0920_elizabeth pullen hygiene presentation

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    Using A Comprehensive Exposure

    Assessment Strategy to Assess

    Workplace Health Risks

    Elizabeth L. Pullen, CIH

    APOSHO 26 Australasian

    Safety Conference 2011

    1

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    What is Industrial Hygiene?

    Industrial hygiene is a process for

    managing the health risks

    associated with workplace

    exposures to chemical, physical,

    and biological agents

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    3

    What is the process for managing

    workplace exposures?

    Assess and prioritize ALL

    exposures into exposure control

    categories to focus resources on

    highest risks.

    Differentiate acceptable from

    unacceptable exposures

    Control unacceptable

    exposures

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    Health Risk

    VeryHigh

    High

    Medium

    Low

    Toxicity

    Ex

    posure

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    Comprehensive Strategy

    Why?

    Exposures occur whether were there or not!

    A comprehensive strategy best manages risk

    and resources

    Comprehensive strategy

    Directed at assessing all exposures for all

    workers on all days Transparent system provides foundation for

    feedback into Professional Judgment.

    Helps prevent occupational illnesses

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    Outcomes of Comprehensive

    Exposure Assessment & Management

    An assessmentof the potential healthrisksfaced by all workers

    Assurance that exposure controls are

    properly identified and utilized Demonstration of compliancewith

    government and exposure guidelines

    The establishment of a historical

    record of exposure for all records Efficient and effective allocation of time

    and resources

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    Hazardous Materials

    Management and Procurement

    Hearing Conservation

    Engineering Controls

    Administrative Controls

    Work Practice Controls

    Personal Protective Equipment

    Medical Surveillance

    Epidemiology

    Hazard Communication

    Education And Training

    Exposure Monitoring

    Environmental

    Compliance

    Exposure

    Risk

    Assessment&

    Management

    (ERAM)

    Exposure Assessment is the Core Activity

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    Start

    Basic

    Characterization

    Exposure

    Assessment

    Uncertain

    Implement Controls

    Reassessment

    Further Information Gathering

    Unacceptable

    Exposure

    Acceptable

    Exposure

    AIHAs Exposure Risk

    Assessment & Management Strategy

    A Strategy for

    Assessing and

    Managing

    OccupationalExposures,

    3rdedition

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    Exposure Assessment Strategy

    Reflects iterative continuous

    improvement cycleor real-world

    assessment programs

    Assessment include a combination

    of qualitativeand quantitative

    information

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    Exposure Assessment

    The process of:

    defining exposure profiles

    andjudging the acceptability

    of workplace exposures to

    environmental agents

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    Exposure Assessment Strategy7 Steps

    1. Basic Characterization

    2. Exposure Assessment

    Define similar exposure groups

    (SEGs)

    Define the exposure profile

    Judge acceptability of the profile for

    each SEG

    3. Further information gathering

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    Exposure Assessment Strategy

    4. Control measures

    Ventilation, Enclosures, PPE

    5. Re-assessment

    6. Communication and

    documentation

    7. Implementation

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    Start

    Basic

    Characterization

    Exposure

    Assessment

    Uncertain

    Implement Controls

    Reassessment

    Further Information Gathering

    Unacceptable

    Exposure

    Acceptable

    Exposure

    AIHAs Exposure Risk

    Assessment & Management Strategy

    A Strategy for

    Assessing and

    Managing

    OccupationalExposures,

    3rdedition

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    Basic Characterization

    Collect and organize information on

    the

    Workplace

    Processes, equipment, controls

    Workforce

    Jobs, tasks, personnel, shiftwork

    Environmental Agents Chemical, physical, biological,

    radiological

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    Establish SimilarExposure Groups

    Define ExposureProfile

    Select/DefineOELs

    Compare:

    Exposure Profileand its

    Uncertainty

    OELand its

    Uncertainty

    Acceptable

    UnacceptableUncertain

    Exposure

    Assessment

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    Similar Exposure Group

    SEGa group of employees

    having:

    the same general exposure profile

    because of the similarity andfrequency of the tasks they perform,

    the similarity of the materials and

    processes with which they work, and the similarity in the way they

    performthe tasks.

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    SEG Concept

    Workforce

    WorkplaceEnvironmentalAgents

    SEG

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    Establishing Exposure Limits

    Occupational Exposure Limits (OELs) Different Sources

    Regulatory OEL

    Authoritative OEL

    Internal OEL

    Working OEL

    Different Endpoints Local, Systemic, Acute, Chronic

    Averaging Time STEL, Ceiling, TWA, Excursion

    Inhalation, Dermal (REACH DNEL)

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    Initial Exposure Rating Inputs

    QUALITATIVEDATA

    QUANTITATIVE

    DATA

    EXPOSURE ASSESSMENT

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    Initial Exposure Assessments

    May use worst-case assumption and

    then compare the overestimate to the

    OEL, which will account for the

    uncertainty May separate out acceptable and

    unacceptable exposures, to focus on

    uncertain exposures

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    Exposure Rating (ER)

    Rating % OEL Description

    4 >100 Poorlycontrolled

    3 50 100 Controlled

    2 10

    50 Wellcontrolled

    1

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    Exposure Assessment

    Exposure assessment is a judgment

    Acceptable health risk

    Uncertain health risk

    Unacceptable health risk

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    SEG Exposure Control Category Follow-up

    ** - Decision statistic = 95thpercentile

    Exposure

    Rating**

    Recommended Follow Up

    / Exposure Control

    0 (

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    Delivering Value

    Risk based prioritization and

    management of IH programs

    Material substitution

    Engineering controls

    Work practice controls

    Personal protective equipment

    Medical surveillance

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    Exposure Assessments

    This is a cyclical process

    Initial assessment is usually

    based more on judgment and

    less on quantitative data

    It may have a higher degree of

    uncertainty

    Note: Spreadsheets are good tools for

    managing Basic Characterization and Initial

    Exposure Assessments!

    Start

    BasicCharacterization

    ExposureAssessment

    Uncertain

    Control

    Reassessment

    Further Information Gathering

    UnacceptableExposure

    AcceptableExposure

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    Make opportunities to verify and refine

    initial exposure assessments

    Each re-evaluation will build upon

    information collected and documented

    in past assessments

    We cant do it all at once, so start the

    process and build on it

    Continuous Improvement

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    Further Information

    References:

    A Strategy for Assessing and

    Managing Occupational

    Exposures, 3rdedition, AIHA

    Press

    AIHA Exposure Assessment

    Strategies Committee

    www.aiha.org

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