Professional Documents
Culture Documents
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Source: OSHC June 2015
Data on Occupational Illnesses and
Injuries in the Philippines
Type of Disease Number Percent
Total 43,235 100.0
Work-related musculoskeletal diseases 13,296 31.0
Bronchial asthma 8,759 20.0
Infections 6,517 15.0
Essential hypertension 6,152 14.0
Occupational dermatitis 5,965 14.0
Peptic ulcers 4,135 10.0
2007/2008 BLES Integrated Survey (BITS) Non-agricultural establishments employing 20 or more workers
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Occupational Medicine
Is practiced by the Occupational Health Physician:
who has special training in industrial and preventive
medicine
and whose industry professional partners are the:
• occupational health nurses,
• the industrial hygienist and
• the ergonomist.
Part of the major focus is on diseases and health
disorders that are acquired relative to doing a
particular occupation
(examples: silicosis, ergonomic ailments, etc.) 10
Industrial Hygiene
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DEFINITIONS OF TERMS – 4
AIR CONTAMINANTS EFFECTS
Asphyxiants:
– interfere with oxygenation of the tissue and the
affected individual may literally suffocate
Simple – inert gases that dilute or displace
atmospheric oxygen e.g. N2, CO2, argon,
helium, hydrogen
Chemical – prevent the uptake of oxygen by the
blood or interfere with the transporting of
oxygen from the lungs e.g. carbon monoxide,
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hydrogen cyanide, hydrogen sulfide
DEFINITIONS OF TERMS – 5
AIR CONTAMINANTS EFFECTS
Narcotics:
– produce unconsciousness and anesthetics; prevent
the nervous system from doing its normal job
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“Industrial Toxicity”
is the key to
understanding the
effects of chemicals
SV S23
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Toxicology
Science that deals with the poisonous or
toxic properties of substances.
Everyone is exposed on and off the job to
a variety of chemical substances.
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Toxic Effect
Any noxious effect on the body – reversible or
irreversible,
Any chemical that cause tumor, whether
benign or malignant,
Any mutagenic or teratogenic (malformation)
effect or death – as a result of contact with a
substance via the respiratory tract,
skin, eye, mouth or any other route.
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Toxicity
SV
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S25
Hazard
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Contributing Factors to Determine the
Degree of Hazard of a Chemical
Routes of entry Toxicity
Dosage Chemical properties
Physiological state Physical properties
Environmental Warning properties
variables
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Routes of Entry
Inhalation
Ingestion
Dermal contact –
skin or eye absorption
Injection (new addition
due to blood-borne pathogens)
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Action of Toxic Substance
Acute toxicity
– Short-term exposure to a high concentration
with an immediate effect
Chronic toxicity
– Effects manifests over a period of time
SV
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S29
Exposure
The contact between a person/test animal
and a substance such as gases, vapors, dust,
etc.
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Factors Affecting Exposure
• Concentration
• Duration of Exposure
• Route of Entry
• Individual
Susceptibility
SV S31
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Factors Affecting Human
Susceptibility
Age
Sex
General health
Genetic variability
Anatomic variability
Nutrition
Previous exposure
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Classification of Toxic Effects
Local
– When a certain chemical harms only the part
of the body it comes in contact with.
(Ex: acid burns on skin)
Systemic
– When a certain chemical harms other related
organs operating as a system. (Ex: Carbon
Monoxide – affects the blood and the CNS.)
VSV S34
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Specific Organ Toxicity
Skin
Liver
Respiratory tract
Nervous system
Kidneys
Blood
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B. PHYSICAL HAZARDS
B.1 Noise
B.2 Temperature Extremes
B.3 Vibration
B.4 Radiation
Note: Other physical hazards per OHSAS 1800:1999
category namely slips, trips and falls are not covered by
under this topic.
SV
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S45
Sound
Is any pressure variation (in air, water
or some other medium) that the human
ear can detect. It is a stimulus that
produces a sensory response in the
brain.
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Facts on Sounds
Decibels (db) – used to express the sound
level associated with noise measurements.
SV
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S50
Occupational Noise
• Noise is a common problem found in many
workplaces.
• Research has shown that high levels of noise can
damage your hearing.
• Losing your hearing is a gradual process, and is
less noticeable than other types of workplace
injuries.
• It is, however, a permanent handicap for those
who are affected.
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SV S54
Noise Standards
Philippine OSHA - 90 dB (A)
US OSHA - 90 dB (A)
US NIOSH - 85 dB (A)
Env. Qual. Stds. for Noise in Gen. Areas (dbA)
Category of Area Daytime: A.M.: 5 to 9 am Night time:
9am – 6pm P.M.: 6 to 10 pm 10pm – 5 am
AA – hospitals, etc. 50 45 40
A – residential 55 50 45
B – commercial 65 60 55
C – light industrial 70 65 60
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D – heavy industrial 75 70 65
Permissible Noise Exposure*
Duration/day, hrs. Sound levels, dBA
8 90
6 92
4 95
3 97
2 100
11/2 102
1 105
1/2 110
1/4 115
Ceiling value: no exposure in excess of 115 dBA is allowed SV S56
* Without need of hearing protection 39
Why Hearing Protection is
Important
The ears are composed of very delicate
structures
Sound waves travel through the air into
the ears
Sound is collected in the outer ear and
funneled to the eardrum.
The eardrums vibrate and send sound
to the middle ear.
The middle ear amplifies the vibrations
and sends them to the inner ear.
The vibrations stimulate hair cells in
the inner ear and create an electrical
impulse.
This impulse travels to the brain along
the auditory nerve, causing the
sensation of sound.
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B.2 TEMPERATURE EXTREMES
Coldness
A condition suffered by workers exposed to
extremely cold temperatures.
Heat Stress
It is a combination of physiological environmental
forces or loads, which exert a strain upon the human
body as our systems try to compensate.
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TEMPERATURE vs. HUMAN BODY
Boiling point of water:
HIGH
Degrees C and Degrees F?
100 deg. C or 212 deg. F
Normal body temperature:
TO
Degrees C and Degrees F?
36.5 deg. C or 97.7 deg. F
Freezing point of water:
Degrees C and Degrees F?
LOW
0 deg. C or 32 deg. F SV S62
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The Physiology of Heat Stress
Prevention of the body’s heat – regulating
mechanisms from working efficiently.
Excessive heat gains within the body.
Fahrenheit Celsius Notes
Refers to mechanical
oscillations about an
equilibrium point.
Use of vibrating power tools
can place stress on the tissues
of the fingers, hand and arms
or even the whole body.
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Vibration Ailments
& Controls
Vibration can cause:
white finger (VWF) and can affect nerves,
joints, muscles, blood vessels and also
connective tissues of the hand and forearm.
D.O.13 specifies maximum of 2 hours
work in an 8-hour workday or 1:4 work
cycles
UK HSE - max. work hours according to
type of vibration (manufacturer-specified)
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Sample Recommended Illumination Levels
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C. BIOLOGICAL
HAZARDS
A biological hazard or biohazard is an
organism, or substance derived from an
organism, that poses a threat to (primarily)
human health.
This can include medical waste or samples of
a microorganism, virus or toxin (from a
biological source) that can impact human
health or those harmful to animals.
It may also pertain to hazards due to insects,
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animals or hazardous plants.
BIO-HAZARD LEVELS
1: Bacteria and viruses including Bacillus
subtilis, canine hepatitis, Escherichia coli,
varicella (chicken pox), as well as some cell
cultures and non-infectious bacteria.
2: Bacteria and viruses that cause only mild
disease to humans, or are difficult to contract
via aerosol in a lab setting, such as hepatitis
A, B, and C, influenza A, Lyme disease,
salmonella, mumps, measles, scrapie, and
HIV. 50
BIO-HAZARD LEVELS
3: Bacteria and viruses that can cause
severe to fatal disease in humans, but for
which vaccines or other treatments exist,
such as anthrax, West Nile virus,
Venezuelan equine encephalitis, SARS
virus, variola virus (smallpox), tuberculosis,
typhus, Rift Valley fever, Rocky Mountain
spotted fever, yellow fever, and malaria.
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BIO-HAZARD LEVELS
4: Viruses and bacteria that cause severe to
fatal disease in humans, and for which
vaccines or other treatments are not available,
such as Bolivian and Argentine hemorrhagic
fevers, H5N1(bird flu), dengue fever,
Marburg virus, Ebola virus, hantaviruses,
Lassa fever, Crimean-Congo hemorrhagic
fever, Y. pestis, and other hemorrhagic
diseases. SV
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S76
What is ERGONOMICS?
The study of human characteristics for the appropriate
design of the living and work environment
Human factors engineering (not necessarily ergonomics) is
the application of the understanding of the user’s role in
the overall system performance
The objective of ergonomics is to design a system in which
the workplace layout, work methods, machines and
equipment, and work environment (such as noise &
illumination) are compatible with the physical and
behavioral limitations of the worker (s). The better this fit,
the higher the level of safety and work efficiency.
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D. ERGONOMIC HAZARDS
These include
improperly designed
tools or work areas.
Improper lifting or
reaching, poor visual
conditions or repeated
motions in an
awkward position .
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Ergonomic Related Disorders
Tendonitis
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Carpal Tunnel Syndrome (CTS)
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Class Exercise: Ergonomics
This will prove to you the
SECRET of ergonomics
Follow these instructions....
That is the key to
ergonomics:
The closer to the “dead-
man’s position” the better!
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Industrial Hygiene
Control Methods
Engineering Controls
Administrative Controls
Personal Protective
Equipment
VSV S89
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Engineering Controls – 1
Substitution - involves the substitution of
hazardous materials with one that is less
hazardous.
Isolation and/or enclosure – involves the
physical isolation and/or enclosure of the
process from the worker thereby having no
direct exposure
Process change or alteration – involves the
switching of an operation to a less59
hazardous operation; ex: dry to wet process
Engineering Controls – 2
Ventilation - involves the introduction of
fresh air to dilute, exhaust or remove the
contaminated air.
A. General or Dilution Ventilation
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Natural Ventilation Mechanical Ventilation
Engineering Controls – 3
B.1 Local Exhaust Ventilation (LEV)
Duct Air Cleaning Device Exhaust Stack
Hoods Fan
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Engineering Controls – 4
B.2 Local Exhaust Ventilation (LEV)
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Work Environment Measurements
(WEM) vs. Instruments Used
Noise = noise level meter & dosimeter
Temperature = thermometer; sling psychrometer;
humidity-temperature meters
Ionizing Radiation = Geiger Muller radiation meter;
film badges; others
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Work Environment Measurements
(WEM) vs. Instruments Used
Light/luminance = light meter (lux, footcandles, etc.)
Vibration = vibration meter
Weight/load = various forms of weighing scales
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TYPES OF
MONITORING SYSTEMS
PERSONAL – measurement of a particular
employees’ exposure to the airborne contaminants
ENVIRONMENTAL – measurement of
contaminant concentration in the work area
BIOLOGICAL – measurement of changes in the
composition of body fluid, tissues or expired air in
order to determine excessive absorption of the
contaminant
MEDICAL – examination by medical personnel
of the worker’s response to a contaminant
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