Need to Learn Flashcards
What are the types of hearing loss?
Conductive (blockage, damage to eardrum, not due to noise)
Sensorineural (damage to inner ear or nerve, due to chronic noise exposure)
Temporaru vs. Permaent threshold shift
Tinnitus
Trauma
Difference between sound power and sound pressure level
sound power- intensity in watts / m2 emitted by source, hard to measure
sound pressure level- detectable differences in loudness measured in dB
5 basic components of hearing conservation program
1) Exposure monitoring
2) Audiometric testing
3) Hearing protection
4) Employee training
5) Record keeping
OSHA’s program to prevent noise- induced hearing loss
hearing conservation program
Specific components of HCP
- person in charge
- baseline and ongoing exposure measurements
- control of excessive exposure
- audiometric testing
- training
- SOP
- Program assessment
- Records
- Buy quiet
- Develop the best program not just the required one
scale which electronically adjusts the amplification of frequencies giving some more amplification than others
weighting
What are the most common sources of noise?
mechanical (vibrating or moving surfaces)
Examples of aeorodynamic sources of noise
-unsteady flow of air, specific gas, or steam
word for echo
reverberation
name two important methods (other than standard controls) that can help with noise
preventative maintenance
buy quiet specs
what measures the effectiveness of the hearing protection devices?
NRR noise reduction rating
What is the equation for NRR?
ENV- (NRR-7 /2)
What are the limitations of NRR?
measured under optimal conditions with trained employees
What is the difference in NRR above 105?
take higher NRR + 5dB
what frequencies are tested in audiometery?
500, 1000, 2000, 4000, 8000
what must audiometry adjust for?
Age
During audiometric testing, how can you identify a threshold shift?
if average losses at each freq is >= 10 dB- standard threshold shift
What does the SPL decrease by if you increase double the distance?
6 dB
What is the threshold gate?
lower limit of SPL will be included
What is the amount used to determine % allowable exposure for noise, which standard is typically used?
criterion level
OSHA- 90 dBA
What is the exchange rate or doubling rate
sound pressure increase or decrease that determines a halving or doubling of exposure time
Describe the regulations and standards for thermal stress
- Department of labor
- No OSHA regulation- falls under general duty clause
- professional standards & recommended limits: ACGIH TLVs for Physical Agents
*Follow ACGIH TLVs
What conditions increase evaporation?
dry conditions
Factors that affect thermal balance
- climatic conditions
- work demands
- clothing
What is vulnerable to changes in body temp?
enzymes
When people’s body’s change so they can handle different temperatures. Example.
acclimatization
cardiovascular changes
What interferes with acclimitization
- alcohol use
- lack of sleep
- illness
What are the different names for the first stage of disease related to heat?
heat strain
heat fatigue
heat exhaustion
What is the clinical term for low blood pressure?
circulatory hypstasis
What causes heat syncope?
vasodilation and fluid loss
What are some immediate solutions for hyperthermia?
ice, wet cloth, increase air motion, call 911
What is the solution for hypothermia?
warm extremeties but do not rub skim, replace wet clothing with warm dry clothes, give warm drinks
What factors should you account for when measuring temperature?
- air temperature
- temperature of surroundings
- air velocity
- humidity
Describe the measuring instruments for temperature
Dry bulb temperature- thermometer
Wet bulb temperature- thermometer
globe temperature- thermometer
air velocity- velometer, anemometer
humidity- hygrometer, psychrometer
What does each component of the WBGT measure?
globe temp- radiating heat
dry bulb- air temp
wet bulb- get sponge wet and measures how fast evaporation occurs
Equation for heat stress
WBGTinside = 0.7Tnwb+0.3Tg
WBGToutside = 0.7Tnwb+0.2Tg+ 0.1 Tdb
What are other metrics used for heat stress?
- relative humidity
- equivalent chill
- heat-humidity index
- effective temperature
- apparent temperature
What are the medical measurements for temperature?
-heart rate monitors
-body temperature
sentinel health evnts
What are engineering controls for thermal stress?
- HVAC (to reduce air temp, humidity, and increase air movement)
- humidifier/ dehumidifier
- shielding from radiant heat
- change clothing
When sodium concentrations in the blood are too low
Hyponoatremia
Administrative controls for thermal stress
- fluid management
- acclimation
- job rotation
- work/ rest cycles
- medical surveillance
- buddy systems
Why do inexperienced workers need more time to acclimate?
use more energy to do the job and heat up faster
Describe the written hazard communication program
- list of hazardous chemicals
- labeling
- SDS
- Training
What is the scope?
- raw materials
- intermediates
- products
Name 3 exemptions to Hazzcom
- pesticides
- F&B
- Seeds
- Drugs
- Cosmetics
- Nuisance Particulates
- Ionizing and nonionizing radiation
- biohazards
Define hazard classification
provides specific criteria for classification of health and physical hazards as well as mixtures
What must labels include?
1) Product identifier
2) signal word
3) pictogram
4) hazard statement
5) precautionary statement (optional)
6) Chemical manufacturer name, address, and phone number
how many sections are in the SDS?
16
Who is responsible for training on new label elements and SDS?
employers must train workers
What are challenges with HazComm?
- most cited OSHA violation
- mobile workforce (working at multiple sites)
Draw the LD50 graph
Y- % test anumal population dies
X- dose (mg/ kg body weight)
Health Pictogram
- carcinogen
- mutagenicity
- reproductive toxicity
- target organ toxicity
- aspiration toxicity
Flame Pictogram
- flammable
- pyrophoric
- self-heating
- self reactive
- emits flammable gas
- organic peroxides
!
- skin and eye irritant
- skin sensitizer
- respiratory tract irritant
- hazardous to ozone layer
- acute toxicity
- narcotic effects
gas cylinder
gases under pressure
corrosion
- skin corrosion/ burns
- eye damage
- corrosive to metals
Exploding bombs
- explosive
- self reactive
- organic peroxide
difference btween flame and lame over circle?
flame - mainly reactive agents and flammable agents
flame over circle- oxidizers
Environment
non-mandatory- indicates aquatic toxicity
Skull and crossbones
acute toxicity (potentially fatal)
What is REACH and where is it used?
Registration, Evaluation, Authorization and Restriction of Chemical Substances
The study of human measurements
anthropometry
Characteristics of the human body in medical terms
biomechanics
Why are biomechanics used?
- measure body strength
- design for human strength
- avoid exertion of hand/ foot/ body
- determine ability of body to handle loads
scientific study / design of equipment and work tasks and the relation/ fit to the operator
ergonomics
How is anthropometry used?
- designing workplace, workstation, vehicles, tools
- based on military
- can design for average, extremes, adjustability
rotation upward (palm up)
supination
What is the energy cost of work?
how physically strenuous is the job?- note different activities burn calories at different rates
What does fatigue depend on?
1) Metabolic rate of work- buildup of potassium and lactic acid in the muscles
2) Work intensity
3) dynamic and static properties
What is fatigue affected by?
- illness
- pain
- lack of sleep or rest
- poor eating habits
- worry
- responsibility
- conflict
What are the symptoms of job related fatigue?
- irritability
- depression
- lack of drive
- headache
- giddiness
- palpitations
- digestive problems
- insomnia
human strength
amount of force or torque (movement) applied to external measuring instrument, data used to design tools
___ ___ ___ develop torque around body ___ bridged by the ____
muscular force vectors, joints, muscle
Define cumulative trauma disorder
adverse health effects that arise from repeated exposure to micro-trauma in an occupational setting
Describe the tissues at risk for cumulative trauma disorders
Muscle- strain, stretch, tear, atrophy
tendon- tear, scarring, tendonititis
Bursa- bursitis
ligament- stretch, tear, sprain
nerve- compression, neuritis
blood vessels- spasm, compression –> ischemia
What are host risk factors for CTDs?
- artiritis
- hormonal factors
- diabetes
- overweight
- psychological issues
Overview of types of CTD
1) Tendonitis- rotator cuff tendonitis, epicondylitis, De Quervain’s Syndrom
2) Nerve Compression syndromes- carpal tunnel syndrome
3) Low Back Disorders- lumbar disc syndrome
4) Vibration white finger
What are other names for rotator cuff syndrom?
swimmers shoulder
impingement syndrome
what tendon is inflammed in impingement syndrome?
supraspinatus tendon
What are the two types of rotator cuff tendonitis?
- intrinsic impingement (overuse, tension overload, trauma –> degeneration)
- mechanical compression
What are the symptoms of tendonitis?
pain with motion in pinch zone
weakens shoulder abduction
What is the difference between lateral epicondylitis and medial epicondylitis?
lateral- inflammation of lateral epicondyle (tennis elbow). Tendon EXTENDS wrist and fingers. Pain with lifting, palm down, pain with gripping , extensor weakness
medial- small tears in muscle/ tendon unit inside elbow (golfers). Tendon flexes wrist and fingers. Pain with gripping or twisting, flexor weakness
Inflammation of the tendon sheaths. What does it result from?
tendonsynovitis
repetitive movements or overstretching
What is thoracic outlet syndrome?
compression of the nerves and arteries in the thoracic outlet (under clavicle)
What disease is caused by prolonged hyperabduction of the arm from performing tasks above the head?
brachial plexus neuritis
Inflammation of tendons and synovium around thumb
de Quervains syndrome
inflammation of tendon an synovium of ring finger. how does it occur? What does it prevent?
trigger finger, nodule forms in tendon from repeated trauma. Prevents full extension of finger
What is Lumbar Disc Syndrome? What makes it better and worse?
pain or numbness in back, buttock, or leg
Worse: moving out of prolonged postures, forward bending, morning
Better: with walking
What are signs and symptoms of CTDs?
- decreased range of motion
- deformity
- decreased grip strength or loss of muscle function
- pain in joints
- numbness, tingling, burning
- cramping, stiffness, swelling
- white extremeities
What are the primary causes of CTDs? other reasons?
- Force, repitition, posture
- fatigue, vibration, cold
What can be used to evalulate CTDs?
- Describe tasks and risks
- electromyography
What are some engineering controls for CTDs?
- automation
- mechanization (machine help)
- seats and other aids
- job enlargement
What are administrative controls for CTDs?
- freq short breaks
- job rotation- watch for response interference
- training (technique, awareness, fitness)
What are job risk factors for back injury?
- high load (weight)
- Freq of action
- Distance to load (reach)
- Position (sitting less leverage)
- Twisting
- Probability of slips/ falls
- poor posture (bent, constant)
Host risk factors for inury?
- physical dimensions and strength
- nutrition, weight, and behavior
- psychological factors
- age
- experience
- fatigue
Env risk factors for back injury
- slippery surfaces
- uneven surfaces
- obstacles
- poor lighting
- steps/ other challenges
Which is better for lifting- horizontal or vertical movement?
horizontal
What are considerations when evaluating lifing?
- unit weight and dimensions
- horizontal or vertical movement
- bending/ twisting
- sharp edges
- reaching
Describe how to interpret the lifting index (LI)
if LI equal to or less than 1 - no action is needed
If LI is greater than 1, the job needs to be redesigned to decrease LI
What is the recommended weight limit?
maximum weight that 90% of physically fit male and female workers accustomed to physical labor can lift or lower
What are engineering controls to reduce back injury?
- aids/ equipment (ie lifts)
- improve workflow layout
- job design (use NIOSH lift- ie height of work surface
- integration of controls with individual people
Administrative controls
- training (note- cannot overcome unsafe job)
- personnel selection (test capability, medical clearance, but need to be ADA and equal opp)
- Return to work issues
What on tools can be used to help position hand?
flanges
what to look for in tool design
- level wrist, no twist
- hand encircles handle
- avoid pressure points
- minimal roughness
Things to avoid in tool use
- repetitive and sustained exertion
- shoulder tension
- cooling of hand
- vibration
Components of the ergonomic program
- person in charge
- training
- written SOPs
- Doccumentation of actions/ records
- Medical surveillance
- Program Evaluation
- Design job to fit worker
What guidelines to follow?
OSHA has guidelines for specific industries
How to best plan machines for the workplace
- fit process and equipment to worker
- consider layout of site
- use mockups
- use adequate space for clearance and safety
- consider manipulations to positions that are needed
What to consider with displays and controls
- predictability
- ease of use
- minimize error
- visual/ auditory
What are radioactive elements?
unstable forms of elements that decay to stable elements and emit ionizing radiation in the process
How do nuclear reactors work?
bombard large atoms with neutrons to split them (fission) and generate heat
What do CAT and PET stand for?
computed axial tomography and positron emission tomography
Sources of ionizing radiation
- sealed sources
- radiation machines
- radioisotopes + machine
- unique radioisotopes
Workplaces with nonionizing radiation
- outdoor occupations
- power transmition
- welding
- radar
- lasers
- electrical equipment
Draw radioactive decay products
- -> alpha particles
- -> gamma rays
- -> proton, beta particles, neutrons
What is the composition of alpha particles?
2 neutrons and 2 protons
Examples of alpha emitters
uranium- 238, Pu-238, radon-222
Term for secondary xrays produced when beta moves through a material
bremsstrahlung radiation
Examples of low and high energy beta emitters
Low: H-3, C-14
High- P-31
What are the different energy levels of neturons and how does that impact how they travel?
High- travel further, penetrate more
low- less travel distance, less penetration
At what size does radiation begin to ionize?
300 nm
Describe gamma waves
- energy emission (photons) from nucleus as result of radioactive decay
- significant health risk
- low energy: I-125
High energy- I-131
Describe xrays
energy emission photons from the outside of the nucleus when electrons drop to lower orbitals
- significant health risk
- soft and hard energy levels
Examples of determinisitic effects
radiation dermatitis cataracts sterility microcephaly of babies mental retardation of babies
examples of stochastic effects
lung cancer
genetic effects
chronic effects of ionizing radiation
- lung cancer
- leukemia
- decreased lifespan
Acute effects of ionizing radiation
- damage to central nervous system
- damage to intestinal villi
- damage to leukocytes and stem celss
- skin burns
what are stem cells?
repair cells
What is exposure?
energy transmitted to the target in the body
what is the concern with ionization chambers? examples?
reading low energy photon materials
- ionization chambers
geiger mueller counters
-proportional counters
What is the measuring instrument that ionizes molecules and produces and emission of light related to the energy outut of the radioisotope? What area sample method is used with it?
scintillation chambers
wipe sampling
This measuring instrument uses lithium flouride to react with radiation and excite electrons- giving off light
TLD- thermoluminescence detector
Electrostatic chargining fiber want that moves along a scale
pocket dosimeter
What type of instrument is used to measure radon?
alpha track detector
What does ALARA stand for?
as low as reasonably achieveable
thickness of a material required to stop half of the radiation
half value layer
How are electric and magnetic fields produced?
Electric field- electric charge differences (voltage)
magnetic field- electrons moving (current)
Electric charges produce electric fields and moving them creates magnetic fields
What is the unit of ionizing radiation?
Specific Absorption Rate- dose rate at which energy is transferred to tissues in watts/ kg
What is an important label for static magnetic sources?
magnetic resonance? danger for projectiles
What does radar stand for?
radio detection and ranging
What are the health effects of infrared?
- heating
- erythema
- skin pigmentation
- cataracts
What does laser stand for?
light amplification by stimulated emission of radiation
What are the hazard classes of lasers?
Class 1: harmless
Class 4: Very hazardous
What are most health problems related to when using lasers? What lasers are most dangerous? Some health risks an other risks?
concentrated energy
pulsed lasers
damage to cornea, erythema, fire, electrocution, toxic gases
How can you measure nonionizing radiation?
- sub- magnetic and electric survey meters
mw/ rf- induced current meter/ contact current meter
optical- photometer/ radiometer/ dosimeters
Additional controls for subradio and fd
- grounding / cancelling
rf- metal mesh barrier or ppe
Give a general overview of emergency planning stages
- Before- plan, organize, predict, mitigate
During: response an actions
After: recovery. security, secondary disasters
What are the before steps?
- someone designated to be in charge and given authority to act
emergency plans
What must emergency plans include
- escape routes
- practice/ drills
- local community
insurance
What are considerations during?
- quick, effective responsible action
- resources
- will and imagination
- emotional aspects
What are after concerns?
- security
-secondary disasters
0 rebuilding
-death - pysch/ physical effects
- liability
Jobs that IH professionals may fulfill
- safety officer/ coordinator
- HAZWOPER
How do the IH functions fit into emergency planning?
- anticipate
- recognize
- evaluate
- control
What is the method of managing emergencies?
Incident command system
Name additional considerations for emergency response
- alarms
- evacuation
- shelter in place
- hazcomm
Name a situation when OSHA requires an emergency plan
when fire extinguishers are provided and if anyone evacuating during a fire
What are the OSHA and Process Safety requirements?
- EAP workers and communities
- process hazard analysis
- Process flow diagrams
What is the name of the EPA emergency response program?
Risk Management Plan
When does the RMP have to be updated?
when process changes
what is required in the RMP
emergency response plan
- 5 year accident report
- analysis of worst case and off sit releases
What are the units of dose for radiation?
Roentegen (R)- unit of radiation exposure
Radiation absorbed dose (RAD)- absorbed dose divided by time it takes to deliver that dose
REM- Roentegen Equivalent for man (1 RAD = 1REM
CPM - number of counts taken during 1 minute
Microseiverts per hour- uSv/ hr- international for dose equivalent
What was the lab device for radiation?
Radiation alert ranger
What are mR/ hr and uSv/ hr used for?
gamma and x ray
what units are CPM and CPS used for?
alpha and beta
Describe Uranyl Acetate
salt of uranyl- not harmful if external, very toxic internally, alpha and beta with some gamma
Describe potassium cloride
odorless salt, used widely, causes cardiac arrest, beta particles emitter
Describe urannium Ore
metal common in earth’s crust- alpha particles emitter
Thorium oxide
silvery metal that tarnishes black, lanterns, alpha decy
what is biomechanics?
characteristics of the human body in medical terms, determines human ability to handle loads
What is anthropometry?
study of human measurements
What is the role of ligaments?
provide stability
What is the role of tendons?
allow for movement
Controls for CTDS
Automation
Mechanization
Aids
How to prevent sustained exertion
reduced by reducing weights of objects or tools, changing size or shapes, and balancing objects held in the hands. Fewer objects can be picked up at one time or objects can be picked up with two hands rather than one handed.
How to reduce mechanical stress concentrations
controlled by increasing the size of handles, eliminating sharp edges, and using compliant materials. Handles should be as large as will fit comfortably in the hand.
Describ fatigue
deterioration of mental and physical function, depends on metabolic rate of work (Buildup of lactic acid in muscles), work intensity, dynamic and static positions. Risk factor for back injuries
Describe poor life
Poor lifting (bulky, heavy items with sharp edges with vertical lift motion), also poor if lift with back not with knees. Poor lift technique leads to back injury. Handholds reduce risk of back injury
What are some sources of beta particles and how are they used?
Naturally and artificially occurring: used in many medical research (tracers) and industrial applications (QC test thickness of material)
What is radiation sickness?
radiation poisoning or acute radiation syndrome
When are the effects of radiation sickness present?
within 24 hours to high amounts of ionizing radiation
What causes radiation sickness?
cellular degradation due to damage to DNA and cellular structures
Treatment
supportive (blood transfusion and antibiotics) and aggressive (bone marrow transfusions)
What are you at increased risk for with frostbite?
Raynaud’s syndrome