cancer causing chemicals in workplace

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Brought to you by: CORPORATE SAFETY TRAINING OSHA 29 CFR 1910.1200 & 1450 CANCER CAUSING CHEMICALS IN THE WORKPLACE

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Cancer Causing Chemicals in Workplace

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Page 1: Cancer Causing Chemicals in Workplace

Brought to you by:

CORPORATESAFETY TRAINING

OSHA 29 CFR 1910.1200 & 1450

CANCER CAUSING CHEMICALSIN THE WORKPLACE

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COURSE OBJECTIVES

Introduce 29 CFR 1910.1200, The Hazcom Standard. Define Carcinogens. Discuss The Local Written Policy. Discuss The Physical And Health Hazards Of Carcinogens. Discuss Employee Protective Measures. Discuss Carcinogen Warning Labels. Discuss Ways To Reduce Exposure To Carcinogens. Introduce The Basic Safety Rules For Carcinogen Use.

WHAT WE WILL COVER DURING THIS TRAINING SESSION:

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BASIS FOR THIS COURSE

32,000,000 Workers Exposed to Chemicals Daily. 575,000 Existing Chemical Products. Bhopal India Tragedy December 1984. OSHA Hazard Communication Standard:

WHY THIS TRAINING IS ESSENTIAL TO YOUR SAFETY AT WORK:

Standard: 29 CFR 1910.1200. Establishes “Worker Right-to-Know” Program. Requires Written “Hazcom” Program. Requires Use of Material Safety Data Sheets. Requires Use of Labels and Other Warnings. Requires Carcinogens to Be Listed. Requires Hazards and Precautions Be Explained.

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THE BOTTOM LINE

TRAINING YOU TO BE KNOWLEDGEABLEOF HOW TO LOWER YOUR LIFETIME

WORKPLACE EXPOSURE AND DOSAGETO CANCER CAUSING CHEMICALS

YOU ARE POTENTIALLY EXPOSED TO INYOUR DAILY WORKING LIFE!

BASIS FOR THIS COURSE

WHY THIS TRAINING IS ESSENTIAL TO YOUR SAFETY AT WORK:(Continued)

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Recognize Situations Where Carcinogens Are Present. Understand The Local Hazcom Written Policy. Understand The Local Chemical Hygiene Plan. Select Appropriate Personal Protective Equipment. Understand Warning Labels. Understand How Carcinogens Affect The Body. Understand The Basic Safety Rules For Carcinogen Use.

STUDENT LEARNING OUTCOMESWHAT YOU WILL LEARN IN THIS TRAINING SESSION:

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Employee Who Come Into Contact With Carcinogens. Facility Engineers. Process Engineers. Safety Committees. Laboratory Workers. Corporate Managers. Department Managers. First Line Supervisors. Maintenance Departments. Accident Investigation Team Members.

WHO SHOULD ATTEND THIS TRAINING SESSION:COURSE ATTENDEES

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FEDERAL - 29 CFR 1903.1

EMPLOYERS MUST: Furnish a Place of Employment Free of Recognized Hazards That Are Causing or Are Likely to Cause Death or Serious Physical Harm to Employees. Employers Must Comply With Occupational Safety and Health Standards Promulgated Under the Williams-Steiger Occupational Safety and Health Act of 1970.

OSHA ACT OF 1970

Purpose: The General Duty Clause Provides Enforcement Action Where No Specific OSHA Regulations Cover a Particular Hazard.

APPLICABLE REGULATIONS

THE GENERAL DUTY CLAUSE

REGULATIONS THAT APPLY TO CHEMICALS IN THE WORKPLACE:

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APPLICABLE REGULATIONS

29 CFR - Safety and Health Standards

1910 - Industrial Safety

1200 - Hazard Communication

OSHA REGS----------------------------------------------------------------------

----------------------------------------------------------------------

REGULATIONS THAT APPLY TO HAZARD COMMUNICATION:(Continued)

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APPLICABLE REGULATIONS

29 CFR - Safety and Health Standards

1910 - Industrial Safety

1450 - Laboratory Safety

OSHA REGS----------------------------------------------------------------------

----------------------------------------------------------------------

REGULATIONS THAT APPLY TO HAZARD COMMUNICATION:(Continued)

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DEFINITION OF A CARCINOGEN

Any Discrete Chemical Compound Which Has Been Shown To Cause Cancer In Human Or Animal Studies.

Hundreds Of Individual Compounds Have Been Shown To Induce Cancers.

Many Thousands Of Additional Compounds Are “Suspect” Carcinogens.

Many Are Commonly Used In Laboratory Operations, Shops And Art Studios.

Carcinogens Are Chronic Toxins. They Cause Damage After Repeated Or Long-duration Exposure. They May Have No Immediate Apparent Harmful Effects, With Cancer Developing Only After A Long Latency Period.

A CARCINOGEN IS DEFINED AS:

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The Abnormal Or Uncontrolled Growth Of New Cells In Any Part Of The Body, Characterized By Cells That Tend To Invade Surrounding Tissue And Metastasize To New Body Sites.

DEFINITION OF CANCERA CANCER IS DEFINED AS:

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The Study of Congenital Malformations. Relatively New Discipline (1941). First Correlated German Measles to Birth Defects. Causes of Congenital Malformations:

TERATOGEN: (Latin - “The Study of Monsters”):

Heredity. Maternal Diseases Like German Measles. Maternal Viral Infections During Pregnancy. Maternal Malnutrition. Physical Injury. Ionizing Radiation Exposure. Chemical Exposure.

SPECIFIC TYPES OF HAZARDS

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Review the Respective Material Safety Data Sheet. Lab Animals Provide Indicators of Potential Effects in Humans. Chemicals Having Potential Teratogenic Effects:

POTENTIAL TERATOGEN AFFECTS:

Xylene. Quinine. Benzene. Pesticides. Boric Acid. Chloroform. Insecticides. Propylene Glycol. Carbon Tetrachloride.

SPECIFIC TYPES OF HAZARDS(Continued)

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Review the Respective Material Safety Data Sheet. Agents Having Conclusive Teratogenic Effects:

CONFIRMED TERATOGEN AFFECTS IN HUMANS:

Organic Mercury Compounds. Anesthetic Gases. Ionizing Radiation. German Measles. Thalidomide.

SPECIFIC TYPES OF HAZARDS(Continued)

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Potential to Cause Mutation in the Genetic Code. Can Cause Changes in Chromosomes. Review the Respective Material Safety Data Sheet. Agents Shown to Cause Potential Mutagenic Effects.

MUTAGENIC:

Hydrogen Peroxide (a Bleaching Agent). Ethyleneimine (an Alkylating Agent). Ethylene Oxide (Hospital Sterilant). Hydrazine (Used in Rocket Fuel). Ionizing Radiation Exposure. Benzene.

SPECIFIC TYPES OF HAZARDS(Continued)

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Can Induce a Malignant Tumor in Humans. Has a Potential to Cause Cancer. Can Cause or Accelerate Tumors. Some Confirmed or Suspected Human Carcinogens.

CARCINOGENIC:

Acrylimide Acrylonitrile 4-Aminodiphenyl Arsenic Benzene Benzidine

Beryllium Calcium Chromate Chromium (VI) Ethylene Dichloride Ethylene Oxide Lead Chromate

Nickel Sulfide Tetranitromethane O-Tolidine Vinyl Bromide Xylidine Zinc Chromates

DO YOU WORKWITH ANY OF THESE?

DANGER

CANCERCAUSING

AGENT

SPECIFIC TYPES OF HAZARDS(Continued)

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KNOWN CARCINOGENS

Asbestos. Ionizing Radiation. Certain Chemicals. Coal Tars And Coke Oven Emissions. Hardwood Sawdust (Certain Species). Natural Products (Progesterone, Safrole). Ultraviolet Radiation. Tobacco Smoke.

KNOWN CARNINOGENS INCLUDE:

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Epidemiological Studies Determine The Relationship Between A Cancer Suspect Chemical And A Human Population Over A Long Period Of Time.

Animal Studies Directly Induce Cancer In Test Animals Using A Large Sample Of Animals, Usually Of Two Or More Species With Varying Dose And Time Parameters.

Experiments With Animals Are Based On The Premise That Chemicals That Produce Cancer In Animals Will Have Similar Effects On Human Cells. Most Known Human Carcinogens Produce Cancer In Experimental Animals.

DETERMINING CARCINOGENICITYCANCER RELATIONSHIP STUDIES:

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OSHA “SELECT” CARCINOGENS

Any Substance That Is Regulated By OSHA As A Carcinogen. It Is Listed Under The Category “Known To Be Carcinogens”

In The Annual Report On Carcinogens Published By The National Toxicology Program (NTP).

It Is Listed Under Group 1 (“Carcinogenic To Humans”) By The International Agency For Research On Cancer (IARC).

CANCER RELATIONSHIP STUDIES:

BEHAVIOR

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It Is Listed In Either Group:

OSHA “SELECT” CARCINOGENS

CANCER RELATIONSHIP STUDIES:

2A “Limited Evidence Of Carcinogenicity” From Human Studies Or;

2B “Sufficient Evidence Of Carcinogenicity” From Animal Studies By IARC Or Under The Category “Reasonably Anticipated To Be Carcinogens By NTP. (A Specified Dose Range Is Given.)

(Continued)

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Epoxides:

CLASSES THAT TEND TO BE CARCINOGENS

Ethylene oxidePropylene oxideVinyl chlorideCarbon tetrachlorideChloroformHexachlorobenzeneTrichloroethyleneHydrazine (and salts)1,2-Dimethylhydrazine

Hydrazines:

Organohalogens:

KNOWN OR SUSPECTED CARCINOGEN CLASSES:

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N-Nitroso Compounds:

CLASSES THAT TEND TO BE CARCINOGENS

KNOWN OR SUSPECTED CARCINOGEN CLASSES:

N-NitrosodimethylamineBenzidineAnilineo-Anisidineo-ToluidineBenzeneBenz[a]anthraceneBenzo[a]pyrene

Aromatic Amines:

Aromatic Hydrocarbons:

(Continued)

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Misc. Organic Compounds:

CLASSES THAT TEND TO BE CARCINOGENS

FormaldehydeAcetaldehyde1,4-DioxaneEthyl carbamate2-NitropropaneStyreneThioureaThioacetamide

KNOWN OR SUSPECTED CARCINOGEN CLASSES:(Continued)

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Inorganic Compounds:

KNOWN OR SUSPECTED CARCINOGEN CLASSES:

Arsenic and compoundsChromium and compoundsThorium dioxideBeryllium and compoundsCadmium and compoundsLead and compoundsNickel and compoundsSelenium sulfide

CLASSES THAT TEND TO BE CARCINOGENS(Continued)

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CONCEPTS OF TOXICOLOGY

TOXICOLOGYTOXICOLOGY

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How Well the Body Accepts a Substance Depends on:

The Type of Substance. The Amount (Dose) Absorbed. The Period of Time Over Which It Is Absorbed. The Susceptibility/Sensitivity of the Person Exposed.

CONCEPTS OF TOXICOLOGY

EVERYTHING IS TOXIC; IT ALL DEPENDS ON THE DOSE

(Continued)

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ROUTES OF ENTRY:

INHALATION INGESTION ABSORPTION INJECTION

CONCEPTS OF TOXICOLOGY(Continued)

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Inhalation - Absorbed Through the Lungs Into the Bloodstream. Absorption - Absorbed Through the Skin or Eyes. Ingestion - Absorbed Through the Gastro-Intestinal Tract From

Eating, Drinking or Smoking. Injection - Absorbed Via Broken Glass, Spray Guns, Needles,

Compressed Air, Knives Etc.

ROUTES OF ENTRY:

CONCEPTS OF TOXICOLOGY(Continued)

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EXPOSURE TERMINOLOGY:

Local Effect - Damage to Body Parts That Actually Contact The Harmful Substance (Acid on a Hand).

Systemic Effect - Damage to an Area of the Body After The Substance Is Absorbed (Liver Damage).

Individual Susceptibility - Some People Are Naturally Sensitive or Can Develop Sensitivity to a Substance.

Dose - Combination of Concentration and Length of Bodily Exposure to a Specific Material.

CONCEPTS OF TOXICOLOGY(Continued)

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Acute Exposure - Usually Minutes, Hours or Several Days. Chronic Exposure - Regular Exposure Over Months, Years, or

a Lifetime.

EXPOSURE TERMINOLOGY:

DANGER

CONCEPTS OF TOXICOLOGY(Continued)

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Occupational Safety and Health Administration (OSHA) American Conference of Gov. Industrial Hygienists (ACGIH)

National Institute for Occupational Safety and Health (NIOSH)

EXPOSURE LIMIT SOURCES:

OSHA NIOSHACGIH

CONCEPTS OF TOXICOLOGY(Continued)

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Threshold Limit Values (TLV). (Respiratory) Biological Exposure Indices (BEI). (Dermal) 8 Hour Time Weighted Averages (TWA). - The Amount a Worker Can Be Exposed to in an 8 Hr. Shift. Levels Published by ACGIH Annually. Legally Enforceable.

ACGIH

EXPOSURE LIMIT SOURCES:

American Conference of Gov. Industrial Hygienists (ACGIH)

EXPOSURELIMITS

CONCEPTS OF TOXICOLOGY(Continued)

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Permissible Exposure Limits (PEL’s). Found in 29 CFR 1910.1000 (The “Z” Tables). Establishes OSHA’s Exposure Levels. Legally Enforceable.

OSHA

EXPOSURE LIMIT SOURCES:

Occupational Safety and Health Administration (OSHA)

EXPOSURELIMITS

CONCEPTS OF TOXICOLOGY(Continued)

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Recommended Exposure Limits (REL’s). Used to Develop New OSHA Standards. “NIOSH Recommendations for Occupational Health Standards.

NIOSH

EXPOSURE LIMIT SOURCES:

National Institute for Occupational SSafety and HHealth (NIOSH)

EXPOSURELIMITS

CONCEPTS OF TOXICOLOGY(Continued)

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TARGET ORGANS FOR CARCINOGENS

Skin. Liver. Lungs. Kidney. Reproductive System. Many Other Organs And Tissues.

CARCINOGENS CAN ATTACK SPECIFIC ORGANS:

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CANCER DEVELOPMENT FACTORS

Dose: Amount And Length Of Exposure. The Lower The Dose The Less Likely You Are To Develop Cancer Or Related Diseases.

Environmental Or “Lifestyle” Factors. Cigarette Smoking (Co-carcinogen). Alcohol Consumption (Co-carcinogen). Diet - High Fat Consumption, Natural Antioxidants. Geographic Location - Industrial Areas, UV Light. Therapeutic Drugs - Some Are Known Carcinogens. Inherited Conditions.

LIKELIHOOD OF DEVELOPING CANCER DEPENDS ON:

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REDUCING EXPOSURE TO CARCINOGENS

Engineering Controls - Exhaust Ventilation. Labeling And Storage Of Containers. Housekeeping And Maintenance. Personal Protective Equipment. Decontamination Protocols. Prompt Medical Response. Administrative Controls. Emergency Procedures. Personnel Monitoring. Personal Hygiene. Regulated Areas.

LIKELIHOOD OF DEVELOPING CANCER CAN BE REDUCED BY:

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General Room Ventilation: 10 Or More Changes Of Air Per Hour. Designed To Reduce Exposures Below The Permissible Exposure Limit (PEL).

Many Carcinogens Have A Very Low Exposure Limit. Use An “ALARA” Policy.

Fume Hoods: Full Open Face Velocity Of 80 To 100 L.F.P.M.. Combined With A Dry Ice Capture Test.

Local Ventilation: Exhaust (Sometimes Supply) At The Point Of Use Of A Chemical. “Elephant Trunk” Or Slot Hood.

Carcinogen Glove Box Or Environmental Chamber. Biosafety Cabinet--used For Anticancer Drugs, Viruses. No Benchtop Work In A Laboratory Setting.

ENGINEERING CONTROLS - EXHAUST VENTILATION:

REDUCING EXPOSURE TO CARCINOGENS(Continued)

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Respiratory Protection: Dust Masks, Respirators. Respirators Are Primarily For Use In Non-lab Areas, Except For

Emergency Response (Spill Cleanup), Floor Stripping, Construction Operations (Painting).

Eye Protection: Safety Glasses, Splash Goggles, Face Shields. Hand Protection: Gloves, Protective Sleeves. Protective Clothing: Lab Coats, Aprons, Tyvek Garments. OSHA Standards For Personal Protective Equipment

Supersede Other OSHA Standards.

PERSONAL PROTECTIVE EQUIPMENT CONSIDERATIONS:

REDUCING EXPOSURE TO CARCINOGENS(Continued)

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No Smoking, Eating, Drinking Or Application Of Cosmetics Is Permitted In Areas Where Carcinogens Are In Use (Or In Any Lab Area!). No Mouth Pipetting!

Wash Hands And Any Exposed Skin If Potentially Contaminated - Face, Neck, Forearms, Etc.

No Shorts Or Open Toed Shoes. Remove Lab Coat Or Other Potentially Contaminated

Protective Clothing Before Leaving The Work Area. Lab Coats Need To Be Cleaned Regularly; Special Washing

Instructions May Be Needed. Contaminated Disposable Clothing Should Be Treated As

Hazardous Waste.

REDUCING EXPOSURE TO CARCINOGENS

PERSONAL HYGIENE CONSIDERATIONS:(Continued)

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All Containers Of Chemical Carcinogens Need To Have A Warning Label Affixed To Them.

A Right-to-know (RTK) Style Label Must Be On Any Container Of Material That Is Repackaged Or Made Into A Solution More Than 0.1%.

All Areas Where Carcinogens May Be Used, Present Or Stored Should Have Prominently Displayed Warning Signs Or Labels Both In The Areas And Access To Them.

Some Warning Signs And Labels Are Described By Specific Standards.

REDUCING EXPOSURE TO CARCINOGENS

LABELING OF CONTAINERS:(Continued)

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Carcinogens: Stored Separately From Other Materials. Separated: Shelving System Or Secondary Containment. Secondary Containment: Placing Containers In An Outer

Container To Prevent The Release Of A Material In The Event That Its Container Breaks Or Ruptures.

Desiccators, Plastic Boxes, Bottle-in-can Are Acceptable Secondary Containment.

Storage Areas: Labeled “Danger - Carcinogens Stored Here.”

STORAGE OF CARCINOGENIC MATERIALS:

REDUCING EXPOSURE TO CARCINOGENS(Continued)

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Keep All Work Surfaces And Equipment Clean. Dry Sweeping Or Compressed Air Cleaning Of Floors Or

Work Surfaces Is Prohibited. Dry Cleaning Of Surfaces And Equipment Must Be Done By

Vacuum Systems With High Efficiency Particulate Air (HEPA) Filters.

All Contaminated Floor Sweepings, Debris (Paper Towels, Plasticware), Discarded Filters From Respirators Or Vacuums Must Be Bagged, Properly Labeled And Properly Disposed Of.

HOUSEKEEPING AND MAINTENANCE CONSIDERATIONS:

REDUCING EXPOSURE TO CARCINOGENS(Continued)

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Establish Regulated Or Designated Areas For The Use Of Carcinogens. (Required In Lab Standard.)

Locations Where Entry And Exit Or Use Of An Area Is Restricted To The Use Of Carcinogens.

Only Authorized Persons Trained In The Use Of The Carcinogens Present, May Use These Areas When Such Materials Are In Use.

Regulated Areas Are Usually Under Negative Pressure (Fume Hood) To Contain Carcinogens In The Hood Or Room.

REGULATED AREAS CONSIDERATIONS:

REDUCING EXPOSURE TO CARCINOGENS(Continued)

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Ensure Safety Showers And Eyewash Stations Are Nearby. Have Decon Solutions On Hand If Required For

Decontamination Of Skin, Eyes Etc. Have Spill Mixtures And Cleanup Materials For Spills On Hand. Ensure All Used Spill Cleanup Materials Are Be Treated As

Hazardous Waste. Consider That Respirators May Be Needed For Spill Cleanup.

DECONTAMINATION AND EMERGENCY PROCEDURES:

REDUCING EXPOSURE TO CARCINOGENS(Continued)

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Incidental Spills May Be Cleaned Up By Trained Company Personnel.

Larger Spills May Require Notification Of Emergency Response Personnel.

Fire Extinguishers Should Be On Hand As Required. Written Emergency Response Plans Should Be Reviewed

During Training.

DECONTAMINATION AND EMERGENCY PROCEDURES:

REDUCING EXPOSURE TO CARCINOGENS(Continued)

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If A PEL May Be Exceeded, Personal Exposure Monitoring Is Required.

Area Monitoring May Be Required In Some Cases. Medical Monitoring May Be Required If It Is Anticipated That

PELs May Be Exceeded. Examination By A Physician, Blood Tests, Etc. Are Required

Whenever There Is A Spill Or Other Emergency Where Personnel Have Been Potentially Exposed.

Results Of Monitoring Must Be Supplied To The Employee. Records Of Exposures,. Monitoring, And Medical Exams

Must Be Kept For 30 Years.

PERSONNEL MONITORING CONSIDERATIONS:

REDUCING EXPOSURE TO CARCINOGENS(Continued)

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Solicit Material Safety Data Sheets And Other Information. Training: All Employees Using Carcinogens Must Be Trained

In The Recognition Of The Physical And Health Hazards Associated With The Carcinogens They Are Working With, Methods To Detect The Presence Or Release Of A Carcinogen And Ways To Protect Themselves From Exposure To The Carcinogens With Which They Are Working.

Specialized Training May Be Required. Written Exposure Control Plan Reviews. Limitations On The Duration Of Exposure.

ADMINISTRATIVE CONTROL CONSIDERATIONS:

Safety

JSA

REDUCING EXPOSURE TO CARCINOGENS(Continued)

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With Very Few Exceptions (Dilute Formaldehyde Solutions) Carcinogens May Never Be Discharged To The Sanitary Sewer.

Carcinogens May Never Be Disposed Of In Ordinary Trash. Waste Containers Must Be Properly Labeled, Sealed At All

Times (Except When Adding Or Removing Waste) And They Must Have Secondary Containment.

All Wastes Must Be Properly Disposed Of.

DISPOSAL OF WASTE CARCINOGENS:

REDUCING EXPOSURE TO CARCINOGENS(Continued)

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Plan The Use Of Carcinogens Carefully. Substitute Less Hazardous Materials. Purchase In The Smallest Possible Quantities. Do Not Allow Inventories To Accumulate. Promptly Dispose Of Unneeded Materials. Detoxify Carcinogens When Capable.

REDUCING INVENTORY AND WASTE GENERATION:

REDUCING EXPOSURE TO CARCINOGENS(Continued)

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Written Programs “Relevant To Safety And Health Considerations” Need To Be Developed When Carcinogens Are In Use.

A Written Program May Be Developed For An Individual Carcinogen, A Process Or A Class Of Chemicals.

WRITTEN PROGRAMS AND PROCEDURES:

REDUCING EXPOSURE TO CARCINOGENS(Continued)

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Written Programs Must Address The Following: The Name And Location Of The Material. Purchasing And Usage Authorization. Training Requirements. Location Of Use. Required PPE. Methods Of Waste Disposal. Decontamination Measures. First Aid Measures. Spill Control Measures. Emergency Phone Numbers. And Any Other Relevant Information. Employees Must Be Trained In The Content Of The Plan.

WRITTEN PROGRAMS AND PROCEDURES:

REDUCING EXPOSURE TO CARCINOGENS(Continued)

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TIPS FOR USING CONTRACTORSTHE HOST EMPLOYER IS RESPONSIBLE FOR CONTRACTORS:

Legally, You are Responsible For All Persons On Your Site. Ensure Contractors Abide By Facility Safety Rules As A Minimum! Remember, You Control Your Facility Or Work Area! Review Their Procedures With Them. Review Their Procedures Before They Start The Job! Determine Their Safety Performance Record! Determine Who Is In Charge Of Their People! Determine How Their Activity Will Affect Your Employees! Establish Rules For Working Around Your Employees.

CONTRACTOR SAFETYThe Host Employer Is Responsible for the

Safety of All Personnel on the Site.

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COMPONENTS OF A SUCCESSFUL PROGRAMA GOOD SAFETY PROGRAM WILL HAVE:

1. DETAILED WRITTEN SAFETY PROCEDURES.1. DETAILED WRITTEN SAFETY PROCEDURES.2. ANNUAL REVIEW BY A COMPETENT PERSON.2. ANNUAL REVIEW BY A COMPETENT PERSON.3. AN EXTENSIVE EMPLOYEE TRAINING PROGRAM.3. AN EXTENSIVE EMPLOYEE TRAINING PROGRAM.4. PERIODIC REINFORCEMENT OF SAFETY TRAINING.4. PERIODIC REINFORCEMENT OF SAFETY TRAINING.5. SUFFICIENT DISCIPLINE REGARDING IMPLEMENTATION.5. SUFFICIENT DISCIPLINE REGARDING IMPLEMENTATION.6. PERIODIC FOLLOW-UP TO KEEP THE PROGRAM CURRENT.6. PERIODIC FOLLOW-UP TO KEEP THE PROGRAM CURRENT.

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Do you have any questions Do you have any questions concerning the course material concerning the course material we have just covered? Please we have just covered? Please contact your course facilitator contact your course facilitator

at your facility.at your facility.

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THANK YOU FOR PARTICIPATING IN THIS TRAINING PROGRAM