osha hawai`i workshop 05/20/2009 1 hiosh’s most frequently cited health conditions tin chao,...

OSHA Hawai`i Workshop 05/20/2009 1

HIOSH’sHIOSH’sMost Frequently Most Frequently

Cited Health Cited Health ConditionsConditions

Tin Chao, ManagerTin Chao, Manager

Occupational Health BranchOccupational Health Branch


Most Frequently Cited Most Frequently Cited Occupational Health Occupational Health CitationsCitations

Respiratory Protection - §1910.134Respiratory Protection - §1910.134

Hazard Communication - §1910.1200Hazard Communication - §1910.1200

Asbestos in Construction - Asbestos in Construction - §1926.1101§1926.1101

Bloodborne Pathogens - §1910.1030Bloodborne Pathogens - §1910.1030


Respiratory Protection Respiratory Protection

§1910.134 §1910.134 (Respiratory (Respiratory protection protection program) is program) is thethe

#1#1 most most frequently cited frequently cited standard standard


Respirators: Respirators: Top 3 Cited ItemsTop 3 Cited Items

No written No written RESPIRATORY PROTECTION RESPIRATORY PROTECTION PROGRAMPROGRAM

Employees not provided Employees not provided MEDICAL MEDICAL EVALUATIONEVALUATION

FIT TESTING FIT TESTING not performed annuallynot performed annually


Written Program Written Program

Responsible Responsible Person:Person:– Program Program

AdministratorAdministrator– NameName– Duties Duties


Written ProgramWritten Program

How respirators were selectedHow respirators were selected Medical Evaluations – what Medical Evaluations – what

employees, how often and where employees, how often and where do they godo they go

Fit Testing proceduresFit Testing procedures Procedures for proper use – Procedures for proper use –

routine and emergencyroutine and emergency


Written Program Written Program (cont.)(cont.) Respirator Maintenance Respirator Maintenance Training on the hazards for which Training on the hazards for which

respirator use is necessaryrespirator use is necessary Employee training on use and Employee training on use and

carecare Procedures for program Procedures for program

evaluationevaluation


RespiratorRespiratorMedical EvaluationsMedical Evaluations

Medical evaluation Medical evaluation on whether on whether employee can:employee can:

1.1. Safely Safely useuse the the respirator; and respirator; and

2.2. Safely Safely performperform the work. the work.


Respirator:Respirator:Medical EvaluationMedical Evaluation When:When: BEFORE assignment BEFORE assignment

requiring use of respiratorsrequiring use of respirators Required for ALL employees Required for ALL employees

where employer has determined where employer has determined respirator use is REQUIREDrespirator use is REQUIRED

How often: As often as health How often: As often as health care provider determines is care provider determines is necessarynecessary


WHO PAYS?WHO PAYS?ANSWER:ANSWER: EMPLOYER EMPLOYER

Pays for:Pays for:– RespiratorRespirator– Medical EvaluationMedical Evaluation– Fit TestingFit Testing– Cleaning and MaintenanceCleaning and Maintenance– TrainingTraining– Time to do these things – on work Time to do these things – on work

time!time!


Respirator Fit TestingRespirator Fit Testing

Before Doing Before Doing Work requiring Work requiring respiratorsrespirators

When conditions When conditions changechange

At least At least annuallyannually

Even Disposables Need to be Fit-Tested!


ResourcesResources

HIOSH Consultation & TrainingHIOSH Consultation & Training– 586-9135586-9135– http://hawaii.gov/labor/hiosh/hiosh-http://hawaii.gov/labor/hiosh/hiosh-

links-2/consultation.shtmllinks-2/consultation.shtml OSHA websiteOSHA website

– www.osha.govwww.osha.gov


More ResourcesMore Resources

OSHA E-toolsOSHA E-tools– http://www.osha.gov/SLTC/etools/http://www.osha.gov/SLTC/etools/

respiratory/index.htmlrespiratory/index.html Interpretation LettersInterpretation Letters

– http://www.osha.gov/pls/oshaweb/http://www.osha.gov/pls/oshaweb/owares.do_searchowares.do_search


E-ToolE-Tool


Interpretation LettersInterpretation Letters


Respiratory Protection


Respirator Use


Would you use this Would you use this respirator ?respirator ?


Contaminated Respirator &Contaminated Respirator &Ear muffEar muff


Hazard Communication Hazard Communication StandardStandard

HIOSH: §12-203.1HIOSH: §12-203.1

§29 CFR §29 CFR 1910.12001910.1200


HazCom: HazCom: Top 3 Cited ItemsTop 3 Cited Items No No PROGRAMPROGRAM Employees not Employees not TRAINEDTRAINED Missing Material Safety Data Missing Material Safety Data

Sheets (Sheets (MSDSMSDS))


HazCom ProgramHazCom Program

In In WRITINGWRITING HOWHOW company will comply with company will comply with

HazCom StandardHazCom Standard– LabelsLabels– MSDSMSDS– TrainingTraining– WhoWho is responsible is responsible


HazCom Program HazCom Program (cont.)(cont.) LISTLIST of Hazardous Chemicals of Hazardous Chemicals How employees will be informed How employees will be informed

of hazards of of hazards of NON-ROUTINENON-ROUTINE tasks tasks


HazCom ResourcesHazCom Resources

OSHA – TopicsOSHA – Topics– http://www.osha.gov/SLTC/http://www.osha.gov/SLTC/

hazardcommunications/index.htmlhazardcommunications/index.html InterpretationsInterpretations

– http://www.osha.gov/pls/oshaweb/http://www.osha.gov/pls/oshaweb/owares.do_searchowares.do_search


Hazard Communication


Asbestos in Asbestos in ConstructionConstruction


§1926.1101§1926.1101

Applies to:Applies to:– DemolitionDemolition– Construction/alteration/repairConstruction/alteration/repair– Accidental Release and Clean-Up Accidental Release and Clean-Up

““Presumed Asbestos Containing Presumed Asbestos Containing Material”Material”– Buildings built before 1980Buildings built before 1980


Asbestos:Asbestos:Top 3 cited itemsTop 3 cited items No No Exposure Assessment Exposure Assessment – –

– No monitoringNo monitoring No or inadequate Personal No or inadequate Personal

Protective Equipment (Protective Equipment (PPEPPE) ) No or Inadequate Employee No or Inadequate Employee

TRAININGTRAINING


Hazard AssessmentHazard Assessment

Presumed Asbestos Containing Presumed Asbestos Containing Material (Material (PACMPACM))

For buildings before 1980:For buildings before 1980:

Unless you can prove it’s Unless you can prove it’s NOTNOT asbestos – IT IS!asbestos – IT IS!

Take Samples – Approved Take Samples – Approved LaboratoryLaboratory

Monitor Employee ExposureMonitor Employee Exposure


Personal Protective Personal Protective Equipment (PPE)Equipment (PPE) Depends on Depends on Class Class of Work being of Work being

performedperformed– READREAD and and UNDERSTAND UNDERSTAND StandardStandard– If no assessment – presumed worst If no assessment – presumed worst

casecase– May need Self Contained Breathing May need Self Contained Breathing

Apparatus and “Moon” Suit until you Apparatus and “Moon” Suit until you can show not needed. can show not needed.


Removal of Insulation:Removal of Insulation:Class I WorkClass I Work


Employee TrainingEmployee Training

Prior Prior to Work to Work involving asbestosinvolving asbestos

At least At least annuallyannually thereafterthereafter

HazardsHazards of of Asbestos and of Asbestos and of smokingsmoking

Protective Protective MeasuresMeasures


OSHA Safety & Health OSHA Safety & Health Topics: AsbestosTopics: Asbestos


Asbestos in Asbestos in ConstructionConstruction


Bloodborne PathogensBloodborne Pathogens§1910.1030


Bloodborne Bloodborne Pathogens:Pathogens:Top 3 Cited ItemsTop 3 Cited Items EXPOSURE CONTROL PLANEXPOSURE CONTROL PLAN

– Lack of or inadequateLack of or inadequate Inadequate Employee Inadequate Employee TRAININGTRAINING Deficient Deficient Post Exposure Follow-UpPost Exposure Follow-Up


Exposure Control PlanExposure Control Plan

ListList of all job classifications of all job classifications with occupational exposure with occupational exposure to blood or bodily fluidsto blood or bodily fluids

HowHow company will comply company will comply Reviewed and updated at Reviewed and updated at

least least ANNUALLYANNUALLY Hawaii Standard applies to Hawaii Standard applies to

CONSTRUCTIONCONSTRUCTION too too

Exposur

e Control

Plan


Employee TrainingEmployee Training

InitialInitial At least At least AnnuallyAnnually Opportunity for Opportunity for

INTERACTIVE INTERACTIVE Q&AQ&A

Watching a video Watching a video is NOT good is NOT good enough!enough!


Post-Exposure Follow-Post-Exposure Follow-UpUp Confidential Medical Confidential Medical

EvaluationEvaluation How incident occurredHow incident occurred Source person’s Source person’s

consentconsent Post-exposure Post-exposure

prophylaxisprophylaxis CounselingCounseling


Hepatitis B vaccinationHepatitis B vaccination Antibody Testing (post vaccination) Antibody Testing (post vaccination)

must be performed within 1-2 must be performed within 1-2 months of last shotmonths of last shot

For employees “at high risk for For employees “at high risk for continued percutaneous or continued percutaneous or

mucosal mucosal exposure to blood or exposure to blood or body fluids”body fluids”

Reason: Reason: Determine immunity or Determine immunity or non-responsenon-response

Source: CDC and OSHA Source: CDC and OSHA (must follow CDC) (must follow CDC)


ResourcesResources

HIOSH Consultation & TrainingHIOSH Consultation & Training– 586-9135586-9135– http://hawaii.gov/labor/hiosh/hiosh-http://hawaii.gov/labor/hiosh/hiosh-

links-2/consultation.shtmllinks-2/consultation.shtml OSHA websiteOSHA website

– www.osha.govwww.osha.gov


OSHA Safety & Health OSHA Safety & Health TopicsTopics


CONSULTATIONSCONSULTATIONS

By Request OnlyBy Request Only Priority to Small, High-Hazard Priority to Small, High-Hazard

EmployersEmployers ConfidentialConfidential FREEFREE NO Citations/PenaltiesNO Citations/Penalties

Call Call 586-9135586-9135

osha hawai`i workshop 05/20/2009 1 hiosh’s most frequently cited health conditions tin chao,...

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