Silica
refers specifically to silicon dioxide (SiO2), and is a major component
of sand, rock, and mineral ores. Exposure to fine (respirable
size) particles of crystalline forms of silica is associated with
adverse health effects such as silicosis, lung cancer, chronic
obstructive pulmonary disease (COPD), and activation of latent
Tuberculosis (TB) infections. OSHA (Occupational Safety and Health Administration) estimates that more than 2.3 million workers are exposed to respirable crystalline silica in their workplace, with nearly 90% of those workers employed in the construction industry. (OSHA – Silica, Crystalline). Occupational exposures occur when workers cut, grind, crush, or drill silica-containing materials such as concrete, masonry, tile, and rock. About 300,000 workers are exposed in general industry and maritime operations such as brick, concrete, and pottery manufacturing, as well as operations using sand products, such as foundry work and hydraulic fracturing (fracking) of oil and gas wells (https://www.osha.gov/silica/). Based
on the widespread occurrence and use of silica, the number of
silicosis-related deaths reported in mortality studies and the health
effects of overexposure to silica, OSHA implemented (in May of 1996) a
nationwide Special Emphasis Program (SEP) to eliminate silicosis in the
workplace. In January of 2008, OSHA established a National
Emphasis Program (NEP) which expanded and built upon the 1996
SEP. In August of 2013, OSHA announced proposed rules for General
Industry, Maritime, and Construction. The final rules were issued
on March 24, 2016 and became effective on June 23, 2016. More information on silica can be found in Appendix A of the OSHA National Emphasis Program - Crystalline Silica. (top) Potential Health Effects Silicosis related mortality has declined in the U.S. From 1968 to 2005, the number of deaths from silicosis declined from 1,065 in 1968 to 165 in 2004. During 2001–2010, a total of 1,437 decedents had silicosis coded as an underlying or contributing cause of death. The annual number of silicosis deaths declined from 164 in 2001 to 101 in 2010 (CDC – Morbidity and Mortality Weekly Report – February 13, 2005). “The Center for Disease Control (CDC) cited two main factors that were likely responsible for the decline since 1968. First, many of the deaths during the early part of the study period were among workers whose main exposure to respirable crystalline silica probably occurred before introduction of national silica standards established by OSHA and MSHA. The establishment of Permissible Exposure Limits (PELs) likely led to reduced silica dust exposure beginning in the 1970's. Second, employment has declined in heavy industries (e.g., foundries) where silica exposure was prevalent”. (Occupational Exposure to Respirable Crystalline Silica - Federal Register / Vol. 81, No. 58 / Friday, March 25, 2016 / Rules and Regulations) “Despite this
decline, silicosis deaths among workers of all ages result in
significant premature mortality. Between 1996 and 2005, a total
of 1746 deaths resulted in a total of 20,234 years of life lost from
life expectancy, with an average of 11.6 years of life lost. For
the same period, among 307 decedents who died before age 65 (the end of
a working life), there were 3,045 years of life lost up to age 65, with
an average of 9.9 years of life lost from a working life
“.(Occupational Exposure to Respirable Crystalline Silica - Federal
Register / Vol. 81, No. 58 / Friday, March 25, 2016 / Rules and
Regulations). Workers may develop any of these three types of silicosis, depending on the concentration of airborne silica and duration of exposure. Chronic Silicosis,
the most common form of silicosis, occurs after 15–20 years of moderate
to low exposures to respirable crystalline silica. Symptoms associated
with chronic silicosis may or may not be obvious; therefore, workers
need to have a chest x-ray to determine if there is lung damage. As the
disease progresses, the worker may experience shortness of breath upon
exercising and have clinical signs of poor oxygen/carbon dioxide
exchange. In the later stages, the worker may experience fatigue,
extreme shortness of breath, chest pain, or respiratory failure. (OSHA Crystalline Silica Exposure) Accelerated Silicosis. Accelerated silicosis can occur after 5-10 years of high exposures to respirable crystalline silica. Symptoms include severe shortness of breath, weakness, and weight loss. The onset of symptoms takes longer than in acute silicosis. (OSHA Crystalline Silica Exposure) Acute silicosis occurs after a few months or as long as 2 years following exposures to extremely high concentrations of respirable crystalline silica. Symptoms of acute silicosis include severe disabling shortness of breath, weakness, and weight loss, which often leads to death. (OSHA Crystalline Silica Exposure)
Since 1968,
NIOSH has obtained mortality data from the National Center for Health
Statistics (NCHS) for various respiratory conditions, including
silicosis. During 2001–2010, 1,437 decedents had silicosis coded
as the underlying or contributing cause of death. Of these, 28 (1.9%)
were aged 15–44 years, 1,370 (95.3%) were males. The annual
number of silicosis deaths declined from 164 (0.74 per 1 million) in
2001 to 101 (0.39) in 2010. A statistically significant decline
in silicosis death rates was observed during 2001–2010. However,
silicosis deaths still occurred among persons aged 15–44 years. Of 28
decedents aged 15–44 years, the youngest was aged 19 years (Silicosis
Mortality Trends and New Exposures to Respirable Crystalline Silica —
United States, 2001–2010 - Centers for Disease Control and Prevention -
February 13, 2015). (top) Where Can Silica Exposure Occur? Silica is a general term for the
compound silicon dioxide (SiO2). Silica can be
crystalline or amorphous. Different crystalline silica forms
exist and include quartz and less common forms such as cristobalite and
tridymite. In the literature, crystalline silica is commonly
referred to as silica sand, free silica, quartz, cristobalite and
tridymite. Crystalline
silica is the basic component of sand, quartz, and granite rock.
Activities such as sandblasting, rock drilling, roof bolting,
foundry work, stone cutting, drilling, quarrying, brick/block/concrete
cutting, gunite operations, drywall finishing, lead-based paint encapsulation,
and tunneling through the earth's crust can create an airborne silica
exposure hazard. In addition, some recently noted exposures to
silica include the following.
The OSHA National Emphasis Program - Appendix B contains a listing of industries where overexposure to respirable crystalline silica can occur. Geologically, quartz
is the second most common mineral in the earth's crust, readily found in
both sedimentary and igneous rocks. Quartz content can vary
greatly among different rock types, for example: granite can contain
anywhere from 10 to 40 percent quartz; shales have been found to
average approximately 22 percent quartz; and sandstones can average
almost 70 percent quartz. When diatomaceous earth is subject to pressure or is processed (calcined) at temperatures above 1000°C, some of the amorphous silica is converted to crystalline silica in the form of cristobalite. Cristobalite is also created in "after-service" refractive ceramic insulation.
Perhaps
the most familiar use of quartz sand is as an abrasive blasting agent
used to remove surface coatings prior to repainting or treating.
An alert published by NIOSH – Preventing Silicosis and Deaths
from Sandblasting (DHHS (NIOSH) Publication Number 92-102)
estimates that of the approximately one million American workers at
risk of developing silicosis, more than 100,000 are employed as sand
blasters. (top) What is a Silica Control Program? To
help reduce the likelihood of silica-related disease, an effective
Silica Control Program is needed for all employees exposed to
respirable silica (quartz, cristobalite and tridymite). One of
the potential benefits of a silica control program is reduction of the
risk of occupational disease, primarily silicosis. Other
potential benefits include improved visibility while working, reduced
accident rates, increased work efficiency, and decreased dust levels
migrating off-site. Occupational disease arising from exposure to
silica reduces quality of life, potentially resulting in early death
for the affected individual and increased costs for the employer.
A Silica Control Program can benefit both employers and employees. The basic elements of a Silica Control Program include:
According to the Construction Standard, initial exposure monitoring would not be required for these tasks when
the specified controls and respiratory protection requirements are fully implemented. Performance Option - Assessing the 8-hour time-weighted average (TWA) exposure for each employee on the basis of any combination of air monitoring or objective data sufficient to accurately characterize employee exposures to respirable silica. Objective data means information, such as air monitoring data from industry-wide surveys or calculations based on the composition of a substance, demonstrating employee exposures to respirable silica associated with a particular product or a specific process, task or activity. The data must reflect workplace conditions closely resembling or with a higher exposure potential than the processes, types of materials, control methods, work practices, and environmental conditions in the current operation. Scheduled monitoring option - Perform initial monitoring to assess the 8-hour TWA exposure for each employee on the basis of one or more personal breathing zone air samples that reflect the exposures of employees on each shift, for each job classification, in each work area. In representative sampling, sample the employee(s) who are expected to have the highest exposure to respirable crystalline silica.
Preparing and Implementing a Silica Control Program Identifying Responsible Staff A Silica
Control Program should be a continuing program in your facility. In order to have an ongoing, successful
program, responsibility should be assigned for both the initial and ongoing
activities. In some cases, these
activities already may be part of current job assignments. For example, site supervisors frequently are
responsible for on-the-job training sessions.
Early identification of the responsible employees, and involvement of
them in developing your plan of action, can help result in a more effective
program design. Evaluating the
effectiveness of your program can also be enhanced by involvement of affected
employees.
For any safety
and health program, success can depend on commitment at every level of
the organization. This is particularly true for silica
exposure prevention, where success may require a change in behavior. This
may only occur if employers understand the program, are committed
to its success, and if employees are motivated by the people presenting
the information to them. The Construction Standard requires that the employer designate a competent person to make frequent and regular inspections of job sites, materials, and equipment to implement the written exposure control plan. Identifying Employees to be included in a Silica Control Program With
the exception of specific tasks covered in the Construction
Standard (Table 1), initial air monitoring is necessary to identify
those
employees exposed to crystalline silica. Exposure to crystalline
silica is determined by personal, breathing zone, air sampling.
Employee exposures to respirable silica should be controlled
below the OSHA PEL, and preferably the Action Level. All air
samples taken to satisfy the monitoring requirements of the OSHA Silica
Standards are to be evaluated by a laboratory that analyzes air samples
for respirable crystalline silica in accordance with the procedures in Appendix A of the Silica Standards. The OSHA (ID-142) and NIOSH (7500) Sampling Methods include specific procedures for sampling, calibration of equipment, and analysis of respirable dust samples. Generally, a "high flow" personal sampling pump is used to draw air through a cyclone preselector, or similar particle size selection device, and a preweighed 5 micron (µ) PVC filter. Lab analysis consists of weighing for respirable particulate and X-ray diffraction to determine the percentage of silica in the sample. The respirable dust result can be compared to the OSHA PEL for respirable particulates-Not Otherwise Regulated (PNOR) which is an 8-hour standard of 5 milligrams per cubic meter of air (mg/m3). The silica results are compared to the OSHA PEL and Action Level. In addition to initial monitoring, the Silica Standards require periodic exposure assessments. The monitoring frequency is based on whether initial monitoring results are above the OSHA PEL and/or Action Level. The Silica Standards also require that additional air monitoring be repeated when changes in production, processes or controls have the potential to increase respirable silica dust exposures. Such changes may mean that additional employees need to be included in the program. You may also want to monitor after implementing changes designed to reduce respirable silica exposures, (e.g., after enclosing a particular machine or area to reduce the number of employees exposed). The monitoring may show that some employees no longer need to be included in all aspects of a Silica Control Program. Written Silica Control Program All
workplaces where employees are exposed to respirable silica above the
PEL should have a written Silica Control Program which describes how
the program will be implemented in that facility. Preparation of a plan
should not just be a paper exercise—all of the elements should be
implemented in the workplace. The plan does not have to be lengthy or complicated. It can act as a blueprint for implementation of the program—with the goal of ensuring that all aspects of the Silica Standards have been addressed. The
Sample Silica Control Program included in this kit is a generic, hypothetical, example of a
written program. Although such general guidance may be helpful, an actual
written program should reflect and be specific to the applicable workplace.
Therefore, the Sample Program should only be used as a resource, as it must be
adapted to address the specific facility it covers. For example, the written
plan should list the affected employees or areas at your site, indicate who is
to be responsible for the various aspects of the program in your facility, and
indicate how any written materials or exposure records will be made available
to employees. A written Silica Control
Program should describe the engineering and administrative controls
used at your facility or job site, medical management program in place
to monitor employee health; respiratory protection provided to the
employees and the method of selection; training procedures; and
record keeping practices. The following discussion provides descriptions
of the program elements based on the Silica Standards that can be used as a reference when developing a Silica Control Program. Medical Specific
medical
examinations are required and made available to all workers exposed to
crystalline silica above the OSHA Action Level for 30 or more days per
year (General Industry Standard), or are required to use
respiratory protection to comply with the Silica Standard for 30 or more days per year (Construction Standard). Medical Examinations The Silica Standards require employers provide medical surveillance at no cost to the employee. A baseline examination is to be made available within 30 days after initial assignment, unless the employee has received a medical examination that meets the requirements within the past three years. The examination shall consist of:
Medical
examinations are to be repeated at least every three years, or more
frequently if recommended by the Health Care Professional. Regulated Areas and Access Control Whenever an employee's exposure to airborne concentrations of respirable crystalline silica is, or can reasonably be expected to be, in excess of the OSHA PEL, the employer (general industry and maritime) must establish regulated areas and have a written exposure control plan. There are no requirements for Regulated Areas in the Construction Standard. Regulated Area (General Industry and Maritime) Per the General Industry Standard, regulated area refers to an area, demarcated by the employer, where an employee's exposure to airborne concentrations of respirable crystalline silica exceeds, or can be reasonably expected to exceed, the PEL. The regulated area(s) is to be demarcated in a manner that minimizes the number of employees exposed to respirable crystalline silica within the regulated area. Access is to be restricted to authorized employees required by work duties to be in the regulated area, designated representatives of the employees for the purpose of observing monitoring procedures, and any person authorized by the OSHA act or regulations issued under it to be in the regulated area. Appropriate respirators are to be provided for those entering the regulated area. Written Exposure Control Plan (General Industry and Construction) Per the Silica Standards, the written Access Control Program must contain the following elements:
The Construction Standard requires that the Exposure Control Plan also include:
Per the Silica Standards, respiratory protection is required:
Air sampling results are used to select a respirator with the appropriate protection factor.
Informing Employees of Hazards from Crystalline Silica Training is an integral element of an overall Silica Control Program. When workers understand the reasons for the Silica Control Program's requirements and the need to protect their lungs, they should be better motivated to actively participate in the program and to cooperate by wearing their respirators and participating in the medical management program. Respirable crystalline silica is to be included in the Hazard Communication Program established to comply with OSHA standard 29 CFR 1910.1200 - Hazard Communication. Ensure that each employee has access to labels on containers of crystalline silica and safety data sheets, and is trained in accordance with the requirements of the Hazard Communication Standard. Per the Silica Standards, the training program should include at least the following information:
A
training program may be structured in a variety of formats, with
different portions conducted by different individuals at different
times, as long as the OSHA minimum required topics are covered. All of
these topics are included in various audiovisual media available
commercially or through safety libraries. Maintaining records of
employee training can help ensure that all employees are appropriately
trained. If a training program is already in place, an employer may
only need to supplement it with information about the company's Silica
Control Program. For example, employers that already are in compliance
with OSHA's Hazard Communication Standard may have little extra
training to do. Signs The General Industry Standard requires warning signs be posted at all
entrances to regulated areas that bear the following legend: Engineering and Work Practice Controls It is generally accepted that engineering controls are the preferred method to reduce airborne
crystalline silica levels. Engineering controls can include substitution
with less toxic materials, dust suppression methods and ventilation
control measures. Work Practice Controls can include appropriate housekeeping, maintenance and repair operations, hygiene
procedures, and establishing prohibited practices. Engineering Controls
Engineering controls should be used to lower the silica exposure of
workers wherever it is economically and technically feasible. Such
controls can include, but may not be limited to:
Table 1 in the Construction Standard includes Specified Exposure Control Methods for specific operations. Inspection and maintenance of engineering controls must be scheduled regularly to ensure their continued effectiveness.Work Practice Controls Work
Practice Controls include specific work practices (and prohibited
practices) concerning housekeeping, maintenance, and repair operations,
and hygiene procedures. The following are some examples of work practice controls to
consider including in a Silica Control Program:
Maintenance and repair operations
Hygiene procedures
Recordkeeping Air sampling information and results, respiratory protection and training, and records of employee notifications should all be maintained to properly document the steps taken to protect employees from silica-related occupational disease. Air Monitoring Data Make and maintain an accurate record of all exposure measurements taken to assess employee exposure to respirable crystalline silica. Per the Silica Standards, the record must include at least the following information:
Objective Data Make and maintain an accurate record of all objective data relied upon to comply with the Silica Standards. Per the Silica Standards, this record must include at least the following information:
Medical Surveillance Make
and maintain an accurate record for each employee covered by medical
surveillance. Per the Silica Standards, the record must include the following information
about the employee:
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