Doctor's Desk
WorkWise Newsletter Archive
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May 24 , 2002

Protecting Your Workforce Through Engineering, Administrative and Personal Protection Equipment (PPE) Controls

By Peter H. Wald, MD, MPH
Board-Certified, Occupational Medicine, Medical Toxicology, Internal Medicine
Principal, WorkCare

An Excerpt from Physical and Biological Hazards of the Workplace

Substitution of less dangerous equipment or agents is the best protection from hazards, because it totally removes any chance of exposure.  However, substitution is often not possible; therefore, worker protection from physical hazards generally focuses on engineering controls.  Engineering and administrative controls for physical hazards are summarized in Table 1.  Often these controls involve isolation or shielding from the hazard.  The most effective isolation involves physically restricting an individual from a hazard area by fencing off the area whenever the hazard is present.  Interlocks that inactivate the equipment when the exclusion area is entered are often used to further enhance physical barriers.  Alternatively, the hazard can be “locked out” when a worker is present in an area that would become hazardous if the equipment were energized.  This process of excluding maintenance workers from hazardous areas has been institutionalized in the OSHA Lock-Out, Tag-Out (LOTO) Standard (Code of Federal Regulations [CFR] 1910.147).

Another way to protect workers is to specifically shield them from the hazard.  In some cases, an individual piece of equipment can be shielded to prevent exposure.  With some higher-energy hazards, such as ionizing radiation shielding may be needed in addition to isolation of the equipment.  In special cases where it is not practical to shield the hazard (e.g. cold, low pressure), individual workers can be shielded with personal protective equipment, such as jackets or environment suits.  In addition, it is sometimes possible to alter the process so as to decrease exposure.  This is often the case with hazards affecting the worker-material interface, where engineering design is often inadequate.  Personal protective equipment can also be used as an adjunct to engineering controls.  Table 2 also contains a summary of the most common personal protective equipment used for physical hazards.

The final strategy for hazard control is the use of administrative controls.  These controls are implemented when exposures cannot be controlled to acceptable levels with substitution, engineering controls, or personal protective equipment.  Administrative measures can be instituted to either rotate workers through different jobs to prevent repetitive motion injuries, or to remove workers from ionizing radiation exposure once a predetermined exposure level is reached.  Although this is not the preferred method of hazard control, it can be effective in some circumstances.  Administrative controls are also reviewed in Table 1.

The best way to determine what hazards are present in a specific workplace is to go to the site and walk through the manufacturing or service process.  There are some significant measurement issues that need to be addressed by an appropriate health professional.  Although larger employers will undoubtedly have such a person on staff, at the majority of smaller work sites, no such person will be available.

If you are unfamiliar with the measurement technology, make sure that you (or the employer) retain someone who knows how to do an exposure assessment.  Inaccurate measurements will invalidate the entire process of a prevention program.  There are, of course, a number of physical hazards that do not require special measuring and can be handled quite nicely with relatively low-cost safety programs.

Finally, remember that the human being is a biological system.  For a given exposure, different people will respond differently because of interindividual variation.  Most workplace standards are designed with a safety factor to protect against overexposure related to this variation (and to account for any knowledge gaps).  In addition, however, a worker's perception of the hazard must also be taken into account.  Some workers may have an exaggerated response to a non-existent or low-threat hazard, whereas others may not respond appropriately to a series hazard with which they have “grown comfortable".  The challenge in assessing and communicating the relative danger entailed by the hazard is to strike the right balance between these two competing tendencies.

Table 1 – Engineering and administrative controls for physical hazards

Hazards

Engineering controls

Administrative Controls

Worker-material interfaces

 

 

Repetitive ergonomic

hazards - extremities

Repetition-mechanical aids, automation, distribution of tasks across the shift and the workforce

Force – decrease weight of tools/containers, optimize handles, torque control devices

Postures – locate work for mechanical advantage

More frequent or longer rest breaks, limit overtime, varying work tasks, rotation of workers between less and more ergonomically stressful jobs

Manual materials handling – backs

Same as above

Same as above

Vibration

Whole body – relocate worker away from vibration, mechanically isolate vibration, use vibration-isolating seats in vehicles

Hand-arm – use anti-vibration tools

Hand-arm-removal from work for significantly affected workers

Mechanical energy – direct injuries

Guards, interlocks, proper lighting, non-skid floors

None

The physical work environment

 

Hot environments

Air conditioning, increase air movement, insulate and shield hot surfaces, decrease air humidity, shade work area, mechanize heavy work

Use recommended work/rest cycles, work during cool hours of the day, provide cool rest areas, use more workers for a given job, rotation of workers between less and more physically stressful jobs, provide fluids for cooling and hydration

Cold environments

Enclose and heat work area

Use recommended work/rest cycles, provide appropriate clothing, provide shelter for break, provide fluids for warming and hydration

High-pressure environments

Engineer a “shirtsleeve” environment which avoids high-pressure work

Work under no decompression guidelines/tables.  Adhere to recommended decompression guidelines

Low-pressure environments

Work remotely at low altitude

Wait 12-48 hours after diving to fly, schedule time for acclimation when working at altitude

Shift work

Automate processes to reduce the number of workers/shift

Rotate shifts forward, get worker input for desires of time off and shift design

Energy and electromagnetic radiation

 

Ionizing radiation

Shielding, interlocks, increase worker distance to source, warning signs, enclose radionuclides

Worker removal if dose limit reached, minimize exposure times, use radionucides only in designated areas using safe handling techniques, limited personnel access

Ultraviolet radiation

Enclosure, opaque shielding and/or tinted viewing windows, interlocks, increase worker distance to source, non-reflective surfaces, warning signs

Minimize exposure times, limited personnel access

Visible light and infrared radiation

Enclosure, shielding, interlocks, increase worker distance to source, non-reflective surfaces, warning signs

Limited personnel access

Laser radiation

Enclosure, interlocks, non-reflective surfaces, warning signs

Limited personnel access

Microwave, radiofrequency (MW/RF) and extremely low-frequency (ELF) radiation

MW/RF – Wire mesh enclosure, interlocks, increase worker distance to source, warning signs

ELF – Increase worker distance to source

MW/RF – Limited personnel access

Noise

Enclose sources, warning signs

Limited personnel access

Electric power and electrocution injuries

Interlocks, warning signs

Limited personnel access

Table 2 – Commonly used personal protective equipment for physical hazard

 

Equipment type

Hazard category

Specific hazard

 

Helmet

Direct injuries

(1)     Falling objects

(2)     Low clearances/”bump hazards”

 

Safety glasses

(1) Direct injuries

(1)     Flying objects

(2)     Sparks

 

 

(1)     Lasers

Direct injury

Retinal burns

(1)     Flying objects

(2)     Molten metal, sparks

 

Welding helmet/goggles

(1) Direct injury

(1) Flying objects

(2) Molten metal, sparks

 

 

(2) Ultraviolet radiation

Skin/conjunctival burns

 

Earplugs/earmuffs

Noise

Noise

 

Fall protection systems-safety belt, body harness, lines and/or other hardware

Direct injury

Falls

 

Respirators

Ionizing radiation

a-Emitters: internal contamination

 

Clothing

 

 

 

Leather

Heat

Burns

 

Aluminized

Heat

Heat stroke, burns

 

Lead

Ionizing radiation

g - Emitter, X-rays

 

Fire-resistant

Direct injury

Burns

 

Insulating

Cold

Hypothermia

 

Disposable

Ionizing radiation

a - Emitter: external contamination

Gloves

 

 

 

Leather

Direct injury

Abrasions, lacerations

 

Rubber

Electric injury

Lacerations

 

Metal mesh

Direct injury

Lacerations

 

Anti-vibration

Vibration

Vibration

Footwear

 

 

 

Steel toe

Direct injury

Falling objects

 

“Traction sole”

Direct injury

Slips, trips, falls

 

Rubber

Electric energy

Electrocution