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NEBOSH International General Certificate
Element 7
Element 7
Chemical & Biological
Health Hazards and Control
Health Hazards and Control
Learning Outcome
7.1 Outline the forms of, the classification of, and health risks from
exposure to hazardous substances
7.2 Explain the factors to be considered when undertaking an assessment
of the health risks from substances commonly encountered in the
workplace
7.3 Describe the use and limitations of Workplace Exposure Limits
including the purpose of long term and short term exposure limits
74
7.4 Outline control measures that should be used to reduce the risk of ill
ill-
health from exposure to hazardous substances
7.5 Outline the hazards, risks and controls associated with specific agents
76
7.6 Outline the basic requirements related to the safe handling and
storage of waste.
Classification of Health Hazards
1. Physical
2. Chemical
3. Biological
4
4. Ergonomic
Classification of Substances
Irritant Cause irritation
Corrosive Burns skin
Harmful Cause harm
Very Toxic Very Poisonous
Toxic Poisonous
Carcinogenic Cause cancer
Mutagenic
g Cause ggenetic defects
The classifications,
Th l ifi ti physical
h i l fforms and
d examples
l off
chemical hazards are given in the table below:
PHYSICAL
CLASSIFICATION FORMS OF EXAMPLES OF ROUTES OF ENTRY INTO
OF HAZARD CHEMICAL HAZARDS THE BODY
AGENT
Ammonia,
A i chlorine,
hl i
Gases Nose, mouth
carbon dioxide
Welding
g fumes,, exhaust
F
Fumes N
Nose, mouth
th
fumes
PHYSICAL
CLASSIFICATION FORMS OF EXAMPLES OF ROUTES OF ENTRY
OF HAZARD BIOLOGICAL HAZARDS INTO THE BODY
AGENT
INGESTION ABSORPTION
INHALATION INJECTION
Chemical Effect on Person
Local effects - Occur at the area of contact with the
body. Example injuries from acid burns on skin.
Systemic effects - Occur after the chemical has been
absorbed and distributed from the entry point to other
parts of the body affecting the central nervous system
and other organs.
Dermatitis
Removall off natural
R t l oils
il ffrom skin
ki which
hi h causes
reddening, soreness, cracking and bleeding of
exposed
p skin. Usually y occurs to arms and hands
Causative Agents:
Solvents, Detergents,
Mineral oils, Diesel fuel,
Cement, Dusts,
Measures to Prevent Dermatitis
Clean working environment
Wearing PPE such as gloves, face shields, coveralls
Using barrier cream
Substitution/change process to reduce and prevent
exposure
Pre-employment screening for sensitive or susceptible
individuals
Good skin hygiene principles - Use soap and disinfectant
T
Target
t Organs
O
Lungs, liver, brain, skin, bladder, and eyes.
Skin Defences
• Sebum – natural body oil
• Sensory nerves – alerts body to temperature
• Melanin – Pigment cells tan on exposure to sunlight
• Blisters, rashes, inflammation
Body’s Defences
Cellular Mechanisms (Injection)
Scavenging Action – white blood cells
Prevention of excessive blood loss – blood clotting
Repair of damaged tissues – scar tissues
The Lymphatic system – drainage system
Other Defences
Tears and blinking of the eyes
Pain
H
Hormones e.g. adrenalin
d li
Occupational Exposure Limits (OEL)
Definition: The maximum concentration of an airborne substance
averaged over a reference period to which an employee may be
exposed by inhalation.
• Th h ld Limit
Threshold Li i V
Values
l (TLV) USA
• Indicative Limit Values (ILV) Europe
• Workplace Exposure Limits (WEL) UK
PERIODS
– LONG TERM- 8 Hours TWA (time weighted average)
– SHORT TERM-15 Mins TWA.
Limitations on Exposure Limits
Work rate could cause more air to be inhaled.
Chemicals can enter the body by routes other than
inhalation, e.g. Skin absorption,
The airborne concentration may not be fully
indicative of the dose received
Inaccurate data
Errors in estimating exposures
Many substances do not have a limit set
What Action to Take if an OEL is Exceeded
Stop the process
Remove employees from area
Make area safe
Investigate cause
Assess existing
g controls
Monitor procedures
Check workers health
Record incident and findings
Biological Hazards
Bacteria – Legionella
g (p
(pneumonia, ppossible death),
) Leptospirosis
p p
(damage kidney & liver, possible death), Salmonella (poisoning,
nausea, vomiting, possible death)
IIsolation
l ti off the
th area
Evacuation of employees
Suitable PPE
Contact with emergency services
p
Safe disposal of spilled
p material
VENTILATION
LOCAL EXHAUST
DILUTION
Local Exhaust Ventilation - Parts
1) Initial appraisal
2) A basic survey
3) A full survey
Factors to Consider for Initial Appraisal
Substances used,, including
gpphysical
y forms and
properties
Processes involved, including points of release
Persons who could be affected
Work practices, including means by which substances
could be released
Whether RPE or other forms of PPE is worn and its
effectiveness or ergonomic concerns
Relevant Occupational Exposure Limits.
B i S
Basic Survey
1) Smoke tube
2) Dust lamp
Stain Tubes
Chemical Stain Detector Tube
(Grab Sampler)
SAMPLING FOR AIRBORNE CONTAMINANTS
Chronic Hazards • Continuous personal dose measurement
• Cont. measurement of background levels
• Selective short term readings of levels
Acute Hazards • Cont. personal rapid monitoring
• Cont. background rapid monitoring
• Selective short term readings of levels
Environmental • Continuous background monitoring
control status
• Selective short term readings of levels.
Full Survey
Two principal methods of longer
term sampling are :
Harm includes:
• Harm to the health of human beings including offence to the senses
• Harm to other living organisms
• Harm to the quality of the environment, including the air, water or land
• Damage to property
Pollution Types
1) Air Pollution
Discharges in the atmosphere
2) Water Pollution
Leakages from storage tanks
3) Land Pollution
Dumping
p g of hazardous wastes
Control of Pollution at the Source
1)) Prevention: p
preventing
gppollution by
y having
gggood systems
y in p
place
B periodically
Be i di ll reviewed
i d and
d revised
i d if necessary
PREVENT
REDUCE
RE-USE
RECOVER
DISPOSE
Segregation of Waste
Waste should be segregated due to the fact that:
((a))Identify
y activities on a construction site that may
y expose
p workers
to cement or material containing cement. (3)
Breaking up of concrete using jack hammer, mixing of cement, brick
laying
y g usingg cement compound.
p
(b) Identify the harmful effects to workers which could result from
contact with cement. (5)
Workers may develop dermatitis, redness of the hands, allergies,
rashes, asthma, silicosis, irritation to the eyes, eye cataract
Question
Identify possible routes of entry of biological organisms into the
body (4)
body.
Inhalation through the mouth and nose, ingestion through the mouth,
injection through skin puncture, absorption through the skin and
mucous membrane of the eye
Outline control measures that could be used to reduce the risk of
infection from biological organisms. (4)
Cleaning / Disinfecting / personal hygiene
Water treatment
Pest control
Procedures for handling, containment & disposal of wastes
Immunisation to build resistance to specific infections
H lth surveillance
Health ill strategies
t t i
Specific training
PPE
Question
(a) Identify THREE forms of biological agents. (3)
Bacteria, virus, fungi
(b) Identify THREE possible routes of entry into the body for a
biological
g agent.
g ((3))
Ingestion thru the mouth, absorption thru the mucous membrane of
the eye, inhalation thru the nose
(a) Identify:
effects
ff off inhalation
i h l i when
h working
ki with
i h solvents.
l
(b) Identify the precautions that could be taken to minimise and reduce
exposure to solvents. (4)
Question
Identify FOUR possible routes of entry of toxic substances into the body. (4)
Ingestion : mouth
Injection : puncture of skin
Inhalation : nose
Absorption : mucus membrane of the eye
Question
(a) Explain the meaning of the term ‘Occupational exposure limit’. (2)
a) Outline personal hygiene controls to reduce the risk of
ingestion of a hazardous substance (4)
9 Prohibition of eating or drinking in areas where hazardous
substance is used.
9 Washing with soap and warm water before meals
9 Good housekeeping, daily cleaning of areas where hazardous
substances are in used or produced
substances are in used or produced.
9 Change out of contaminated clothing and shower prior to meals
Question
(a) Identify the elements of a hierarchy of control to minimise pollution from
waste. (4)
1) P
Prevention:
ti preventing
ti pollution
ll ti b by h
having
i good
d systems
t iin place
l
B) Outline how the human body defends itself against the effects of
airborne dust (6)
Nasal hair
Nasal mucus
Sneezing g
Coughing
Saliva
Eyes watering, ciliary escalator
Outline using practical examples, the control measures that should be
implemented to reduce levels of dusts in a workplace. (10)
Eliminate
Eli i t att source – Example
E l purchase
h ready
d mixed
i d cementt
Substitute – Example instead of using powder detergent, use pellets
Change process - Example, arrange for flour to be deposited directly
into the hopper to minimise handling.
handling
Use liquid process – Example instead of using powder detergent, use
liquid detergent
Enclose the complete process – Example by using a dedicated
enclosed room for timber machining
Ventilation – Example using local exhaust ventilation to extract dust
Control byy suppression
pp – Example
p usingg water to damp p down dust
Housekeeping – Example daily vacuuming of the workplace
Maintenance – Example ensure all the filters of the machine, local
exhaust ventilation, vacuum cleaners are maintained and clean
Identify the information that should be included on a material
y
safety data sheet provided with a hazardous substance. (10)
Manufacturers Safetyy Data Sheet
Identification of substance/preparation
The manufacturer/supplier
pp
Composition/information on ingredients
Hazard identification
Health effects
First Aid measures
Fire fighting measures
Accidental release measures
H dli and
Handling d storage
t
Exposure controls
M
Manufacturers
f t Safety
S f t Data
D t Sheet
Sh t