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CHEMICAL HAZARD AND PREVENTION. FIRDAUS ALI BSc (Health and Safety), Curtin University, Perth Australia. Objectives of this session. Understand the key definitions and fundamental concepts of chemical hazards Identification of chemical hazard and route of exposure

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Chemical hazard and prevention

CHEMICAL HAZARD AND PREVENTION

FIRDAUS ALI

BSc (Health and Safety), Curtin University, Perth Australia


Objectives of this session
Objectives of this session

  • Understand the key definitions and fundamental concepts of chemical hazards

  • Identification of chemical hazard and route of exposure

  • Describe the worksite assessment process

  • Identify the hierarchy of control measures



Key definitions
Key Definitions

Hazard

A situation that poses a level of threat to life, health, property or environment

Risk

The chance of something happening that will have an impact on life, health, property or environment

(AS/NZS 4360:2004)


Exposure

Defined as the contact over time and space between a person and one or more biological, chemical or physical agents based on frequency, magnitude and duration

(US Nuclear Regulatory Commission, 1991).


Toxicology

Defined as the study of adverse, and potentially adverse, effects of chemicals which have, or may have, the capacity to cause injury to living organisms.


"Dosisfacitvenenum" - The Dose Makes the Poison

All substances are poisons; there is none which is not a poison. The right dose differentiates a poison…." Paracelsus (1493-1541)


Dose

The dose of a hazardous substance is generally expressed with the following equation:

Dose = concentration (level) x durationof exposure.

This is a fundamental principle on which occupational exposure limits (OELs) are based


Toxicity

Refers to its capacity to injure if it reaches a susceptible site on the body. Whether ill-effects will occur depends on:

  • The properties of the chemical

  • The dose (amount of chemical acting on the body)

  • The susceptibility or resistance of the exposed individual

  • The route by which the substance enters the body


Identification of chemical hazard
Identification of Chemical Hazard

Substances which can be inhaled, or are respirable, include gases, vapours and aerosols, may be defined as follows:

  • GASES: substances which normally exist in gaseous form at standard pressure and temperature

  • VAPOURS: the gaseous form of substances normally liquid at standard pressure and temperature

  • AEROSOLS: suspensions of variable size particles capable of remaining airborne


  • Dusts – caused by mechanical abrasion or fragmentation of solids

  • Fumes – produced by combustion, sublimation or condensation of volatile solids.

  • Smokes – suspension of solid particles produced by incomplete combustion of organic materials

  • Mists – airborne droplets usually formed by condensation of vapours but may be produced by atomisation of a liquid


Chemicals That Present Hazard or Risk solids

  • Flammability: catch fire readily; gasoline

  • Reactivity: unstable and may explode or create toxic fumes when mixed with water; explosives, concentrated sulfuric acid

  • Toxicity: injurious to health; pesticides, chlorine


Material safety datasheets
Material Safety Datasheets solids

A document containing important information about a hazardous chemical (which may be hazardous substance and/or dangerous goods) and must state:

  • a hazardous substance's product name

  • the chemical and generic name of certain ingredients

  • the chemical and physical properties of the hazardous substance

  • health hazard information

  • precautions for safe use and handling


Chemical groups
Chemical Groups solids

International Version published by the WHO and European Union

Available at:

http://www.ilo.org


Safety label
Safety Label solids

Available at:

http://www.cdc.gov/niosh


Legislation on chemical safety
Legislation on Chemical Safety solids

  • Poison Act, 1956

  • Disaster Management Order, 2006

  • Workplace Safety and Health Order, 2009

    Available at:

    http://www.agc.gov.bn



The respiratory system
The Respiratory System solids

A large range of vapours and gases, dusts, fumes can enter the respiratory tract through inhalation

  • Odours - danger lies in using chemicals which have no odour, or where toxicity occurs before odour is detected. People who have had a long term exposure to a chemical tend to ignore the smell

  • Dusts - Many dust particles are small enough to enter the alveoli air pockets where they can cause damage


The skin
The Skin solids

The protective properties of the skin can be reduced by exposure to chemicals such as degreasers, detergents, and solvents

  • Chemical exposure can result in dryness, splitting and cracking and damage to the skin surface

  • Sensitivity to chemicals can cause allergic reactions - in rare circumstances can cause death


The eyes
The Eyes solids

  • Some chemicals have very strong vapours that can cause acute discomfort to the eyes.

  • Exposure to these types of fumes can cause permanent damage to the eyes.

  • Care must be taken to protect from splashes as well as fumes


The gastro intestinal tract
The Gastro - Intestinal Tract solids

  • Usually due to poor housekeeping, dusty environments and the close proximity of toxic airborne substances to eating facilities.

  • Poor hygiene practices (not washing hands before eating & not wearing gloves when dealing with chemical) can also prove hazardous


Potential chronic health problems
Potential Chronic Health Problems solids

  • Occupational Asthma (Glutaraldehyde)

  • Carcinogen (Ethylene oxide and Cyctotoxic Drugs)

  • Kidney Failure (Lead fumes)

  • Lung Fibrosis (Diesel) ?



  • Direct health indicators (worker solids

    complaints, illness statistics, biological or

    radiological signs before symptoms occur)

  • Previous experience and information

    (MSDS, material inputs, the process, the

    pattern of exposure, work procedures)

  • Walk-through survey (5 P’s; People, Premises, Process, Product, Personal Protective Equipment)

  • Specific Site

  • Specific Task


Risk assessment
Risk Assessment solids

Systematic process for describing and quantifying the risks associated with hazards including substances, processes, action or events.


The overall process of risk identification, risk analysis and risk evaluation

(AS/NZS 4360:2004).


Chemical handling on and risk evaluationGlutaraldehyde (Cidex) for disinfecting endoscopy and operating theatre instruments


Control measures
Control measures and risk evaluation

5 steps of hierarchy of control measures

  • Elimination (Remove)

  • Substitution (Replace)

  • Engineering Control (Remodel/Renovate)

  • Administrative/Procedural Control (Reinforce)

  • Personal Protective Equipment (last Resort)


  • Elimination and risk evaluation

    Depends!

    -Detrimental effect on human body

    -Demand of the product

  • Substitution

    -Replace with a less hazardous substance


  • Engineering Control and risk evaluation

    -Fume Cupboard (Grading for different types of chemical handling/performance)

    -Ventilated room with back vent

  • Administrative/Procedural Control

    -Education and Training

    -Legislation

    -Standard Safety Procedure (Chemical Handling)

    -MSDS

    -Incident Report

    -Regular medical checkup


  • Personal Protective Equipment and risk evaluation

    Different types of chemical have different use on each equipment

    -Hand Gloves

    -Face Guard/Mask

    -Safety Apron/Safety Suit

    -Rubber Boots

    -Helmet ?


Scenario
SCENARIO and risk evaluation

You as an Occupational Health Nurse have been advised to investigate an incident in the endoscopy unit. It was reported that 10 healthcare workers have been suffering from acute exacerbation of asthma for 3 days. It was later identified that all affected HCWs were handling Glutaraldehyde (Cidex) while disinfecting endoscopic instruments.

(a) Describe how would you perform a worksite assessment.

(b) Using the hierarchy of control measures, provide recommendation in order to minimise the health impact of Glutaraldehyde (Cidex)


WORKSITE ASSESSMENT and risk evaluation

Walk through Survey

5 P’s (People, Premise, Process and Product, Personal Protective Equipment)

Specific Site

Specific Task

(the pattern of exposure, work procedures)


  • Substitution and risk evaluation

    Replace Glutaraldehyde with a less toxic substance.

  • Engineering Controls

    Provide local exhaust ventilation such as laboratory hood, large enough to contain the Glutaraldehyde immersion system and an equipment washing and rising sink at the source. The design should include a face velocity at the hood with the airflow directed toward the back of the hood away from the operator’s breathing zone. This system will require an appropriate amount of filtered and tempered replacement air in order to work properly

    Increase general room ventilation. This solution is generally ineffective in controlling exposure due to short-term tasks such as equipment cleaning or solution changes that may generate a high concentration contaminant quickly


Provide buckets and other containers that are shaped to minimise the surface area of the liquid.

Modify facility design to limit traffic or potential exposure to individuals who are not involved with the disinfection process. Exposure to Glutaraldehyde solutions in confined spaces should be avoided


  • Administrative minimise the surface area of the liquid.controls

    Reviewing work practices periodically in all areas where Glutaraldehyde is used in order to prevent overexposure. Communicate with other areas of the hospital setting that use Glutaraldehyde such as surgical department, emergency rooms, intensive care unit or central sterile supply department

    Training and educating new and current healthcare workers regarding safe work practices is essential in reducing chemical exposure. All new and current healthcare workers should be instructed about the potential hazards associated with Glutaraldehyde, proper use of protective clothing, safe work practices, avoidance of exposure in a confined space and personal hygiene concerns. This would include education regarding signs and symptoms associated with overexposure to Glutaraldehyde


  • Personal protective equipment minimise the surface area of the liquid.

    A written procedure detailing the type of clothing and the proper use of protective clothing should be provided to healthcare workers involved in maintenance and disinfecting medical instruments.

    Proper gloves wear such as butyl rubber, polyurethane or Viton could be use

    Respirators or face mask are necessary when the exposure to a chemical exceeds 0.1ppm. Nevertheless, this should be known not as a primary control since the availability of engineering control and substitution of chemical. Yet, this can still be use in non routine maintenance or emergencies (NIOSH, 2005).


Further information
Further Information minimise the surface area of the liquid.

  • http://www.worksafe.vic.gov.au

  • http://www.westcoastdhb.org.nz

  • http://www.ilo.org

  • http://www.cdc.gov/niosh

  • http://toxnet.nlm.nih.gov/


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