managing health in construction – what good looks like
TRANSCRIPT
![Page 1: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/1.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
Managing Health in Construction – What Good Looks Like
Mike Slater
Diamond Environmental Ltd.
BOHS Immediate Past President 2015/16
![Page 2: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/2.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
![Page 3: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/3.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
This worker is exposed to dust containing silica that presents a serious risk to his health
Workers regularly exposed to silica containing dust can develop serious lung diseases
• Silicosis• Lung cancer• Chronic Obstructive Respiratory Disease (COPD)
Construction workers have a high risk of developing these diseases because many common construction tasks can create high dust levels.
![Page 4: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/4.jpg)
How many construction workers died last year due to their exposure to silica dust?
a) 25
b) 100
c) 500
d) 5000
![Page 5: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/5.jpg)
How many construction workers died last year due to their exposure to silica dust?
a) 25
b) 100
c) 500
d) 5000
![Page 6: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/6.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
Over 500 workers believed to die from exposure to silica dust every year
![Page 7: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/7.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
About 5 500 new occupational cancer cases in construction every year
![Page 8: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/8.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
76 000 cases of work-related ill health
![Page 9: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/9.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
![Page 10: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/10.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
WellbeingHealth
SurveillanceRisk Prevention
& Control
![Page 11: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/11.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
WellbeingHealth
Surveillance
Some employers in the construction industry are now starting to pay attention to occupational health but think it is about wellbeing and health surveillance
![Page 12: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/12.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
WellbeingHealth
SurveillanceRisk Prevention
& Control
But effective risk prevention and control is the key to protecting the health of construction workers
![Page 13: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/13.jpg)
Recognise Evaluate Control
Occupational Hygiene
Occupational hygiene is the science and practice of achieving just that – a healthy working environment
![Page 14: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/14.jpg)
Recognise Evaluate Control
Occupational Hygiene
Recognising that there’s a potential problem and evaluating the degree of risk are the first steps in this. They help to establish priorities
![Page 15: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/15.jpg)
Recognise Evaluate Control
Occupational Hygiene
But they’re a means to an end – the end being effective control of the agents and other factors that create the risk
![Page 16: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/16.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
Prevention
Engineering
Work practices
PPE
There are many different measures that can be implemented. Some are more effective than others.
This is the basis of the “hierarchy of control”
![Page 17: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/17.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
![Page 18: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/18.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
The Breathe freely initiative has been launched by BOHS in conjunction with our partner organisations to raise awareness of the issues
![Page 19: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/19.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
Many materials used in the construction industry contain crystalline silica
Regular exposure to high levels of dust containing respirable crystalline silica can cause silicosis and lung cancer
![Page 20: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/20.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
![Page 21: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/21.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
![Page 22: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/22.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
But the health risks can be prevented or minimised by the use of some readily available controls
![Page 23: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/23.jpg)
![Page 24: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/24.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
Dust suppression using water
![Page 25: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/25.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
Source: http://www.hse.gov.uk/copd/casestudies/wetcut.htm
![Page 26: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/26.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
Laboratory tests showed water suppression reduced dust levels by up to 99%
Measurements of the E€ectiveness of Dust Control onCut-o€ Saws Used in the Construction IndustryA. THORPE et al. Ann Occup Hyg Vol. 43, No. 7, pp. 443±456, 1999
![Page 27: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/27.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
On-tool extraction
![Page 28: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/28.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
On-tool extraction
![Page 29: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/29.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
Respirable Crystalline Silica concentrations were reduced by on-tool shrouds by … 99%
An Evaluation of On-Tool Shrouds for Controlling Respirable Crystalline Silica in Restoration Stone WorkCatherine B. Healy et al. Ann Occup Hyg
2014;58:1155-1167
![Page 30: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/30.jpg)
A secondary water flow provided a fan-shaped water curtain sprayed normal to the path of the
ejected stone dust.
Jared H. Cooper et al. Ann Occup Hyg 2015;59:122-126
© The Author 2014. Published by Oxford University Press on behalf of the British Occupational
Hygiene Society.
![Page 31: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/31.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
Carpenters and joiners are likely to be exposed to wood dust
![Page 32: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/32.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
All types of wood dust can cause occupational asthma
Exposure to many hard wood dusts is also associated with nasal cancer
![Page 33: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/33.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
On-tool extraction is a practical solution on construction sites
![Page 34: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/34.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
![Page 35: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/35.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
Sweeping – can lead to high dust exposures
![Page 36: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/36.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
Use portable vacuums instead
![Page 37: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/37.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
![Page 38: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/38.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
But make sure they are Type H or Type M units to stop dust escaping through the filter
![Page 39: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/39.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
Working with cement can lead to dermatitis and other skin problems
![Page 40: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/40.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
Using simple tools can minimise skin contact
![Page 41: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/41.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
Hand held drills lead to exposure to noise and vibration
![Page 42: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/42.jpg)
Here’s one solution
![Page 43: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/43.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
The Barbican in London – “Brutalist” architecture with lots of concrete
![Page 44: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/44.jpg)
The rough surface was created manually
![Page 45: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/45.jpg)
Using tools such as..
![Page 46: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/46.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
Bush Hammers
![Page 47: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/47.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
that would have created a lot of dust
![Page 48: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/48.jpg)
Designers need to consider health risks to workers
![Page 49: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/49.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
BOHS is working on guidance for designers –prevent health risks by design and working methods
![Page 50: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/50.jpg)
Crossrail have taken an integrated approach to health risk management
![Page 51: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/51.jpg)
This case study is featured on the Breathe Freely website
![Page 52: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/52.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
Crossrail Control Solutions
• Material substitution and process modifications
• Engineering controls
• Administrative controls
• RPE
• Monitoring
![Page 53: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/53.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
![Page 54: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/54.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
What can YOU do?
![Page 55: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/55.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
What can you do?
Become an official
campaign supporter
![Page 56: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/56.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
What can you do?
Help us develop case
studies and good
practice examples
![Page 57: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/57.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
What can you do?
Spread the word
![Page 58: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/58.jpg)
www.breathefreely.org.uk www.bohs.org
Controlling Exposures to
Prevent occupational lung disease
in the construction industry
![Page 59: Managing Health in Construction – What Good Looks Like](https://reader034.vdocuments.us/reader034/viewer/2022051709/587497691a28abfc5f8b4aab/html5/thumbnails/59.jpg)
Join us and be part of the solution
www.breathefreely.org.uk