Unit 5.2 Asbestos Surveillance Program Flashcards

1
Q

What instruction governs the Asbestos Medical Surveillance Program
(AMSP)

A

OPNAVINST 5100.19 Series

Navy Occupational Safety and Health (NAVOSH) Program Manual for Forces Afloat

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2
Q

Who MANAGES the Asbestos Medical Surveillance Program (AMSP)

A

Independent Duty Corpsman

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3
Q

Name Characteristics of asbestos

A
  • Fibrous mineral, may contain iron, magnesium, calcium, or sodium
  • Fireproof
  • Acid resistant
  • High Tensile strength
  • good insulation properties
  • moderate/good chemical resistance
  • flexible
  • heat resistant from 500 - 1500 C
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4
Q

Name the two types of asbestos containing material

A
  • Friable

- Non-Friable

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5
Q

Describe Friable material and its uses

A

Can be crumbled, Pulverized, or reduced to powder by hand pressure

  • Acoustic insulation
  • Pipe Lagging
  • Sheet gasket material; high temp applications
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6
Q

Describe non-friable material and its uses

A

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

  • Brake and clutch linings
  • Floor tiles and adhesives
  • Gaskets
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7
Q

Describe physical conditions in which asbestos becomes a health hazard

A
  • Asbestos containing material in good condition are not generally health hazards
  • Bound asbestos materials are not a hazard unless their matrix is destroyed by work activities
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8
Q

List some work activities that disturb asbestos materials.

A
  • punching
  • grinding
  • sanding
  • machining
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9
Q

Describe normal deterioration of asbestos materials.

A

When asbestos fibers are pulverized creating microscopic contaminants that are released into the air.

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10
Q

Describe Lung Cancer caused by asbestos exposure.

A

Malignant Mesothelioma: tumor which lines the chest and abdominal cavity

  • – suspected to also cause cancer in GI tract
  • – usually found 10-45 years later
  • – asbestos exposure combined with smoking greatly increases chances
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11
Q

Describe Asbestosis caused by asbestos exposure.

A
  • Progressively worsening disease of the lung

- Recognized as disabling or even fatal occupational disease

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12
Q

describe the role of the Ship’s Force Protocol.

A
  • Repair and removal of materials that contain non-friable asbestos
  • – All Navy ships have non-friable asbestos
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13
Q

describe the role of the Emergency Asbestos Removal Team (EART) Protocol

A
  • Minor repair and removal of friable asbestos containing materials
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14
Q

Which commands shall maintain an EART

Emergency Asbestos Removal Team

A

Any ships whose keel was laid prior to 1980

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15
Q

Ship’s Force protocol responsibilities of the 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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16
Q

Ship’s Force Protocol Responsibilities of the Engineering Officer/Repair DH

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
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17
Q

Ship’s Force Protocol Responsibilities of Division Officer

A
  • Notify Safety Officer and Engineering/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.
18
Q

Ship’s Force Protocol Responsibilities:

Medical Department Representative

A

Implements Asbestos Medical Surveillance Program (AMSP)

19
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
20
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
21
Q

EART Protocol:

Engineering/Repair DH

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
22
Q

EART Protocol:

Division Officer

A

Attend the asbestos pre-work brief if required

23
Q

EART Protocol :

Medical Department Representative

A

Implements Asbestos Medical Surveillance Program

24
Q

Explain the Asbestos identification process

A
  • Impossible to ID asbestos by visual inspections
  • The industrial hygiene department must identify any hazard associated with asbestos and provide recommended actions to the ship to eliminated or minimize the asbestos hazard
25
Q

What analysis does a lab perform to ID asbestos

A
  • Polarized Light Microscopy

- Transfer Electron Microscopy

26
Q

How do you control hazards by substitution?

A

Substitute with less hazardous material

– removal should be performed by a shore facility

27
Q

How does engineering control hazards?

A
  • Isolation

- Ventilation

28
Q

Explain administrative controls of hazards.

A
  • The ship will prohibit the use of administrative controls (personnel rotation)
  • Keeping the exposure below the permissible exposure limit (PEL)
29
Q

Describe PPE for controlling hazards.

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
30
Q

STATE the criteria for inclusion into the AMSP

A
  • Past History
  • Current Exposure
  • Potential Exposure
  • Placement in AMSP is dependent upon IH sampling data, and the determination of the MDR
31
Q

What training must EART personnel complete?

A
  • Emergency Asbestos Response Team (A-760-2166)
  • – *2 day formal course
  • Navy Occupational Safety & Health Environmental Training Center (NAVOSHENTRACEN)
32
Q

Describe respirator fit-testing, selection, and maintenance.

A
  • Conducted by Respiratory Protection Program Manager (RPPM)

- – Informal training

33
Q

What are the PERMISSIBLE exposure limits of asbestos (PEL)

A

0.1 fibers per cubic centimeter (f/cc) of air, calculated as an 8-hour time-weighted average (TWA) exposure

34
Q

What is the EXCURSION limit (EL)

A

1.0 f/cc averaged over a 30-minute sampling period

35
Q

STATE the personnel notification requirements of asbestos exposure

A

Physicians Written Opinion
- Completed on each individual for current or anticipated exposure

Includes:

  • 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 any exposure
  • Statement employee was informed of increased risk of lung cancer due to asbestos exposure
36
Q

Explain the distribution of the physicians written opinion

A
  • Signed copy to employee’s health record
  • Copy to employee and employee’s command within 30 days
  • Shall not include any findings or diagnosis unrelated to asbestos
37
Q

What documentation is needed for removal from ASMP

A

Document on a SF600

38
Q

Where are shipboard asbestos records transferred to following transfer, discharge, or retirement of an individual?

A

The supporting shore medical activity

39
Q

If a ship changes homeport where is the ships asbestos file sent to?

A

The new supporting shore medical activity

40
Q

Upon decommissioning, where is the asbestos record sent?

A

the supporting shore medical activity forwards record to BUMED

41
Q

How is a health record marked for asbestos exposure?

A

The exterior must be prominently marked: “ASBESTOS” in 1 inch letters in Bold, Black Indelible Ink

42
Q

what is the documentation needed for inclusion into the 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