Industrial Hygiene in Construction

Do you smell dirty clothes in your indoor building? Do you suspect your heating ventilation and air conditioning system of causing the smells?

It might be what’s called, “Dirty sock syndrome”. Typically found in high humidity locations. A brief video overview can be found here (You Tube 2:03)

Lawrence Berkeley National Laboratory has good information on indoor air quality and how it affects people as they work. They also have some scientific information about how improving the indoor space (by ventilation, temperature, particles, etc) can create a better environment.

AIHA has a “Position Statement on Mold and Dampness in the Built Environment” (March, 2013).  It lays out the reasons to control moisture in a building, and some basic steps for remedy (spoiler: air sampling doesn’t usually help).

Bottom line: Check your coils before replacing your entire system. Replacing these might be cheaper. Or, sometimes they can be cleaned, but it is a strict protocol. One possible solution is here (I do not endorsement, or recommend this particular product/brand. Do your own research).

Unfortunately I have no problem finding an appropriate picture for this blog on Ebay. People are weird. Yuk.

I regret I don’t have the energy to post every question and situation on this site.

However, occasionally there are very unique questions. I won’t say how I answered them, but I will offer some considerations. Here’s are my two favorites from the recent past:

1. My construction crew is working on a “special TI (tenant improvement)”, alongside an elephant who has Turberculosis (TB). What personal protective equipment (PPE) do my workers need to wear?
   • Is the TB active
   • Does TB transfer from people to animal, and/or vice versa
   • How much contact (distance, time, amount of touching, etc) will the workers have with animal?
   • Will you offer prophylactic shots? (to the employees, of course)

1. We are going to be excavating the carcasses of dead sheep. What type of PPE will my excavator operators need to wear while performing these tasks?
   • How large of an area (2-3 football fields)
   • How long have the carcasses been in this area
   • Any additives to the soil/area
   • Will workers be in contact with dead animals?
   • Will workers need to enter the excavation?
   • Will you use a multigas meter (4 gas)?

I’d love to hear your best (or worst) questions.

I am ashamed I have not written on this topic yet. In fact, this issue is so close to me, it bewilders me why I never connected it to occupational exposures. It’s even a carcinogen, and I try to get as much of it as I can when it is around.

To summarize my personal examples:

• My dad has skin cancer on his ears and annually has these removed.
• My next door neighbor died in 2009 from skin cancer (metastasized). He was a county construction worker for 35+ years and was in the sun, with his shirt off. A LOT.

More recently:

• I read a great post from Oregon Institute of Occupational Health Sciences (formerly CROET).
• And, if you only click on one link,and want the most compelling reason, please share this video. Preview below:

There are some chemicals and foods, when taken/exposed, actually make you more sensitive to the suns UV exposure (aka: photosentisizer). A list can be found here. Some of them are:

• foods: carrots, dill, clover, eggs
• medicine: antibiotics, diuretics, high blood pressure
• chemicals: coal tar (creosote), benzene, xylene
• cosmetics

And, if you haven’t noticed, construction workers get a lot of sun exposure, especially in the summer. Don’t forget, welders can have high exposures, and our heavy highway (road paving) crews are exposed to coal tar pitch. We talk about heat stress, but we should talk about the long term effects of skin damage.

There are no specific OSHA regulations on UV exposure. However, there are some guidelines from the ACGIH. There might be an instance where we can work within our “hierarchy of controls” and and eliminate the exposure to the employee. However, with this hazard, rather than working on eliminating the hazard, I would recommend we provide PPE.

Do you provide sunscreen to your employees?

This topic is not industrial hygiene specific. However, it is a construction safety/cost issue. A lot of contractors do a poor  job at modified duty (light duty) for injured employees. There are a few reasons for this:

• temporary worker (disposable employee)
• no “light duty” for the hard work needing done
• the superintendent doesn’t want them back
  • doesn’t like him
  • can find someone else to do job
  • job is over

One of the best methods to reduce your return to work costs (aka workers compensation costs) is to return employees back to (some kind of) work as soon as possible. Keeping these injured employees on the project where the superintendent was responsible not only impact’s their projects bottom line, it reminds them of the injured employee.

Here is a list of some light duty jobs from Safety Awakenings.

Also, psychologically, how do you treat your injured employees? I have a brother, when younger, who would cry over a little tiny scrape. However, when he was actually hurt, he would firm-up, not shed a tear, and act as tough as possible. Employees are no different. Their reaction really varies, and your response might also need to change. There is probably not a one-size fits-all approach, but being professional is a good start.

Do you:

• Shame them (make fun of them because of their injury?)
• Encourage their injury (baby those who get hurt?)
• Highlight it (bring it up in meetings?)
• Discourage the behavior? or the act of unsafe behavior?

As you know, sometimes it’s hard to find light duty in construction.

It is officially summer and construction road crews & roofing is in full swing. Some projects require the use and application of coal tar pitch. Not only is it stinky, it is is hazardous.

Here’s some info:

• Uses
  • Roofing
  • Asphalt seal coating
  • Pharmaceutical treatment for psoriasis (scalp/skin condition)
  • Graphite industry (in the production of graphite)
• General
  • Coal tar pitch is actually a make-up of a bunch of different substances (maybe even 10,000 of them)
  • Contains lots of polycyclic aromatic hydrocarbons (PAHs) and other chemicals including: benzene, pyrene, benzo(a)pyrene, phenanthrene, anthracene
• Exposure
  • can be exposed by inhalation, ingestion (is this likely?), or exposure to skin, eyes
  • considered a carcinogen if the product contains more than 5% of coal tar
  • cancers include: skin, scrotal, lungs, bladder, kidney & digestive
  • increases your sensitivity to sunlight (easier to sunburn)
• Safety
  • Pick a sealant/coating that does not contain coal tar. A list of some can be found here.
  • Avoid inhalation & skin/eye contact
  • Train your employees. A sample safety SDS (MSDS) can be found here.
  • Wear the correct PPE.
  • Air sample to determine exposures. OSHA has a method (58).
• Resources
  • OSHA Coal Tar Pitch Volatiles
  • CDC Coal Tar Pitch Volatiles

This question gets asked a lot, and in many different ways. Such as:

• Will I get hurt if I touch asbestos? (aka: How long can I be exposed?)
• What if I have done siding removal/cutting pipe/removed TSI (etc) on an asbestos containing product, am I safe?
• If I am only doing going to do touch asbestos for 20 minutes (or ___ time), will I still be in compliance?
• I am disturbing less than 3 square feet of asbestos, I can do this legally, right?

The answer is:   it depends.

Or, an alternative answer: if you think you are disturbing asbestos; you’d better verify (by performing an air sample).

Nowadays there is no excuse for exposing employees, tenants, neighbors to asbestos. And, really, if you are working with asbestos, you need to be extra diligent to inform everyone about the hazard. The worst situation isn’t from a single exposure to asbestos, or an OSHA fine. The worst situation is this:  when you don’t pre-plan, and then verify your exposure levels. Because, someone will make up a worst case scenario, and at that point, you are already behind.

To raise awareness for construction fall protection, OSHA is asking for construction employers to join them between June 2 – 6, 2014 for employee training on the subject.

At OSHA’s site, you can find out how to:

• conduct a safety stand-down
• get additional resources; videos, wallet cards, etc
• print a certificate
• get a company poster (even in spanish)
• share your story

And, look at my earlier posts for more additional resources.

Can we measure an exposure accurately with just one sample? (statistically, no.) Also consider: Can we measure a “worst case” scenario and be OK for the rest of the project? (again, hypothetical question)

There was a blog post, here by Mike Jayjock, which reminded me of how silly our data points (aka industrial hygiene sample results) are in the big picture of statistics.  I’m slowly reading a book titled, “Control Banding” by David Zalk who is with Lawrence Livermore National Labs. The CDC also has a section on control banding here.

Another side of this is a common practice we all perform called Risk Analysis. There is much on the subject, but essentially it’s similar to triage at an emergency room. What is the easiest, best thing you can do: given what you have available and what you are able to muster?

Too often (myself included) we perform air monitoring for a specific situation and use that information as the gospel-truth. Well, this might be like living in the United States and never traveling. We meet a very nice person from the Ukraine. They seem very typical Eastern European and have a thick accent, but are they really like everyone in Russia? Is this person typical? Are they exactly like every other person from Russia?

This type of stereotyping is the same as taking one sample and drawing conclusions about all exposures. You might be right, BUT…you might be wrong.

There is a fun app you can download called, IH DIG by Adam Geitgey (Apple & Android).  This app illustrates the importance of using statistical tools, rather than guessing. (It’s a game)

Sorry I do not have many answers in this post, just a lot of questions.

Let’s clarify: You are a working adult. You are feeling symptoms (of some sort). And, you think it’s from something your exposed to while at work (in construction). This could include, but will not, the flu-bug. Below is a list of the most common construction illnesses.

Most Common Construction Illnesses:

1. Upper respiratory
   • could be from silica, drywall, dust, asbestos, nuisance dust, chemicals (I won’t even try to list all of them)
2. Skin (dermal, dermatitis) damage –
   • From: concrete, abrasion, chemicals
3. Eyes
   • mostly from things that get into the eye.
4. Cumulative trauma (ergonomics) or inflammation
   • repetitive motion, over a day hurts, imagine this for years
5. Burn (heat or chemicals)
   • Usually around hot work like welding, but this can occur when using certian chemicals
6. Hearing loss
   • cumulative trama to the ears when exposure is above about 85 decibels for any extended period of time.
7. Poisoning– General or systemic
   • From: poison ivy, stinging needles, dog bites, bees, etc.

This list may vary depending on many things including what type of construction you are in; GC, heavy, civil, specialty, etc.  I put this list together to get a picture of where we see illnesses. However, as previously mentioned, and, everyone knows, the FOCUS FOUR is really where most injuries occur in construction.

We have seen the most prevention of illness due to one single device:

the back support.   ha. just kidding, of course.

I previously wrote about a worst-case scenario in which asbestos was not discovered till after it was disturbed.

Recently I heard a story of the opposite:

A general contractor hired a company to remove various pieces of asbestos. They had obtained an asbestos building survey, which clearly stated where the  asbestos was located. A boiler with surrounding insulation was identified as non-asbestos containing (asbestos-free). The employee was using a bobcat to demolish the boiler. As he started to tear into the insulation surrounding the boiler (disturb it), he paused. He checked the building survey again, and it had clearly stated it was “asbestos free” (actually 5 samples had been taken of the insulation around the boiler). Then, he did what most other people would not do: HE REFUSED to demo the insulation. He told the General Contractor and owner he thought it was asbestos containing and wanted it tested, AGAIN.

Guess what they found? Yep. Asbestos WAS contained inside the insulation around the boiler.

There was obviously some break-down in communication with the report, inspector, and possibly the lab.  However, this employee is to be commended and, really, the safety culture at this company should be congratulated. You never know where you will find asbestos.  The employee had enough guts to speak up for his safety (and for the others).

Measuring good-safety behavior is the type of thing we should reward. In the past (and still today) many safety-people measure losses ( ie. how many injuries). This is backwards thinking. We should be rewarding good behavior and encouraging people to speak up for safety.

For example; what do you say to this guy?