sodium,

Fireproof,

Acid resistant,

High Tensile Strength,

Good heating and electrical insulation properties,

Moderate/good chemical resistance,

Flexible properties,

Heat Resistant from 500 - 1500 degrees Celsius.

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3
Q

What are the two types of asbestos?

A

Friable,

Non-friable.

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4
Q

What is friable asbestos?

A

Can be crumbled, pulverized or reduced to powder by hand pressure.

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5
Q

Where can friable asbestos be found?

A

Acoustic Insulation,

Pipe Lagging,

Sheet gasket material used in high temperature applications.

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6
Q

What is non-friable asbestos?

A

Cannot be crumbled, pulverized or reduce to powder by hand pressure.

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7
Q

What are examples of non-friable asbestos?

A

Brake and clutch linings,

Floor tiles and adhesives,

Gaskets.

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8
Q

Asbestos insulation or other asbestos-containing materials in good condition are generally not what?

A

A health hazard when properly secured and unlikely to be disturbed.

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9
Q

Bound asbestos materials, such as gaskets, floor coverings, and cements are not what?

A

Generally a health hazard unless work activities destroy their matrix.

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10
Q

What are specific work activities that disturb the make-up of asbestos materials?

A

Punching,

Grinding,

Sanding,

Machining.

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11
Q

What is normal asbestos deterioration?

A

Asbestos fibers are released into the air.

The loosely bound fibers are pulverized or easily crumbled creating microscopic contaminants that have been identified as a health hazard.

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12
Q

What are the diseases caused by asbestos?

A

Lung cancer,

Asbestosis.

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13
Q

What are the two types of lung cancer caused by asbestos?

A

Malignant Mesothelioma,

Mesothelioma.

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14
Q

What is Malignant Mesothelioma?

A

Tumor which lines the chest and abdominal cavity.

Suspected to also cause cancer of GI tract.

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15
Q

What is Mesothelioma?

A

Is rarely found except in those exposed to asbestos.

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16
Q

What is the time period for Mesothelioma?

A

10 – 45 years later.

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17
Q

Asbestos exposure combined with ____ drastically increases the risk of developing lung cancer?

A

Smoking.

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18
Q

What is Asbestosis?

A

Characterized by fibrosis (scarring) of the lung,

Progressively worsening disease of the lung,

Recognized as disabling or even fatal occupational disease.

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19
Q

What is the Ship’s Force Protocol responsibility when it comes to asbestos?

A

Repair and removal of materials that contain non-friable asbestos containing material.

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20
Q

All Navy ships have what type of asbestos?

A

Non-friable.

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21
Q

What does EART stand for?

A

Emergency Asbestos Removal Team.

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22
Q

What is the EART’s responsibility when it comes to asbestos?

A

Minor repair and removal of friable asbestos containing materials.

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23
Q

The following afloat commands shall maintain an EART except for what?

A

Any ships whose keel was laid prior to 1980.

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24
Q

Ship’s Force Protocol Responsibilities:

Safety Officer?

A

Ensure that ship’s personnel are trained to accomplish the job,

Ensure that no asbestos containing materials are introduced onto the ship.

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25
Q

Ship’s Force Protocol Responsibilities:

Engineering Officer/Repair Department Head?

A

Provide equipment and PPE necessary to perform work,

Ensure personnel receive medical screening examinations,

Ensure asbestos materials are properly collected and stored while awaiting disposal.

26
Q

Ship’s Force Protocol Responsibilities:

Division Officers?

A

Notify Safety Officer and engineer or repair officer when asbestos work is required or suspected,

Ensure that all mandatory training is conducted,

Ensure that workplace is properly cleaned and cleared prior to allowing access after a repair job involving non-friable asbestos containing materials.

27
Q

Ship’s Force Protocol Responsibilities:

Medical Department Representative?

A

Implements Asbestos Medical Surveillance Program.

28
Q

Ship’s Force Protocol Responsibilities:

All Hands?

A

Observe area-warning signs,

Only designated personnel enter workspaces involved in asbestos repair,

Inform supervisors of damage or deterioration of insulation materials.

29
Q

EART Protocol:

Safety Officer?

A

Inspect each repair operation involving friable asbestos,

Ensure that the ship has the required equipment to accomplish the asbestos repair,

Approves access to the area where asbestos removal or repair operations are completed.

30
Q

EART Protocol:

Engineering/Repair Department head?

A

Provide the necessary equipment and protective clothing to asbestos workers,

Identify and provide list of personnel involved in asbestos operations to the medical department for consideration for entry into the AMSP,

Ensure that all asbestos containing materials are properly collected, stowed and disposed.

31
Q

EART Protocol:

Division Officer?

A

Attend the asbestos pre-work brief if required.

32
Q

EART Protocol:

Medical Department Representative?

A

Implements Asbestos Medical Surveillance Program.

33
Q

Impossible to ID asbestos by what?

(Test)

A

Visual inspections.

34
Q

The Industrial Hygiene department must identify any hazard associated with asbestos and provide what?

A

Recommended actions to the ship to eliminated or minimize the asbestos hazard.

35
Q

How is asbestos identified?

A

Laboratory analysis.

36
Q

What are the labs to identify asbestos?

A

Polarized Light Microscopy,

or,

Transfer electron microscopy.

37
Q

Basic Principles for Controlling Hazards:

Substitution Asbestos?

A

With less hazardous materials approved under technical management of NAVSEASYSCOM.

38
Q

Removal of asbestos should be performed by who?

A

A shore facility.

39
Q

Basic Principles for Controlling Hazards:

Engineering Controls Asbestos?

A

Isolation,

Ventilation.

40
Q

Basic Principles for Controlling Hazards:

Administrative Controls Asbestos?

A

The ship will prohibit the use of administrative controls (personnel rotation),

Keeping the exposure below the permissible exposure limit (PEL).

41
Q

Basic Principles for Controlling Hazards:

Personal Protective Equipment Asbestos?

A

Full-body, one-piece disposable coveralls with hood (TYVEK),

Medium weight rubber gloves with a thin “under glove” to absorb perspiration,

Slip resistant plastic shoe covers or heavy polyethylene shoe covers with slip- resistant soles,

Safety glasses or vented goggles,

Respiratory Protection.

42
Q

The AMSP is designed to identify signs and symptoms of asbestos related medical conditions as early as possible through what?

A

Periodic medical evaluations.

43
Q

The ASMP also provides for identification of medical conditions which may increase the employee’s risk of impairment from what?

A

Asbestos exposure and for counseling of workers on medical conditions related to asbestos exposure, for counseling of workers on medical conditions related to asbestos exposure.

44
Q

Placement of personnel into the AMSP is based on what?

A

Past history and/or current exposure or potential exposure to asbestos.

45
Q

Placement in AMSP is dependent upon industrial hygiene doing what?

A

Sampling data, and the determination of the medical department representative.

46
Q

EART Personnel must complete what following trainings?

A

Emergency Asbestos Response Team,

Navy Occupational Safety & Health Environmental Training Center (NAVOSHENTRACEN).

47
Q

Emergency Asbestos Response Team training is how long?

(Test)

A

2 days,

Formal course.

48
Q

Respirator fit-testing, selection, and maintenance is conducted by who?

A

Respiratory protection manager.

49
Q

Asbestos Exposure Limits:

Permissible Exposure Limit (PEL)?

(Test)

A

0.1 fibers per cubic centimeter (f/cc) of air,

Calculated as an 8-hour time-weighted average (TWA) exposure.

50
Q

Asbestos Exposure Limits:

Excursion Limit (EL)?

A

The EL is 1.0 f/cc averaged over a 30-minute sampling period.

51
Q

Asbestos Exposure Notification Requirements:

A physicians written opinion is completed on each individual for what?

A

Current or anticipated exposure.

52
Q

Asbestos Physician Written Opinion:

Each written opinion includes what?

A

Medical conditions that would place the employee at increased risk of health impairment due to exposure,

Any recommendations of limitations,

Statement employee was informed of the exam results and of any medical conditions resulting from exposure that require further follow-up/treatment,

Statement employee was informed of increased risk of lung cancer due to smoking and asbestos exposure.

53
Q

Asbestos Physician Written Opinion:

Distribution?

A

Signed copy to employee’s health record.

Copy employee and employee’s command within 30 days.

The physician’s written opinion shall not include any findings or diagnosis unrelated to asbestos.

54
Q

Asbestos Physician Written Opinion:

How long do you have to forward a copy to the employee and the employees command?

A

Within 30 days.

55
Q

Removal from the AMSP Requires documentation on what form?

A

SF 600.

56
Q

All shipboard asbestos records shall be transferred to where?

A

Supporting shore medical activity for permanent retention following transfer, discharge, or retirement of the individual.

57
Q

Asbestos Record Retention:

Supporting shore medical facility shall establish a file for each what?

A

Ship.

58
Q

Asbestos Record Retention:

If the ship changes homeport, the file will be forwarded to where?

A

The new supporting shore medical activity.

59
Q

Asbestos Record Retention:

Upon decommissioning, the supporting shore medical activity shall forward the asbestos record to who?

(Test)

A

BUMED.

60
Q

Health Record Marking Asbestos:

The exterior of the Health Record must be prominently marked how?

A

“ASBESTOS” in 1 inch letters or mark block on H/R Jacket in Bold, Black Indelible Ink.

61
Q

What forms are used for inclusion in AMSP?

A

Preprinted SF600 (Medical Matrix),

OPNAV 5100/15, Part IV, Medical Department Determination,

DD 2493-1, Initial Medical Questionnaire,

DD 2493-2, Periodic Medical Questionnaire,

NAVMED 6260/5, Periodic Health Evaluation, History and Physical Examination,

NAVMED 6260/7, AMSP X-ray Interpretation for Pneumoconiosis,

Physicians Written Opinion,

Spirometry Data.