Lead in General Industry Applicability The regulation on lead applies to all occupational exposure to lead, except for the construction industry and agricultural operations 1a Applicability Definitions • Lead • Action level • Permissible exposure limit 1b Processes that use lead Exposure to lead occurs in at least 120 different occupations including: Primary and secondary lead smelting Lead storage battery manufacturing 2a Processes that use lead Lead pigment manufacturing and use Solder manufacturing and use Shipbuilding/repairing 2b Processes that use lead Auto manufacturing Printing 2c Exposure monitoring Initial monitoring • Required when lead is present in any quantity • Monitor a representative number of employees • The sample must be collected for one full shift for at least 7 hours 3a Exposure monitoring Initial monitoring • Sample must be representative of a regular, daily exposure • Sample represents an exposure without the use of a respirator 3b Exposure monitoring Positive initial determination Negative initial determination 3c Exposure monitoring Frequency monitoring of exposure Employee notification process 3d Methods of compliance Engineering Work controls practice controls Mechanical ventilation Administrative controls 4a Respiratory protection Situations requiring the use of respiratory protection Selection process Proper usage of respirators 5a Respiratory protection Review Appendix D of 1910.1025 (qualitative fit tests) Respirator program 5b Compliance program Workers can examine or copy the written program Written programs are revised/updated every 6 months 6a Compliance program Written programs should include the following items: Each operation from which lead is emitted Description of the specific means of reducing exposures 6b Compliance program Air monitoring data Detailed schedule of program implementation Work practice programs 6c Compliance program Administration Other control schedule relevant information 6d Protective clothing and equipment Used if the exposure, regardless of the use of respirators is greater than the PEL, or if skin or eye irritation exists 7a Protective clothing and equipment Types of protective clothing to be used: • Coveralls • Gloves, hats, shoes, disposable shoe coverlets • Face shields, vented goggles, other appropriate protective equipment 7b Protective clothing and equipment Protective clothing is provided on a weekly basis, or daily if the exposure is greater than 200 micrograms/cubic meter of air 7c Protective clothing and equipment Removal of protective equipment at the end of the shift Designated containers closed 7d Protective clothing and equipment Container labeling should read: 7e Protective clothing and equipment Never remove lead from clothing by blowing, shaking, or any other means Persons who launder must be informed of the potential harmful effects of lead exposure 7f Hygiene facilities and practices No food or beverage, tobacco products, or cosmetics may be used in areas that exceed the PEL Change rooms and separate storage facilities for protective clothing 8a Hygiene facilities and practices Employees working in an area with an exposure level greater than the PEL must shower at the end of the work shift Procedures Lavatory for lunchroom use facilities use 8b Housekeeping procedures Housekeeping procedures can increase the amount of lead exposure Establish a program that keeps all surfaces clean of accumulations of lead dust 9a Medical surveillance Medical surveillance is required whenever employees are exposed above the action level for more than 30 days per year 10a Medical surveillance Medical exams and procedures are done by, or under the supervision of, a licensed physician at no cost to the employee, and at a reasonable place and time 10b Biological monitoring Sampling frequency 11a Biological monitoring Employees receive written notification of test results within 5 working days of employer receipt of the results when the blood lead level exceeds either: 11b Biological monitoring 40 micrograms/100 grams of whole blood; or the medical removal value of 60 micrograms/per 100 grams of whole blood 11c Medical examinations and consultations Frequency of examinations/consultations 12a Medical examinations and consultations Medical examinations include: medical work history history thorough physical examination 12b Medical examinations and consultations blood pressure measurement blood sample and analysis routine other urinalysis tests deemed necessary 12c Medical examinations and consultations Employees have the right to select a second physician: • to review findings, determination, or recommendations of the initial physician • to conduct examinations, consultations, and lab work that the second physician deems necessary 12d Medical examinations and consultations Procedures for obtaining a second physician's review and resolving differences in: • findings • determinations • recommendations 12e Medical examinations and consultations Findings, determinations, or recommendations of the third physician will be followed unless the employee and employer come to an agreement on one of the three physician’s recommendations 12f Medical examinations and consultations Information provided to physicians upon request • • • • • • a copy of the regulation a description of employee’s duties employee exposure levels PPE to be used prior blood lead determinations prior written medical opinions 12g Medical examinations and consultations Information contained in written medical opinions Chelation 12h Employee medical removal and return to work Conditions that can cause temporary medical removal Worker’s status return to former job Medical removal benefit protection 13a Training Who needs training? Types of training Workers exposed to airborne lead at any level - Review Appendices A and B of 29 CFR 1910.1025 14a Training Workers exposed to airborne lead at or above the action level Frequency Training of training materials 14b Signs and markings Text for warning signs should read as follows: 15a Recordkeeping Contents of exposure monitoring records Procedures for medical surveillance records 16a Recordkeeping Maintenance of medical removal records Medical records must be made available to employees 16b Exposure monitoring All protective measures must be followed Measurement procedures 17a Exposure monitoring Employees have a right to observe monitoring Employees can record results or receive copies of results 17b How lead enters the body Inhalation Ingestion Generally skin not absorbed through 18a Effects of acute overexposure Large dosages can kill in a matter of days Acute encephalopathy can lead to seizures, coma, and cardiorespiratory arrest 19a Effects of chronic overexposure Damage to: Blood-forming system Nervous system Kidneys Urinary system Reproductive systems 20a Purpose of the standard, program, and training Prevent adverse effects of lead exposure 21a Signs and symptoms of overexposure Loss of appetite Metallic taste Anxiety Constipation 22a Signs and symptoms of overexposure Nausea Pallor Excessive tiredness Weakness 22b Signs and symptoms of overexposure Insomnia Headaches Nervous irritability Muscle and joint pain or soreness 22c Signs and symptoms of overexposure Fine tremors Numbness Dizziness 22d Signs and symptoms of overexposure Hyperactivity Colic 22e Summary of main points PEL and action level Exposure Methods monitoring of compliance Respiratory protection 23a Summary of main points Protective equipment work clothing and Housekeeping Hygiene facilities and practices Medical surveillance 23b Summary of main points Medical removal protection Training Warning signs Recordkeeping 23c Summary of main points Ways of entry into the body Signs and symptoms of overexposure Effects of overexposure 23d
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