Industrial Hygiene in Construction

Honestly, I did not think lead exposure to adults (and even kids in small amounts) was an issue. Mainly because:

• OSHA has good (protective) rules on lead in construction (updated in 1993) and they mimic the ACGIH TLVs.
• We all have lead in our blood. (…and I seem to be doing fine)
• We are doing better as a society. For example: no more* leaded gasoline.

But, one technical session last year at a conference changed my mind. We have a long ways to go.

The point: low levels of lead may have significant health consequences. And, if you have lead (Pb) in your body–it is from a source.

If I haven’t convinced you, the CDC is also considering ANOTHER reduction in childhood blood lead levels. In 2012 they reduced the advisory blood lead levels (in children) to 5 ug/dl. Later this month (Jan 17, 2017) they are meeting to consider reducing this level to 3.5 ug/dl! Whether of not they reduce it, the fact they are considering it should further our attention.

And, if you think this just applies to industries with heavy lead, think again. It has A LOT to do with construction.

“Construction Program researchers and the New Jersey Department of Health and Senior Services (DHSS) conducted a surveillance study in 1993 and 1994 involving the voluntary participation of 46 construction workers’ families. BLL (blood lead level) testing of young children indicated that the workers’ children, particularly those under age six, were at greater risk of having elevated BLLs (≥ 10 µg/dL) than children in the general population”

We (you) must pinpoint the source of your lead exposure. And, it may not be obvious. Since lead exposure can occur from airborne levels and by ingestion, the sources of lead exposure can vary widely.

For example, in Flint, Michigan they changed water sources to a more natural one. But, *spoiler alert*, the water had more salt – which was corrosive – which leached higher levels of lead from the pipes. Other sources can include: kids toys, jewelry, fishing weights, battery recycling, glass manufacturing, etc. (the picture of the above light pole looks like galvanized metal, but actually contained 45% leaded paint!)

What to do…

• Train and make people aware of the issue (free video that we produced! 1:31)
• Blame someone. Just kidding. Find the source of your lead exposure.
• Before starting a project, know where the lead paint is, and the activities you plan on performing.
• Get your blood tested for lead levels
• Wear the proper PPE and ESPECIALLY have good hygiene
• Perform air monitoring (and probably wipe sampling) to verify lead is not escaping from project.

At this point, the OSHA silica rules are forthcoming, what should you be doing to prepare?

• Read the OSHA Small Entity Guide. Initially it is daunting – 103 pages, but much of it is specific to tasks from Table 1 and the full rules are within it, as well. Plus, they have pictures!
• Identify tasks which could have silica exposures 
• Train employees, identify your “competent person(s)” – my suggestion is: Superintendents/Project Managers
  • Warn those on your projects: NO VISIBLE DUST on any tasks (cutting, finishing, dry sweeping, etc.)
• Document activities with airborne silica exposures below 25 ug/m3
• Identify possible solutions for overexposures
  • Verify airborne levels with personal air sampling
• Start a process to log the number of days with (any) exposure – >30 is inclusion into medical
• Find a medical provider that can have medical screen performed & with a B reader

*Thanks Andrew for the photos*

I was recently forwarded an article on a gentleman who won a large sum of money ($8.75 million) for an asbestos related disease. There are many people getting these types of settlements for similar exposures.

However, what is interesting, is the attorneys argued the company knew about asbestos in 1965, but the exposure occurred in the 1970’s. Keep in mind, the asbestos rules at OSHA didn’t come out until the 1970s as well. So, exposure occurred before the regulations were in effect.

So, they knew of the airborne hazard, but continued to exposure workers before there was a rule. Does this sound like any modern day issue?   –hint– silica?!

Nowadays with the public being uber-aware of “potential” airborne hazards (mold?), with information so readily available, with OSHA rules outdated (annotated Z1 tables), and others publishing health standards like ACGIH,….the lesson is: protect your employees.

I don’t think we should be arguing about the OSHA rules. Let’s use available information and science. “More Than Just A Number” (article published by AIHA, May 24, 2016).

Exciting news! In just a few months we will be releasing free training materials!

In summary: I applied (and obtained) a grant through OSHA to produce training materials for the four major health hazards in construction. We are titling it, “Focus 4 Health Hazards for Construction”.  (similar to the Focus 4 Susan Harwood training materials available at OSHA)

Indented audience is for younger construction workers in hazard recognition of, 1. silica, 2. noise, 3. asbestos and 4. lead (pb) in construction. A short video (1-4 minutes) for each subject gives an introduction to the hazard. And, to follow up a training power point presentation (and short summary) will also be available to further instruct people in how to control and protect themselves.

On a personal level…it has been exhausting, and I’ve learned a lot!  From obtaining the grant, to hiring a videographer, filming, securing filming sites, and quarterly reports…. exhausting.  But, I’m confident you (and others) will enjoy it. Subscribe (via email) to keep updated. You can also follow me on instagram: “adventuresInIH”. (link coming)

Sound Level Readings Apps

You’ve probably already seen the sound level apps available on various models of phones and devices. Overall, I’d say they are, “OK“. I would say they’re, “great“, but since I am in a technical field, they actually aren’t that accurate when you figure the amount of error. However, when I consider who might use these: people in the field, I actually think they are, “AWESOME“. It provides an excellent educational tool and a relative-guess as to the noise levels in field conditions. A reading of 95 dBA on your smartphone app, even if it is “inaccurate” isn’t going to be that far off from my certified and calibrated Class II sound level meter. In other words, it will get you close-enough information.

Audiometric Testing Apps

BUT, have you seen the new hearing audiometric testing apps?!  I’m not too sure about these yet. Check out safety awakenings review of these new apps. These are only available on i-devices (ipad, iphone), but their price is worth a look (free & $2.99). The major downside is that these are NOT OSHA approved, so I suppose you would use it as a screening device.  And, in some US states, you must go through specific training to be able to administer the test.

However, there is an “OSHA approved” (I’ve been told, verify yourself please) ipad self-administered audiometric test called, ShoeBox Audiometry, from Canada. They claim their earphones are Class II devices, but you must send these in yearly for recalibration. The portability of this device would be a huge benefit.

Remember to research these on your own before making a decision. Anyone plan on buying audiometric testing equipment for their employees? Or using them now? I’d love to hear your comments.

Old School Portable:

I have given many safety training presentations (as you have, I’m sure). If you are lucky, the owner/president of the company will have a few words to say to the group.  I am sometimes amazed at what they say (or don’t say). Below are my tips and suggestions.

What to say:

• Thank the employees for working and the contribution they make
• We take your health & safety VERY seriously
• Look out for your own safety, AND the safety of others
• Thank your company safety director/coordinator/consultant
• • Support them and listen to them
  • Do what they ask you to do and pass it along to others
• We want our employees to:
  • Go home to your friends & family
  • Enjoy your life – injury free. Now, and in the future.

What NOT to say:

• We spend a lot of  money on safety
  • “Bob got his hand cut, and it cost us $1,200”
  • “We had to pay $1,200 in OSHA citations”
• “Don’t be stupid”  (thereby implying that accidents are generated from stupid people)
• Our insurance costs are high because you are getting hurt.
• I will give you ____ if you don’t get hurt (thereby encouraging under-reporting of injuries)

Sorry for the delay in writing. I have had some personal and professional projects taking a lot of my spare time. I have been preparing to present at a couple local conferences on Industrial Hygiene in Construction. It is a good exercise for me to ponder what I should say to these audiences. Here are some takeaways:

Silica:

My latest guess (subject to change, by even tomorrow) is the Federal OSHA rule for silica will be enacted.

“Why”, you say? …well:

• Current administration would love to push it through
• Yes. It’s still an issue in the construction world. Have you driven by a construction site lately?
• Federal OSHA is also talking about updating the PELs…and this one (silica) is an easy one
• When?  No idea.

Falls in Construction:

This one is huge. In a bad way. If you look at what kills the most in construction, it’s falls (inclusive of scaffolding, ladders, fall protection, etc.) They cost a lot too. Not just in the number of people killed, but the claims & recovery cost are high. And, near misses in construction are VERY common. For example, just two weeks ago: An 18 year old roofer apprentice was working on a roof.  He stepped onto a piece of drywall and would have fallen to a concrete slab 25 feet below. Luckily someone had moved a piece of equipment directly under where he fell. He only fell four feet and had no injuries.

Hierarchy of Controls:

Is anyone working with these anymore? Just kidding, sort of. But, we can do a better job in construction of:

1. Engineering Controls first. Can we eliminate this hazard? Has anyone asked to substitute this product for a safer one?
2. Administrative Controls second. There are ways and methods which we do things in construction. These are usually passed down from journeyman to apprentice. Overall, this is awesome. For example, we need to rethink why we place the rebar on the ground? Can we use saw horses? Better material handling would save a lot of injuries.
3. PPE third. And as a last resort.

Personal Protective Equipment:

Oh boy. There is a lot of room for improvement here. The wrong equipment, worn incorrectly, not used enough, and damaged. I don’t have the answer for this, except we should create and encourage the best safety culture possible.  I think this helps construction to take pride in their work, and their (and their friend’s) safety.

Here’s my top 5 gifts for Christmas in the (my) occupational hygiene world of construction:

1. A new carbon monoxide monitor.
   • Not just a “normal” $40 model. A Nest Protect Fire & Carbon Monoxide monitor, which is in the $100 range. This thing is sweet. Talks to you, sends you a text message. Here’s a review from Cool Tools. Or, just buy it here.
2. High flow air pump, Gast model.
   • I have some other flow rate pumps up to 5 liters per minute (LPM), but this one is great for flow rates 10-up to 28 LPM (depending on the model). Good for high volume area type samples and vacuum wipe sampling. You must have 110 power available, but once calibrated, it’s a done-deal. They can be bought for under $250. Grab a rotometer too, if you don’t have one.
3. Wireless response system to use during training.
   • Attendees have a wireless response keypad and the trainer can ask a multiple choice question. It allows the audience to reply. The results then show up on the screen. Great for anonymous responses, or a general overview from your audience. There are several vendors, here’s an example, and the leader in the industry is Turning Point. I think these are in the $500-$1,000 range.
4. A bulk asbestos example kit.
   • A bunch of “typical” building materials which are asbestos containing. In sealed glass jars, of course. I don’t know where you’d buy this sort of thing. I wish I would have kept all of my samples over the years.
5. A dedicated short term silica sampling kit.
   • SKC has a new sampler which can sample at a higher flow rate  of 8 LPM, compared with the usual 2.5, or 1.8 LPM. (which, if you think through the math; allows you to achieve a detection limit with a lower sample volume, and a shorter time duration) Unfortunately, you must purchase a new SKC Leland pump/charger, PPI sampler, calibration junk. Total cost is probably in the $2,000 range.

I regret I don’t have the energy to post every question and situation on this site.

However, occasionally there are very unique questions. I won’t say how I answered them, but I will offer some considerations. Here’s are my two favorites from the recent past:

1. My construction crew is working on a “special TI (tenant improvement)”, alongside an elephant who has Turberculosis (TB). What personal protective equipment (PPE) do my workers need to wear?
   • Is the TB active
   • Does TB transfer from people to animal, and/or vice versa
   • How much contact (distance, time, amount of touching, etc) will the workers have with animal?
   • Will you offer prophylactic shots? (to the employees, of course)

1. We are going to be excavating the carcasses of dead sheep. What type of PPE will my excavator operators need to wear while performing these tasks?
   • How large of an area (2-3 football fields)
   • How long have the carcasses been in this area
   • Any additives to the soil/area
   • Will workers be in contact with dead animals?
   • Will workers need to enter the excavation?
   • Will you use a multigas meter (4 gas)?

I’d love to hear your best (or worst) questions.

It is officially summer and construction road crews & roofing is in full swing. Some projects require the use and application of coal tar pitch. Not only is it stinky, it is is hazardous.

Here’s some info:

• Uses
  • Roofing
  • Asphalt seal coating
  • Pharmaceutical treatment for psoriasis (scalp/skin condition)
  • Graphite industry (in the production of graphite)
• General
  • Coal tar pitch is actually a make-up of a bunch of different substances (maybe even 10,000 of them)
  • Contains lots of polycyclic aromatic hydrocarbons (PAHs) and other chemicals including: benzene, pyrene, benzo(a)pyrene, phenanthrene, anthracene
• Exposure
  • can be exposed by inhalation, ingestion (is this likely?), or exposure to skin, eyes
  • considered a carcinogen if the product contains more than 5% of coal tar
  • cancers include: skin, scrotal, lungs, bladder, kidney & digestive
  • increases your sensitivity to sunlight (easier to sunburn)
• Safety
  • Pick a sealant/coating that does not contain coal tar. A list of some can be found here.
  • Avoid inhalation & skin/eye contact
  • Train your employees. A sample safety SDS (MSDS) can be found here.
  • Wear the correct PPE.
  • Air sample to determine exposures. OSHA has a method (58).
• Resources
  • OSHA Coal Tar Pitch Volatiles
  • CDC Coal Tar Pitch Volatiles