Unit 5.2 Asbestos Surveillance Program Flashcards
What instruction governs the Asbestos Medical Surveillance Program
(AMSP)
OPNAVINST 5100.19 Series
Navy Occupational Safety and Health (NAVOSH) Program Manual for Forces Afloat
Who MANAGES the Asbestos Medical Surveillance Program (AMSP)
Independent Duty Corpsman
Name Characteristics of asbestos
- 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
Name the two types of asbestos containing material
- Friable
- Non-Friable
Describe Friable material and its uses
Can be crumbled, Pulverized, or reduced to powder by hand pressure
- Acoustic insulation
- Pipe Lagging
- Sheet gasket material; high temp applications
Describe non-friable material and its uses
Cannot be crumbled, pulverized or reduce to powder by hand pressure
- Brake and clutch linings
- Floor tiles and adhesives
- Gaskets
Describe physical conditions in which asbestos becomes a health hazard
- 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
List some work activities that disturb asbestos materials.
- punching
- grinding
- sanding
- machining
Describe normal deterioration of asbestos materials.
When asbestos fibers are pulverized creating microscopic contaminants that are released into the air.
Describe Lung Cancer caused by asbestos exposure.
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
Describe Asbestosis caused by asbestos exposure.
- Progressively worsening disease of the lung
- Recognized as disabling or even fatal occupational disease
describe the role of the Ship’s Force Protocol.
- Repair and removal of materials that contain non-friable asbestos
- – All Navy ships have non-friable asbestos
describe the role of the Emergency Asbestos Removal Team (EART) Protocol
- Minor repair and removal of friable asbestos containing materials
Which commands shall maintain an EART
Emergency Asbestos Removal Team
Any ships whose keel was laid prior to 1980
Ship’s Force protocol responsibilities of the Safety Officer
- Ensure that ship’s personnel are trained to accomplish the job
- Ensure that no asbestos containing materials are introduced onto the ship
Ship’s Force Protocol Responsibilities of the Engineering Officer/Repair DH
- 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
Ship’s Force Protocol Responsibilities of Division Officer
- 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.
Ship’s Force Protocol Responsibilities:
Medical Department Representative
Implements Asbestos Medical Surveillance Program (AMSP)
Ship’s Force Protocol Responsibilities: All Hands
- Observe area-warning signs
- – Only designated personnel enter workspaces involved in asbestos repair
- Inform supervisors of damage or deterioration of insulation materials
EART Protocol
Safety Officer
- 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
EART Protocol:
Engineering/Repair DH
- 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
EART Protocol:
Division Officer
Attend the asbestos pre-work brief if required
EART Protocol :
Medical Department Representative
Implements Asbestos Medical Surveillance Program
Explain the Asbestos identification process
- 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
What analysis does a lab perform to ID asbestos
- Polarized Light Microscopy
- Transfer Electron Microscopy
How do you control hazards by substitution?
Substitute with less hazardous material
– removal should be performed by a shore facility
How does engineering control hazards?
- Isolation
- Ventilation
Explain administrative controls of hazards.
- The ship will prohibit the use of administrative controls (personnel rotation)
- Keeping the exposure below the permissible exposure limit (PEL)
Describe PPE for controlling hazards.
- 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
STATE the criteria for inclusion into the AMSP
- Past History
- Current Exposure
- Potential Exposure
- Placement in AMSP is dependent upon IH sampling data, and the determination of the MDR
What training must EART personnel complete?
- Emergency Asbestos Response Team (A-760-2166)
- – *2 day formal course
- Navy Occupational Safety & Health Environmental Training Center (NAVOSHENTRACEN)
Describe respirator fit-testing, selection, and maintenance.
- Conducted by Respiratory Protection Program Manager (RPPM)
- – Informal training
What are the PERMISSIBLE exposure limits of asbestos (PEL)
0.1 fibers per cubic centimeter (f/cc) of air, calculated as an 8-hour time-weighted average (TWA) exposure
What is the EXCURSION limit (EL)
1.0 f/cc averaged over a 30-minute sampling period
STATE the personnel notification requirements of asbestos exposure
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
Explain the distribution of the physicians written opinion
- 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
What documentation is needed for removal from ASMP
Document on a SF600
Where are shipboard asbestos records transferred to following transfer, discharge, or retirement of an individual?
The supporting shore medical activity
If a ship changes homeport where is the ships asbestos file sent to?
The new supporting shore medical activity
Upon decommissioning, where is the asbestos record sent?
the supporting shore medical activity forwards record to BUMED
How is a health record marked for asbestos exposure?
The exterior must be prominently marked: “ASBESTOS” in 1 inch letters in Bold, Black Indelible Ink
what is the documentation needed for inclusion into the AMSP
- 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
