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Protecting and Preserving health at work
while handling chemicals in an
Industrial setting
Dr.R.Kailasam
r.kailasam@vedanta.co.in
Date : 30th Oct. 2015
Chemical Hazard
Potential to cause harm
Classification:
- Aromatic & Aliphatic
- Target organ dysfunction
- Toxidromic approach
Benefits Vs Risks
TLV concept
2
3
Significance
4
• All have occupations
• All Occupations have hazards
• All hazards are preventable and controllable
• Rarely treatable
• Individual & productivity suffers
• Love thy Occupation
• Where are those occupation ?
Mineral Lung Disorder
Industrial Outlook
Physical Chemical Biological Ergonomic
Psycho-
social
Noise Dusts Insects Posture Worry
Vibration Fumes Mites Movement
Work
pressure
Ionizing
radiation
Fibers Moulds Repetition Monotony
Non-
ionizing
radiation
Liquids Yeasts
Illumination
and Visibility
Unsocial
hours
Heat Mists Fungi
Cold Gases Bacteria
Extremes
of pressure
Vapors Viruses
5
Hazards
6
Routes of Entry
 Inhalation - OCCUPATIONAL RESPIRATORY DISEASE
 Ingestion
 Skin and Mucous membrane - OCCUPATIONAL DERMATITIS
7
Hierarchy of Control
Source
MediumRecipient
Environment
• Elimination
• Substitution
• Barrier
• Containment
• PPE
• Bio-monitoring
8
Zero Harm
Workplace monitoring
Individual dozimetry
Hazard specific medical evaluation
Organ function assessment
Early detection
Restoration of Health
9
Specific exposure group - Awareness
• Unknown Hazard – Unknown Workers
- Pesticides, antibiotics , heavy metals
• Known Hazard – Unknown Workers
- Induction and Training
• Known Hazard – Known Workers
- Monitoring
• Unknown Hazard – Unknown Workers
- Hazard interaction, Explosive, Inflammable
Chemical Hazard life cycle Continues …
Paradox
• Knowledge
• Training
• Right PPE for the right job – Appropriate PPE usage
Hazard ?
10
Chemical Handling
Transport Emergency (TREM) Card
Specialized Training
Material Safety Data Sheet (MSDS)
- Vernacular language
- PEP talks, Job Safety Analysis (JSA), Hazard Identification & Risk Analysis
(HIRA)
Appropriate training & PPE usage
Storage of Chemicals
- Proper labeling (Pictorial) / Standard Operating Procedure (SOP)
Emergency Measures
- Chemical Inventory and Antidotes
11
Case Vignettes
12
13
14
Pain Abdomen
Hgic Pancreatitis
Caecoplasty
Appendisectomy
15
Metal Fume Fever
16
Porphyria – Welding fumes
• Disease (or) Drug Induced / Partly Treated
Early Parkinson’s Disease
• Anti depressant
• Manganese, Copper
Mercury
• Leprosy
Ataxia
• Acoustic Neuroma
Chemical Hazard
17
18
Acoustic Neuroma
History of exposure alone is inadequate for diagnosing an
Occupational Disease
Anaemia
• Asymptomatic Healthy Male Scientist (R&D)
• Ignorant Bottom Loss
• Hidden Hypo Thyroid
Absence of an evidence of Disease is not
an evidence for its absence
19
20
Acid Burns
H2SO4 burn HF burn
21
Diphoterine Kit
22
Diphoterine Kit
23
Toxicology concerns the potential of chemicals to produce
adverse effects in the body.
“It is the dose that makes the poison”
The hazard of a given substance is related to
A. its absolute toxicity
B. its physico-chemical properties
C. circumstances of use-concentration,
D. length of exposure,
E. body area exposed.
F. Bio-variability
Toxicology
24
Endocrine System
Shift Work ----- Circadian Dysrhythmia
Drugs ----- Hormones, Pharmaceuticals
• Anaesthetic gas
• Lead, Mercury, Arsenic, Carbon Disulfide, Cadmium
• Radiation, Heat
• Fertility, Torch, Menstrul Disorder, Con. Malformations,
Low Birth Weight
Asbestos, Carbon-Monoxide – Cross the Placenta
25
 Training at medical school - Orientation
- Life is a learning process; Learning is a life long process
 Cause ? effect ? Why Why analysis ?
- History of exposure to chemicals alone is inadequate
 Bio variability matters
- Evidence beyond doubt
 Expect the Unexpected
Learnings
26
“ And in the end if that the work man
shall live to enjoy the fruits of his
labour, that his mother shall have
the comfort of his arm in her age,
that his wife shall not be untimely
a widow, that his children shall
have a father and that cripples
and hopeless wrecks who were
once strong men shall no longer
be the bye-products of industry”
Prayer
27
Thank you

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15Protecting and preserving health at work while handling chemicals in an industrial setting, Dr. R. Kailasam

  • 1. Protecting and Preserving health at work while handling chemicals in an Industrial setting Dr.R.Kailasam r.kailasam@vedanta.co.in Date : 30th Oct. 2015
  • 2. Chemical Hazard Potential to cause harm Classification: - Aromatic & Aliphatic - Target organ dysfunction - Toxidromic approach Benefits Vs Risks TLV concept 2
  • 4. 4 • All have occupations • All Occupations have hazards • All hazards are preventable and controllable • Rarely treatable • Individual & productivity suffers • Love thy Occupation • Where are those occupation ? Mineral Lung Disorder Industrial Outlook
  • 5. Physical Chemical Biological Ergonomic Psycho- social Noise Dusts Insects Posture Worry Vibration Fumes Mites Movement Work pressure Ionizing radiation Fibers Moulds Repetition Monotony Non- ionizing radiation Liquids Yeasts Illumination and Visibility Unsocial hours Heat Mists Fungi Cold Gases Bacteria Extremes of pressure Vapors Viruses 5 Hazards
  • 6. 6 Routes of Entry  Inhalation - OCCUPATIONAL RESPIRATORY DISEASE  Ingestion  Skin and Mucous membrane - OCCUPATIONAL DERMATITIS
  • 7. 7 Hierarchy of Control Source MediumRecipient Environment • Elimination • Substitution • Barrier • Containment • PPE • Bio-monitoring
  • 8. 8 Zero Harm Workplace monitoring Individual dozimetry Hazard specific medical evaluation Organ function assessment Early detection Restoration of Health
  • 9. 9 Specific exposure group - Awareness • Unknown Hazard – Unknown Workers - Pesticides, antibiotics , heavy metals • Known Hazard – Unknown Workers - Induction and Training • Known Hazard – Known Workers - Monitoring • Unknown Hazard – Unknown Workers - Hazard interaction, Explosive, Inflammable Chemical Hazard life cycle Continues … Paradox • Knowledge • Training • Right PPE for the right job – Appropriate PPE usage Hazard ?
  • 10. 10 Chemical Handling Transport Emergency (TREM) Card Specialized Training Material Safety Data Sheet (MSDS) - Vernacular language - PEP talks, Job Safety Analysis (JSA), Hazard Identification & Risk Analysis (HIRA) Appropriate training & PPE usage Storage of Chemicals - Proper labeling (Pictorial) / Standard Operating Procedure (SOP) Emergency Measures - Chemical Inventory and Antidotes
  • 12. 12
  • 13. 13
  • 14. 14
  • 17. Porphyria – Welding fumes • Disease (or) Drug Induced / Partly Treated Early Parkinson’s Disease • Anti depressant • Manganese, Copper Mercury • Leprosy Ataxia • Acoustic Neuroma Chemical Hazard 17
  • 18. 18 Acoustic Neuroma History of exposure alone is inadequate for diagnosing an Occupational Disease
  • 19. Anaemia • Asymptomatic Healthy Male Scientist (R&D) • Ignorant Bottom Loss • Hidden Hypo Thyroid Absence of an evidence of Disease is not an evidence for its absence 19
  • 23. 23 Toxicology concerns the potential of chemicals to produce adverse effects in the body. “It is the dose that makes the poison” The hazard of a given substance is related to A. its absolute toxicity B. its physico-chemical properties C. circumstances of use-concentration, D. length of exposure, E. body area exposed. F. Bio-variability Toxicology
  • 24. 24 Endocrine System Shift Work ----- Circadian Dysrhythmia Drugs ----- Hormones, Pharmaceuticals • Anaesthetic gas • Lead, Mercury, Arsenic, Carbon Disulfide, Cadmium • Radiation, Heat • Fertility, Torch, Menstrul Disorder, Con. Malformations, Low Birth Weight Asbestos, Carbon-Monoxide – Cross the Placenta
  • 25. 25  Training at medical school - Orientation - Life is a learning process; Learning is a life long process  Cause ? effect ? Why Why analysis ? - History of exposure to chemicals alone is inadequate  Bio variability matters - Evidence beyond doubt  Expect the Unexpected Learnings
  • 26. 26 “ And in the end if that the work man shall live to enjoy the fruits of his labour, that his mother shall have the comfort of his arm in her age, that his wife shall not be untimely a widow, that his children shall have a father and that cripples and hopeless wrecks who were once strong men shall no longer be the bye-products of industry” Prayer