osha hawai`i workshop 05/20/2009 1 hiosh’s most frequently cited health conditions tin chao,...
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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
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OSHA Hawai`i Workshop 05/20/2009 2
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
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OSHA Hawai`i Workshop 05/20/2009 3
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
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OSHA Hawai`i Workshop 05/20/2009 4
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
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OSHA Hawai`i Workshop 05/20/2009 5
Written Program Written Program
Responsible Responsible Person:Person:– Program Program
AdministratorAdministrator– NameName– Duties Duties
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OSHA Hawai`i Workshop 05/20/2009 6
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
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OSHA Hawai`i Workshop 05/20/2009 7
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
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OSHA Hawai`i Workshop 05/20/2009 8
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.
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OSHA Hawai`i Workshop 05/20/2009 9
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
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OSHA Hawai`i Workshop 05/20/2009 10
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!
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OSHA Hawai`i Workshop 05/20/2009 11
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!
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OSHA Hawai`i Workshop 05/20/2009 12
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
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OSHA Hawai`i Workshop 05/20/2009 13
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
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OSHA Hawai`i Workshop 05/20/2009 14
E-ToolE-Tool
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OSHA Hawai`i Workshop 05/20/2009 15
Interpretation LettersInterpretation Letters
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OSHA Hawai`i Workshop 05/20/2009 16
Respiratory Protection
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OSHA Hawai`i Workshop 05/20/2009 17
Respirator Use
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OSHA Hawai`i Workshop 05/20/2009 18
Would you use this Would you use this respirator ?respirator ?
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OSHA Hawai`i Workshop 05/20/2009 19
Contaminated Respirator &Contaminated Respirator &Ear muffEar muff
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OSHA Hawai`i Workshop 05/20/2009 20
Hazard Communication Hazard Communication StandardStandard
HIOSH: §12-203.1HIOSH: §12-203.1
§29 CFR §29 CFR 1910.12001910.1200
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OSHA Hawai`i Workshop 05/20/2009 21
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))
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OSHA Hawai`i Workshop 05/20/2009 22
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
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OSHA Hawai`i Workshop 05/20/2009 23
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
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OSHA Hawai`i Workshop 05/20/2009 24
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
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OSHA Hawai`i Workshop 05/20/2009 25
Hazard Communication
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OSHA Hawai`i Workshop 05/20/2009 26
Asbestos in Asbestos in ConstructionConstruction
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OSHA Hawai`i Workshop 05/20/2009 27
§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
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OSHA Hawai`i Workshop 05/20/2009 28
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
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OSHA Hawai`i Workshop 05/20/2009 29
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
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OSHA Hawai`i Workshop 05/20/2009 30
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.
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OSHA Hawai`i Workshop 05/20/2009 31
Removal of Insulation:Removal of Insulation:Class I WorkClass I Work
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OSHA Hawai`i Workshop 05/20/2009 32
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
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OSHA Hawai`i Workshop 05/20/2009 33
OSHA Safety & Health OSHA Safety & Health Topics: AsbestosTopics: Asbestos
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OSHA Hawai`i Workshop 05/20/2009 34
Asbestos in Asbestos in ConstructionConstruction
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OSHA Hawai`i Workshop 05/20/2009 35
Bloodborne PathogensBloodborne Pathogens§1910.1030
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OSHA Hawai`i Workshop 05/20/2009 36
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
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OSHA Hawai`i Workshop 05/20/2009 37
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
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OSHA Hawai`i Workshop 05/20/2009 38
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!
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OSHA Hawai`i Workshop 05/20/2009 39
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
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OSHA Hawai`i Workshop 05/20/2009 40
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)
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OSHA Hawai`i Workshop 05/20/2009 41
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
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OSHA Safety & Health OSHA Safety & Health TopicsTopics
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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