Managing Health in Construction – What Good Looks Like
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The document discusses the serious health risks faced by construction workers due to exposure to silica dust, which can lead to diseases such as silicosis and lung cancer. It emphasizes the importance of effective risk prevention and management practices, including regular health surveillance and control measures like dust suppression and tool extraction to minimize exposure. It also highlights the role of the Breathe Freely initiative in raising awareness and promoting safe practices within the construction industry.
Managing Health in Construction – What Good Looks Like
- 1. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry Managing Health in Construction – What Good Looks Like Mike Slater Diamond Environmental Ltd. BOHS Immediate Past President 2015/16
- 2. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry Controlling Exposures to Prevent occupational lung disease in the construction industry
- 3. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry This worker is exposed to dust containing silica that presents a serious risk to his health Workers regularly exposed to silica containing dust can develop serious lung diseases • Silicosis • Lung cancer • Chronic Obstructive Respiratory Disease (COPD) Construction workers have a high risk of developing these diseases because many common construction tasks can create high dust levels.
- 4. How many construction workers died last year due to their exposure to silica dust? a) 25 b) 100 c) 500 d) 5000
- 5. How many construction workers died last year due to their exposure to silica dust? a) 25 b) 100 c) 500 d) 5000
- 6. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry Over 500 workers believed to die from exposure to silica dust every year
- 7. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry About 5 500 new occupational cancer cases in construction every year
- 8. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry 76 000 cases of work-related ill health
- 9. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry
- 10. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry Wellbeing Health Surveillance Risk Prevention & Control
- 11. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry Wellbeing Health Surveillance Some employers in the construction industry are now starting to pay attention to occupational health but think it is about wellbeing and health surveillance
- 12. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry Wellbeing Health Surveillance Risk Prevention & Control But effective risk prevention and control is the key to protecting the health of construction workers
- 13. Recognise Evaluate Control Occupational Hygiene Occupational hygiene is the science and practice of achieving just that – a healthy working environment
- 14. Recognise Evaluate Control Occupational Hygiene Recognising that there’s a potential problem and evaluating the degree of risk are the first steps in this. They help to establish priorities
- 15. Recognise Evaluate Control Occupational Hygiene But they’re a means to an end – the end being effective control of the agents and other factors that create the risk
- 16. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry Prevention Engineering Work practices PPE There are many different measures that can be implemented. Some are more effective than others. This is the basis of the “hierarchy of control”
- 17. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry Controlling Exposures to Prevent occupational lung disease in the construction industry
- 18. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry The Breathe freely initiative has been launched by BOHS in conjunction with our partner organisations to raise awareness of the issues
- 19. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry Many materials used in the construction industry contain crystalline silica Regular exposure to high levels of dust containing respirable crystalline silica can cause silicosis and lung cancer
- 20. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry
- 21. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry
- 22. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry But the health risks can be prevented or minimised by the use of some readily available controls
- 24. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry Dust suppression using water
- 25. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry Source: http://www.hse.gov.uk/copd/casestudies/wetcut.htm
- 26. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry Laboratory tests showed water suppression reduced dust levels by up to 99% Measurements of the E€ectiveness of Dust Control on Cut-o€Saws Used in the Construction Industry A. THORPE et al. Ann Occup Hyg Vol. 43, No. 7, pp. 443±456, 1999
- 27. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry On-tool extraction
- 28. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry On-tool extraction
- 29. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry Respirable Crystalline Silica concentrations were reduced by on-tool shrouds by … 99% An Evaluation of On-Tool Shrouds for Controlling Respirable Crystalline Silica in Restoration Stone Work Catherine B. Healy et al. Ann Occup Hyg 2014;58:1155-1167
- 30. A secondary water flow provided a fan-shaped water curtain sprayed normal to the path of the ejected stone dust. Jared H. Cooper et al. Ann Occup Hyg 2015;59:122-126 © The Author 2014. Published by Oxford University Press on behalf of the British Occupational Hygiene Society.
- 31. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry Carpenters and joiners are likely to be exposed to wood dust
- 32. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry All types of wood dust can cause occupational asthma Exposure to many hard wood dusts is also associated with nasal cancer
- 33. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry tool extraction is a practical solution on struction sites
- 34. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry
- 35. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry Sweeping – can lead to high dust exposures
- 36. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry Use portable vacuums instead
- 37. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry
- 38. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry But make sure they are Type H or Type M units to stop dust escaping through the filter
- 39. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry Working with cement can lead to dermatitis and other skin problems
- 40. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry Using simple tools can minimise skin contact
- 41. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry Hand held drills lead to exposure to noise and vibration
- 43. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry The Barbican in London – “Brutalist” architecture with lots of concrete
- 44. The rough surface was created manually
- 45. Using tools such as..
- 46. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry Bush Hammers
- 47. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry that would have created a lot of dust
- 48. Designers need to consider health risks to workers
- 49. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry BOHS is working on guidance for designers – prevent health risks by design and working methods
- 50. Crossrail have taken an integrated approach to health risk management
- 51. This case study is featured on the Breathe Freely website
- 52. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry Crossrail Control Solutions • Material substitution and process modifications • Engineering controls • Administrative controls • RPE • Monitoring
- 53. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry Controlling Exposures to Prevent occupational lung disease in the construction industry
- 54. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry What can YOU do?
- 55. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry What can you do? Become an official campaign supporter
- 56. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry What can you do? Help us develop case studies and good practice examples
- 57. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry What can you do? Spread the word
- 58. www.breathefreely.org.uk www.bohs.org Controlling Exposures to Prevent occupational lung disease in the construction industry
- 59. Join us and be part of the solution www.breathefreely.org.uk