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AUTOMOTIVE WORKER ASBESTOS TRAINING MANUAL 2 THIS PAGE LEFT INTENTIONALY BLANK 3 Automotive Worker Outline Asbestos Basics I. Characteristics 1. Naturally - occurring mineral fiber, locations 2. Heat and chemical resistant 3. High tensile strength - breaks into very small fibers II. History of Asbestos Usage 1. Early uses - Greeks, Charlemagne 2. Late 19th century "rediscovery" 3. Commercial uses of asbestos 4. Concerns over asbestos usage III. Toxicity and Hazard 1. Toxic - definition 2. Hazard - definition IV. Hazard Assessment 1. Types of Asbestos - chrysotile, amosite, crocidolite 2. Definition of A sbestos C ontaining M aterial 3. Identification of asbestos - sampling, laboratory ID 4. Asbestos Containing Materials found in automotive work - brakes, clutches, gaskets, etc. 4 Health Effects of Asbestos I. Asbestos as a Health Hazard 1. Introduction 2. Factors affecting risk of developing a disease a. Properties of asbestos b. Howasbestosentersthebody c. Concentration and duration of exposure d. Critical dose e. Individual Susceptibility f. Group Susceptibility g. Smoking and asbestos exposure II. How asbestos enters the body 1. Respiratory system 2. Digestive system 3. Fiber migration III. Body Defenses 1. Nose Hairs 2. Mucociliary Escalator 3. Phagocytes - white blood cells IV. Non - Harmful Signs of Asbestos exposure 1. Pleural plaques 2. Asbestos bodies 3. Asbestos warts 4. Pleural thickening 5. Pleural effusion V. Asbestos Related Diseases 1. Asbestosis a. Definition b. Risk c. Latency d. Symptoms e. Diagnosis 2. Lung Cancer a. Definition b. Risk c. Latency d. Symptoms e. Diagnosis 5 3. Mesothelioma a. Definition b. Risk c. Latency d. Symptoms e. Diagnosis 4. Digestive System Cancers Asbestos Medical Monitoring I. Establishing a medical monitoring program II. Purpose of a medical monitoring program 1. Establish fitness to wear a respirator 2. Screening for asbestos related diseases 3. Not for full diagnosis or treatment 4. Not to take the place of regular checkups III. Content of a medical monitoring program 1. Medical and work history questionnaire 2. Physical exam 3. Pulmonary function test/chest X-ray IV. The State Employees Medical Monitoring Program 1. Location 2. Scheduling of exams 3. Frequency of exams 4. Who must attend 5. Medical records Safety Issues I. Heat Stress 1. Heat Cramps 2. Heat Exhaustion 3. Heat Stroke 4. Prevention II. Carbon Monoxide 1. Sources 2. Exposure Limits 3. Symptoms of Poisoning 4. Prevention 6 Regulatory Review I. OSHA - Occupational Safety & Health Administration MOSH - Maryland Occupational Safety & Health 1. The General Industry Standard for Asbestos - 29 CFR 1910.1001 a. Focus on workplace Safety & Health b. Sets P.E.L. (permissible exposure limit) at 0.1f/cc 1. Requires engineering controls 2. Requires work practice controls 3. Requires worker protection c. Sets Short Term Exposure Limit at 1f/cc in 30 mins. 2. The General Industry Standard for Respiratory Protection - 29 CFR 1910.134 a. Focus on written respiratory protection programs b. Has 11 specific requirements 3. The General Industry Standard for Access to Employee Exposure and Medical Records - 29 CFR1910.1020 4. The General Industry Standard for Hazard Communication - 29CFR 1910.1200 II. The Environmental Protection Agency 1. The Asbestos Manufacturing, Processing, Importation, and Distribution Prohibitions II. COMAR - Code of Maryland Regulations 1. Labor & Employment Article Title 5. Occupational Safety & Health Subtitle 4 -Access to Information on Hazardous & Toxic Substances a. Sets requirements for C hemical I nformation L ists IV. The Maryland State Employees Asbestos Program - Executive Order 01.01.1987.22 1. Established in 1983, revised in 1987 2. Provides incentive pay for asbestos work 3. Requires 1 / 2 faced negative pressure respirators or PAPR's and protective clothing to be used by automotive workers doing asbestos work 4. Requires employees to be clean shaven where the respirator seals to the face. 5. Established refusal/consent provisions for asbestos work 6. Established safe work practices for automotive work 7 Personal Protective Equipment I. Personal Protection A. Protective Clothing 1. Purpose 2. Requirements 3. Options 4. Who must wear 5. Donning and Removal B. Respiratory Protection 1. Purpose 2. Types 3. Selection 4. Inspection 5. Cleaning 6. Storage 7. Repair and Replacement of Parts 8. Donning and Removal 9. Fit Testing 10. Factors Affecting the Fit 11. Protection Factors C. Powered Air Purifying Respirators 1. Description 2. Filters 3. Batteries 4. Breathing Hose 5. Face Piece 6. Flow Testing D. 1 / 2 Faced Negative Pressure Respirator 1. Description 2. Filters 3. Face piece 8 Work Practice Review: Automotive Brake & Clutch Work CONTROL METHODS: 3 Principles To Be Emphasized (1) Prepare Work Area, (2) Minimize Fiber Release, & (3) Proper Cleaning & Disposal AREA PREPARATION Access Limited; (3 foot rule) Signs Posted; Appropriate Barriers Erected or Asbestos Component Enclosed; Equipment Available to Prevent Fiber Release During Job, e.g., HEPA Vacuum and Enclosure Device OR Approved Wet Collection Device; 6 Mil Plastic and Duct-Tape Available to Cover Floor; Appropriate Respirator and Disposable Clothing Available; Cleanup Supplies; 6 Mil Labeled Disposal Bags for Friable Asbestos Waste; Appropriate Containers for Non-Friable Asbestos Waste; MINIMIZE FIBER RELEASE Smoke Tubes or Other Procedures to Verify Effectiveness of Containment System Use of Appropriate Control Device Prohibition of Grinding Prohibition of Use of Compressed Air Stream outside of vacuum enclosure Prohibition of Other Procedures That Are Likely to Generate Airborne Asbestos Fiber Release CLEANUP AND WASTE DISPOSAL Means to Decontaminate Brake Shoes, Clutch Plates, and Other Equipment Available; Means to Decontaminate Friable Asbestos Waste Containers Before Removal from Regulated Area; Procedures to Account for and Track Asbestos Waste Both Friable and Non-Friable; Procedure to Verify Completion of Cleanup 9 LEARNING OBJECTIVES FOR LEVEL II TRAINING: AUTOMOTIVE I. ORIENTATION A. Background Following this presentation employees will be able to: 1. Identify the source of asbestos (naturally occurring mineral). 2. Define asbestos containing material (1% or greater). This is an EPA/OSHA definition. The State Program says that any material containing any amount of asbestos is an asbestos containing material. 3. Know that the only positive means of asbestos identification is laboratory analysis. 4. Identify common sources of exposure and locations of asbestos in State Automotive Facilities. 5. Be able to determine who is a Level II employee and what asbestos related work is permitted to be done by State Employees. 6. Define the term friable. 7. Recognize when asbestos materials pose a potential health problem. 8. Be aware of notification procedures in the event an asbestos hazard is suspected. 9. Know the requirements for carrying out asbestos related work in State Facilities. B. Objectives for Legal Aspects 1. Employees should recognize the OSHA PEL and excursion limit for asbestos and the limitations of this regulation in disease prevention. 2. Be familiar with automotive work requirements as outlined in OSHA's 29CFR 1910.1001 standard section (f)(3) and Appendix F. 3. Be familiar with the requirements of 29 CFR 1910.134 for respiratory protection and workplace monitoring. 10 4. Be able to cite the common uses for asbestos and which ones are still allowed by the EPA 5. Know the requirements for asbestos disposal in Maryland. C. Medical Aspects Following this presentation workers will 1. Recognize the most common diseases associated with asbestos exposure. 2. Identify the most common route of entry for asbestos into the body. 3. Recognize the Dose (Exposure) - Response Relationship between inhalation of asbestos dust and disease development. 4. Know the 3 defensive mechanisms the body has against asbestos exposure. 5. Know the meaning of latency and how it applies to asbestos related disease. 6. Know the symptoms, prognosis and treatment for asbestos related diseases. 7. Recognize the importance of personal protection and dust control measures in preventing asbestos related diseases. 8. Be aware of the relationship between cigarette smoking and asbestos related lung cancer. 9. Be aware of the potential danger of contaminating work clothes with asbestos. 10. Identify 3 methods of reducing the risk of asbestos related disease in the workplace. 11. Be aware of the medical confidentiality provisions of the State Employees Asbestos Program. 12. Understand the limitations of a medical surveillance program. 13. Recognize the symptoms of heat related disorders and carbon monoxide poisoning and preventative measures that reduce the risk of developing these problems. [...]... the above will indicate achievement of the training and re -training objectives of the Maryland State Employees Asbestos Program A Control Methods: Following this presentation the trainees 1 2 B are expected to state when asbestos may be hazardous, and list the four essential control methods (prepare area, protect worker, minimize fibers, cleanup and disposal Workers shall be encouraged to take those... 1989 The six asbestos- containing product categories that are still subject to the prohibition are corrugated paper, rollboard, commercial paper, specialty paper, flooring felt, and new uses of asbestos 28 The asbestos- containing product categories that are no longer subject to the rule (i.e can be manufactured and sold) are: asbestos- cement corrugated sheet, asbestos- cement flat sheet, asbestos clothing,... healthful & safe work practices The State Employees Asbestos Program is working towards providing a safer work environment be providing mandatory training to all employees who may be potentially exposed to asbestos in the performance of normal work activities Any employee whose job activity may require cutting into, breaking, or otherwise disturbing asbestos or asbestos containing materials has been designated... exposure to asbestos Under the provisions of the State Employees Asbestos Program it is mandatory that any employee who works with asbestos must participate in medical screening The exam will be offered to all Level II employees, including retired employees and new employees prior to placement If an employee can document previous Level II exposure as a State employee but who no longer works with asbestos, ... Describe approved methods for disposal of asbestos waste, contaminated clothing and materials These include double-bagging and sealing in 6 mil poly bags, clearly labeled as to contents and breathing hazard; us of locking-top fiber drums, and transport to a landfill that will accept asbestos waste 13 ASBESTOS SUBSTITUTE MATERIAL USES OF ASBESTOS PRODUCT CONTAINING ASBESTOS SUBSTITUTE MATERIALS Friction... monitoring and training for these employees AOC: assigned to "define the status of the asbestos situation in the State with respect to its employees and facilities and to develop and implement an asbestos management plan (AMP) and appropriate policies to effectively address and resolve any asbestos related issues." Established members from several Departments with at least quarterly meetings Asbestos Management... in positions with the potential for asbestos exposure because of work-related activities or location, but who are not required to break, cut into, tear out or otherwise disturb asbestos or asbestos- containing materials Level II employees are those workers employed in positions whose job activities may cause them to break, cut into, tear out, or otherwise disturb asbestos- containing materials, or who... performing Level II-type activities Medical Monitoring and Training: Employees agreeing to work in positions which involve incidental exposure to asbestos shall participate in this monitoring program after successfully completing a formal asbestos training program Operations and Maintenance Program: (within the AMP) contains a procedure to locate and identify asbestos in State buildings, and to assess its condition... respirator use & safe work practices taken to reduce asbestos exposure (By looking at the rate of asbestos related diseases among Level II employees since the program began) Identification of health factors that may increase an individual's risk of developing asbestos related disease Determination of appropriate follow-up and counseling for early asbestos related conditions or smoking Periodic evaluation... and/or demonstrate the design, proper use, and maintenance of the HEPA Vacuum for asbestos- related work, and the limitations of conventional "shop-vac" for such work Cleanup and Disposal of Asbestos Waste: Upon completion of this presentation, workers will be able to: 1 Describe two recommended methods of cleanup following asbestos work 2 List steps, in order, in which cleanup is to be done and state . AUTOMOTIVE WORKER ASBESTOS TRAINING MANUAL 2 THIS PAGE LEFT INTENTIONALY BLANK 3 Automotive Worker Outline Asbestos Basics I. Characteristics 1. Naturally. Non - Harmful Signs of Asbestos exposure 1. Pleural plaques 2. Asbestos bodies 3. Asbestos warts 4. Pleural thickening 5. Pleural effusion V. Asbestos Related Diseases 1. Asbestosis a. Definition b asbestos b. Howasbestosentersthebody c. Concentration and duration of exposure d. Critical dose e. Individual Susceptibility f. Group Susceptibility g. Smoking and asbestos exposure II. How asbestos