Respiratory


Have you every heard of Safety Toolbox Talks?

If you are part of the safety team for your company or organization, this is a free safety resource exchange for safety professional.  The site give you all kinds of information and it is FREE!

From their website, “Safety Toolbox Talks was started in 2007 as a portal for safety professionals to share and exchange free safety topic resources . . . specifically Toolbox Topics, Toolbox Talks and other free safety resources. If you’re like so many companies these days, the daily safety meeting has proven very effective in reminding employees about the importance of safety in their daily tasks.”

Safety Toolbox Talks offers a wide  variety of topic which include:

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Recently I was working on updating our respiratory program, and training that both the employee and supervisor could easily understand and still meet OSHA 1910.134. How fortunate that on February 12, 2011 the DOL came out with a new training video.

The 33-minute video explains the major components of a respiratory protection program including fit-testing, medical evaluations, training, and maintenance. The video also discusses the difference between respirators and surgical masks, and features a segment on common respiratory hazards found in healthcare settings, including airborne infectious agents that cause diseases such as tuberculosis, pandemic influenza, severe acute respiratory syndrome (SARS), chicken pox, and measles.

Demonstrations also show how respirator use helps protect workers from exposure to airborne chemical hazards such as formaldehyde and glutaraldehyde, which are used commonly in hospital laboratories to preserve tissue samples for medical analysis. These toxic substances can cause eye and nasal irritation, headaches, asthma, and other symptoms. Additionally, formaldehyde is a carcinogen and has been linked to nasal and lung cancer, with possible links to brain cancer and leukemia.

“Employers can’t rely on respirators providing the expected protection if they don’t train their workers on how to use them properly,” said Assistant Secretary of Labor for Occupational Safety and Health Dr. David Michaels. “This video is an important training tool that teaches proper respirator use and discusses employers’ responsibilities under OSHA’s respiratory protection standard.”

Intended for both employers and employees, the 33-minute video covers the main components of a respiratory protection program, the difference between respirators and surgical masks, and common respiratory hazards in health care settings – including airborne infectious agents that cause diseases such as tuberculosis, according to an OSHA press release.

OSHA recently solidified leadership for the agency and has provided a clearer picture of the regulatory horizon.

First of all, David Michaels, PhD, MPH, assumed his position as head of OSHA when the Senate confirmed his nomination as assistant secretary of Labor for occupational safety and health. Nominated by President Barack Obama on June 28, the Senate acted on the nomination December 3.

Michaels, an epidemiologist, has been a professor at the George Washington University School of Public Health and Health Services in Washington, DC, and is also the author of Doubt is Their Product: How Industry’s Assault on Science Threatens Your Health.

Agency watchers assumed that any work on new, and perhaps controversial, standards, would await the establishment of a permanent director.

While Michaels as settling in, Secretary of Labor Hilda L. Solis held an online Q&A session Dec. 7 to discuss regulations at the Department of Labor.

Solis announced that OSHA is considering airborne infectious disease protection for healthcare workers and will publish a request for information in the Federal Register in March.

A standard would require healthcare employers to protect workers from tuberculosis, severe acute respiratory syndrome (SARS), and influenza, such as H1N1, on which OSHA recently issued an enforcement directive.

When asked if an airborne infectious disease standard would be modeled after the California version, which took years to achieve consensus among employers, labor and other stakeholders, Solis said the California standard “would certainly be one important piece of information that OSHA will consider in deciding whether to propose or issue a standard.” She would not predict how long it would take to issue a final standard.

Also, Solis confirmed that although OSHA has conducted several inspections, it has not yet issued any citations based on the H1N1 enforcement directive.

In an OSHA-specific session later that day, HealthLeaders Media asked OSHA interim director Jordan Barab, if the absence of airborne infectious disease standard has hampered the agency with regard to its H1N1 educational preparedness and enforcement activities?

“No, it has not hampered us,” said Barab. “While a standard on airborne transmissible diseases would have been preferable, we believe that we are responding to the issues effectively using existing standards and the General Duty Clause.”

On the matter of issuing an industry-wide ergonomics standard, both Solis and Barab reiterated—word-for-word in fact—”At this time, OSHA has no plans for regulatory activity.” Both said that a proposal to reinstate the work-related musculoskeletal disorders column on the OSHA 300 Injury Log was not a prelude to issuing such a standard.

Concerning an industry-specific ergonomic standard, such as one for safe patient handling standard, Barab said,” There are many options that OSHA might consider if the agency decides to pursue rulemaking in this area. Industry specific standards is one option that would be considered.”


David LaHoda, the managing editor of Medical Environment Update and OSHA Watch, has produced healthcare training videos and consulted for medical practices and ambulatory healthcare facilities.

The risk of influenza to healthcare workers is not a new concern, but the ongoing experience with novel influenza A (nH1N1) makes this issue even more urgent. Among the many considerations for the health and well-being of healthcare workers is the question about what types of personal protective equipment (PPE) (respiratory protection, gloves, gowns, eye protection, and other equipment) are needed to protect these frontline workers. PPE needs to be regarded one part of a set of infection control strategies to reduce the potential for infection in healthcare workers. At the request of the Centers for Disease Control and Prevention (CDC) and the Occupational Safety and Health Administration (OSHA) the Institute of Medicine convened the Committee on Respiratory Protection for Healthcare Workers in the Workplace Against Novel H1N1 Influenza A to provide recommendations regarding the necessary respiratory protection for healthcare workers in their workplace against novel H1N1 influenza A.

RESPIRATORY PROTECTION

The committee focused solely on the scientific and empirical evidence regarding the efficacy of various types of personal respiratory protective equipment (e.g., medical masks and respirators). Studies on influenza transmission show that airborne (inhalation) transmission is one of the potential routes of transmission. N95 respirators are documented to filter out 95 to 99 percent of relevant particles and have maximum effectiveness when properly fitted to the face of users. Research results on the filtration and fit of medical masks show wide variation in penetration of aerosol particles and inadequate fit suggesting that the use of medical masks is unlikely to be effective against airborne transmission.

Recommendationation 1: Use Fit -Teste d N95 Respirators espirators

Healthcare workers (including those in non-hospital settings) who are in close contact with individuals with nH1N1 influenza or influenza-like illnesses should use fit-tested N95 respirators or respirators that are demonstrably more effective as one measure in the continuum of safety and infection control efforts to reduce the risk of infection.

• The committee endorses the current CDC guidelines and recommends that these guidelines should be continued until or unless further evidence can be provided to the effect that other forms of protection or other guidelines are equally or more effective.

• Employers should ensure that the use and fit testing of N95 respirators be conducted in accordance with OSHA regulations, and healthcare workers should use the equipment as required by regulations and employer policies.

It is important to note that controversy exists regarding clinical guideline decision making as many factors besides efficacy may affect policy decisions for PPE guidance including economics, equipment supplies, vaccine availability, immunization status, extent of worker compliance, and logistical considerations in the implementation of such guidance. The committee was not charged to address these other issues.

Respirator21.pngOSHA is proposing to add two PortaCount® quantitative fit-testing protocols to its Respiratory Protection Standard (29 CFR 1910.134); the proposed protocols would apply to employers in general industry, shipyard employment, and the construction industry. The first of the two proposed protocols consists of the eight fit-testing exercises described in Part I.A.14 of Appendix A of the Respiratory Protection Standard, except each exercise would last 30 seconds instead of the currently required 60 seconds.\1\ The second proposed protocol would eliminate two of the eight fit-testing exercises, and each of the remaining six exercises would last 40 seconds; in addition, this proposed protocol would increase the current minimum pass-fail fit-testing criterion from a fit factor of 100 to 200 for half masks, and from 500 to 1,000 for full facepieces.

10 Tips To Prevent Mold in the Workplace  Black Mold

To avoid risks to health, OSHA encourages building managers, custodians, and others responsible for building maintenance to learn how to avoid, control and remove mold in buildings. The key to controlling mold is moisture.

Here are 10 tips from OSHA:

1. Repair plumbing leaks and leaks in the building structure as soon as possible.
2. Look for condensation and wet spots. Fix source(s) of moisture incursion problem(s) as soon as possible.
3. Prevent moisture from condensing by increasing surface temperature or reducing the moisture level in the air (humidity). To increase surface temperature, insulate or increase air circulation. To reduce the moisture level in the air, repair leaks, increase ventilation (if outside air is cold and dry), or dehumidify (if outdoor air is warm and humid).
4. Keep HVAC drip pans clean, flowing properly, and unobstructed.
5. Perform regular scheduled building/HVAC inspections and maintenance, including filter changes.
6. Maintain indoor relative humidity below 70% (25 - 60%, if possible).
7. Vent moisture-generating appliances, such as dryers, to the outside where possible and vent cooking areas and bathrooms according to local code requirements.
8. Clean and dry wet or damp spots as soon as possible, but no longer than 48 hours after discovery.
9. Provide adequate drainage around buildings and slope the ground away from building foundations. Follow all local building codes.
10. Pinpoint areas where leaks have occurred, identify the causes, and take preventive action to ensure that they do not reoccur.
OSHA offers more recommendations on how to prevent mold growth, the proper use of personal protective equipment, ways to assess mold or moisture problems, and methods to cleanup damage caused by moisture and mold growth with their guide, Preventing Mold-Related Problems in the Indoor Workplace.

 

Training Class.pngRequirements for employers to train employees exist throughout U.S. OSHA standards. However, some employers and, apparently, some OSHA inspectors, are not aware that training must be conducted in a manner that the employee can understand.

OSHA’s general policy is that if an employee receives job instructions in a language other than English, training and information must also be conveyed in that language. Similarly, says OSHA, if the employee’s vocabulary is limited, the training must account for that limitation. Furthermore, if employees are not literate, telling them to read training materials will not satisfy the employer’s training obligation.

“As a general matter, employers are expected to realize that if they customarily need to communicate work instruction or other workplace information to employees at a certain vocabulary level or in a language other than English, they will also need to provide safety and health training to employees in the same manner,” says OSHA.

OSHA adds that its training provisions contain a variety of specific requirements to ensure that employees are comprehending instruction. For example, standards covering lockout/tagout, respiratory protection, and bloodborne pathogens each require that employers take measures to ascertain the level to which the employee has comprehended the safety provisions.

In its instructions to inspectors, OSHA states, “If a reasonable person would conclude that the employer had not conveyed the training to its employees in a manner they were capable of understanding, then the violation may be cited as serious.”

Under The Big TopThe BIG show is almost here.   The National Safety Council’s Congress & Expo is scheduled for October 15, 16, & 17 in Chicago.  This is the largest Safety & Health expo in the world.  There will be about 140 educational sessions, 32 professional development seminars, and over 800 exhibitors.  Many companies send their safety teams to attend the educational seminars and then have their annual safety meeting afterwards.  It is also a great place to network and look for jobs.  My favorite part has always been the people I have met.  Safety and Health professionals from all over the world.  Click here for a link to the keynote speakers. 

If you have the opportunity, come and check it out, you won’t be sorry.

 

IN an effort to help prevent injuries, illnesses and property damage, the American Society of Safety Engineers (ASSE) offers the following safety tips for businesses to use following a disaster. Although there is no one-size-fits-all program, these tips may help. First, businesses should do a hazard evaluation and assessment performed by a safety professional. Please note the following tips suggested to be done following a catastrophe such as a hurricane:

Structural Security: Have the structural integrity of the building or facility validated by qualified professionals before anyone enters the facility.

Safe Entry: Contact the proper government agencies to get approval to resume occupancy of the building. Do not enter a facility or building unless the proper clearances have been attained.

Cleanup Safety: Implement your cleanup and business resumption processes in a safe and healthful manner. You will accomplish nothing if your employees are injured or killed during the post-disaster phase-in period. Provide training in proper selection and use of personal protective equipment (PPE) for your employees and yourself such as eyewear, gloves and dust masks/respirators for cleaning, and where appropriate in other operations.

Air Quality Assessment: Make sure the atmosphere in the workplace environment is tested for asbestos and other chemical/toxic agents. Air quality is an issue businesses may wish to pay careful attention to when restarting business operations.

Ventilation: Have vents checked to assure that water heaters and gas furnaces are clear and operable. Dust and debris can stop or impede airflow decreasing its quality and healthfulness. Safely start up heating, ventilation and air conditioning (HVAC) systems, which include prior inspection of lines before energizing and pressurizing of the systems. Test your systems now after inspection or have a qualified specialist do so. Blow cold air through HVAC systems first, as opposed to warm air, as it will help prevent the growth of mold in duct systems.

Interior, Exterior Exposures: For interior spaces, ensure no wall or ceiling materials are in danger of falling. If such exposures do exist, the work environment is not ready for occupancy. Check for cracked windows and outside building materials, as these could fall onto pedestrians at any time — now and in the future.

Protection Equipment: For fire and smoke alarms it is important to assure that these have been cleaned and tested before allowing occupancy of the building. If such systems are wired into other systems, ensure that they are still compatible and work in an efficient and effective manner. Thorough inspection of firefighting systems such as sprinkler and chemical equipment functions is a must do item.

Electrical Safety: Have checks made of electrical systems, computer cables and telecommunications’ equipment to ensure that they are still safe and there is no danger of exposure to electricity. Wiring inspections should be conducted from the outside in to ensure all wiring and connections are not in danger of shorting out due to water damage from rain or fire-fighting efforts.

Use Existing Federal Guidelines: Utilize existing start-up guidance materials provided by government agencies such as the Federal Emergency Management Agency (FEMA), http://www.fema.gov, and NIOSH, http://www.cdc.gov/niosh.

Health/Sanitation Issues: The general facility sanitation systems with the facility should be inspected and tested to guard against potential employee exposure to toxic agents. Food sanitation should also be an issue. Any unused foodstuffs should be discarded. If the workspace has a kitchen, inspect oven hoods and other ventilation devices to ensure they are not clogged and are working efficiently.

Office Furniture: Inspect the furniture to ensure it can withstand expected loads and usages. Ensure that binder bins (storage devices screwed or bolted to railing systems on walls and panels) have not become unstable due to water damage or shaking due to explosions. Inspect office equipment to ensure it is level, stable, and cannot tip over.

Lighting: Make sure there are adequate illumination levels for employees. Emergency lighting should be checked to ensure it operates and functions in the correct manner.

Emergency Planning: Ensure that there is a clear path of egress for the emergency evacuation of employees, that the fire extinguishers are still operable and that checks for damage and serviceability are made to see if any fire extinguishers’ facilities were used during the disaster. If damage is found, they should be replaced immediately.

Solid/Hazardous Waste Removal: Broken glass, debris or other materials with cutting edges should be safely gathered and disposed immediately. Ensure that such materials can be disposed of before collection to avoid creating even bigger hazards for both employees and the public. Solid waste disposal will be an issue, especially if hazardous waste is involved. Evaluate waste disposal issues prior to beginning clean-up operations to ensure it can be properly disposed of. ASSE’s free “Hazardous Materials Safety Information Guide” has key info on this and is available by contacting customerservice@asse.org.

Power Checks: If there is no access to electricity on the site, do not use fueled generators or heaters indoors. Ensure that there are no gas and sewer leaks in your facility. You will need to check with your local utilities for information regarding power, gas, water, and sewer usage.

Check Mainframes: If your facility has mainframe computer applications, see that lines and cabling for chiller systems are checked to avoid chemical leak out.

Emergency Procedures: Create a new emergency plan and distribute it to employees as soon as they return to work. In case of emergency, designate a place for employees to gather once out of the building or a phone number they should call following the emergency so that all can be accounted for. Frequently update the emergency contact list of names and phone numbers.

Machine Inspections: Inspect the condition of drain, fill, plumbing and hydraulic lines on processes and machines. It would be prudent to have plumbing lines evaluated and tested in order to detect any hazardous gases.

Surfaces: Make sure flooring surfaces are acceptable and free from possible slips, trips and falls — the second leading cause of on-the-job deaths in the United States. ANSI standard A1264 - protection of floor and wall openings is a good starting point.

 

 For more than a decade now, EPA has joined governments, communities and citizens taking part in National Pollution Prevention Week. Pollution prevention measures can protect the environment before pollution even begins, save energy and natural resources, and leave our homes, schools and workplaces cleaner and safer.

In 2007 National Pollution Prevention Week is September 17-23, and this year’s theme urges us to “Take the Next Step” toward sustainability. How? Well, if you are recycling - great, keep it up. You can also take a few steps that will prevent pollution before it occurs like switching to “ENERGY STAR” light bulbs or joining a car pool. Learn more ideas on how you and your family can prevent pollution and “take the next step” with helpful tips on a variety of topics. If every person made just one change, the impact would be tremendous.

Tips to help you get started with pollution prevention right now!
At Home    

Use less water, less energy, reduce your trash 

At Work    

Commute smarter, green your building, reduce, reuse, recycle

In the Garden    

Spend less energy, resources, money on landscaping

 On the Road

Improve your mileage, use less gas

Why is it so important to reduce the sources of pollution?
Reducing pollution before it ever gets to the environment is one of the most important ways to protect the environment. By reducing our energy and creating less waste, for example, we reduce the need for expensive environmental controls, treatment, disposal - and even cleanup. Pollution prevention has grown from a good idea many years ago to one of the principal ways our country protects the environment. As a result, our land, air and water are cleaner and safer. In the past decade, reductions from pollution prevention have been remarkable, for example, cutting billion pounds of hazardous materials, saving trillions of BTUs of energy, and conserving billions of gallons of water.

Use this Web site to learn more about how pollution prevention is helping to reduce pollution, conserve resources and protect our health and environment. For more information, see EPA’s Pollution Prevention Web site.

Pollution Prevention in Action at EPA
At EPA we too are reducing pollution at our office “home” by reducing our environmental impacts and preventing pollution. Our actions range from seeking sources of alternative energy to recycling and purchasing environmentally friendlier products. EPA is the first federal agency to purchase green power equal to 100 percent of its estimated annual electricity use nationwide. Read more about how EPA is going green.

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