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ClearingtheAiron
ConstructionSites
OneApproachto
Managing RespirableHazards
A BetterApproach
• Focus on Occupational Health
• New Zealand Experience1
o 50 workplace deaths on average p.a.
o 600-800 died from work related
disease p.a.
o 16:1 ratio
• The UK Experience2
o 133 workplace deaths on average p.a.
o 13,000 died from work related disease*
o 99:1 ratio
• “Health, Like Safety”
1. Worksafe NZ 2015
2. HSE UK 2013/2014
Construction
Dust
• Asbestos has been the focus
• Treated timber dusts
• Nuisance dusts
• An emerging risk is
silica
• Crystalline silica is one of the most abundant materials on earth
• Found in different forms, quartz is the most common
• Quartz is found in almost all types of rock, sand, clay and gravel
Silicais Everywhere
“…sowhyissilicathe
hottopicon
constructionsites?”
Silicais a
major
component
of many
building
materials
Material Silica %
Sandstone >70%
Concrete 25 – 70%
Tile 30 – 45%
Bricks >30%
Fibre Cement
Board
10 – 30%
Mortar 25 – 70%
Plaster Board /
Filler
0.2%
• In it’s natural form silica is relatively harmless
• However, when machined with high energy tools, silica dust is
released into the air and becomes a respiratory hazard
• Cutting, drilling, grinding, polishing, sanding or even sweeping
with a broom can create airborne silica dust
WhentheHarmlessBecomesHazardous
• Inhalable particles are expelled by the body’s defences
• Smaller respirable particles travel deep into the lungs
• And can cause irreparable damage and chronic health effects
• Asthma… COPD… Silicosis… Lung Cancer
• Respirable crystalline silica classified as a carcinogen since 1997
InhalableandRespirableDusts
The most hazardous dusts are those that you can’t see
Don’tLetYourEyesDeceiveYou
Viewed under Tyndall lightingViewed under normal lighting
FletcherLiving’s
SilicaDustStrategy
1. Identify and assess the risks
2. Prevent and control the exposures
3. Monitor exposures against and below the WES
4. Initiate employee health surveillance
5. Review and improve controls
Understandingthe Exposures
Exposure Monitoring
• Exposure Monitoring
• Certified Occupational Hygienist
• All trades working with silica
• Nine different worker samples
• Compared against WES .2mg/m3
o 11% breached WES
o 33% breached proposed new WES
.025mg/m3
o Highest sample 15 x WES
• Fibre cement board cutting
• Block cutting
• Concrete grinding & cutting
• Tile cutting
Four
Problematic
Tasks
Understandingthe Practices
Contractor Knowledge & Practices Survey
• 38 Contractors working with silica
• 25% machined indoors
• Only 49% use engineering controls
• None using class H vacuums
• 72% claimed to use RPE (disputed)
• Almost all used P1 disposable – no fit test
• 45% warn nearby personnel
• 30% created an exclusion zone
• 42% updated hazard board or warned others
• 42% use disposable liners
• Poor personal hygiene practices
• No exposure monitoring or health surveillance
“Contractors,whothoughsuspicious
of silica,were inadequatelyinformed
orresourcedtokeepthemselvesor
theirworkerssafe”
Assessingthe Risk
Environment, Health & Safety Risk Matrix
Severity
Likelihood
Insignificant
No Injury
Minor
First Aid
Moderate
Medical
Treatment
Major
Serious
Injury
Catastrophic
Fatality
Almost
Certain
Medium
(8)
High
(13)
Very High
(20)
Very High
(23)
Very High
(25)
Likely
Low
(6)
Medium
(11)
High
(17)
Very High
(21)
Very High
(24)
Possible
Low
(4)
Medium
(9)
High
(12)
Very High
(18)
Very High
(22)
Unlikely
Low
(2)
Low
(L5)
Medium
(10)
High
(14)
Very High
(19
Rare
Low
(1)
Low
(3)
Low
(7)
High
(14)
High
(16)
• Exposure / Duration
o a known carcinogen
o very high short term, but
infrequent exposures
o over long construction careers
• Severity = Major
• Likelihood = Likely
• Risk = Very High 21
• Industry Knowledge = Extensive
knowledge of risk control particularly
engineering and RPE controls
• Controls = readily available and feasible
• Cost = quite manageable and not
disproportionate to the risk
• Hosted series of Senior Leadership team workshops to explore options
• Elimination options elusive because silica is so prevalent in materials
• Substitution options were available:
o Substituting cedar for fibre-cement claddings
o Increasing proportion of products requiring less cuts (brick / speed-wall)
o Now trialling new generation timber weatherboard claddings
EliminationandSubstitutionControls
Engineering Controls
• Mandatory on-tool extraction for dry cutting
• Water suppression for blocks, bricks & concrete
• Integrated solutions: tool, shroud, vacuum, hose
• Negotiated <50% equipment upgrade subsidies
• Partnered with Placemakers to offer deals
• Promoting Class H vacuums to comply with
Worksafe’s 99.96% linea filtration guideline
• Distributed 100s of free low dust blades
• Provided training on cleaning and maintenance
• Introduced a reward and recognition programme
for early adopters
AdministrativeControls– Training
• 152 carpenters linea handling and installation
• 290 workers national Respiratory Roadshow:
o Exposure monitoring results
o Health effects of silica
o How to use a “group of controls”
o How to select, use and maintain RPE
• Training was translated for foreign workers
• 170 workers free lung function tests
• Some referred for medical intervention
• Family of toolbox talks, FAQs and SWPs
• Ongoing coaching and support by Supervisors
AdministrativeControls–SiteManagement
• Machining only in well-ventilated, external areas
• Custom signage warning of silica dust hazards
• Exclusion zones around machining operations
• Ban dry sweeping – either vacuums or hoses
• Consider winds and warn persons nearby
• Update hazard board
• Promoted rotation of tasks
• Sealed liners to be used in vacuums
• Safe waste disposal methods
• Promoted personal hygiene:
o washing hands
o coveralls / changing out of dusty clothes
o washing dusty clothes separately
o not contaminating cars, homes or family
AdministrativeControls– Supervision
• Initial engagement and education
• Has translated to compliance and enforcement
• Coaching on dust management practices
• Non compliances are identified and tracked
• Mandatory ‘Stop Work’ until resolved
• Extraction and RPE are the common violations
• RPE violations peaked during the Respiratory
Roadshow and have started to tail off since
33%
30%
15%
7%
7%
4% 4%
All Violations
Extraction
RPE
Water Suppresion
Exclusion Zone
Interior Cutting
Signage
Wind Conditions
0
2
4
6
8
10
Jan Feb Mar Apr Aug Sep Oct
RPE Violations
AdministrativeControls– Auditing
• Supplement supervision with HO auditing
• Tablet / Smart phone auditing APP
• Audit tool focused on dust management controls
• Corrective actions tracked to close-out as a site KPI
• Further survey to assess changes in knowledge and
practice
AdministrativeControls– Monitoring
• Exposure Monitoring
o Formal programme
o Identified similar exposure groups
o Conducted five yearly
o Or new/changed equipment/process
o Aims:
1. To not exceed the WES
2. And to attain ‘factors of safety’
• Health Surveillance
o Formal annual programme
o Achieved >90% uptake in year one
o Funded initial surveillance for workers in
target populations
o Encourage Contractors continue
surveillance
PersonalProtectiveEquipment
• 290 workers Respiratory Roadshow
• RPE as a last line of defence
• Training on the correct selection, fitment,
storage, maintenance & replacement of RPE
• 48 workers volunteered to shave for fit test
• 170 workers qualitative fit test to NZS 1715
• Issued fit test cards
• Contractor access PPE at Fletcher prices
• NZ Safety ran a mobile RPE shop
• Set minimum RPE standards
WhatHasBeenAccomplished?
• Worker education and empowerment
• Ongoing elimination / substitution options
• Extensive engineering controls programme
• Integrated RPE programme
• 290 workers Respiratory Roadshow
• Formal exposure programme
• Formal health surveillance programme
• Supervisor’s effectively managing dust controls
• Tablet-based dust auditing tool
• Significantly cleared the air on site
GettingStarted?
1. Identify your respiratory hazards
2. Exposure monitoring programme
3. Assess the risks to worker health
4. Involve workers in the development of controls
5. Seek to prevent exposure by elimination and
substitution
6. Use engineering controls to keep the hazard
away from workers
7. Use administrative controls to limit the time or
numbers of people exposed
8. Establish RPE programme – fit testing, training
9. Train workers in how to use all equipment
10. Maintain and clean all equipment
11. Health surveillance programme
Doyoubreathe freely?

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Clearing the Air on Construction Sites

  • 3. A BetterApproach • Focus on Occupational Health • New Zealand Experience1 o 50 workplace deaths on average p.a. o 600-800 died from work related disease p.a. o 16:1 ratio • The UK Experience2 o 133 workplace deaths on average p.a. o 13,000 died from work related disease* o 99:1 ratio • “Health, Like Safety” 1. Worksafe NZ 2015 2. HSE UK 2013/2014
  • 4. Construction Dust • Asbestos has been the focus • Treated timber dusts • Nuisance dusts • An emerging risk is silica
  • 5. • Crystalline silica is one of the most abundant materials on earth • Found in different forms, quartz is the most common • Quartz is found in almost all types of rock, sand, clay and gravel Silicais Everywhere
  • 7. Silicais a major component of many building materials Material Silica % Sandstone >70% Concrete 25 – 70% Tile 30 – 45% Bricks >30% Fibre Cement Board 10 – 30% Mortar 25 – 70% Plaster Board / Filler 0.2%
  • 8. • In it’s natural form silica is relatively harmless • However, when machined with high energy tools, silica dust is released into the air and becomes a respiratory hazard • Cutting, drilling, grinding, polishing, sanding or even sweeping with a broom can create airborne silica dust WhentheHarmlessBecomesHazardous
  • 9. • Inhalable particles are expelled by the body’s defences • Smaller respirable particles travel deep into the lungs • And can cause irreparable damage and chronic health effects • Asthma… COPD… Silicosis… Lung Cancer • Respirable crystalline silica classified as a carcinogen since 1997 InhalableandRespirableDusts
  • 10. The most hazardous dusts are those that you can’t see Don’tLetYourEyesDeceiveYou Viewed under Tyndall lightingViewed under normal lighting
  • 11. FletcherLiving’s SilicaDustStrategy 1. Identify and assess the risks 2. Prevent and control the exposures 3. Monitor exposures against and below the WES 4. Initiate employee health surveillance 5. Review and improve controls
  • 12. Understandingthe Exposures Exposure Monitoring • Exposure Monitoring • Certified Occupational Hygienist • All trades working with silica • Nine different worker samples • Compared against WES .2mg/m3 o 11% breached WES o 33% breached proposed new WES .025mg/m3 o Highest sample 15 x WES
  • 13. • Fibre cement board cutting • Block cutting • Concrete grinding & cutting • Tile cutting Four Problematic Tasks
  • 14. Understandingthe Practices Contractor Knowledge & Practices Survey • 38 Contractors working with silica • 25% machined indoors • Only 49% use engineering controls • None using class H vacuums • 72% claimed to use RPE (disputed) • Almost all used P1 disposable – no fit test • 45% warn nearby personnel • 30% created an exclusion zone • 42% updated hazard board or warned others • 42% use disposable liners • Poor personal hygiene practices • No exposure monitoring or health surveillance
  • 16. Assessingthe Risk Environment, Health & Safety Risk Matrix Severity Likelihood Insignificant No Injury Minor First Aid Moderate Medical Treatment Major Serious Injury Catastrophic Fatality Almost Certain Medium (8) High (13) Very High (20) Very High (23) Very High (25) Likely Low (6) Medium (11) High (17) Very High (21) Very High (24) Possible Low (4) Medium (9) High (12) Very High (18) Very High (22) Unlikely Low (2) Low (L5) Medium (10) High (14) Very High (19 Rare Low (1) Low (3) Low (7) High (14) High (16) • Exposure / Duration o a known carcinogen o very high short term, but infrequent exposures o over long construction careers • Severity = Major • Likelihood = Likely • Risk = Very High 21 • Industry Knowledge = Extensive knowledge of risk control particularly engineering and RPE controls • Controls = readily available and feasible • Cost = quite manageable and not disproportionate to the risk
  • 17. • Hosted series of Senior Leadership team workshops to explore options • Elimination options elusive because silica is so prevalent in materials • Substitution options were available: o Substituting cedar for fibre-cement claddings o Increasing proportion of products requiring less cuts (brick / speed-wall) o Now trialling new generation timber weatherboard claddings EliminationandSubstitutionControls
  • 18. Engineering Controls • Mandatory on-tool extraction for dry cutting • Water suppression for blocks, bricks & concrete • Integrated solutions: tool, shroud, vacuum, hose • Negotiated <50% equipment upgrade subsidies • Partnered with Placemakers to offer deals • Promoting Class H vacuums to comply with Worksafe’s 99.96% linea filtration guideline • Distributed 100s of free low dust blades • Provided training on cleaning and maintenance • Introduced a reward and recognition programme for early adopters
  • 19. AdministrativeControls– Training • 152 carpenters linea handling and installation • 290 workers national Respiratory Roadshow: o Exposure monitoring results o Health effects of silica o How to use a “group of controls” o How to select, use and maintain RPE • Training was translated for foreign workers • 170 workers free lung function tests • Some referred for medical intervention • Family of toolbox talks, FAQs and SWPs • Ongoing coaching and support by Supervisors
  • 20. AdministrativeControls–SiteManagement • Machining only in well-ventilated, external areas • Custom signage warning of silica dust hazards • Exclusion zones around machining operations • Ban dry sweeping – either vacuums or hoses • Consider winds and warn persons nearby • Update hazard board • Promoted rotation of tasks • Sealed liners to be used in vacuums • Safe waste disposal methods • Promoted personal hygiene: o washing hands o coveralls / changing out of dusty clothes o washing dusty clothes separately o not contaminating cars, homes or family
  • 21. AdministrativeControls– Supervision • Initial engagement and education • Has translated to compliance and enforcement • Coaching on dust management practices • Non compliances are identified and tracked • Mandatory ‘Stop Work’ until resolved • Extraction and RPE are the common violations • RPE violations peaked during the Respiratory Roadshow and have started to tail off since 33% 30% 15% 7% 7% 4% 4% All Violations Extraction RPE Water Suppresion Exclusion Zone Interior Cutting Signage Wind Conditions 0 2 4 6 8 10 Jan Feb Mar Apr Aug Sep Oct RPE Violations
  • 22. AdministrativeControls– Auditing • Supplement supervision with HO auditing • Tablet / Smart phone auditing APP • Audit tool focused on dust management controls • Corrective actions tracked to close-out as a site KPI • Further survey to assess changes in knowledge and practice
  • 23. AdministrativeControls– Monitoring • Exposure Monitoring o Formal programme o Identified similar exposure groups o Conducted five yearly o Or new/changed equipment/process o Aims: 1. To not exceed the WES 2. And to attain ‘factors of safety’ • Health Surveillance o Formal annual programme o Achieved >90% uptake in year one o Funded initial surveillance for workers in target populations o Encourage Contractors continue surveillance
  • 24. PersonalProtectiveEquipment • 290 workers Respiratory Roadshow • RPE as a last line of defence • Training on the correct selection, fitment, storage, maintenance & replacement of RPE • 48 workers volunteered to shave for fit test • 170 workers qualitative fit test to NZS 1715 • Issued fit test cards • Contractor access PPE at Fletcher prices • NZ Safety ran a mobile RPE shop • Set minimum RPE standards
  • 25. WhatHasBeenAccomplished? • Worker education and empowerment • Ongoing elimination / substitution options • Extensive engineering controls programme • Integrated RPE programme • 290 workers Respiratory Roadshow • Formal exposure programme • Formal health surveillance programme • Supervisor’s effectively managing dust controls • Tablet-based dust auditing tool • Significantly cleared the air on site
  • 26. GettingStarted? 1. Identify your respiratory hazards 2. Exposure monitoring programme 3. Assess the risks to worker health 4. Involve workers in the development of controls 5. Seek to prevent exposure by elimination and substitution 6. Use engineering controls to keep the hazard away from workers 7. Use administrative controls to limit the time or numbers of people exposed 8. Establish RPE programme – fit testing, training 9. Train workers in how to use all equipment 10. Maintain and clean all equipment 11. Health surveillance programme