Strategies for assessing and reducing inherent occupational health hazard and risk based on process information

Over the last few decades, the concept of inherent occupational health has gained increasing attention to reduce occupational hazards that may adversely impact workers’ health. In order to assess occupational hazards in the chemical process, different inherent occupational health assessment methods have been developed at the early stages of process development and design. The methods in the order of process information availability – ranging from the detailed piping and instrumentation diagrams to a simple sketch of process concepts are the: occupational health index (OHI), health quotient index (HQI) and inherent occupational health index (IOHI). This paper proposes systematic heuristic frameworks to assist process designers and engineers in assessing and reducing inherent occupational health hazards or risks based on process information availability. Strategies for reducing health hazards or risks in the OHI, HQI and IOHI methods based on inherently safer design (ISD) keywords of minimization, substitution, moderation and simplification are included in this study. It is worth mentioning that the proposed frameworks act as guidelines for design engineers in systematically selecting the appropriate index and methodology to assess and reduce health hazards/risks based on the availability of the process information. A case study is solved to illustrate the proposed framework.     

几种职业健康风险评估法在采石行业的应用效果比较

比较4种职业健康风险评估模型在某采石场中应用的优缺点,探索适合采石行业职业健康风险评估的最佳方法。选取湖北鄂东某采石场为研究对象,进行现场调查和采样检测,应用4种模型进行评估分析:国际采矿与金属委员会职业健康风险评估模型(ICMM模型)判定采石场工人接触粉尘为不可容忍或者高风险水平;风险定义法(MES法)判定采石场工人接触粉尘和噪声为四级或三级风险水平;罗马尼亚职业事故和职业病风险评估方法(MLSP法)判定采石场工人接触粉尘和噪声为低风险或非常低风险水平;澳大利亚职业健康与安全风险评估管理导则(UQ法)判定采石场工人接触粉尘和噪声为高风险或中等风险水平。与有毒作业分级结果比较验证,ICMM模型、MES法、MLSP法相对一致,适合评估某一具体采石场的职业健康风险,UQ法因不考虑个体差异,更适合评估整个采石行业的职业健康风险。     

Occupational chemical exposure and risk estimation in process development and design

Each year more people die from diseases caused by work than are killed in industrial accidents. Therefore, methods are needed to evaluate occupational health hazards as early as possible when the process is still under development. A method for estimating inhalative exposures and risks in petrochemical and related plants is presented. The method is simple and suffices with the limited data availability during the early design stages.The steps of the method, which utilizes preliminary process flow diagrams are as follows: first the fugitive emissions and process plot areas are estimated based on precalculated process modules representing the typical process sections (such as a distillation unit). Chemical concentration in the air is then calculated based on the wind velocity probability and the estimated process cross-sectional area. For this purpose a typical wind velocity distribution in the area is used. The worker risk of exposure to chemicals is evaluated either based on the concentration in air by using the hazard quotient method or calculating the carcinogenic chemicals intake and the resulting risk of cancer. The values are compared to the benchmarks.As a result the process route health characteristics such as fugitive emissions rate, critical wind speed, chemical concentration in air and intake amount as well as the corresponding risk of exposure are produced. By using statistical meteorological data, health risks of occupational exposure can be estimated more realistically as probabilities. The approach is capable of comparing alternative processes to select the concept which is inherently occupationally healthier. Using this method, the exposure problems of a process can be identified earlier and proper decisions can be made early in process development or predesign stage.The concentration-based method is demonstrated by a case study of six competing manufacturing routes for methyl methacrylate (MMA). The C3 is found to be the most harmful alternative to health. Both concentration-based and intake-based methods are applied. The study indicates that the intake-based risk estimation benchmark is stricter than the exposure limit-based benchmark for carcinogens.     

工作场所超细颗粒物暴露评估与风险评估研究进展

纳米技术产业的快速发展促使纳米材料需求量不断增长,纳米材料的规模化生产及使用,增加了暴露于超细颗粒物的职业人群数量,且工种复杂多样,尤其在自动化程度低、工人职业卫生防护意识薄弱的作业场所,对接触者有潜在的职业暴露风险.从现场暴露评估策略、检测方法、接触限值以及风险评估手段,综述针对超细颗粒物这一新型职业危害因素的研究进...     

企业职业卫生综合风险管理评估体系的研究与应用

为了能够全面、客观地评估企业职业卫生风险管理质量,利用美国EPA吸入风险评估模型、新加坡化学物职业暴露半定量风险评估模型以及风险指数评估模型,对作业场所存在的职业病危害因素进行风险水平评估,并结合企业职业卫生管理评估模型,对企业职业卫生管理水平进行定量评估,以风险等级和管理水平,综合判断企业职业卫生风险水平。将该体系应用于实例分析,结果表明:体系在充分考虑企业职业病危害因素时空分布以及企业管理现状的基础上,能够定量评估职业病危害因素的急慢性影响以及企业职业卫生管理水平。     

电子封装行业化学有害因素职业暴露评价

以法规及风险评价模型为基础,对电子封装行业内通常使用的化学有害因素进行职业暴露分析,将健康风险进行分级、定量评价,得出结论:行业中回流焊工艺可能产生的铅烟、电镀车间存在的硝酸、失效分析中使用的氢氟酸等,其职业暴露风险为中等风险水平;但由于化学物质的健康危害等级HR因其固有性而相对不变,而其会随控制措施的效果高低而变化的暴露等级ER是一个可变的要素,不同企业的控制措施的水平高低不同,其最终的风险等级可能是不同的。行业中使用的氢氧化钾、氢氧化钠的职业暴露风险为低风险水平,前提也是在合理有效的控制措施环境下。因此,控制措施的水平就是决定风险等级的最重要因素。时时地运行和维护有效的控制措施,是确保风险水平不发生变化的关键。     

石材加工行业尘肺病危害风险评估研究

应用国际采矿与金属委员会风险评估模型（ICMM）评估石材加工行业尘肺病风险。 以20家石材加工企业为研究对象,运用ICMM模型的定量法和矩阵法分别评估4个重点岗位的尘肺病风险,并与粉尘作业分级和文献报道进行结果验证。 结果显示打磨、雕刻、切割和破碎4个重点岗位的总粉尘和呼吸性粉尘浓度均超过职业接触限值,超限倍数范围分别为4.3~85倍和3.1~63.3倍。ICMM定量法判定该4个重点岗位的Ⅲ期矽肺风险均为最高级风险水平（不可容忍）,矩阵法判定该4个重点岗位Ⅲ期矽肺风险也均为最高级水平（高风险）。这些风险评估结果得到生产性粉尘作业分级和文献报道的支持。结论为石材加工行业尘肺病发病风险非常高,ICMM风险评估模型可应用于石材加工行业职业健康风险评估。     

Nanotechnologies,engineered nanomaterials and occupational health and safety – A review

The significance of engineered nanomaterials (ENM) and nanotechnologies grows rapidly. Nanotechnology applications may have a positive marked impact on many aspects of on human every day life, for example by providing means for the production of clean energy and pure drinking water. Hundreds of consumer nano-based products are already on the market. However, very little is known of the risks of ENM to occupational safety and health (OSH), even though workers are likely to be at extra risk, as compared with other potentially exposed groups of people, because the levels of exposure are usually higher at workplaces than in other environments. However, knowledge of the exposure to, or effects of, ENM on human health and safety in occupational environments is limited and does not allow reliable assessment of risks of ENM on workers’ health. Several issues related to ENM in the workplaces require marked attention. The most topical issues include: (1) improved understanding of ENM metrics associated with ENM toxicity; (2) development of monitoring devices for ENM exposure assessment; (3) understanding the changes of ENM structure and state of agglomeration at different concentrations in aerosols; (4) understanding translocation of ENM in the human body; (5) identifying the key health effects of ENM including pulmonary toxicity, genotoxicity, carcinogenic effects, and effects on circulation; (6) development of tiered approaches for testing of safety of ENM; and (7) utilizing these data for health risk assessment, with a special emphasis on occupational environment. Available data on several ENM – ability to enter the body and reach almost any organ, to cause pulmonary inflammation and fibrosis, and even to cause increased risk of mesotheliomas in animal models, call for immediate action. It is crucial to identify those ENM that may cause occupational health and safety risks from those ENM which are innocent, hence allowing prioritization of regulatory and preventive actions at workplaces at national, regional and global levels.     

Inherent safety concept based proactive risk reduction strategies: A review

The growing scale and complexity of process industries have brought safety, health, and environmental issues to the forefront. As a result, proactive risk reduction strategies (RRSs) are commonly employed to address these issues by reducing the frequency or mitigating the consequences of potential incidents. Among these strategies, inherent safety, which is a proactive measure of loss prevention and risk management, is considered to be the most effective method. This review aims to provide a comprehensive analysis of RRSs for achieving inherency, as well as techniques for evaluating the performance of inherent safety, health, and environmental aspects. Background information is presented, including the development and implementation of the inherently safer process design, as well as the approaches for achieving inherently healthier and environmentally friendlier processes. Subsequently, the execution approaches and practical applications of other RRSs are discussed to highlight the distinctiveness and benefits of inherent safety. Next, this study examined the characteristics of inherency assessment tools (IATs) based on available information at different process stages. Furthermore, the evaluation methods and historical development of IATs are investigated from the perspectives of safety, occupational health, and environmental considerations, followed by a statistical analysis of IATs. It is concluded that the no-chemical hazards-based IATs have not been extensively studied yet, which may improve the safety level of process plants from the perspective of comprehensive inherency risk reduction. As a way forward, future research opportunities are proposed to promote the implementation of greater optimized risk management.     

运用危险源控制方法改进职业健康安全管理的有效性

危险源辨识和风险评价是GB/T28001职业健康安全管理的基本方法,通过危险源辨识找出与职业健康安全有关的管理点（危险源）,评价出职业健康安全管理需要管理的重点（中度和高度风险）,制定适宜的方法,即制定目标指标方案、运行控制或应急预案加以控制和改善,体现职业健康安全管理的基本原则和思路。只有正确运用危险源辨识和风险评价的方法,才能做到合理策划危险源的控制方法,集中力量抓主要矛盾解决主要问题,兼顾次要矛盾和一般问题的管理;根据不同危险源的具体情况选择适宜合理的方法,既保证危险源的有效控制,又保证采用的任何危险源控制方法和措施与危险源产生后果的严重性和伴随的风险相适应,尽量避免危险源控制的盲目性和不经济,达到追求最佳职业健康安全绩效的目的,提高整体和系统管理的有效性。     

International trends in education and training in occupational hygiene

In many countries occupational hygiene has become an indispensable discipline in managing long-term risks to the health of workers. The international collaboration on education and training started with a workshop in Luxembourg in 1986 (sponsored by the EC and WHO). This meeting provided useful groundwork in defining the scope and function of training and education in occupational hygiene. Subsequent meetings in Geneva in 1989 and 1991 progressed many of the matters raised at the Luxembourg meeting. There is a fair agreement on the educational prerequisites for the professional occupational hygienist. Academic qualifications are regarded as essential since problem-solving, in contrast to rule-following, is best trained at academic level. For this reason a mandatory research project should be included in the curriculum. The general outline of an educational programme includes basic knowledge of physics, mathematics and chemistry, basic knowledge of supportive disciplines such as toxicology, epidemiology and biostatistics, risk analysis and engineering principles, and core and specialized topics in occupational hygiene such as measurement strategies, design techniques, health risk evaluation, principles of control inclusive ventilation, management and laws and legal requirements. Discussions pertains to the preferable educational routes, on the balance between methodology and professional practice, and the focus on prevention and engineering rather than exposure assessment. Currently, the International Occupational Hygiene Association has launched a programme for interchangeability and harmonization of the different certification schemes for professional occupational hygienists. International cooperation among educational resource centres should be strongly encouraged by exchange of students and faculty, as well as educational materials and information.     

Simple graphical method for inherent occupational health assessment

The concept of inherently safer design was introduced to design a fundamentally safer process so that hazards can be avoided or minimized rather than controlled or managed. The ideology has later been extended to the environmental, but not health criteria due to its complicated underlying principles. Even though health risk methods are already established, majority are for existing plants assessment. Early consideration of health aspect starting from process design stage however, has received much less attention. This paper introduces a simple graphical method to evaluate the inherent occupational health hazards of chemical processes during the R&D stage. A survey was conducted to identify the important health parameters for the graphical method development, involving nine world inherent safety and health experts. Based on their input, process mode, material volatility, operating pressure and chemical health hazard (toxicity and adverse effect) are the significant factors affecting inherent health hazards of chemical processes. The choice of parameters was bounded by the information availability at this stage. The method was applied on six routes to methyl methacrylate and ten routes to acetic acid. The parameters were plotted for each subprocess of the alternative routes. The ‘healthiest’ route was selected based on thorough hazards assessment across all the subprocesses. The first case study reveals the tertiary butyl alcohol as the ‘healthiest’ one as it poses relatively lower, or at least comparable hazards to the other routes due to exposure and health impacts. Meanwhile the acetic acid case study indicates ethanol oxide and ethyl oxide based routes as the inherently healthier as they operate at lower operating pressure besides posing comparable hazards level for the other three parameters, compared to the other routes. The case studies show that the inherent occupational health of a chemical process can already be evaluated easily in the R&D stage with the simple graphical method proposed.     

职业卫生定性风险评价方法的研究

根据风险评价的原理,建立了较为完整的职业卫生定性风险评价方法,为企业进行职业卫生管理提供了充分的依据。此方法利用现场的各种信息对潜在的职业危害风险进行指数分级,在暴露评估过程中包含了危害来源,暴露途径和职业暴露的接受体这三个要素,使企业以此为依据来决定减轻职业危害的控制方法及优先顺序如化学品的替代、工程控制及个体防护用品。     

基于健康风险的场地土壤修复限值分析

以某有机污染场地为研究对象,综合选择USEPA、ASTM和VROM等认可程度较高的健康风险评价方法,结合我国的人群特点和场地特征修正风险评估参数,对该场地污染土壤进行健康风险分析。监测结果表明,土壤中苯、苯并(a)芘和苯并(a)蒽3种有机污染物分别超过了其风险筛选值。通过口腔摄入、皮肤接触和呼吸吸入污染物3种暴露途径计算健康风险,污染土壤对人体产生的叠加致癌风险概率CR和非致癌危害HQ分别达到了9.59×10-5和15.46,会对该场地上的居民产生较大健康危害。根据CR和HQ的可接受风险水平10-6和1,将土壤中苯并(a)芘和苯并(a)蒽的修复目标值确定为0.033 mg/kg和0.33 mg/kg。     

城市污水处理厂职业健康风险评估研究进展

为进一步开展城市污水处理厂职业健康风险评估工作,运用文献调研方法对国内外城市污水处理厂职业健康风险评估研究现状进行综述和展望。研究结果表明:目前,污水处理厂职业健康风险评估主要针对有毒有害气体和生物气溶胶2类危害因素;主要采用问卷调查、矩阵法和剂量-反应模型等3种评估方法;噪声和人机工程等职业危害因素的健康风险评估、暴露特征污染物的识别、复合污染物的健康风险评估、职业与非职业危害因素对工人健康影响等研究工作还有待开展。     

Estimation of chemical concentration due to fugitive emissions during chemical process design

Fugitive emissions are not an environmental concern alone, but are also a health concern. From occupational health standpoint, fugitive emissions are the main sources of origin of the continuous exposure to workers. Operating plants regularly measure release and concentration levels through a plant-monitoring program. However, for processes which are still ‘on paper’, predictive estimation methods are required. Therefore, three methods for estimating concentration of the fugitive emissions are presented for the process development and design phases of petrochemical processes. The methods estimate the fugitive emission rates and plant plot dimensions resulting to fugitive emission concentrations. The methods were developed for the type and amount of information available in three process design stages; conceptual design, preliminary process design, and detailed process design. The methods are applied on a real benzene plant; the estimated benzene concentrations are compared to the actual concentration measured at the plant. The results show that as the information mounts up during design, the concentration estimate becomes more accurate. The results indicate that the methods presented provide simple estimates of fugitive emission-based concentrations during the design stages.     

The effect of first aid training on Australian construction workers' occupational health and safety motivation and risk control behavior

METHOD: A 24-week experiment was conducted to assess how first aid training affects the motivation of small business construction industry employees in avoiding occupational injuries and illnesses and its effect on their occupational health and safety behavior. A simplified multiple baseline design across workplace settings was used to evaluate the effects of first aid training. Participants' motivation to control occupational safety and health risks was explored during in-depth interviews before and after receipt of first aid training. Objective measurement of occupational safety and health behavior was conducted by a researcher directly observing the workplace before and after participants received first aid training. RESULTS: The observations at participants' worksites suggested that, for the most part, the first aid training had a positive effect on the occupational safety and health behavior of participants. First aid training appeared to reduce participants' "self--other" bias, making them more aware that their own experience of occupational safety and health risks is not beyond their control but that their own behavior is an important factor in the avoidance of occupational injury and illness. First aid training also appeared to reduce participants' willingness to accept prevailing levels of occupational safety and health risk and increase the perceived probability that they would suffer a work-related injury or illness. Participants expressed greater concern about taking risks at work after receiving first aid training. IMPACT ON INDUSTRY: It appears that first aid training enhances participants' motivation to avoid occupational injuries and illnesses and improves their risk control behavior. The implications of this are that first aid training can have a positive preventive effect and could complement traditional occupational health and safety training programs. As such, there may be benefit in providing first aid training to all employees rather than limiting this training to a small number of designated "first aiders."     

Inherent occupational health assessment during process research and development stage

Occupational health studies the interaction of work and health, especially the long-term effect of chemicals to health. In this paper an Inherent Occupational Health Index has been developed for assessing the health risks of process routes during process research and development stage. The method takes into account both the hazard from the chemicals present and the potential for the exposure of workers to the chemicals. The index can be used either for determining the level of inherent occupational health hazards or comparing alternative process routes for these risks. The method is tailored for the process research and development stage by including only such properties of chemicals and operating conditions of process, which are available already in this early stage. In the end of this paper the approach is demonstrated by comparing the inherent occupational healthiness of six methyl methacrylate process routes using three different types of index calculations; additive-type, average-type, and worst case-type. The study discloses that the average- and worst case-based approaches analyze the characteristics of a route better than the additive calculation, which is greatly affected by the number of steps in the route. A quantitative standard scale for the index is also developed to allow health level assessment of a single process.     

环境空气中挥发性有机物的健康风险评价研究进展

介绍了空气中挥发性有机物的研究进展,阐述了其污染对人体健康的致癌效应和非致癌效应。在此基础上对挥发性有机物的健康风险评价做了简要评述,并介绍了现在公认的健康风险评价方法,以及近年来室内外挥发性有机物污染健康风险评价的研究现状。最后,总结了健康风险评价的不足并进行了展望,提出利用不确定性方法解决健康风险评价问题将是未来研究的重点。     

工作场所职业工效相关因素及其管理初探

为了探讨工作场所职业工效管理的基本策略和方法,在概述职业工效相关因素类别、相互关联及评价方法等基础上,提出基于职业病危害防治要求、风险管理理念和管理体系建设模式的职业工效不良因素干预管理的初步策略及实施要点。研究结果表明:工作场所职业工效相关因素包括个体特征、工艺设备及其布局、工作系统设计、作业环境、作业管理和社会心理因素等,不同因素间存在直接或间接的相互影响,并最终影响到微观层面劳动者职业活动的工效特点及宏观层面工作场所整体的职业工效特征;实施有效的职业工效管理,在于科学辨识、评估不良职业工效因素的基础上,进一步在职业病危害预防控制的不同阶段采取合理可行的管理方法进行干预,并持续改进。