4industrial Hygiene and Occupational Health 23115
4industrial Hygiene and Occupational Health 23115
4industrial Hygiene and Occupational Health 23115
Substance Substitute
Use of catalyzers (to convert CO into CO2), silencers, suppressing chemical (urea can suppress
generation of NO2), tank-size reduction, content reduction, dikes to reduce evaporating surface
area etc. are also necessary modification/ alterations.
2. Isolation and Enclosure of a Process: This has its widest application in the chemical
industries where frequently it is possible and practicable to design totally enclosed systems
for carrying out the manufacture or processing of chemical compounds. Enclosure may be
total or partial. Closed systems, barrier walls, cabins and isolation by distance or time are
possible.
3. Segregation: This may be accomplished by shifting a potentially dangerous process to a
segregated or enclosed area to prevent contamination of adjacent work spaces. In some
situations, segregation can be accomplished by locating a process in an open shed or even
completely out of doors.
4. Ventilation:This is perhaps the most important engineering control measure. Ventilation
may be general or local. General ventilation consists in rapid dilution of contaminated air
with fresh air usually by fan. Local ventilation usually consists in providing air suction
close to the point where potentially harmful dusts, fumes, vapours, mists or gases are
generated. Safe collection and disposal of contaminants removed by local exhaust
ventilation is necessary. For volatile chemicals, it is common practice to install a recovery
system as part of the ventilating equipment,
5. Wet Process:The use of water to limit the dispersal of atmospheric contaminants finds its
chief application in the control of dust. This procedure is widely used in rock-drilling and
useful when sweeping is done in a dusty work room. Water spraying on coal heaps
suppresses coal dust.
6. Neutralization or inactivation of chemical compounds is sometimes useful in connection
with local exhaust ventilation and in cleaning up contaminated areas. See Chapter-18 also.
7. House Keeping:Regular clean up schedules, particularly where dust is a problem are
essential in any control programme.
Planning and follow-up for Control of House-keeping should include -
Deciding policy and technique for good housekeeping.
Proper layout of work area.
Marking of aisles, ways and storage areas.
Cabinets and holders for tools and equipment.
Storage arrangements for materials.
Containers for materials in process.
Efficient sequence ofoperations to avoid bottlenecks.
Anticipation of waste, scrap, dust, spillage, splashes etc., and inclusion of methods of
their control stated in Part 5.2.
Efficient transportation of raw material, finished: products and refuse. Use of
mechanical feeding belt conveyor etc.
Efficient cleaning methods including vacuum cleaners etc., and without interrupting
the production schedule.
Necessary training of workers.
Waste Disposal (Air Pollution Controls):
1. Industrial ventilation systems viz. dilution ventilation, hood, duct, fan etc.
2. Settling chamber and dust collector.
3. Inertial devices viz. cyclone collector, centrifugal collector, multiple cyclones etc.
4. Electrostatic precipitators.
5. Particulate scrubbers viz.cyclone scrubber venturi scrubber, spray chambers etc.
6. Filters viz. filter bed, packed filter, bag filter etc.
7. 7. Absorption devices viz. gas scrubbers, absorption towers.
8. Adsorption devices viz. fixed-bed absorbers, moving bed absorbers etc.
9. Combustion devices viz. combustion chamber, flares, incinerators, catalytic
afterburners etc.
10. Condensation devices viz.direct contact condensers, surface heat exchangers etc. For
the details of such system study Reference No. 5 given at the end of this Chapter.
Venturi Scrubber is a simple, high efficiency unit to collect dust or fume by direct
contact with water and is useful where the gas to be treated is at elevated temperature or when the
contaminant is a difficult or sticky material. A venturi scrubber occupies little space, iseasy to
maintain and has a further advantage of predictable collection efficiency (dependent upon particle
size and density) for a given pressure loss. It may be a low-pressure loss unit (6 to 20 in wig
range) or a high-pressure loss unit (20 to 60 in wg range).
Personal and Medical Controls:
This term is used to describe those procedures which are applied to the employed person
(biological sampling, diagnosis and applying remedy). It includes-
1. Preplacement medicalexamination: Purpose of this examinations is to protect workers
with known susceptibility against any potentially harmful exposure, e.g. worker affected
by pulmonary tuberculosis should not be placed in exposure of silica and chlorinated
hydrocarbon atmosphere.
2. Periodic medical examination:A major purpose is to detect any existing evidence of
poisoning at an early stage when corrective measures can be expected to result in complete
recovery. Corrections may call for improved industrial hygiene practices for temporary or
permanent change of job assignment or both of these.
3. Personal Protective Devices:Protective clothing, masks, and respirators should be
properly selected for the purpose for which they are intended and usually worn to prevent
injuries. A programme of using, cleaning and replacing worn out parts is highly desirable.
4. First-aid:Keep first aider to take charges in the event of an emergency due to poisoning.
Give proper first-aid training to workers.
5. Laboratory Procedures:Check blood, urine, stool, lungs, skin etc. to detect onset of
symptoms of health effects.
Special Control Measures:
Above mentioned control measures are general measures applicable to most of the industries, but
special control measures are required depending on the specialty of the process or material. Such
measures may vary with the nature of industry. See Chapter-23 for 38 types of different industries
and more than 500 control measures.
Biohazards exist due to bacterial, fungal, viral, rickettsia, chlamydial, parasitic agents etc. (see
Part 10.9 of Chapter-28) and places where they exist include laboratory, hospitals, agriculture,
animal area etc. Their control measures include good housekeeping, personal hygiene, laboratory
safety, animal care and handling, biological safety cabinets, use of sterilization (autoclave) and
disinfection and precautions from Acquired Immune Deficiency Syndrome (AIDS) and
Legionnaires' disease.
Maintenance:
Keeping all the Control equipment in good working condition, maintenance is necessary.
Regular maintenance
Break-down Maintenance
Annual Maintenance Schedule
Weekly Maintenance Schedule
1.3 Introduction to Chemical Hazards:
(A) Gases and Vapours:
(1) Gases:Normally formless fluid which occupy the space of enclosure and which can
be changed to the liquid or solid state only by the combined effect of increased pressure and
temperature. Gases diffuse. The particle size varies from 0.0005 to 0.01 micron. Example: Cl2,
NH4, SO2, H2S, HCN, CO
Main pollutants are oxides of carbon, Sulphur and nitrogen.
(2) Vapours:The gaseous form of substance which are normally in the solid or liquid
state and which can be changed to these states by either increasing the pressure or decreasing the
temperature alone. Vapours diffuse. The particle size varies from 0.005 to 0.01 micron.
Examples are vapours of lead oxide, benzene, xylene, trichloroethylene and other solvents. Gases
and vapours are also classified as under-
1. Organic solvent vapours e.g. alcohol, acetone, CS2, CCI4, benzene, xylene.
2. Pulmonary irritant gases e.g. C12 NO2, phosgene.
3. Upper respiratory irritant gases e.g. NH3, SO2, formaldehyde, acetic acid.
4. Chemical asphyxiant gases e.g. CO, HCN.
5. Simple asphyxiant gases e.g. N2, CO2, methane, its homologues and acetylene.
6. Other inorganic and organic gases e.g. H2S, arsine and pesticides vapours.
(B) Particulate Matters:
These are solid tiny particles produced by blasting, crushing, drilling, grinding, mixing etc.
and suspended in the air. Examples are as under:
(1) Dusts:Solid particles generated by handling, crushing, grinding, rapid impact, detonation
and decrepitation of organic or inorganic materials such as rocks, ore, metal, coal, wood,
grain etc. Dusts do not tend to flocculate except under electrostatic forces. They do not
diffuse in air but settle under the influence of gravity. The particle size varies from O.I to
1000 microns. Fly ash from chimneys varies from. 3 to 80 microns.
(2) Fumes: Solid particles generated by condensation from the gaseous state, generally
after volatilization from molten metals etc. and often accompanied by a chemical reaction
such as oxidation. Fumes flocculate and sometimes coalesce. The particle size varies from
0.001 to 100 microns. Examples: lead, zinc, or nitrous fumes.
(3) Mists:Suspended liquid droplets generated by condensation from the gaseous to the liquid
state or by breaking up a liquid into a dispersed state, such as by splashing, foaming and
atomizing. The particle size varies from 50 to 100 microns. Example:Sulphur acid mist.
(4) Smokes:Small gas-borne particles resulting from incomplete combustion and consisting
predominantly of carbon gaseous material are grouped in this category. The particle size
varies from O.I to I micron.
(5) Aerosols:It is a colloidal system m which the dispersion medium is a gas and the dispersed
phase is solid or liquid. The term aerosol is applicable till the solids or liquids remain
suspended in the gaseous media. The particle size varies from 0.01 to 100 micron. Dust,
smoke or mist are examples. Aerosols affect weather, damage materials and impair health.
Atmospheric aerosols like hydrocarbons, lead, arsenic, Sulphur acid etc. may injure human
health because of their toxic nature.
1.4 Routes of Entry (Avenues) to Human System:
Following are the four main routes of entry of toxic material into human body:(1) Absorption
through skin (Dermal tract):Skin absorption attains its greatest importance in connection with
the organic solvents. The significant quantities of these compounds may enter the body through
the skin either as a result of direct accidental contamination or indirectly when the material has
been spilled on the clothing. Using industrial solvents for removing grease and dirt from the hands
and arms is a source of dermatitis. Some
solvents penetrate the intact skin, get into the
blood stream and produce ill effects on the
blood and throughout the body, e.g.
nitrobenzene, aniline, phenol, nicotine.
In area sampling the air samples are taken at fixed places in a workroom or confined
spaces to evaluate general concentrations of flammable, explosive or toxic material in air for the
purpose of isolation or restriction to work or to design the control measures. It includes continuous
monitors for leak detection, ventilation failure, equipment malfunctions etc.
Short period (instantaneous) sampling is called grab sampling and long-period sampling is
called integrated sampling. Grab sampling is used to measure concentration at a particular time (at
least two samples within 5 minutes) e.g. peak value of NH3 or Cl2 at a particular time. The sample
is collected in evacuated flask or plastic bag, sealed and sent to a laboratory where trace analysis is
carried out by gas chromatography, IR spectrophotometry etc. Direct reading instruments can also
be used for grab sampling. Temperature and pressure should be recorded during sampling. It
should not be used for reactive gases.
Integrated air sampling is carried out by direct reading instruments (e.g. gas detector tubes
or digital meters) to measure STEL value for 15 minutes and TLV for 8 hr. TWA limits. An air-
sampling train consisting of air-inlet orifice, collection media (solid or liquid sorbent, filters and
passive monitors), air-flow meter, flow-rate control valve and suction pump, is used by qualified
and trained personnel. Direct-reading gas and Vapour monitors include (1) Colorimetric devices -
stain tubes and hand or battery-operated pump (2) Colorimetric paper tape samplers (3) Electrical
instruments (4) 0 monitors (4) CO monitors and (5) IR analyzers.
Types of sampling is also classified as
(1) Passive or diffusive' air sampling which involves collection of airborne gases/
vapours through a diffusion barrier onto absorbing medium without the use of air
sampling pump and
(2) Active air sampling which involves collection of airborne contaminants by means
of a forced movement of air by a sampling pump and through appropriate
collection medium i.e. filter.
Selection of equipment for air-sampling is important and depends on many factors such
as purpose of sampling, type of sampling, type of equipment available, nature of toxicant,
environmental conditions, required accuracy and sensitivity, reliability, property of air-
contaminant, presence of other chemicals which may mix or interfere, duration of sampling, cost
etc.
Sampling Calculations:Calculations for gas and Vapour concentrations depend on gas laws that
where temperature, volume, pressure, Concentration (mass/volume), molecular wt., density of gas
is considered
Concentration is normally expressed in ppm or mg/m3.
The following equation is used –
Samples are collected in the areas of (1) Breathing zone of the worker (2) General
atmosphere of the room (3) Operation itself.
The factors determining the duration of sampling or the volume of the air to be sampled
are: (1) Sensitivity of the analytical procedure (2) TLV, STEL etc. (3) The expected air
concentrations.
The number of samples to be collected depends on (1) The purpose of sampling (2) The
concentration of the contaminant.
A minimum of 3 to 5 samples are necessary.
Air Sampling Methods:
Two basic methods employed to collect the gaseous contaminants are:
1. Use of a gas collector, such as an evacuated flask. The collector is resealed immediately to
prevent loss before to the sample is analyzed and
2. Passing a known volume of gas or air through an absorbing medium to remove the desired
contaminants from the sampled atmosphere. The absorbing medium is chosen according to
its efficiency for a particular contaminant.
Field methods require (1) Survey of work environment to collect basic data (2) Sampling
principles or strategies to decide location of measurement (nose level of the worker, at source of
emission and in general atmosphere of the workroom) (3) Types of samples (4) Minimum and
optimum volume of sample (5) Duration and time of sampling and (6) Number of samples.
Then air sample is collected and the contaminant is removed for analysis. Gas detection
tables, papers and liquids are used and finally the results are interpreted.
Sampling Strategies:Factors to be considered while deciding sampling strategy are as under:
1. Collection techniques:The sampling device is attached to the worker who wears it during
his presence in the workplace. It can be held at his breathing zone (nose level). For
environmental monitoring, it is placed in a fixed location in the work area. For designing
engineering control, it should be placed near the source of emission.
2. Place of Sampling:Purpose of sampling should be decided and accordingly the place, e.g.
breathing zone, source of emission, work area, confined space, place of highest
concentration, garage, tunnel etc. should be decided.
3. Selection of highly exposed worker:A worker who is closest to the source of toxic
emission should be selected. Individual differences in work habits can show different
levels of exposure at the same place - the same job, or the same material. Their work
methods should be noticed. Air movement pattern should be studied. The ventilation
booths, air supply inlets, open doors, windows, combustion or heating processes are some
factors which can produce higher concentrations away from the source.
4. Time of Sampling:When there is wide temperature difference during different seasons
(e.g. summer & winter), samples should be taken during all such seasons. When there are
more than one shifts, it should be taken in all shifts. For A.C. area, normally the
contaminants remain same throughout the year. The time of highest degree of hazard
should be selected.
5. Duration of Sampling:The volume of air and duration of sample depend on the type of
measurement i.e. 8-hour TWA TLV or 15 minutes STEL value and also on the sensitivity
of the analytical procedure or direct-reading instrument.
6. Types of Samples:They may be instantaneous or spot samples collected within short
period of 2 to 10 minutes and continuous samples collected over a long period in different
shifts or on different days for the same spot or the same worker.
7. Minimum Required Volume (MRV): If the volume is insufficient, false result is
possible. For detection of lower concentration, larger air samples are required. The
minimum required volume is given by -
M x TLV P 273
MRV = S x 24450
M x TLV
MRV = S x 1000
Acetone
in urine End of shift 50 mg/L
Aniline
p-aminophenol in urine End of shift 50 mg/L creatinine
Benzene
t.t. muonic acid in urine End of shift 500 g/g creatinine
S-phenyl Mercure acid in urine End of shift 25 g/g creatinine
Cadmium and
Inorganiccompounds
Cadmium in urine Not critical 5 g/g
Cadmium in blood Not critical creatinine 5 g/L.
CO
Carboxyhemoglobin in blood End of shift 3.5% of hemoglobin
CO in end-exhaled air End of shift 20 ppm
Chlorobenzene
4-chlorocatechol in urine
p-chlorophenol in urine End of shift 100 mg/ g creatinine
End of shift 20 mg/ g creatinine
Chromium
Total chromium in urine Increase during shift 10 g/L
Total chromium in urine End of work week 25 g/L
Lead
In blood Not critical 30 g/100 MI
Mercury
Hg in urine Prior to shift 35 g/g creatinine
Hg in blood End of workweek 15 g/L
Phenol
Phenol in urine End of shift 250 mg/g creatinine
Toluene
Hippuric acid in urine End of shift 1.6 g/g creatinine
O-Cresol in urine End of shift 0.5 mg/L
T in blood Prior to last shift of work 0.05 mg/L
week
Xylenes
Methyl hippuric acid in urine End of shift 1.5 g/g creatinine
These values (markers) - BEIs or BELs - can be developed for those substances only
which
1. can appear in biological sample.
2. appear as metabolites.
3. change type or amount of body constituent.
4. change activity of an enzyme or
5. change quantifiable physiological function.
a. Such values cannot be developed for substances which are body constituents and
normal metabolites of the body itself and do not show any change.
2. do not dissolve, are rapidly decomposed or have local effect (e.g. corrosives, irritants).
3. produce allergic effects.
4. produce carcinogenic effects.
Initial studies on animals and later on human volunteers, defined the relationships between
exposure, absorption, biotransformation, retention and excretion of exogenous substances.
Response (damage) of the organism depends on concentration reached in the sites and the
concentration depends on physical, chemical and environmental properties, the mode of impact
and the person's own biological factors.
Biological Indicators, Determinants or Markers:
Biological indicators are determined from the biological samples - blood, urine, breath,
sweat, faces, hair, nails, body fluid, tissue etc. - and their biological analysis. For correct result
time of collection of samples is most important because, different chemicals show their significant
effects at different time, e.g. metabolite 'methyl hippuric acid' in urine is completed within 16 hr.
after the end of exposure and therefore its sample should be collected at the end of the shift.
Similarly sample for determination of effect of trichloroethylene should be taken at the end of
week as its metabolite 'trichloroacetic acid' in urine is metabolized slowly.
Thus, after taking biological samples (bioassays) at the correct time after allowing
biotransformation (metabolic transformation) biological analysis of these samples is carried out to
study the biological indicators, determinants or markers. These indicators are (i) the substance
itself i.e. exogenous agent (ii) metabolite formed if any and (iii) the metabolic effect (change)
produced.
Useful information:Above indicators provide some useful information which cannot
otherwise be available, as under:
1. Long-term effect of exposure/absorption.
2. Amount absorbed in body.
3. Routes of absorption.
4. Evaluation of total exposure due to workplace and outside environment.
5. Amount absorbed due to workplace effect, climatic factors, age, sex, genetic
characteristics, physical effect, condition of the organs for biotransformation and
elimination processes etc.
6. Type and time of risk (exposure) which cannot be proved in any other way.
a. This is the usefulness of biological monitoring.
Medical monitoring means medical examination by the occupational health doctors of the
workers exposed to health hazards. Pre, periodical and post medical examination or monitoring
gives better judgement.
2.1.2: Non-Respiratory PPE (Head protection, Ear protection. Face and Eye protection.
Hand protection, Foot protection, body protection.)
Selection and Classification of PPE according to the body part and hazards:
Body-Part Hazard PPE necessary
Head Falling objects, shock, chemical spurting Safety helmet, hard hats, safety caps,
headgear
Eye Chemical splash, dust, flying, particles, Spectacles, lenses and goggles for chemical,
gas, welding radiation. welding, grinding, furnace, dust etc.
Ear High level noise (> 90 dB) Earmuffs, plugs, inserts
Nose Dust, toxic gases Dust mask, cloth mask, rubber mask, fume
mask, respirators for dust, gas and Vapour,
rescuer plus pressure suit, breathing
apparatus (O2 or Air), Canister gas masks,
airline respirators, chemical / mechanical
filters.
Face Chemical splash, flying objects, hot Face shield, welding screen, furnace mask,
substance. face guard.
Hand Hot substance, acid, alkali, pigments, Hand gloves of rubber, PVC, hosiery cotton,
chemicals, handling, cut, sharp edge. leather, asbestos, canvas, fiber glass,
electrical rubber gloves, surgical gloves, arm
sleeves.
Body Chemicals splashes, hot substance, fire, Aprons, coats and pants, pressure suit, suits
handling, of rubber, PVC etc.
Head and Hair Protection:Head protectors are hard hats, caps and helmets made of aluminium,
PVC fiber glass, laminated plastic or vulcanizedfiber. They may be fitted with brackets for fixing
welding masks, protective face screen or a lamp. The hats and caps are provided with replaceable
harness which provides sufficient clearance between the top of the head and shell. Selection is as
follows:
Head Protectors
Type Protects Against Characteristics
Generally made of aluminium alloy, PVC,
fiber- glass, or vulcanized fiber. Saddle
(geodetic strap suspension) inside to dissipate
Falling objects, hitting against
Safety impact pressure over wide area of head and to
obstructions such as low
Helmet provide clearance between the head and the
ceilings, beams, scaffold
(Hard hat) shell of helmet. Chin strap or other device to
members etc.
prevent displacement. Peak and full brim to
protect face, neck, ears. Ventilation holes for
comfort.
Electrical Electric shock when working Made of synthetic electrically non-conductive
Safety near live electrical lines. materials (PVC etc.)
Helmet
Welder’s Falling welding spatters from
Made of leather with cloth lining inside.
Cap above.
Usually fiber / plastic material with saddle
Crash Skull injuries in road inside, without peak or rim and with chin
Helmet accidents. strap. Covers forehead, temples and lower
portion of head (above neck)
Soft caps and hoods are also used for protection against heat, spark and other dangerous
materials and are made of appropriate materials. Sometime hoods are made with rig frame which
is held away from the head.
Long hair or beards may be caught in moving machine parts (e.g. belts, chain, in-running
nips etc.) while seeing or leaning down or by heavy static charges. Protective caps covering the
hairs are useful. Hair net is not a full protection. The hair cap should be of flame- retardant
material for protection against sparks or hot metal. It should be cool, lightweight, adjustable and
with visor in front.
Ear Protection:
Hearing loss is an occupational disease under the Factories Act, 1948
Noise level above 90 dBA is hazardous for an exposure more than 8 hrs./day or 48
hrs./week. It may cause deafness, fatigue, loss of efficiency, irritation and also loss of hearing.
Noise level can be measured by a noise
average meter or a noise dose meter. Ear
plugs or Ear muffs reduce to @ 25 to 40
dBA. Ear plug is made of plastic, rubber or
polyurethane foam. Ear muffs covers
external ear and provides better attenuation
than ear plug.
Face and Eye Protection:
Eye injuries can be caused by
mechanical, chemical, thermal and radiation hazards such as dusts, flying particles, splashes and
harmful radiation. Eye protectors are safety spectacles, mono goggles, impact goggles, welding
goggles, foundry goggles, chemical goggles, gas tight goggles, face shields, welding helmets etc.
Possible hazards are:
Chipping, fettling, riveting, sledding,
1 Large flying particles from
chalking.
Scaling, grinding, stone dressing, wood
2 Dust and small flying particles from
working.
Pouring of liq. metal from ladle, crucible etc.,
3 Splashing of metals from casting of metals, galvanizing and dipping in
molten metals.
Reflected light, glare and radiant Foundry work, glass furnaces, gas welding
5
energy from and cutting, arc welding.
Spectacle-type Flying bodies (dust, metal chips, Plain, shatter – proof, toughened
Goggles etc.) glass or plastic lenses.
With or without side shields.
Metal or heat –resistant frame.
Panorama Oil and paint splashes, dust and chip Light in weight, Non-fogging
Goggles exposure cellulose clear visor.
Ventilation holes on either side.
Soft pliable plastic frame wide
enough to wear over prescription
glasses.
Leather-mask Smoke, dust, foreign bodies Sweat lining along edges, ventilation
Goggles holes with baffles for light and dust.
Shatter-proof lenses.
Chemical Chemicals and toxic dusts Acid / alkali – resistant rubber frame
Goggles with clear lenses and shielded
ventilating ports.
Gas-tight Goggles Irritating fumes, Vapour or gases Airtight – fitting without ventilating
ports.
Welding Goggles Gas Welding/ Cutting. Flames & Similar to panorama goggles with
sparks filter glass of suitable grade and
indirect ventilation ports.
Welding Shields Arc Welding / Cutting flames and Fiber or fiberglass shield, hand-held
sparks or suspended from helmet, with
window for filter glass.
Eye and face protection standards are provided for - Rigid and non-rigid welding helmets.
Welding hand shields. Attachments like lift fronts, chin rests, aprons, magnifiers, snoods etc.
Face-shields, Flammability, Goggles for welder, cutter, chipper (eye cups) and dust & splashes
and Spectacles of metal, plastic or combination.
Face Protection: Plastic face shield with acrylic visor, and Daric guard
with fiber/PVC head band, with adjustable head gear helmet attached
to face shield. Welding screen shield. Furnace masks. Large vision red
vinyl goggles with Perspex lens and sponge lining.
Laser eyewear should be marked with optical density values and
wavelengths for which they are to be used. Laser glasses or goggles
designed for specific wavelengths should not be used for different
wavelengths of laser radiation.
Hand and Arm Protection:
Protection of hands and arms are required when
workers have to handle materials having sharp end, sharp
edges, hot and molten metals, chemicals and corrosive
substances. The protective equipment may be gauntlet
gloves, wrist gloves, mittens, hand pads, thumb and
finger guards and sleeves. Gloves, hand leathers, arm
protectors, finger stalls, mittens etc. should not be used
near moving machinery or machine parts. Selection
guideline is given in Table 25.5.
Selection of Gloves:
Material Protects against
5. Polyvinylchloride (PVC) plastic gloves resist a broad range of chemicals and abrasives.
They provide ample flexibility and durability in temperatures ranging from 25°F to 150 °F.
PVCcoated gloves are ideal for jobs which involve handling rough machine parts, castings
or petrochemicals.
6. Butyl rubber gloves offer high permeation resistance to many gases and vapours.
7. Latex gloves are not appropriate for primary chemical resistance but offer good protection
from standard grit/grime.
Hand Protectors
Type Protects against Characteristics
Falling, rolling objects and materials Shoes with steel toe-caps. Aluminium, steel fiber or
plastic instep to protect top of feet
Sharp cutting edges, wood chips, glass shards, Steel spring in –soles.
nails
Chemicals, solvents, alkalis, caustics, bleaches, Non-soluble natural rubber, vinyl, plastic footwear,
cutting oils and compounds, grease, creosol. synthetic rubber, neoprene, cord or cork soles
Oily floors Synthetic rubber or chrome leather soles
Hot surfaces, sparks, metal splashes Heat-resistant soles, slip-on wooden sandals over
shoes; foundry boots with elastic band or buckle for
quick removal; trouser legs rolled down over boot
tops
Extreme heat and direct flame Insulated or aluminized over-shoes or boots of fire-
resistant material
Fungal infection from prolonged exposure to Lined rubber shoes. Silicone- treated leather or
water rubber shoes for minor or occasional wetness
Sparks can ignite flammable gases, liquids and Shoes with non-ferrous metal parts, steel toes
explosives covered with non-sparking material.
Static electricity built up in the body can ignite Shoes with special conductive soles of cork, leather
volatile material etc.
Skids and slips; icy surfaces Cleated, wooden, non-slip or neoprene soles. Slip-on
non – skid sandals; strap – on cleats.
Live circuits or equivalent Electrically non-conductive standard safety shoes.
Sanitation hazards; Contamination and infection Special plastic over shoes; paper or shower shoes.
Disposable strictly not to be re-used.
Safety footwear must be carefully chosen for maximum protection and its suitability for the particular
hazard. Care and proper maintenance are of vital importance.
Footwear must be regularly inspected. Worn-out or defective shoes should be immediately repaired or
replaced. Defective footwear should never be worn. Footwear must always be kept clean and dry.
Material for Knee Pads, Leggings etc.
2 Chrome leather Sparks, hot materials, hot liquids, flying particles, cuts,
abrasions.
3 Flame proofed Duck Sparks, hot materials, heat, flying particles, machinery.
3 Wooden soles Hot materials, heat, hot liquids, moisture, acids and alkalis,
slips and falls, cuts, abrasions.
Body protectors are coats, waist, aprons, overalls, jackets and complete head to toe
protective suits. Aprons of different materials are used for protection against blows, splashes,
radiant heat, flying particles etc. Pads are used to protect shoulders and back from bruises.
Impervious clothing of rubber or synthetic fabrics are used for protection against water, moisture,
dusts, vapours and liquid chemicals.
Nature of potential hazard, degree of the hazard involved and nature of activities of the
wearer are important in the selection of safety clothing. Although complete coverage of the body
and legs is not needed in many cases, unnecessary safety clothing may hamper the efficiency of
the wearer. No compromise should be made with strict safety requirements. Selection is as
follows:
Material Protects against
It is important to note that such safety belts and associated equipment are used when fall
hazards cannot be eliminated by strong support like railings, floors, platforms etc.
OSHA Standard has prohibited the use of a body belt-only for fall arrest and a fall arrest
system is suggested, since 1-1-1998.
Body belts are used where less than I’m free fall is anticipated and a body harness (belts or
straps on chest, shoulders and thighs) is used for a limited fall up to 2 m. A harness can spread the
shock load over the shoulders, thighs and seat (hips). The body belt or lifeline D-ring should be
arranged at the back of the worker. The wearer of the safety belt should not tie off below waist
level (to prevent turning down head). A window cleaner's belt length is limited to 8 ft (2.5 m). The
chest belt is worn loosely to allow smooth breathing.
The lifeline may be vertical from a fixed anchorage or horizontal between two fixed
anchorage independent of the work surfaces Lanyard is a flexible. line up to 6 ft (1.8m) to secure
the wearer's harness (D-ring) to a lifeline or fixed
anchorage. Lanyards may be made of nylon or other
fibrous or metallic material and non-stretchable to
limit free fall distance. -Shock-absorber lanyards
are available to absorb up to 80% of the stopping
force of a normal lanyard. Metal lanyard must not
be used where electrical hazard is possible. Snap
hooks (locking type •preferable) and D-rings should
be maintained in good condition. Knots or
lengthening of lanyards must be avoided. Horizontal Lifeline
Body belts (work belts) are used to reduce the probability of falls. Chest harnesses are
used where there is limited fall hazard (not vertical free fall) such as for removal of a person from
a tank or bin. Body harnesses, covering chest, shoulders and thighs, are used to arrest the most
severe free falls.
Retrieval method is necessary to shorten the hanging distance after a fall up to 6 ft
(maximum limit of free falls, for more fall height, other supporting fixed structure must be
provided by fencing, railing, platform, fixed-ladder with platform and handrails etc.). Retractable
lifeline, which will be shorten automatically (e.g. spring action) after its full length, can limit falls
to inches and avoid prolonged suspension causing high discomfort to a hanging person.
Fall arrester net, if used, should be tied firmly as near as possible under the working place
to minimize the fall distance.
Belts, harnesses, lifelines, lanyards, buckles, joints, D-ring etc. should be checked for weak
points, washed regularly and kept dried at room temperature.
Respiratory Hazards:
Type of hazards to which a worker is exposed is the basis of selection of the right type of
respiratory protective equipment.
There are three basic classifications of respiratory hazards: oxygen-deficient air; particulate
contaminants; and gas and Vapour contaminants.
1. Oxygen Deficiency:
Normal ambient air contains an oxygen concentration of 20.8 percent by volume. When
the oxygen level dips below 19.5 percent, the air is considered oxygen-deficient. Oxygen
concentration below 16 percent is considered unsafe for human exposure because of harmful
effects on bodily function, mental processes and co-ordination.
It is important to note that life-supporting oxygen can be further displaced by other gases,
such as carbon dioxide or nitrogen. When this occurs, the result is often an atmosphere that can be
dangerous or fatal when inhaled. Oxygen deficiency can also be caused by rust, corrosion,
fermentation or other forms of oxidation which consume oxygen. The impact or oxygen-
deficiency can be gradual or sudden.
Atmospheres in confined spaces such as vats, tanks, hold of the ships, etc. may contain air
with oxygen content much lower than normal (21% by volume). This may be due to dilution or
displacement of the air by other gases or vapours or because of loss of oxygen due to decay of
organic matter, chemical reaction and natural oxidation over a long period of time. A person
breathing air with oxygen content of 15% or less may exhibit symptoms ranging from increased
rate of breathing, acceleration of pulse rate to unconsciousness and death, such oxygen deficiency
condition can easily be detected as the flame of a safety lamp will be extinguished in such
atmosphere. Oxygen deficient atmosphere is immediately dangerous to life. The respiratory
protective equipment in such conditions should either supply normal air or oxygen to the wear.
Self-contained or combination breathing apparatus is suitable.
2. Gaseous Contaminants:
Gas and Vapour contaminants can be classified according to their chemical characteristics. True
gaseous contaminants are similar to air in that they possess the same ability to diffuse freely
within an area or container. Nitrogen, chlorine, carbon monoxide, carbon dioxide and Sulphur
dioxide are examples.
Vapours are the gaseous state of substances that are liquids or solids at room temperature. They
are formed when the solid or liquid evaporates. Gasoline, solvents and paint thinners are examples
of liquids that evaporate easily, producing vapours.
In terms of chemical characteristics, gaseous contaminants may be classified as follows:
Inert Gases - These include such true gases as nitrogen, helium, argon, neon, etc. Although they
do not metabolize in the body, these gases represent a hazard because they can produce an oxygen
deficiency by displacement of air.
Acidic Gases - Often highly toxic (corrosive), acidic gases exist as acids or produce acids by
reaction with water. Sulphur dioxide, hydrogen Sulphide and hydrogen chloride are examples.
Alkaline Gases - These gases exist as alkalis or produce alkalis by reaction with water. Ammonia
and phosphine are such examples.
In terms of chemical characteristics, vaporous contaminants may be classified as follows:
Organic Compounds - Contaminants in this category can exist as true gases or vapours produced
from organic liquids. Gasoline, solvents and paint thinners are examples.
Organo-metallic Compounds - These are generally comprised of metals attached to organic
groups. Tetra-ethyl-lead and organic phosphates are examples.
These may be toxic or inert gases or vapours. The toxic gases may produce harmful effect even if
they are present in relatively low concentrations. The inert gases produce undesirable effects
primarily by displacement of oxygen. Vapours are from volatile, evaporating liquids. Gaseous
contaminants can also be classified as:
a) Gaseous Contaminants Immediately Dangerous to life: These contaminants are
gases present in concentrations that would endanger life of a worker breathing them even
for a short period of time. In other words, a gas is immediately dangerous to life if it is
present in certain concentration. Where it is not possible to determine the extent 6f
concentration or the kind of gas, all gases should be considered as immediately dangerous
to life and health. IDLH values of many gases and dusts are available. Positive pressure
self-contained or combination breathing apparatus is suitable.
b) Gaseous Contaminants not immediately Dangerous to life:These contaminants are
gases present in concentration that could be breathed by a worker for a short time without
endangering his life but which may cause possible injury after a prolonged single exposure
or repeated short exposures. But even after the concentrations of the contaminant is
known, no exact formula can be applied to determine if the contaminant is immediately
dangerous to life or not. Air - line respirator, hose mask with or - without blower and
chemical cartridge respirator are suitable.
3. Particulate Matter or Contaminants:
Particulate contaminants can be classified according to their physical and chemical characteristics
and their physiological effect on the body. The particle diameter in microns (1 micron = l/ 25400
inch) is of utmost importance. Particles below 10 microns in diameter have a greater chance to
enter the respiratory system and particles below 5 microns in diameter are more apt to reach the
deep lung or alveolar spaces.
In the healthy lungs, particles from 5 to 10 microns in diameter are generally removed by the
respiratory system by a constant cleansing action that takes place in the upper respiratory tract.
However, with excessive "dust" exposures or diseased respiratory system, the efficiency of the
cleansing action can be significantly-reduced.
The various types of airborne particulate contaminants can be classified as follows:
Fumes - An aerosol created when solid material is vaporized at high temperatures and then cooled.
As it cools, it condenses into extremely small particles generally less than I micron in diameter.
Fumes can result from operations such as welding, cutting, smelting or casting molten metals.
Dusts - An aerosol consisting of mechanically produced solid particles derived from the
breaking up of larger particles. Dusts generally have a larger particle size when compared to
fumes. Operations such as sanding, grinding, crushing, drilling, machining or sand blasting are the
worst dust producers. Dust particles are often found in the harmful size range of 0.5 to 10 microns.
Mists - An aerosol formed by liquids, which are atomized and/or condensed. Mists can be created
by such operations as spraying, plating or boiling, and by mixing or cleaning jobs. Particles are
usually found in the size range of 5 to 100 microns.
Majority of particulate contaminants are not immediately dangerous to life. They may be solid,
liquid or a combination of solid and liquid and may be classified into three broad groups- dust,
mist and fumes. Dust and fumes are solid flying particles, fumes being extremely small. Mists are
tiny liquid droplets given off by spraying or. very fast mixing or agitating.
Dust, mist or fume respirator, air-line respirator and abrasive blasting respirator are suitable.
Types of contaminants can also be classified as under:
a) Toxic particulate contaminants:
These when inhaled may pass from the lungs into the blood stream and are then carried to
the various parts of the body. The effect may be chemical irritation, systemic poisoning or
allergic reactions. Common contaminants in this group are antimony, arsenic, cadmium,
chromic acid and chromate, lead and manganese.
b) Fibrosis-producing dusts:
These dusts do not pass into the blood stream but remain in the lungs and may cause
pulmonary impairment. The common example under this group are asbestos, coal, iron,
bauxite and free silica.
c) Nuisance Dusts:
These may dissolve and pass directly into the blood stream or may remain in the lungs
neither producing local nor systemic effects. Examples are saw dust, chalk clay, starch,
cement dust etc.
4. Combination of Gaseous and Particulate Contaminants:
Here gaseous and particulate contaminants occur together as in case of paint spraying
where solvent Vapour (gas) and paint mists are mixed. They may be entirely of different
substances like carbon monoxide and oxides of nitrogen produced by blasting or volatile liquids.
For contaminants immediately dangerous to life, positive pressure self-contained or
combination breathing apparatus or gas masks with special filter and for not immediately
dangerous to life, airline respirator, hose masks with or without blower and chemical cartridge
respirator with special filter are suitable.
Respirator Selection:
Respiratory protective devices vary in design, application and protective capability. Thus,
the user must assess the inhalation hazard and understand the specific use limitations of available
equipment to assure proper selection.
The respirators fall under two classifications: air-purifying and air-supplied. Air-purifying
respirators are used against particulate, gases and vapours. These include negative-pressure
respirators that use chemical cartridges and/or filters; gas masks; and positive pressure units such
as powered air-purifying respirators (PAPRs), Air-supplied devices rely on a primary air source to
deliver a steady flow of respirable air to the user's facepiece. These include SCBA and airline
devices.
Selection and classification of Respiratory equipment based on type of hazard:
2.1.4 Instructions and training (in the use, maintenance and care) of self-containing
breathing apparatus. Training in the use of breathing apparatus (opens circuits and close
unit).
SCBA Training
Instruction and Training in the use of Respirators:
Instructionsfor care should include the following aspects:
1. Why and how it is to be used.
2. Protecting the equipment from dust, heat, moisture, extreme cold and damaging chemicals.
Storing in a dry cool place.
3. Checking that it is in good operating condition. Valves should be maintained in efficient
working condition.
4. Fitting of respirator on the wearer and
5. Proper use and maintenance of the respirator.
6. Cleaning and keeping it in a sealed plastic bag with name tag of the user.
Training for respiratory equipment should include following points:
1. Reasons of need of respiratory protection and limitation or inability of other controls or
Methods.
2. Identification and understanding of the hazard for which the equipment is to be used and
selection procedure;
3. Limitation, capability, function and operation of the respirator.
4. Proper fitting, wearing, adjusting face piece & valves and removing of the respirator.
6. Practice to wear first in a safe atmosphere to become familiar with its characteristics.
7. Practice to wear in a test atmosphere under close supervision of the trainer, and to do
similar activities and to detect respirator leakage or malfunction.
10. When and how to replace filters, cartridges, canisters and cylinders.
The trainer should be qualified safety officer, industrial hygienist, safety professional or
manufacturer's representative
It is important to note that exposure limits and other exposure standards are constantly
changing as more data is gathered about specific chemicals and substances. As such, you must be
certain that you are using the most recent data when determining allowable exposure levels for
employees.
Hazard Control:
Hazard control should start at the process, equipment and plant design levels where
contaminants can be effectively controlled at the outset. With operating processes, the problem
becomes more difficult. In all cases, however, consideration should be given to the use of effective
engineering controls to eliminate and/or reduce exposures to respiratory hazards. This includes
consideration of process encapsulation or isolation, use of less toxic materials in the process and
suitable exhaust ventilation, filters and scrubbers to control the effluents.
Because it is sometimes not practical to maintain engineering controls that eliminate all
airborne concentrations of contaminants, proper respiratory protective devices should be used
whenever such protection is required.
Respirator Selection:
Respiratory protective devices vary in design, application and protective capability. Thus,
the user must assess the inhalation hazard and understand the specific use limitations of available
equipment to assure proper selection.
The respirators fall under two classifications: air-purifying and air-supplied. Air-purifying
respirators are used against particulate, gases and vapours. These include negative-pressure
respirators that use chemical cartridges and/or filters; gas masks; and positive pressure units such
as powered air-purifying respirators (PAPRs), Air-supplied devices rely on a primary air source to
deliver a steady flow of respirable air to the user's facepiece. These include SCBA and airline
devices.
Medical Surveillance:
Workers should never be assigned to any operations requiring respiratory protection until a
physician has determined that they are capable physically and psychologically to perform the work
using the respiratory protective equipment.
Although instituting a sound respiratory protection program will take effort and financial
investment, the objective of such a program is sound - ensuring that every worker is protected
against potentially fatal diseases.
Cleaning Procedures for Respirators:
1. Remove filters, cartridges, or canisters. Disassemble face pieces by removing speaking
diaphragms, demand or pressure-demand valve assemblies, hoses, or any components
recommended by the manufacturer. Discard or repair any defective parts.
2. Wash components in warm (43°C/110°F maximum) water with a mild detergent or with a
cleaner recommended by the manufacturer. A stiff bristle (not wire) brush may be used to
facilitate the removal of dirt.
3. Rinse components thoroughly in clean, warm, preferably running water. Drain the
components.
4. When the cleaner used does not contain a disinfecting agent, respirator components should
be immersed for two minutes in-
Hypochlorite solution (50 ppm of chlorine made by adding approximately one
milliliter of laundry bleach to one liter of water at 43°C/110°F), or
Aqueous solution of iodine (50 ppm iodine) made by adding approximately 0.8
milliliters of tincture of iodine (6-8 grams ammonium and/ or potassium iodine/lock of
45% alcohol) to one liter of water at 43°C/110°F
5. The importance of thorough rinsing is most important. Detergents or disinfectants that dry
on facepieces may result in dermatitis. In addition, some disinfectants may cause
deterioration of rubber or corrosion of metal parts if not completely removed.
6. Components should be hand-dried with a clean, lint-free cloth, or air-dried.
7. Reassemble facepiece, replacing filters, cartridges, and canisters where necessary.
8. Test the respirator to ensure that all components work properly.
Fit Testing
Respirators should fit properly to provide protection. To obtain adequate respiratory
protection, there must be a proper match between respirator and wearer. Respirators not properly
fitting cause illusion of protection. To accommodate the variability of face size characteristics
among individuals, a number of manufacturers offer face pieces in several sizes and models.
Purpose:
The primary purpose of tit testing is to identify the (1) specific make (2) model, style and
size of respirator best suited for each employee.
In addition, fit testing also provides an opportunity to check any problem with respirator
wear, methods of donning and wearing the respirator.
Requirement:
1. Fit testing is required for all negative or positive pressure tight-fitting facepiece respirators.
2. The OSHA respiratory protection standard requires that tit testing be performed before an
employee first starts wearing a respirator in the work environment, whenever a different
respirator facepiece is used, and at least annually thereafter.
Method:
Prior to the actual fit test, the employee must be shown how to put on a respirator
Position it on the face, set strap tension, and determine an acceptable fit. Next, the
employee must
be allowed to choose a respirator from a sufficient number of models and sizes so that the
employee can find an acceptable and correctly fitting respirator.
Once an acceptable respirator has been found — which considers the position of the mask
on the face, nose, and cheeks; room for eye protection; and room to talk — a user seal
check must be conducted.
Types of Fit Testing.
Fit testing may either be qualitative (QLFT) or quantitative (QNFT)
Prior to the commencement of the fit test, the employee must be given a description of the
fit test and a description of the exercises that he or she will be per forming during fit
testing.
The respirator to be tested must be worn for at least five minutes before the start of the fit
test.
The employee must be fit tested with the same make, model, style, and size of respirator
that will be used in the workplace.
Qualitative fit testing (QLFT).
Qualitative fit testing involves the introduction of a gas, vapor, or aerosol test agent into an
area around the head of the respirator user.
A determination is then made as to whether or not the wearer can detect die presence of the
test agent through means such as odor, taste, or nasal irritation. If the presence of the test agent is
detected inside the mask, the respirator fit is considered to be inadequate.
There are four qualitative fit test protocols approved in OSHA's standard.
1. The iso-amyl acetate (IAA) test determines whether a respirator is protecting a user by
questioning whether the user can smell the distinctive odor of IAA.
2. The. irritant smoke (e.g., stannic chloride) test involves a substance that elicits an
involuntary irritation response in those exposed to it.
3. Before conducting a qualitative test, the worker must undergo a sensitivity test to
determine if he or she can taste, smell or react to the substance.
4. When performing the iso-amyl acetate test, the protocol requires that separate rooms be
used for the odor screening and fit tests, and that the rooms be sufficiently ventilated to
ensure that there is no detectable odor of IAA prior to a test being conducted.
Quantitative fit testing (QNFT).
In a quantitative fit test, the adequacy of respirator fit is assessed by numerically
measuring the amount of leakage into the respirator.
This testing can be done by either generating a test aerosol as a test atmosphere, using
ambient aerosol as the test agent, or using controlled negative pressure (CNP) to measure the
volumetric leak rate. Appropriate instrumentation is required to quantify respirator fit.
Fit Test Exercises:
The following test exercises must be performed for all fit testing methods.
Normal breathing in a normal standing position, without talking.
Deep breathing in a normal standing position, breathing slowly and deeply, taking precaution not
to hyperventilate.
Turning the head slowly from side to side, while standing in place, with the employee
holding his/her head momentarily at each extreme so that the employee can inhale at each side;
Moving the head up and down slowly, while standing in place, inhaling in the up position
when looking toward the ceiling;
Bending at the waist as if to touch toes (jogging .in place can be done when the fit test
enclosure doesn't permit bending at the waist); and normal breathing (as described above).
Retesting:
If the employee finds the fit of the respirator unacceptable, he or she must be given a
reasonable opportunity to select a different respirator and to be retested. In addition, retesting is
required whenever an employee reports, or the employer, supervisor, or program administrator
observe changes in an employee's physical condition that could affect respirator fit. Such
conditions include, but are not limited to, facial scarring, dental changes (e.g., wearing new
dentures), cosmetic surgery, or an obvious change in body weight.
Facepiece Positive and/or Negative Pressure Checks:
1. Positive Pressure Check
Close off the exhalation valve and exhale gently into the facepiece. *
The fade fit is considered satisfactory if a slight positive pressure can be built up inside the
facepiece without any evidence of outward leakage of air at the seal.
For most respirators, this method of leak testing requires the wearer to first remove the
exhalation valve cover before closing off the exhalation valve, and then carefully replacing it after
the test.
2. Negative Pressure Check
Close off the inlet opening of the canister or cartridge(s) by covering it with the palm of the
hand(s).
Inhale gently so that the facepiece collapses slightly and hold your breath for ten seconds.
The design of the inlet opening of some cartridges cannot be effectively covered with the
palm of the hand, which requires' that the test be performed by covering the inlet opening of the
cartridge with a thin latex or nitrile glove.
If the facepiece remains in its slightly collapsed condition and no inward leakage of air is
detected, the tightness of the respirator is considered satisfactory.
CHAPTER 3: Ventilation and Heat Stress
6 Gymnasium 15.5 60
0C 0F
Effects on skin in contact with surfaces at different temperatures are also noted. Temperatures
160°F, 180°F and 212°F because second degree burn on 60, 30 and 15 second contact
respectively. 140°F gives pain due to tissue 'damage (burns) and temperature below 32°F also
gives pain due to tissue damage (freezing). 120°F gives pain due to burning heat. 9U4°F gives
warm or neutral feeling (physiological zero). 37 to 54°F gives cool effect and from 32°F and
below gives pain due to freezing.
But the temperature alone is not a good indicator of comfortable conditions. In spite of
above desirable level, discomfort may be caused because of frequent drafts (wind speeds),
excessive moisture, undue dryness and high radiant heat. The recording and regulating of these
factors and equating them with experiences of comfort, .and discomfort has been an old problem
of safety engineers.
The effect of atmospheric conditions on output and accident rate has been demonstrated in a
number of studies. The optimum temperature varies with the type of work that is performed and
depends upon the state of health, age, clothing, diet and the ability of the employee to adapt
himself to different climatic ' conditions.
Numerous studies have been reported showing a close relation between accident frequency
and atmospheric conditions. One study of collieries workers indicates that at an average
temperature of 16.5°C (62°F), the accident frequency and severity rates were minimum. Another
study pointed out 21-23.5°C (70-74°F) temps. Range to keep the accident rate minimum. One
study of hourly accident rates inferred that the accidents were higher during the last hours of the
day shift and the first hours of the night shifts.
Mental Work experiments of the New York ventilation commission demonstrated that
such work may be performed as effectively under humid (80%), hot 30°C (86"F) and stagnant air
conditions as under optimum conditions of circulating air at 30°C (68°F) and 50% humidity. The
influence of controlled ventilation on attitudes and labor turnover affects all types of workers and -
a favorable attitude of workers toward the management is an indirect benefit which should not be
overlooked.
Barometric pressure has little effect, whereas temperature and humidity have considerable effect
on behavior. Production was at its highest level when the temperature was 30°C (68°F) and the air
was fresh and circulating. Using this as a base, it was noticed that stagnant air caused production
to fall off® 9%. Relative humidity of 40-50% is desirable for comfort and hygiene. Humidity
below 30% are undesirable as they may cause dehydration of mucous membranes of the nose and
respiratory tracts.
Toxic effects of chemicals may be magnified when temperature is raised, because, toxicity
of chemicals is known to increase due to temperature rise as follows:
Toxicity at
SR. Chemical
24 0C 35 0C
3 Amyl nitrate 1 3
4 Lead 1 >1
Heat Disorders are noticed at higher temperatures. A man may collapse at core (body)
temperature of 39.5°C (normal oral temp. 37°C). At about 40.6°C (105°F) the sweating mechanism
fails and the core temperature rises sharply. When the temperature reaches 42 to 43.5°C (108 to
110°F) death occurs. The commonly disorders experienced by Indian workers are (1) Heat exhaustion
and collapse (2) Water depletion, heat exhaustion and heat cramps (at times).
Accident rate in hot environment was double than that under comfortable climatic conditions.
The contributing factor according to Stephen Altman (1976) was lowered physical performance.
Thus, temperature exceeds thermal limits cause discomfort, annoyance, agony and frequency of
errors and accidents ultimately resulting in poor productivity.
Other Factors affecting ability to withstand high temperatures are (1) Fatigue and lack of sleep (2)
Worry, frustration and nervousness (3) Smoke from cigarettes, dust, gas etc. and (4) Disagreeable
odor
Heat and Cold Stress and their Indices:Attempts have been made in past to evaluate the total
heat stress limits (Tolerance or Threshold limits) by integrating some climatic and non-climatic
factors which affect heat exchange between the man and surrounding environment. Heat Stress
Index (HSI) can be calculated or obtained from charts and considers clothing and work load. From
it can be recommended duration of work and rest period. Some such indices are as follows:
(1) Effective Temperature (ET): It is a sensory scale of warmth derived from the dry and wet
bulb temperature (i.e. air temperature and humidity) and air velocity from standard nomogram. ET
is not a temperature measurable with instruments. It is an index combining effects on a body of
temperature, humidity and air movement. It is equivalent to the comfort a person generally feels
(there may be exceptions) in a saturated atmosphere with the same dry bulb temperature and with
a specific movement of air. A person remains equally comfortable under different conditions,
provided the ET remains the same.
(2) Corrected Effective Temperature (CET): It is a modified ET considering the radiant
temperature measured by glob thermometer instead of dry bulb temperature. It does not include
metabolic heat.
Considering lower body weight of Indians, ET and CET proposed by the Central Labor Institute,
Bombay is as follows:
Energy Expenditure
Workload ET or CET 0C
Kcal/ hr.
Light 135 32
Heavy 315 29
(3) Wet Bulb Globe Temperature (WBGT): It embraces in a single value the effect of
radiation, ambient air temperature and humidity. It is the weighted value of the wet and dry bulb
temperature and globe thermometer readings, calculated using temperature measurements alone
thereby eliminating the need to measure air velocity.
For outdoors (exposure to sun light):
WBGT = 0.2 tg + 0.1 tdb + 0.7 twb
For indoors (no direct exposure to sun light):
WBGT = 0.3 tdb + 0.7 twb
Where tg = Black Globe temperature,
tdb = Dry bulb (air) temperature and
twb = Wet bulb temperature
(°C) index is adopted by many countries to set up standards for work in hot environments. Its
determination is simple and requires less expensive equipment.
It is necessary to determine the average exposure of a person over a long period of time when
WBGT varied. A time-weighted average is given by: Average WBGT =
WBGT1 x t1 + WBGT2 x t2 + ... WBGTn x tn
t1+ t2 +.....tn
Exposures should not exceed the values given in the following chart:
50
120
45
110
40 WBGT (o F)
o
WBGT ( C) 100
35
90
30
80
25
The graph shows the upper limits of exposure for feeling comfort.
Calculated time weighted or average WBGT can be compared with permissible (comfortable)
level of WBGT values (°C) given in Table .10.1
This table is changed in 'ACGIH booklet 2007'. There the words "TLV' and 'Action Limit' are
used for 'acclimatized' and 'unacclimated' respectively. WBGT figures are slightly changed. For
detail, it should be referred.
For non-cotton, non-woven clothing, overalls (double cloth) which disallow free air movements
through fabric or does not absorb sweating '3 to 5' should be added to measured and calculated
WBGT values which should be less than the values given in Table 10.1. These values (Table 10.1)
are near the upper limit of the metabolic rate category. They are also called Screening Criteria for
heat stress exposure. See Part 10 for worked examples.
(4) Oxford Index: This index of heat stress has been devised to assess the severity of hot
humid conditions 'of the working places, particularly where the ventilation is poor. It is expressed
by a simple weighting as follows:
WD = 0.15 tdb + 0.85 twb
Where WD = weighted value, tdb and twb are dry and wet bulb temperature respectively. All units
are in °C.
Table: WBGT -(heat stress) values in "C (ACGIH Booklet 2006.
Acclimatized Un-acclimatized
Work
demand Very Very
Light Moderate Heavy Light Moderate Heavy
heavy heavy
75% work
30.5 28.5 27.5 29 26.5 24.5
25% rest
50% work
31.5 29.5 28.5 27.5 30 28 26.5 25
50% rest
25% work
32.5 31 30 29.5 31 29 28 26.5
75% rest
(5) Predicted Four Hourly Sweat Rate (P4SR): This index assumes of the amount of sweat that
would be prescribed by a physically fit and acclimatized young man in the condition under review
over a period of four hours. It considers the metabolic level and type of clothing in addition to the
climatic factors, unlike other indices mentioned earlier. But this has the drawback that
cumbersome nomograms are. required which is not always practical.
(6) Cold Stress and Wind Chill Index (WCI):It refers to the cold environment and uses only dry
bulb temperature and air velocity but considers the cooling effect of the wind.
In cold countries where environmental temperature goes below °C, cold stress (hypothermia or
frostbite) is also possible. Body (core) temperature (rectal 37.6°C, Oral 37°C) should not fall
below 35°C (95"F). Hands, feet and head are most likely to be affected by cold injury. Wind speed
increases cold stress. As TLV body (core) temperature should not fall below 36°C (96.8"F).
Wind chill cooling rate is defined as heat loss from a body expressed in watts/m', which is a
function of air temperature and velocity upon the exposed (area of) body. Higher wind speed and
lower air temperature require higher insulation. Value of the protective clothing. Exposure or
working time of workers should also be reduced. Old and weak workers need such extra
precaution.
Since the physical activity level on the shop floor will remain almost constant, we may
make use of the simple indices like CET/ET or WBGT in our control programmers.
Heat Exposure Threshold Limit Values (USA) and Bolding Hatch Heat Stress Index (HSI) are
other indices.
Toxic effects of chemicals may be magnified when temperature is raised, because, toxicity of
chemicals is known to increase due to temperature rise as follows:
Toxicity at
Chemical
24 0C 35 0C
3 Amyl nitrate 1 3
4 Lead 1 >1
Heat Disorders are noticed at higher temperatures. A man may collapse at core (body)
temperature of 39.5°C (normal oral temp. 37°C). At about 40.6°C (105°F) the sweating
mechanism fails and the core temperature rises sharply. When the temperature reaches 42 to
43.5°C (108 to 110°F) death occurs. The commonly disorders experienced by Indian workers are
(1) Heat exhaustion and collapse (2) Water depletion, heat exhaustion and heat cramps (at times).
Accident rate in hot environment was double than that under comfortable climatic
conditions. The contributing factor according to Stephen Altman (1976) was lowered physical
performance.
Thus, temperature exceeds thermal limits cause discomfort, annoyance, agony and frequency of
errors and accidents ultimately resulting in poor productivity.
Other Factors affecting ability to withstand high temperatures are (1) Fatigue and lack of sleep (2)
Worry, frustration and nervousness (3) Smoke from cigarettes, dust, gas etc. and (4) Disagreeable
odor
TYPES OF VENTILATION: Classification of Ventilation Systems:
For better grasping, major ventilation systems are classified as below:
Ventilation systems are of two types (1) Supply air system and (2) Exhaust system. Supply air
system has two purposes (A) heating, ventilating and air conditioning (HVAC) for comfortable
environment and (B) to replace exhausted air from the plant. Exhaust system is of two types:
General and Local exhaust type. General exhaust system is for heat control and/or removal of
contaminant by dilution ventilation and Local exhaust system is for capturing contaminant at
source.
The details of these varieties of ventilation and calculation methods occupy much space. Their
design is a specialized job for ventilating engineers. Here they "are explained in brief as follows.
Natural Ventilation:
Natural ventilation is induced because of two reasons (1) outside wind pressure i.e., wind action
and (2) temperature difference of the air inside and outside the room i.e. chimney effect. There is a
positive pressure on windward side and negative pressure on leeward side. By providing adequate
openings in these pressure areas, natural ventilation can be achieved.
The rate of ventilation by natural means through windows or other openings depends on direction
and velocity. of wind outside, solar radiation, size and disposition of opening (wind action),
convection currents arising from temperature or vapor pressure difference (or both) between
Ventilation Systems
Natural Mechanical
Ventilation Ventilation
1 Dilution or Cross
ventilation (Wind
action)
2 Roofed
ventilation (Stack
action)
(a) Refrigeration
(b) Heating
(c) Humidity Control or
Evaporative Cooling
inside and outside the room and the difference of height between the outlet and inlet openings
(stack effect). They are of two types as under
(1) Dilution or Cross Ventilation: Inlet openings should be located on the windward side at a low
level and outlet openings should be located on the leeward side near to the top so that incoming air
stream is passed over the occupants. Greatest flow per unit area opening is obtained by using inlet
and outlet openings of nearly equal areas. Under the Factories Rules ventilation opening area in a
work room shall be at least 15% of the floor area. At least 10% of the floor area shall be located at
not more than one-meter sill level height from the floor level. Wind velocity in hot weaver should
be 40 to 60 mt/min. Ventilation due to wind outside is given by the formula Q = kAV given in
Part-9.
Inlet openings should not be obstructed by surrounding buildings, walls, partitions, trees and
other obstructions in air path. Great advantage is available by providing windows in west and east
direction. However, if wind direction is not effectively available, openings in all four sides can
help the natural ventilation.
Fig. With flat roof, cross ventilation is effective when span is less than 20 meters.
When the room temperature is higher than that of outside because of hot processes, season etc.,
cool outside air tends to enter through openings at low level and warm air tends to leave through
openings at high level. Therefore, it would be advantageous to provide ventilators near to the
ceilings.
(2) Roofed Ventilation:: Cross ventilation suitable for narrow building is not much suitable for
large buildings and where roofed ventilation is suitable. Here ventilators are provided in roofs viz.
cowl, vent pipe,, covered roof and ridge vent to give stack effect.
For a 60 cm (24 in) diameter cowl type ventilator the formula's -
Q= A (8 H(ti-t0) +5.82V)
Where Q = capacity of the ventilator in m3/min, A = cross sectional area of the ventilator in 2
H = height of the ventilator above the inlets in m, t. and t are the inside and outside temperatures
in °C and V = wind velocity in kmph.
See fig. for different types of roof and fig. for modified roof ventilation.
Rotating cowl requires a lubricant reservoir for its long service to run without jamming.
Mechanical Ventilation:Mechanical
Mechanical ventilation iiss employed for building i.e. workroom and also
for process for removal of contaminants. Both the types are explained below.
Building Ventilation: These are of many types as classified earlier. When natural ventilation is
not sufficient to keep thermal env
environment
ironment within the limits specified by dry and wet-bulb
wet
schedule under the Factories Rules, or where the span of work room exceeds 18 meters or where
any work place is more than 9 meters away from a ventilation opening, mechanical ventilation
(exhaust, positive or their combination) shall be provided and in case of positive ventilation, air
shall be cleaned and cooled before sending into the work room.
(1) Exhaust or Negative Ventilation: Exhauster induced draft fans are provided in walls on one
side of the building or in the attic and roofs to draw large volumes of air through building. These
fans are generally propeller type. The windows and other openings near the fans should be kept
closed to avoid 'short circulating of air'. Adequate inlet openings shall be provided on opposite
side of the building to limit inlet velocities. When fans are centrally located on an attic or arranged
to draw from exhaust appliances with ducting, they should be centrifugal or axial types to
overcome duct resistance. The total inlet area should be at least 3 times the total disc area of the
fan.
The exhaust fans should have wind shields on outside of the wall so that wind pressure may not
decrease their efficiency. The fans discharge should be diverted into large ducts carried vertically
upwards with rain water cap at the top. Fans should have proper guarding or fencing.
(2) Plenum or Positive Ventilation: It is provided by centrally located supply fans (generally
centrifugal type) having a wide range of capacity and quiet operation. Air-tight ducts increase the
advantage. Unit ventilators should be provided for individual rooms and may be placed against
outside wall near the central line of the room. Evaporative cooling coils can be incorporated for
cooling purpose.
Plenum ventilation is useful for large workrooms where exhaust ventilation is normally not
effective. Its air movement and regulation are more than that by exhaust ventilation. Better
dilution of contamination is also possible. The air velocities should not be excessive to disturb
manufacturing processes. Good distribution can be achieved by using diffusers or swivel type
ejector nozzles at high velocity at the inlets. For positive ventilation, the volume of air is given by
Q = AV, where Q = air volume in m"/ in, A = free area of intake openings of ducts in m' and V=
average velocity of air in m/min.
The positive air pressure inside the room disallows outside hot or cold air leakage inside.'
Better dilution is achieved. Ducts should be smooth, straight, with minimum bends and without
sudden enlargements or contractions. The air velocity should not be too excessive to interfere with
the manufacturing process or be unpleasant. Discharge nozzles should discharge air horizontally at
a height little above the heads of the workers. Air velocity in a duct should be @10 m/s for gases
and @20 m/s for particulates.
(3) Combined (Compound) Ventilation: It is the combination of positive and negative (exhaust)
ventilation with the advantage of better air distribution over the entire area of a large building. By
supplying proper volumes of air at suitable velocities at the required areas through duct and by
extracting the air in the return duct and re-circulating this air after proper cleaning and mixing it
with cool fresh air, good results can be obtained. It is preferable to provide slight excess of
exhaust if there are adjoining occupied spaces and a slight excess of supply if there are no such
spaces. Unit exhausters can be used to match with unit ventilators exteriors and located along the
outside wall.
(4) Mechanical Roof Ventilation: It is used for augmenting natural ventilation in buildings with
large width (>30 m) or where the heat load is very heavy. Exhaust fans exercise very little
influence beyond a velocity contour at about 15 m/min which is a short distance from the fan. The
volume of air required in removal of sensible heat gained (in Kcal/hr.) can be calculated from the
formula -
Q= Kcal/hr. x 3.462
Temperature rise in °C
Where Q is the volume of air in m3/hr., and allowable temperature rise = Inlet opening temp.
Outside temp., is given by following approximate figures.
LEL x C
Where F is a factor of safety for fire hazard varying from 4 to
12 depending upon the percentage of LEL (Lower Explosive
Limit) and C is a constant which is 1 for temperatures up to
121 °C and 0.7 for temperatures above 121 °C.
Normally this method is adopted where it is impossible to
fit an extractor to the work point. Hourly air changes in a work
room are for dilution purpose. It should be 6 times the room
volume per hour.
The desert cooler or air cooler works on the principle of evaporative cooling. A fan sucks outside
air through a wetted pad which is kept continuously wetted by circulating water through it
(independent circuit). The air passes through the wetted pad, gets cooled and humidified and
discharged into the room where it picks up sensible heat and maintains fairly comfortable
condition. The heated air escapes from the room openings i.e. the same air is not taken back in
ducting. As a fresh air it may come back through the wetted pad.
Thus, the purpose of air conditioning is to provide the most comfortable ventilation and better heat
control at home and also at some specified industries (e.g. electronic, computer/telephone, watch,
and pharmaceutical industry).
The hazards associated with industrial air conditioning plants (e.g. chilling plants, cold storage,
central AC for theatre, auditorium, dairy etc.) are:
1. Leakage of refrigerant. Ammonia leak has toxic effect and compounds of chloro-fluoro-
methane have ozone depletion effect (environmental hazard). Ammonia leak
is detected by smell or SO, torch (gives white smoke) and leakage of other
gases by Halide torch or electronic gas detector.
Common refrigerants are R-717 or Ammonia (NH3), R-11 (CCl3F), R-12
(CC12F2), R-22 (CHCIF2) and R-502 (CHCIF2, + CC1F2CF3)
(Commercial name & formulae)
2. Pressure of compressed gas in cylinder, condenser and pipelines.
Appropriate safety valve or pressure controller, pressure gauge, isolation
valve, drain, etc. are required. Periodical pressure testing (normal and
hydraulic) is also necessary.
Control of Heat Stress: Heat stress should be measured to find appropriate
control measure. Heat stress monitors with or without air probe are available and they are useful
for area heat stress monitoring. Personal heat stress monitor with sensor is
available for personal heat stress monitoring.
How to control atmospheric conditions so that varying effects on
workers can be reduced to a minimum is a good task for safety engineers.
The remedies varying from plant to plant should be determined from the
specific study of the plant (including workers) itself. Ventilating system
which moves and filters the air and which controls the temperature and
humidity is a good control. Various engineering, administrative, statutory
and personal protective controls can be applied to minimize heat stresses.
Methods of engineering control and personnel management are given
below:
Methods of Engineering Controls: Then to control the effects of
parameters M, C, R & E following control measures are necessary:
To reduce heat of metabolism i.e. gain by M - Reduce level of physical activity by sharing work
load with others or by using mechanical means. Schedule cooler periods for work. Increase rest
periods.
To reduce high air temperature i.e. gain by C -
Insulate hot equipment. Provide
ovide canopies with fans
over hot equipment to drive away hot air. Improve
general and localized ventilation over personnel.
Provide exhaust ventilation, local cooling,
evaporative cooling, refrigeration, isolation,
substitution, relocation and redesign as per need.
Use ventilated suits against excessive heat.
To reduce radiation temperature, i.e. gain by R -
Insulate hot 'equipment. Use reflective or absorptive
shielding between the heat source and man. Paint
the surface of hot equipment or shield or cloth
clothee it by using white colour for short wave of solar
radiation and aluminum colour for infra-red radiation. Wear protective clothing of reflective
surface of polished metal or paint or ventilated suits. Interpose line of sight barrier. Cover exposed
parts of the body. Use fans to move air and exhaust ventilation.
To reduce high humidity (restriction on loss by E) - Prevent steam leaks. Improve general
ventilation. Apply dehumidification in confined spaces. Use ventilated suits for high humidity.
Decrease humiditydity and increase air speed.
2. Methods of Personnel Management (Administrative efforts):
a) Provide ample supplies of cool water or flavored drinks.
b) Provide extra salt where required.
c) Ensure lightweight, loose fitting clothing. In conditions with no radiaradiant heat load, use as
little clothing as possible. With high radiant heat loads, clothing should cover skin; where
possible, clothing should be of cotton and white.
d) Ensure quickest development of acclimatization. Lack of salt, lack of water or poor
physicall condition retards acclimatization.
e) Where possible do not employ men in hot conditions if they are: obese, suffering from any
cardiovascular disease, suffering from or recovering from febrile illness, over 45 years of.
age, physically unfit and suffering from any skin disease or if they fail to sweat properly.
f) Where possible, arrange for men who are to work in hot surroundings to spend their first
two weeks working in cool surroundings in the morning and in the heat in the afternoon.
(This - will help acclimatization)
limatization)
g) Analyze Working situations for estimation of heat load through various channels. Apply
physical methods to control hazard; if necessary amplify by control of work and rest
routine.
h) 8. Rest periods should be taken in cool surroundings
surroundings.. Men may effectively 'cool off
even when they continue to work in cool conditions.
i) In extreme conditions man may: wear ventilated suits, be pre pre-cooled
cooled by immersion in cool
water and be cooled down by spraying them with cool water.
j) Train in first-aid for heat strain symptoms.
k) 11. Pre-employment
employment and periodic medical examinations for proper placement of
individuals considering their age, sex and physical fitness and
l) 12. Observation of individual physiological responses to heat and to change their jjob or
place if necessary.
3. Acclimatization: is an important factor for a worker to work for a long period in hot
environment. Acclimatization means the habit by which a person adapts himself to living and
working in a hot and humid atmosphere. It is mani manifested
fested as a reduction in the heart rate and
internal body temperature at the expense of increased sweating.
The factors affecting physiology of acclimatization are (1) Process of thermal regulation (2)
Cardiac output and heart rate (3) Sweating.
Sweating starts when the skin temperature exceeds 33 °C. There are some 25 lacs sweat
glands in a body of 70 kg man. During the period of acclimatization, the sweating rate may rise
from 1.5 lit/ h to 3.5 lit/h. The maintenance of a body temperature 37 °C is achieved by constant
adjustment of the process of thermo genesis and thermolysis. An acclimatized person should not
lose more than I lit/h and the rectal temperature should not exceed 38 °C.
The following factors help acclimatization to high temperatures:
1. Persons having less than 50 kg body weight, more than 45 years of age and maximum oxygen
consumption less than 2.5 lit/min should not be selected. Females get difficult to acclimatize.
2. Liquids should be taken in small quantities and often from the start of exposure to high
temperatures.
3. The intake of fatty foodstuffs should be reduced.
4. Small doses of vitamins B and C are supplementary.
5. Work breaks during shift should be increased. During rest cold drinks reduce stress.
6. Heat resisting barriers which include insulation over the heat source, polished reluctant
shields, absorbent shields (being cooled by air or water) and personal protective equipment (e.g.
water jacketed clothing).
(1) Dilution or Cross Ventilation: Inlet openings should be located on the windward side at a low
level and outlet openings should be located on the leeward side near to the top so that incoming air
stream is passed over the occupants. Greatest flow per unit area opening is obtained by using inlet
and outlet openings of nearly equal areas. Under the Factories Rules ventilation opening area in a
work room shall be at least 15% of the floor area. At least 10% of the floor area shall be located at
not more than one-meter sill level height from the floor level. Wind velocity in hot weaver should
be 40 to 60 mt/min. Ventilation due to wind outside is given by the formula Q = kAV given in
Part-9.
Inlet openings should not be obstructed by surrounding buildings, walls, partitions, trees and
other obstructions in air path. Great advantage is available by providing windows in west and east
direction. However, if wind direction is not effectively available, openings in all four sides can
help the natural ventilation.
Fig. 10.9 With flat roof, cross ventilation is effective when span is less than 20 meters.
When the room temperature is higher than that of outside because of hot processes, season etc.,
cool outside air tends to enter through openings at low level and warm air tends to leave through
openings at high level. Therefore, it would be advantageous to provide ventilators near to the
ceilings.
(2) Roofed Ventilation: Cross ventilation suitable for narrow building is not much suitable for
large buildings and where roofed ventilation is suitable. Here ventilators are provided in roofs viz.
cowl, vent pipe, covered roof and ridge vent to give stack effect.
(2) Local Exhaust or Extract Ventilation: It is applied at the release points of contaminants
(dust, gas, fumes, particles etc.) to reduce their concentration in the workroom below TLVs. Su (;
h points shall be enclosed except where access is necessary for the process, but in that case, the
exhaust appliance shall confine the contaminants as much as possible.
The volume of air required is calculated from the area of openings and the capture velocity
sufficient to prevent outward escapement. The sizes of the ducts shall be calculated from the
volume of air required and duct velocities necessary to convey the contaminants with minimum
static resistance.
Capture velocities may vary from 0.25 to 10 m/ s proportionately increasing with the contaminants
velocity as given in Table-10.3. The test report for dust/ fume extraction system shall be in form
No. 26A under the Gujarat Factories Rules.
Where the emissions of heat or contaminants are high, dilution ventilation is not fully effective
and the well-designed exhaust ventilation becomes necessary.''
Exhausted air may be re-circulated after cleaning and filtering to increase the rate of mechanical
ventilation.
Hood, duct, air cleaning device, filter or collector (to separate contaminant from the air
before discharging it into atmosphere) and fan and motor (for air flow) shall be designed or
selected properly.
Hoods are of many types - booth, canopy, side draft, cabinet, single or double lip and push and
pull type. Duct may be square or rectangular, with material to resist abrasive or corrosive action.
Sharp corners shall be avoided. Cleaning and trapping gates shall be provided. Generally, the
conveying velocity may be from 10 to 25 m/s depending upon the type of contaminant and
balancing of equal flow rate of air.
Types of air-cleaners, dust separators or collectors are settling chambers, cyclones, dry dynamic
precipitators, scrubbers, wet collectors, electrostatic precipitators, fabric filters and air cleaners for
gases and vapours. The fan selection depends upon air volume and static pressure required.
A noise dose is a measurement of noise or individuals who move between many different noise
environments during the working day and can be obtained by using a
noise dose meter.
Noise dose meter is a portable instrument which can be carried in a
person's pocket. The microphone can be operated from the noise dose
meter body and should be mounted close to individual's more exposed
ear.
Noise dose meters display the percentage of daily allowable noise dose.
They directly measure the noise continuously and at the same time read
out (display) noise does as a percentage of maximum allowable (100%)
over an exposure period of 8 hrs. Beside this it also indicates when
certain levels are exceeded i.e. 115 dB(A) maximum allowable and 140
dB(A) peak.
Wearable Noise monitor (Discretely varying Noise Levels):
Many employees are exposed to varying noise levels because the job
requires them to move around the department or plant.
Noise codes describe procedures for summing a series of partial doses
that such employees receive during their working period
In addition, OSHA and many other national standards impose an
overriding limit of 115 dB(A) "S" which should never be exceeded for
any length of time.
One method of determining the noise dose of mobile employees is
through the job-study interview. First/ a noise survey is conducted
throughout the factory to determine the noise level at each working
location. Then each employee is interviewed to determine what
locations he works at and for how long. This rapidly leads to the
determination of noise doses received by a large number of employees;
furthermore, periodic updates can be performed quickly. The job-study
interview method readily lends itself to computerized record keeping. It
is also a valuable aid for setting priorities in noise control schemes by identifying locations where
the noise doses are excessive. A record form may be of the following type:
Employee noise exposure record
A-8 5 95 315 16
B-21 10 88 60 6
D-13 25 91 125 31
100
Recommendations:
% Time
100
24 Hours 80
16 Hours 82
8 Hours 85
4 Hours 8/8
2 Hours 91
1 Hours 94
30 Minutes 97
15 Minutes 100
In measuring above values, standard sound level meter or dosimeter is to be used arid
no exposure above 140 dB is permitted. The meter response should be kept slow. A dosimeter or
integrating sound level meter should be used for sounds above 120 db. Exposure is to be limited
by noise source and not by administrative control. Method and formula to calculate the combined
effect of two or more periods of noise exposures of different levels are also suggested.
The TLVs in Table 12.3 should be used as guide in the control of noise exposure and
due to individual susceptibility. They should not be regarded as fine lines between the safe and
dangerous limits. The TLV cannot protect all workers from the adverse effects of noise exposure.
It can protect the median of the workers against slowly growing hearing loss.
It must be noted that a hearing conservation programme with audiometric testing is
necessary when workers are exposed to noise at or above the TLV levels.
Hearing impairment should be evaluated in terms of a worker's ability or inability to
hear speech under daily conditions. To hear sentences and to repeat them correctly indicates good
hearing ability. Workers working in a noisy environment should be regularly checked for any
detrimental effect on their hearing.
The critical factors to analyze noise exposures are
1. A weighted sound level.
2. Frequency composition or spectrum of the noise.
3. Duration and distribution of noise exposure during a typical workday.
dBA as a function of number of occur exposures per day.
A variety of sound measuring instruments are 1 available such as sound level meters,
octave band! analyzers, narrow band analyzers, sound survey meters, tape and graphic level
recorders, impact sound level meters and equipment for calibrating these instruments. Of these,
the first two provide ample information.
Thus, by measuring high noise levels at work places and interrogating workers regarding
hearing difficulty if any and carrying out noise surveys, noise values are evaluated and their
effects are also determined by audiometric tests on workers. This suggests the necessary steps for
noise control. For assessment of measured values and control measures, statutory provisions and
IS are useful.
CONTROL METHODS
First step is to measure the quantity and quality of noise by sound level meter, octave band
analyzer, sound dosimeter, audiometer or vibrometer. Control areas are the source, path and the
receiver. Control methods should be aimed at
1. Controlling noise at sources.
2. Precluding the propagation, amplification and reverberation of noise, (path)
3. Isolating the workers (receiver).
Based on this, the control methods for prevention and reduction of noise can be classified as
under:
High frequency sounds can be absorbed by applying sound absorbents to ceilings and
walls in die form of acoustical tiles, plasters and blankets of porous materials such as glass wool.
Acoustic baffles can be hung from the ceilings.
Reflection of sound waves from surfaces can be prevented by using absorbents which are
usually porous materials that convert incident sound energy to heat. The amount of absorption
depends on frequency and angle of incidence and can be expressed by the absorption coefficient
which is die ratio of the absorbed energy to the incident energy.
A variety of absorbent materials are available for an acoustic engineer in the form of
vegetable or asbestos fibers, glass or mineral wool and hard but porous plaster having less
susceptibility to physical damage, fire resistance, light reflection, aesthetic qualities etc.
By sound absorbing walls, the operator near machine is not protected from noise, but the
other workers working behind the walls would be benefited, particularly, if there are
reverberations 'in the building.
Application of acoustical material on ceiling and side walls, can reduce 3 to 8 dB noise
level and bring down the general reverberate noise level to make the noise conditions less
confusing.
Functional Sound Absorbers may be clustered as near the machines as possible. These
units may be suspended and- distributed in any pattern to obtain lower noise levels within the
machine shop. They are pyramidal or rectangular in shape. They use fiber glass as packing
material. They have higher noise reduction coefficients than conventional acoustic materials
placed directly on ceilings and walls. Noise reduction (absorption) coefficients are given in Table
12.9.
Noise Absorption Coefficients
1 Flat area
2.5 cm 0.7
5 cm 0.93
Fiber glass
Thickness
2.5 cm 0.91
5 cm 1.39
Fiber glass
Thickness
2.5 cm 0.6
5 cm 1.18
Most of the construction materials (concrete, bricks, glass blocks etc.) absorb less than 2 %
of sound energy incident on their surfaces reflecting the rest 98% back to the room. Note that the
level of noise produced by a source located in the room is 5 to 15% higher in loudness than that
produced by the same source in open.
The application of sound absorbing materials with high coefficient of sound absorbency
for walls and ceilings permit the reflected noise to be diminished thereby reducing the total noise
level in workroom.
Another benefit from sound absorption is the possibility of easy aural checking on
operation of machinery because a direct sound from every apparatus or a machine tool installed in
the enclosure can be detected by the ear easily.
Ceilings and upper portion of walls 1.5 to 2.00 mtrs above floor levels should be lagged
(insulated) with sound absorbing material.
Best result can be achieved when at least 60% of total area of walls and ceilings are
insulated.
Mufflers or silencers are also one type of sound absorbers. The velocity .and pressure of
the air gets reduced when it is routed through devious paths in the muffler components.
The mufflers are of two types. In absorptive or dissipative type, a lining of absorptive
material is provided and is protected by a perforated metal cover. Reactive mufflers are similar to
electrical filters and give good reduction over a narrow range of frequencies by reflecting the
sound energy.
The absorptive silencer has better performance at higher frequencies whereas the reactive
type at low frequencies. Sound reduction or insertion loss increases with length, thicker splitters
and reduced air gap.
Sound proofing:
Soundproofing includes construction or barrier structures such as walls or partitions, to
safeguard the workers from external noise.
Sound proofing utilizes the principle of reflection of sound i.e. the greater part of sound
energy incident on a surface is reflected and only it's smallest part (l/ 1000 or less) penetrates
through it.
In fact, an ideal sound proof structure should not let noise into an enclosure it safeguards.
Heavier (massive) the barrier-structure, the more soundproof it is. The sound proofness of barrier
surface is determined by its acoustic in entrance. It is more sound proof to high frequency sound
waves than to sound waves of low frequencies. Therefore, the knowledge of the characteristics of
sound is very important in sound proofing. In sound proofing following factors are required to be
considered for obtaining desired results of sound proofing.
1. Intensity of sound.
2. Frequency of sound.
3. Co-efficient of absorbency of material used for sound barriers.
A higher co-efficient of sound absorbency is preferred to that of low coefficient in order to
get good noise attenuation.
Adequate care should be taken to ensure that all openings in the noise enclosure should be
properly sealed over entire area to prevent any leakage of unwanted sound through such openings.
Doors and windows should be properly fit to match the perimeter and window frames receiving
glass panels should be adequately shut. All such measures should be essential for efficient
isolation of room with noise producing processes.
Ear Protection:
Ear plugs, ear muffs and helmets can be used by the exposed person for attenuation of
noise to a safe level. Where noise levels are very high, better attenuation can be obtained by using
both ear plugs and ear muffs.
These devices are a preventive measure, Ear plugs or
defenders (Fig. 12.10) are the simplest, cheap and convenient
devices used to reduce the harmful effect of noise. They are
conical shaped plugs of various materials for insertion into the
ear to reduce perception of noise, particularly impulse noise.
They can be soft or rigid. Rigid plugs are made of rubber or
plastic materials while soft plugs are of cotton cloth or of very
fine glass cloth impregnated with oil or a waxy mastic. Plugs
do not prevent the wearer from wearing headpieces or goggles. However, during long use, ear
defenders may cause discomfort and irritation in the ear, particularly
at elevated temperatures. Application of multi-use ear defenders
requires special medical supervision.
Earmuffs (Fig. 12.11) are large pads of rubber or similar
material attached to a band or strap and worn about the head for
reducing the effect of noise on factory workers (during impact
riveting, straightening, chopping and the like operations). The device is light, convenient to wear
and effective against noise of high frequency which is exclusively harmful to the human ear
Head-niece or helmet is an effective device against the effect of noise levels exceeding 120
dB where the above protective devices are ineffective. High level of noise affects the skull causing
the bones to vibrate. Such vibration adversely affects the auricular nerves and the brain function.
Helmets provide adequate protection of the skull, particularly its paratenic region.
The efficiency of ear protectors is expressed by the degree of attenuation of the noise
penetrating into the external ear canal. Noise attenuation by ear protectors is limited by bone
conduction for high frequencies and by skin resistance to low ones. Earmuffs offer higher
attenuation than earplugs at the same frequency. Hearing protector's attenuation capacity is known
as Noise Reduction Rating (NRR) and must be printed on the package.
Hearing protective devices are classified in four groups:
1. Enclosures (entire head) e.g. helmet.
2. Aural inserts e.g. earplugs - formable, customable&remolded type.
3. Super aural protectors - A soft rubber like material is held and inserted in the
external ear canal. Band tension holds it inside (ear plugs).
4. Circus aural protectors e.g. earmuffs. Two cups are held by a spring-loaded
suspension assembly or headband.
Rotation of personnel:
Since the effects of noise on hearing depend partly on the length of exposure, the bad
effects may be reduced by removing the worker from the noisy environment wherever audiograms
indicate a hearing loss.
Their rotation of noisy job or worker or dividing the noise period among one or more
workers to reduce their exposure time is explained. Rotation of personnel or changing their work
place should be done by taking their union in confidence so as to avoid any labor problem. As this
is for the purpose of safety and health, normally they should co-operate.
Active Control (Antipas) System:
Sound waves are intervened and obstructed by similar powerful sound waves to nullify
their effect. Thus 'sound against sound' is the principle employed here. Reference microphone,
error sensor and active control unit are used. Reference microphone detects the sound coming
from source and supplies information to controller unit. This control unit with the aid of digital
signal processing system, calculates the drive signals. Loudspeakers use these drive signals to give
antiphase sound. Upper and bottom peaks of sound waves (cycles) are flattened. Bottom curves of
drive (control) sound waves are thrown on the top curves of the sound waves to be absorbed. This
modern system is useful to control noise from diesel engine, gas turbine, aero plane, submarine
and compressors.
Most of the practical aspects to control noise at source are given as under:
1. Substitution of non-percussion tools and processes for pressure ones e.g. use of hydraulic
drives instead of (Mechanical) cam or eccentric drives and straightening instead of forged
rolling (Avoid roller noise) etc.
2. Use of rotational, preferably uniform motion instead of reciprocating motions,
3. Use of vee-belt transmission instead of chain or gear transmission,
4. Use of lubricant baths for meshed gears and forced feed lubrication for articulated joints
to minimize wear and noise caused by friction.
5. Use of lining/elastic inserts in joints to avoid or minimize transfer of vibrations from one
part to another.
6. Use of rubber lining for insides of metal containers and crates to be used for material
handling.
7. Use of plastic and mute materials for metal or combination of metal parts with plastic.
8. Keeping fans and engines off when not in use.
9. Good regular maintenance by tightening loose guards and panels.
10. Oiling, greasing and replacement or adjustment of worn, lose or unbalanced parts of
machines.
11. Reduction of forces and speeds.
12. Use of vibration dampers.
13. Reduction in radiating area and overall size.
14. Use of flexible mountings and couplings.
15. Use of resilient flooring and sound absorptive material on walls and ceiling.
16. Reduction in pressure, turbulence and increase in the cross section of the streams.
17. Elimination of air and steam leaks.
18. Increase in the distance from the noise source.
Care at the planning stage is more useful. Vendors and suppliers should be asked to
provide information on the noise levels of currently available equipment. The inclusion of noise
specifications in purchase orders is useful to get quiet equipment. If purchasers will insist, the
designers will pay more attention on noise control.
Remote control of noisy equipment or its isolation in a separate room can control the
exposure.
Administrative controls such as providing ear protection to workers, rotation of Jobs or
workers in order to reduce their exposure times, transferring workers from high noise location to
lower one for some period, scheduling of machine operating time so as to reduce the radiating
time and also the number of workers exposed to noise, transferring more susceptible workers to
less noisy area or dividing work at high noise level or extended period among two or more
workers, if it may not cause any personnel problems.
Implementation of the legal standards and purchase agreements is also essential to reduce
noise levels in all work places.
Despite of all efforts, periodical audiometric tests of workers working in high noise areas
must be carried out and their records maintained.
Purpose, need, advantages or benefits of good lighting are many. There are three groups of
working conditions: (1) Physical or environmental i.e. lighting, ventilation, noise, atmospheric
conditions etc. (2) Relating to time i.e. hours-of work, rest pauses etc. and (3) Relating to social
situation within which an individual works. The lighting influences all the three categories and is
an important working condition not only in factories but at all work places. Therefore, it should be
effective and not poor.
The purpose of light is most important, because without light the things have no appearance, no
colour, no shape and no perspective. Light and colour affect human efficiency, accident-possibility
and his general well-being, morale and fatigue. Medical research has proved that a sufficient
amount of light is needed for the healthy physiological functioning of human organism. Light
regulates various physiological functions within the body and poor light adversely affect the
health.
Benefits of good lighting are also direct and manifold, because, it affects our sight as well as the
object to be seen. It helps in two ways, by better seeing for work performance and better
environment. Better seeing condition causes better discrimination, concentration, alertness and
less fatigue. Better discrimination causes less spoilage and quick fault detection. Greater
concentration causes better work. Less fatigue allows greater output and greater production. Better
environment produces better morale, comfort, supervision and interest. All these factors cause
better ability to perceive objects and keep a clear view of all details, of better conservation of
energy and material, reduced labor turnover, better housekeeping, more production with less waste
of material, energy and labor, prevention of eye strain and accidents, increased accuracy,
efficiency, productivity, speed of seeing and reading and improvement in health and safety of
work-people. It is most useful to elderly people.
PURPOSE OF LIGHT
Lighting is primarily provided for people, not for the buildings or roadways or objects
illuminated. Peoples’ needs should determine what kind of lighting is provided. Meeting those
needs is important because a good visual environment is critical to health, productivity, comfort,
aesthetics, safety, communication and mood. Lighting designers have an opportunity and
responsibility to support and improve the quality of life for everyone.
Recently, lighting has become a subject of much greater interest than for many years. This is for
three reasons:
The ageing of the population in many developed countries. As the human visual system
ages, its capabilities deteriorate. Lighting can be used to help older people to see well and
hence to live active lives for longer.
The need to reduce carbon emissions to minimize climate change. Lighting is a major user
of electricity and the generation of electricity is a major source of carbon emissions. This
means that lighting is under pressure to do more with less.
The recognition that exposure to light can have significant non-visual effects on human
health. The potential for exposure to light to cause tissue damage has been known for
many years, but now its influence on the human circadian system, which operates at a very
basic level of human physiology, is also appreciated. The Health & Performance section
includes a detailed conversation regarding the circadian system.
Taken together, these developments mean that the number of factors that should be considered
when determining if a lighting installation is fit for purpose has increased. However, one factor
that will almost always need to be considered is how well the lighting enables people to see. This
is the topic of this chapter
The Benefits of Good Lighting
Did you know that approximately 80% of all information reaches us through our visual link
withthe environment?
This fact sheet is aimed at business, but the information can be used in the home.
The quality of light affects people in many different ways. For example, office worker satisfaction
and productivity can be positively affected by well-designed illumination. Building owners and
managers have the potential to add value, reduce costs and enhance performance through the
application of good lighting. People are attracted to well-lit public facilities, shopping areas and
parks. Good lighting enhances the mood and desirability of these spaces, and it contributes greatly
to people's sense of wellbeing.
Even though each lighting situation is different the basic elements are to provide a safe,
comfortable and pleasant visual environment that is easy to maintain and is as efficient and cost-
effective as possible.
What is involved in good lighting design?
It is vital to consider the effect different lamps (or globes) and fittings will have on the area and
objects you are illuminating. Differences in colour temperature and colour rendering capabilities
can change the colour appearance of objects quite dramatically. A qualified lighting designer can
help you to decide the best application for your business? choose one with experience in the
specific lighting applications that relate to your business.
Then consider how objects, people and the interior space as a whole is lit. For example, where it is
important to achieve true colour rendition for clothing, cosmetics and other instances, low voltage
lamps are used with metal halide lamps. Metal halides are used for the punch and the low voltage
are used for the color rendition. Well-designed lighting helps:
direct customers to displays and products highlight areas of service ensure true colors in spaces
such as change rooms etc. show products and staff in their best light?
The rest of the interior is then considered for ambient lighting, color warmth, wall or floor surface
characteristics, objects and structural features.
Ceiling height, color of walls, surface texture, daylight, size of the space, and energy usage are
also considered.
It is important to provide a reasonable budget. Ineffective lighting results when the design
specifications are altered in the interests of cost savings.
Common mistakes: Poor lighting design may be immediately recognized or subtly felt over time,
usually resulting in visual fatigue. For example:
not having sufficient light on the task too great a contrast between the task and its background
(e.g. working on a drawing board using a local light while the rest of the room is in darkness)
glare due to luminaries, windows or other sources, seen either directly or by reflection (e.g. the
mirror effect of display windows or showroom glass means that customers can't see the products)
flicker from lamps.
Imitating lighting from other establishments, unless the purpose, installation, natural light etc. are
the same, may not give you the desired effect.
Lighting designers for critical and demanding projects, professional lighting designers should be
considered. Their in-depth knowledge of the equipment and marketplace, as well as the techniques
of theatrical and architectural lighting, allows them to offer the most appropriate and cost-effective
solutions.
BENEFITS OF GOOD LIGHTING
New studies show the quality of light affects people in many different ways. For example, office
worker satisfaction and productivity can be positively affected by well-designed illumination.
Building owners and managers have the potential to add value, reduce costs and enhance
performance through the application of good lighting. It's no secret that people are attracted to
well-lighted public facilities, commercial shopping districts and parks.
Good lighting enhances the mood and desirability of these spaces. It contributes greatly to people's
sense of well-being. Many of the current efforts to attract people to downtown areas after dark are
being spearheaded by IALD lighting designers.
Through cost-control techniques, IALD lighting designers help clients realize improved energy
efficiency and reduce lighting costs. The initial investment in a professional lighting designer is
offset by a reduction of construction and operating costs.
An IALD lighting designer will add value to any project, whether large or small, interior or
exterior, public or private.
For greater details, see the Why Use a Lighting Designer
Types of Light Sources:
It is interesting to note that electric lamps produce more heat than light as follows:
Type of Lamp Heat (%) Light (%)
Incandescent 97 3
Fluorescent 90 10
Sodium Vapor 80 20
Tungsten- 20-27
2000 70-84
halogen (T-H) 14-22
Tube 50 85-95
3000
Mercury Vapour
Lamps High Pressure 55 5000 25
(HPMV) with
fluorescence
35-50 6000 45
MBI
63-72 7500 70-84
Sodium
Lamps
Low
Pressure
(SOX)
High
Pressure 95 8000 45
Apart from above factors, the selection of light source also depends on -
1. Type of application.
2. Atmospheric conditions of industrial interiors and/or exteriors.
3. Surface features.
4. Initial outlay.
5. Running cost.
6. Ease of maintenance.
5 Schedule for values of illumination and glare index (Part II) 3646
Out of 63 types of industrial buildings and processes, only 15 are selected from Table-
2 of 15:6665 and given in Table 9.4 as a sample recommendation.
a Canteens 150
3 Assembly Shops:
6 Chemical Works:
7 Die Sinking:
a General 300
b Fine 1000
8 Engraving:
a Hand 1000
9 Foundries
ILO Recommendation:
As given by ILO Encyclopedia of Occupational Health and Safety, some
recommended illuminance is given in Table.
Table: ILO Recommendation
Class of Visual Recommended
Typical Examples
Task Illuminance (Lux)
4. Normal range
Office work with poor contrast, drawing office,
of task and work- 600
fine painting, proof-reading, computer rooms.
places
CHAPTER-3
WHO definition of Occupational Health
About occupational health the main functions of WHO (occupational health)
mandated in article 2 of its Constitution include promoting the improvement of working
conditions and other aspects of environmental hygiene. Recognizing that occupational health
is closely linked to public health and health systems development, WHO is addressing all
determinants of workers' health, including risks for disease and injury in the occupational
environment, social and individual factors, and access to health services. WHO is
implementing a Global Plan of Action on Workers’ health 2008-2017 endorsed by the World.
Health Assembly in 2007 with the following objectives:
devising and implementing policy instruments on workers' health;
protecting and promoting health at the workplace;
improving the performance of and access to occupational health services;
providing and communicating evidence for action and practice; and
incorporating workers' health into other policies.
Non-auditory Effects:
These are the effects other than the hearing loss and mostly temporary in nature. They
may be disappeared if their causative factors are removed.
Speech or Hearing Interference andMasking:
Oral communication is interfered by a noisy environment and misunderstanding may
be created about information being transmitted. It can lead to accidents. Such sound effect is
called masking.
Masking is a level in decibels, by which a sound must be increased to be understood
in the presence of another, interfering sound.
Tests were conducted of reception of pure tone (single frequencies) communications,
where masking was also provided by pure tones. It was found that the intensity of the
message to be communicated had to be increased 15 to 30 decibels to become
understandable.
Various methods to measure the effects of noise levels on speech communications are
based on relationships among noise levels, voice (speech) levels and distance between
speaker and listener.
Annoyance:
Normally people are annoyed by noise. However, types and levels differ from person
to person. Rock music annoys people who like classical music and vice-versa.
Acclimatization or tolerance to certain level is an important factor. People who have been
exposed to certain noises over a long period develop a tolerance to that level. The same
noises may annoy other persons who have not developed the tolerance and to such a degree
their efficiency is degraded. They may become more prone to errors or accidents.
Normally louder noise or unexpected impulsive -noise can be more annoying. High
frequencies are more annoying than low frequencies.
Distraction:
It is another noise effect that diverts attention of a person. For example, /passengers
talking with a driver of a bus can distract his attention which may lead to an accident. Persons
talking in the vicinity can distract the attention of other persons even if it does not annoy
them. The sudden ringing of a telephone or any audio signal can distract attention and
disturbs concentration.
Physiological Effects:
Sleep disturbance (WHO report, even at less than 35 dBA) and stress reaction (e.g. jet
aircraft personnel exposed to 120 dBA or more) have been noticed.
Cancer: A case study was published in 'Current Science' weekly. 40 female rats were
kept under the effect of 25 kHz ultrasound waves daily for one minute and for a period of six
months. In 70% of these test-rates, cancer tumors were observed, skin wrinkles were seen and
their hairs fell off. They were feeling difficulty in movement and died earlier than normal
rates. Dr. S.N. Chatterjee of Nuclear Physics in Saha Institute and Dr. Pratima Sur of Indian
Institute of Chemical Biology carried out this experiment and warned against this ultrasound
hazard mostly found in equipment used for biological and medical diagnosis. (News 10-8-
98).
Adverse effects on work output, efficiency and morale are another non-auditory effect
of noise. Fatigue and mental health' effect may also occur. However, such effects are varying
and many a times human adaptability nullifies such effects.
Behavioral Effects:
Adverse effects on work output, efficiency and morale are other non-auditory effects
of noise. Fatigue and mental health effect may also occur. However, such effects are varying
and many a times human adaptability nullifies such effects.
Vibration of 10 to 500 Hz frequency range as normally found with pneumatic drills,
hammers and grinders affects the hands and arms. After exposure of months or years, fingers
become sensitive to spasm known as white fingers. Vibrations also produce injuries to joints,
elbows and shoulders.
Sick or Tight Building Syndrome is a health effect on workers, mostly IT personnel
due to heat or cold stress, poor ventilation, poor lighting, or monotonous work in fixed type
of environment for a longer period. Sickness is resulted in health effects like indigestion,
psychosis (mental fatigue), visual problem, mental feeling of impotency, headache, backache,
uneasiness, obesity, acidity etc. Remedial measures include-change in working environment,
new and attractive atmosphere, good lighting and ventilation, good housekeeping, rotation of
persons, recreation facility and staggered working hours instead of continuous eight or more
working hours.
Adverse effect of Cold, Heat Stress, & Illumination
(1) Adverse effect of Cold, Heat Stress
a) The cold causes chilblains, shivering, frostbite, trench foot, vasoconstriction,
hypothermia and erythromyeloid.
The control measures include (1) sufficient intake of water and salt (2) cotton and protective
clothing (3) break in exposure time and more rest intervals (4) engineering controls (5)
medical control and (6) acclimatization of the workers.
b) Heat causes burns, exhaustion, stroke, cramps, fatigue, decreased efficiency, pain,
discomfort, heal collapse, systemic disorders, skin disorders, psychoneurotic disorders and
tendency to cause accident. Acclimatization to high temperature requires reduction in heart
rate and internal body temperature at the expense of increased sweating. Radiant heat (e.g.
ovens, furnaces), stagnant heat (e.g. textile mills), and high temperature (e.g. mines, glass
furnaces) create stress and impair health.
The amendment (1995) in Gujarat Factories Rules has prescribed certain limits -
Room temperature < 30 °C (80 °F), Air movement > 30 mt/ min. Ventilation openings > 15%
of the floor area and in summer when temperature exceeds 35 °C and humidity 50%, air
cooling is required. For humidity control dry and wet bulb temperatures are also prescribed
u/r ISA.
One UK Standard suggests the following criteria
Environmental Factor Standard
Air temperature 21 oC
Mean radiant temperature > 21oC
Relative humidity 30-70%
Air movement 30-60 mt / min
Temperature gradient (foot to head) < 2.5 oC
Proportional or scintillation
1 Alpha
counter surface barrier diode
Geiger-Mueller tube or
2 Beta
proportional counter
Biological effects of the UV, visible, IR, radio frequency and the extremely low
frequency of power transmission, have been studied. Visible light and heat waves can be
easily perceived and dark goggles can reduce their intensity to a comfortable level. The UV,
IR, microwave and lower frequency radiations cannot be perceived by eyes, but have
biological penetration as shown in the following table -
Thermal effects are produced in the skin due to exposure in IR and FM-TV-radio
region. Photochemical effects can be produced in the UV and visible regions.
Now, main divisions of non-ionizing radiation are explained below in brief.
(1) Infrared (IR) Radiation:
The IR region extends from 750 nm to 0.3 cm wavelength of microwaves.
Exposure to infrared radiation is very common in glass industry and near cupolas and
furnaces. Since long-wave infrared radiation is readily absorbed by the surface tissues of the
body, it cannot inflict deep injuries in the 'human body. Over exposure produces some
discomfort which generally gives adequate warning. However, the eyes may suffer injuries
or general discomfort to other parts of the body, there is some evidence that this may result in
cataract.
The protective measures against this radiation include the placement of reflective
screens of polished aluminium shield near the source. Those screens will direct the. rays
away from the personnel into unoccupied space or return them to the heat source. They have
been found very effective in many industrial situations. Eyes of the exposed personnel
should always be protected, by suitable glasses, from direct radiation arising from areas that
given off intense heat, even though the temperature is not necessarily high. Infrared radiation
be measured by the black-bulb thermometer and radiometers.
Main industrial IR exposures are from hot furnaces, molten metal or glass and from
arc processes. Use of enclosures, shielding, eye protection and safe distance are main safety
measures.
(2) Ultraviolet (UV) Radiation:
The UV region is subdivided as Near - 400 to 300 nm. Far - 300 to 200 nm and vacuum -200
to 4 nm.
The effects of ultraviolet radiation are similar to sunburn. Since there is a
considerable time gap between exposure and development of injury, deep burns, may be
endured without immediate discomfort. This radiation is readily absorbed in human tissue. As
a result, superficial injuries are produced chiefly to the skin and eyes. Higher exposure can
cause skin or eye damage. The skin effect is called dermatological and the eye effect is called
ocular.
Some industrial processes, such as welding, produce considerable amount of
ultraviolet radiation. In areas where ultraviolet radiation is quite intense, potentially
hazardous chemical contaminants, such as ozone and oxides of nitrogen, are also produced
due to action of this radiation on air. In the zone where arc-welding is carried out, very high
concentrations of ozone and oxides of nitrogen have been found.
All personnel engaged in welding should invariably wear goggles and face shields.
Besides these, the use of gloves, leggings, overalls and boots is an essential necessity for the
personnel engaged in welding. Furthermore, opaque shielding should be used around welding
areas to protect other persons. Local exhaust ventilation may also be used as an effective
means for the removal of chemical contaminants produced during the arc welding.
Ultraviolet meters can be used for the measurement of. this radiation. It has been
suggested that 0.5 microwatt per square centimeter be the permissible limit of ultraviolet
radiation for a 7 hours continuous exposure.
The most common exposure to UV radiation is from direct sunlight. Solar irradiation
exhibits intense UV radiation but due to the atmosphere (ozone) shielding of the earth (God's
gift), we are not exposed to the lethal doses. Long time exposure to hottest sunlight
(afternoon) may cause skin cancer. This must be avoided.
Some commercial application of UV radiation are fluorescent lamps, mercury Vapour
lamps, germicidal lamps, electric arc welding, chemical processing, etched circuit board
production and UV lasers.
Wavelengths below 320 nm cause skin reddening and skin-burn (erythema effect).
Solar or UV radiation from artificial sources may cause skin pigmentation (tanning).
Wavelengths between 320 and 230 nm can cause carcinogenic effects.
Main safety measures are shielding of UVR source, use of eye goggles, protective
clothing and absorbing or reflecting skin creams.
(3) Visible Light (Energy):
This portion lies in the range of 400 to 750 nm. The danger of retinal injury lies
between 425 to 450 nm due to peak brightness. Eye response to excessive brightness i.e.
partial or full lid closure and shading of the eyes, is a protective human mechanism.
Main sources of visible light are sun, laser beams, arc welding, highly incandescent or
hot bodies and artificial light sources such as pulsating light, high-intensity lamps, spotlights,
projector bulbs, neon tubes, fluorescent tubes, flash tubes and plasma torch sources.
The visible light is of three types: incident, reflected and transmitted light. Incident
light is that light which strikes the work surface. Reflected light is that light which bounces
off surfaces and reflected onto work surfaces by walls and ceiling. It is measured to
determine glare and shadows. Transmitted light penetrates a transparent or translucent
material.
The primary effect of microwave energy is thermal. The higher frequency cause lower
hazard and vice versa. Frequencies less than 3000 MHz can cause serious damage. At 70
MHz, maximum SAR (specific absorption ratio) in human takes place. Exposure of high
intensity and more time can cause localized damage by skin burning, tissue burns, cataracts,
adverse effect on reproduction and even death.
The basic safety measures include restricting energy (power density in microwatts/
m2 and frequency) below the safe level, reducing time of exposure, shielding and enclosing
microwave source, reorienting antenna or emitting device, use of PPE and controlling at
source.
Power Frequencies:
The main hazards from high voltage lines and equipment (low frequency) are shocks
and current. Extremely low frequency (ELF) radiation produces electric field and magnetic
field. An external electric field induces electric current in the body.
Protection from ELF is possible by shielding of electric field by any conducting
surface. Persons working in high field strength regions (e.g. high voltage lines) should wear
electrically conductive clothing. Avoiding entry in such region is also advisable.
ELF magnetic field cannot be shielded. Therefore, the only remedy is to keep the
magnetic field below safe levels or to restrict entry of personnel into the magnetic fields.
5.2 Permissible threshold exposure limits - short term and long-term effects of
exposures – Preventive and control measures
Threshold Limit Value is abbreviated as TLV. Threshold Limit Value is the maximum
concentration of Toxic material which the workmen can tolerate or withstand for 8 hours in a
day while working in the atmosphere charged with the contaminant.
Short term exposure limit (STEL): It is a concentration of substances which can be tolerated
by workmen for 15 minutes without causing any adverse effect.
Maximum allowable concentration (MAC): It is a concentration which must not be exceeded
even for the short period of time.
Effects of exposures of TLV, STEL & MAC:
Factors influencing the effects of Toxic materials:
1. Absorption-the effects are dependent upon the rate of absorption of toxic substances
in the human body. quicker the absorption, more is the risk to the workmen.
2. Concentration and time of exposure –more the concentration and time of exposure,
more is the amount of toxic substances getting entry into the human body.
3. Personal tolerance level –certain persons can tolerate a particular toxic substance
while others cannot.
4. Susceptibility – susceptibility to toxic substances may vary from person to person.
5. Personal hygiene and behavior- personal hygiene and behavior including proper
maintenance of clothing, cleanliness, tidy habits, etc. plays an important role.
6. The state of matter – the state of the matter of toxic substances (whether solid, liquids,
or gases) plays an important role in connection with the effects of toxic substances on
the human system. As, for example, hydrochloric acid HCl as(liquid)
Harmful effect:
1. Chemicals can cause asphyxia or suffocation.
2. It causes irritation to respiratory tract or other vital organs like liver, kidney, etc.
3. Some chemicals cause coconsciousness or unconsciousness.
4. Anesthetics These are either primary or secondary
Control Measures:
1) Storage – proper storage and handling specially that of materials in bulk or in large
quantity need special care and attention. haphazard storage and handling of hazardous
material can trigger off accidents.
2) Temperature and pressure – many processes or operation in industrial plants are associated
with high temperature and pressure. In many such processes. In many such processes the
reactions being exothermic in nature in which unusual heat is unleashed. This may cause
damage to equipment’s system and can trigger off fire hazards. Hence thorough control of
temperature to permissible limits is one of the prime considerations. Unusual rise in
pressure much above the stipulated or permissible limit may cause bursting of pipelines,
failure of valves associated with leakage of hazardous substances selection of suitable
safety valves, a proper design of all assemblies, pipeline system, pressure vessel etc. can
check these maladies.
3) Operation and processes –Any defect in design or any deviation from the design with
respect to the various operations and processes may lead to serious consequences. Hence a
proper design of the whole operational and process systems coupled with suitable follow
up in the actual practice/ working is warranted. This implies that everything involved
(notable equipment, workmen, measuring instrument, work procedures, the managers and
the supervisors) must be functional. The failure of any one of the above components or
units associated with the operations of process may lead to accident.
4) Education and training –all the personnel involved in the industrial operations
(speciallythe novices and new entrants) must be imbued with a sense of safety
consciousness. This needs formal and informal education and training. in industries
associated with hazardous chemicals, proper education and training must be imparted to
the personnel regarding use of proper label, warning signs and colour codes, proper
methods of storage and handling etc. a harmonious relation between the workmen and the
manager is necessary to synchronies the various activities of the person concerned. Clear
instructions, manuals or booklets for each hazardous job have to be supplied to the
concerned workmen etc.
5) Information, data collection and monitoring - information and data collection and their
subsequent analysis play an important role. The identification of hazardous substances or
them
Toxicity, the emergency requirements therein as well as proper handling and storage of these
materials etc. are some of the information to be recorded in the safety data sheets. Suitable
monitoring of hazardous substances can further bolster the safety measures and control.
6) Repair and maintenance –regular repair and maintenance as for example in the pipeline
system, valves, pressure gauges etc. helps to minimize accidents. Extreme precautions are
to be taken while repair and maintenance operation are being carried out,e.g., shutdown
during repairs etc. any laxity, inadvertence or carelessness during repairs may create have.
7) Personal protective equipment’s- all persons exposed to hazardous substances during
manufacturing, storage, handling etc. must be provided with personal protective equipment
the use of personal protective equipment’s.
Common Occupational Diseases as per the Sch. III of the Factory Act.
Normally dusts cause lung diseases and therefore the types of dusts and their effects
are
discussed below.
(A) Types of Dusts and their Effects:
Dust is a disperse system (aerosol) of solid small particles in air or gas whose size
distribution is like a colloid. It originates from mechanical communication of coarser
material. Mining, breaking, crushing, grinding, mixing, polishing and handling are the main
dust generating processes.
Small particles of O.I to 5 u.m size (respirable dust) can remain in the alveolar
passages of which smaller particles (O.I r-lm) behave as colloids or smoke, deposit in lungs
or other part and cause health effect. Particles of larger size (>5 (im) are driven back by the
clearance mechanism. Asbestos fiber of 3 (urn or less in diameter and up to 100 (im length
can reach the alveoli, while the smallest fibers can reach up to pleura and pleural space.
2nd Schedule of the Factories Act prescribes TLV (permissible time-weighted average
i.e. TWA concentration per 8 hours) of cotton, asbestos, coal, cement and silica dusts.
Types of dusts can be classified as under:
1. Quartz and mixtures containing quarts: Coal dust, mineral ores, sand, rock, fluorspar,
quartzite etc. They are found in mining, ceramic industries, refractories, pestering,
mixing and insulating materials. They cause nodular fibrosis and silicosis.
chronic non-specific lung disease. The types of effects are fibro genic, carcinogenic,
systemic, toxic, allergic, irritant and skin effects.
It is unknown that how many chemicals are actually carcinogenic to humans and how
many human cancers could be prevented by improving working conditions. There may be
mixed reasons occupational and non- occupational also.
The ACGIH has classified carcinogens in five categories depending on the TLVs of chemical
sub in contact:
1. Confirmed Human Carcinogen
2. Suspected Human Carcinogen
3. Animal Carcinogen
4. Unclassified Human Carcinogen.
5. Unsuspected Human Carcinogen
Courtesy: 2007 TLVs and BEIs, ACGIH.
Some tables are also given below to understand occupation or substance and body
part (site) being affected by cancer.
Prevention is better that cure but when prevention is not possible and an injury does take
place, cure is the only prevention of further injury and this cure is primarily to be provided by
the First Aid.
First aid can be defined as an immediate treatment given to the victim of an accident or
sudden illness, before medical help is obtained. It is a combination of simple but quite
expedient, active measures to save the victim’s life and prevent possible complications. It
needs to be immediate in severe accidents complicated by bleeding, shock and loss of
consciousness.
Ambulance Aid-
The ambulance room shall be in charge of a qualified medical practitioner assisted by at least
one qualified nurse and such subordinate staff as the chief inspector may direct.
There shall be display in the ambulance room a notice giving the name, address and
telephone number of the medical practitioner in charge. The name of the nearest hospital and
its telephone number.
The ambulance room shall be used only for the purpose of first-aid treatment. It shall have a
floor area of at least 24 square meters and smooth, walls as per F.A and shall be adequately
ventilation and light, drinking water, room shall contain at least: -
Sink,table,stretcher, buckets, hot water bags, wooden splints, woolen blankets, forceps,
bottle of spirit, sponges, towels, trays, toilet, thermometers, teaspoon, measuring glasses,
wash bottle, chairs, electric hand torch, one cupboard with require first aid medicine and
instruments.
Year
Plant & Place Death Serious Injuries
Ship explosion,
1944 231 476
Bombay
Truck explosion,
1956 1100 -
Columbia
Mine explosion,
1975 431 -
Chasmal, India
Fire following
explosion in a
1997 60 -
refinery,
Vishakhapatnam, AP
Gas explosion in a
1999 coal mine, Beijing, 35 8
China
4.3Wounds-
A wound is an injury or an abnormal break in the continuity of the skin or other tissues. In
an external wound there is a danger that germs will enter the wound and cause an infection. If
the wound is deep severe bleeding may occur or there may be serious damage to the
structures within the body such as heart, lungs or brain.
Types of wounds -
Wounds may be open or closed in the opened or closed. In the open wound skin is
broken and blood escapes out in a closed wounds skin is not broken.
Other types of wounds
1) Arabism /Graze –
Cause – friction or pressure of rough object.
Features – A superficial injury involving the other layers of the skin.
It is painful but bleeds slightly or oozing.
2) Bruise – cause- blunt force e.g. stonestick etc. features- It is red due to
infiltration of blood in to tissues skin over it in intact. It becomes blue, black,
green, yellow and finally disappears with time.
3) Lacerations – cause – blunt force e.g. Fall from roof, fall in house, fall on rough
surface or rough spicks.
They are much have difficult to treat and need medical attention stop
bleeding by applying pressure only remove large and loose pieces of it to the
experts. This sort of injury particularly calls for tetanus protection
Features- The skin and underlying tissues are torn. It has irregular and abrasions.
4) In used wounds – cause – A weapon with sharp cutting edge e.g. knife razor,
glass, etc. features - The edges of the wound are clean cut. It bleeds more than
laceration. If less than one cm long will probably heal well. If you stop bleeding
pull edges together and apply adhesive dressing. Do not fiddle about with design
reactant wash your hands clean the area around the wound ensuring that no
water enters into the open wound. Dry it carefully then apply the dressing
Wounds on first aid –
1) Place the victim in a sloping position.
2) Apply pressure to control bleeding
3) Treat shock
How to manage an infected wound
Any wound that has begun to heal after 24 hours, it gets infected. It contains
bacteria, dirt and may contain a florin body. The infection may spread elsewhere in
the body and cause further damage.
Feature of an infected wounds are as follows.
1) Pain and soreness in the wound
2) Swelling and redness around the wound clean the wound with sterile swabs
soaked in an antiseptic solution.
Bleeding –
Introduction-
The human body contains approximately 5 lit of blood. A healthy adult can lose
up to half a liter of blood without any ill effect is loss of more than this can be
threating to life.
Bleeding is an escape of blood from in other words vessels bleeding is a flow of
blood from an artery vein or a capillary.
Effect of bleeding or hemorrhage-
There are four different types of hemorrhage of bleeding
1. Arterial bleeding –
i. The bleed is bright red in color
ii. It spurts at each contraction of heart
iii. Flow is pulse tile
2. Venous bleeding –
Bleeding from the veins which carries blood to heart
(i) Bleed is dark red in color
(ii) If close not spurt
(iii)Stray how of blood.
2) Capillary bleeding – i) blood is red in color
ii) If dose no spurt
iii) Slow but even how
3) External and Internal bleeding –
Bleeding may occur externally due to an injury to the body or internally from
an Injury in which blood escape in tissue spacesor.
The body cavity
First aid management
Aim- 1) control of bleeding as soon as possible
2) Keep the wound clean and dress it to minimum blood loss to prevent infection.
Management – i) control the bleeding ii) place the person in such a position that
he/she will be least affected by the loss of bleeding due to gravity. Iii) maintain
airway clear iv) prevent the loss of body heat by belting blanket unclear and over
the person. V) keep him /her at rest as movement will increase the heart action
which will cause the blood to flow faster and will interfere clot formation.
Burns –
Burns is defined as tissue damage caused by burn of open flame not object molten
metal or electricity Injury or mark, cause by fire heat or acid, small steam is called
burn.
Burns are classified according to the area and depth of the injury as follows.
i) First degree- The outer skin is reddened and welted or slightly swollen.
ii) Second degree- The under skin is affected and blisters are formed.
iii) Third degree- The skin is destroyed and tissues underneath are damaged.
The objective in the treatment of burns and scalds are to relieve pain by excluding
air, prevent contamination and treed for shock.
Scald we heat such as steam hot water hot. Oil etc. produces scalds. The scald is
superficial but often extensive. Blisters and red areas on the surface.
Assessment of burns: The dangers from burn depend upon the area of burn rather
than the degree. Superficial burns over large area is more dangerous than the
complete charging of a part any burn more than 30% should be hospitalized,
calculation for the percentage of the burn is to be done in following manner – The
skin area involved in burn case is more important than the depth. Even a superficial
burn involving more than 5% of the body surface is serious. It more than 15% the
patient may suffer from shock.
By following the rule of nine the percentage of skin area is to be calculated.
Rule of nine – 1) head and neck -9%
2)check -9% 3) Abdomen- 9% 4) Genital area -1% 5) front of each leg 9% 6) back of
each leg 9% 7) each hand 9 % 8) Back – 18 %
* General action –
1) Remove the source or burning or scalding
2) Cool the affected area at once
3) Treat shock if present.
4) Get medical help if the person is severely ill.
Do not -1) Do not put cotton wool or any other fluty dressing on the burn.
2) put, grease oily creams or butter on the wound
Lear blisters airline as if bursts then you what to do-
1) Place the part under running cold water for several minutes or until pain is
released.
2) Do not pull off any clothing around the burnt area unless the burn has affected only
a small confined area never palmary adherent charred cloth from this is an expert
job
3) Once the area has been cooled you can gently remove clothing from the affected
area around the scald this can be done for chemical burns also with excess of case
so that you will not get any harm from the chemical-soaked cloths.
4) Decides whether the person needs medical attention.
5) If you cannot put the burnt area under water from a container and apply soaking to
wets.
It the scald or burn is small i.e.- less than 2.5cm across shallow, easily
covered by – dressing and the person is well then there is no need of medical
attention.
The medical attention is needed if –
1) The victim is a child
2) The burn is large and specially it involves the areas of the body that more affect
face eye palm or fingers or such parts which can’t be easily covered by dressings
3) Caused by a chemical, electricity or molten metal.
Be prepared to treat shock and call an ambulance or doctor it the victim has 10%
more burns or scalds of his body.
First aid treatment for burns that you can treat.
1) Dry the area carefully
2) Remove burning or burnt cloths
3) Bandage the area lightly to hold the dressing in place.
4) Apply a dry dressing (can’t of cotton wool) preferably no adhesive burns
dressing from your first aid box.
5) If burn is of chemical nature due to acid naturalize the part with mild alkaline
(preferably 2% soda bicarb solution) and if it is due to alkaline neutralism the
part with mild acid 2% boric acid solution.
Burns scalds and accident caused by electricity-
Burns scalds are dangers Rous because not only they can cause death but
delayed effects like scarring or deformities can quite dressing hence promit and
corvette treatment of burns and scolds are essential.
Burns –
Burns are injuries that result from dry heat like fire contact with hot metals
chemicals electricity and redaction.
Scalds –
Scalds are the injuries that results from most heat like boiling hot water steam,
oil hot tar and hot liquids.
The injuries in both burns and scalds are the same.
We all know that the smallest functioning unit of every human being is cell. A group of cells
together forms tissue various tissues together form organ. There may be a number of organs
in a system for a specific purpose
Part of organs involved in different system, some of the system are as follows-
Term Meaning
Midline ---------- It divides the body into right and left halves with
A vertical line.
Lateral.
I) Skull- A bony frame work of the head under the skin. The seven bones of the skill
and14 bones of the face are firmly united and incapable of movement. The bones of
lover jaw mandible however can be moved up and down as well as side to side.
Skull is made up of many that bones joined together so that no movement is allowed in
between the bones. It holds the brain. Eyes are located in bony cavities on the front of the
skull.
The nose is made up of small bones attached to the skull.
II) Spine – Back bone or the vertebral column. It consists of 33 small bones called as
vertebrae there are 7 vertebrae, in the neck are called cervical vertebrae 12 in back are
called as thoracic vertebrae, and 5 vertebrae joined together in the lumber region 5 in
sacrum and 4 in the coy.
These are small bones with central cavities and joined end to end forming a central
canal that- contains the spinal cord.
iii) Thorax – it is made up of the thoracic vertebrae behind, sternum in front and12
ribs on the side’s. It pockets the hard and lungs. There are twelve ribs on each side
attached to the thoracic vertebrae at back- except the lowest four the ribs are
attached to breast bone in a front.
iv) Scapulae or breast bone also known as sternum – It is a flat bone of the thoracic
sternum there are two flat triangular bones on the back that connect the upper limbs
to the thorax. Upper limbs – hands each upper limb consist of 19 bones long bone in
the arm called as hummer us two long bones called radius ulna in the forearm and
small bones in the wrist and remaining small bones in the hand (paw).
v) Lower limbs – (legs)
Each lower limb consists of a long bone called femur in thigh, two
long bone called tibia and fibula in the leg and many small bones in the ankle and
foot.
vi) Collar bone or clavicle – It extends from sternum i.e.-breast bone to the shoulder
vii) Shoulder blade or scapula –It is a thin flat bone forming the part of shoulder
girdler.
viii) Hip bone or in nominate bone –there are two Hip bone attached to the sacrum
each hip bone is made up of three (3) bones ilium ischium and pelvic bone.
4.4 Unconsciousness-
Any disturbance with the normal functioning of the brain and nerves is called
unconsciousness. It may be not only due to some disease or injury to the brain but
also of other organs in the body.
Various types of unconsciousness are as follows: -
1) Stupor – It is a state of semi consciousness in which person response only two
external stimuli or loud noise, pupils of the eyes contract in respect of light.
2) Coma- It is a state of complete loss of consciousness the person doesn’t respond
to even painful steal eye movements are absent of
Causes of unconsciousness
1) Acute fever
2) Diabetes or overdose of insulin
3) Heat stroke or exhaustion
4) Sever loss of body fluids.
No breathing
Ventilate two times (pinch nostrils and feel for movement of air, take adequate breath and
place your mouth around the casually to make a light seal and blow in to his lungs.
1) Check for pulselessness- Feel for neck pulse present – continue to ventilate once in every
5 seconds. No pulse – locate the lower margin of the rib cage. Run the fingers up to the
notch where the ribs meet the breast bone.
Place the middle finger on this notch with index finger next to it.
Place the heed of the other hand next of the index finger on the long axis of the breast
bone.
Remove the first hand from the notch and place on top of the other hand with fingers
interfaced with elbows locked arms straightened position your shoulders directly over your
hands and perform external chest compression. Depress 4 to 5 cm for adults 2.5 to 4 cm for
children from 1 to 14 years old check carotid pulse after 4 cycles and every five minutes then
on.
First aid against electric shock
Remove of contact with live conductor. The first action to be taken during electric
shock is to remove the contact between the person and live conductor without
touching the person/conductor with bare hands. Rubber glows/rope/walking
stick/Dry cloth /dry paper/insulating rod/Bamboo pole/Rubber soled shoes any
available insulating rods may be used for pushing the person away from away
conductor.
Simultaneously nearest circuit breakers should be opened from local control to with off the
supply to the particular conductor. These actions must be taken with a fraction of second. For
this the personnel should be trained and rehearsals should be conducted at site.
First principles of action after electric shock -
Assume that the person is alive and will regain normal state with your fast aid.
Have confidence in yourself and in God.
If breathing is weak or breathing has stopped, try to restore it by artificial respiration and or
external cardiac massage promptly
This is the ideal for all wounds and consists of sterilized piece gauze or lint to which
sometimes a pad or roller band age is stitched. This dressing is enclosing and sealed in a
protective covering. Before using a sterile dressing, hands must be thoroughly washed with a
disinfectantpreferablychlorohexidine 7.5% or with soap water.
2) Gauge or lint – It a sterile dressing is not available cover the wound with piece of
clean gauze
3) Emergency dressing – It a prepared sterile dressing is not immediately available soft
sav material, cotton, bed sheet, table cover, sanitary pads, the inside folding of clean
handkerchief or freshly laundries towel.
The great care that must be taken in handling and applying dressing is to avoid touching
with the naked fingers any part of the wound or any part of dressing which will be in contact
with the wounds.
Dressings must be covered with an adequate pad of cotton wool which must extend well
beyond the dressing and kept in place with a bandage.
Note - A bleeding wound needs a pressure pad dressing.
Bandages
Objectives of bandaging
1) To retain or fix dressings and splints in position and to immobilize fractures knots
should never be tied over feature.
2) To afford support to an injured part or form slings.
- call a doctor.
- Commence active treatment before temperature reaches 104º F.
- Strip the patient naked and wrap him up completely in cold water socked bed sheet.
- Fan vigorously and when temperature of body comes down to 102ºF cooling process
should be stopped.
- Later on, patient should be dried and covered with light blanket.
- Water can be given to drink to gain normal condition.
FROSTBITE/COLD INJURIES
Frostbite may occur when the skin is exposed to extreme cold. It most frequently
affects the skin of the cheeks, chin, ear, fingers, nose, or toes.
Frostbitten skin appears whitish and feels numb. It should be handled gently.
First Aid
1) Warm the affected area with the heat of your hand or cover it with a heavy cloth until
you can get the victim indoors.
2) If warm water is not available, wrap the frostbitten area in blankets. Obtain medical
assistance as quickly as possible.
3) If a victim of frostbite must be moved, protect the person from additional exposure.
The degrees of burns indicate the degree of damage to the tissues. There are five degrees of
burns:
First Degree:When the skin is reddened
Second Degree:When there are blisters on the skin, and
Third Degree:When there is destruction of deeper tissues and of charring.
Fourth Degree:Steam blebs
Fifth Degree:Carbonization
Percentage of Burn:
The danger from burns depends on the area i.e. percentage of the body part of the burns
rather than the degree. Superficial burns over a large area of the body are more dangerous
than the complete carrying of a part of the limb. It must be noted that in the same person,
different parts of the body may show different degrees of burns. Any burn of over 30%
irrespective of deep degree - should be hospitalized as priority. More than 50% burns are
more serious.
Above figure shows the percentage (extent) of burns. It follows the rule of 9. For
more area, add the percentage appropriately. For example, burns of both hands and both legs
indicate 9+18 = 27% burns.
Helping a person whose clothes have caught fire:
The First Aider should know how to deal with a person whose clothes have caught
fire.
1. Put out the flames by whatever means available. Most of the causes of burns occur in
homes and drinking water is readily available to quench the flames, water also cool
the burnt area causing less damage to occur.
2. Do not allow the person to run about. This only fan the fire and makes the flames
spread.
3. Hold a rug, blanket, coat or table cover in
front of you, while approaching a man
whose clothing have caught fire.
4. Lay him down quickly on the ground and
wrap tightly with any thick piece of cloth,
rug or coat. Smother the flame by gently
rolling the causality or by gentle pats over
the covering.
5. If the clothes in front of the body have
caught fire, lay him on his back and vice
versa, till suitable material is brought to
smother the flame.
Rescuing Persons from Fire:
5. When there is fire in a room in which the doors and windows are closed, do not open
the windows and door to let in air. The rush of air will increase the fire and it will
burn more intensely.
First Aid of minor Burns and Scalds:
In the case of minor burns:
1. Clean the area gently with clean water.
2. Submerge the burned area in cold water.
3. Apply a solution of salt and water (one teaspoonful to a pint of water) in out of the
way places.
4. Cover with dry dressing.
5. Do not apply cotton wool direct to the burnt.
6. Do not apply any greasy substance.
7. Give warm drinks for example sweetened tea or coffee.
First Aid of Serious Burns and Scalds:
Immediate attention that required in serious burns are:
First Aid of Chemical Burns:
1. Wash off the chemical with a large quantity of water for 15 minutes by using a
shower or hose if available as quickly as possible. This flooding with water will wash
away most of the irritant.
2. Cut out contaminated clothing.
3. Do not touch.
4. Treat as for burns.
Burns of the Eye:
Acid Burns:
1. First aid for acid burns of the eye should be given as quickly
as possible by thoroughly washing the face, eyelids and the
eye for at least fifteen minutes by water.
2. If the casualty is lying down, turn his head to the side, hold the
eyelids open and pour water from the inner corner of the eye
outward. Make sure that the chemical does not enter into the
other eye. Cover the eye with a dry, clean protective dressing
(do not use cotton) and bandage.
3. Neutralizing agents or ointments should not be used.
4. Caution the victim against rubbing his eye.
5. Get medical help immediately (preferably an eye specialist).
Alkali Burns:
Alkali burns of the eye can be caused by drain cleaner or other cleaning solution. An
eye that first appears to have only a slight surface injury may develop deep inflammation and
tissue destruction and the sight may be lost.
1. Flood the eye thoroughly with water for 15 minutes.
2. If the casualty is lying down, turn his head to the side. Hold the lids open and pour
water from the inner corner outward. Remove any loose particles of dry chemicals
floating on the eye by lifting them off gently with a sterile gauze or a clean
handkerchief.
3. Do not irritate with soda solution.
4. Mobilize the eye by covering with a dry pad or protective clothing. Seek immediate
medical aid.
Fractures:
It may be open or closed. Open fractures in which not only the bone but also the skin
is damaged are most dangerous. Germs can get into die wound formed by the break in the
skin and cause suppuration gas gangrene or tetanus. In closed fractures the outer coverings
(skin and mucous membranes) are intact and prevent the entry of germs.
The signs of fractures of the long tubular bones include pain, hemorrhage, distortion
of the injured part of the arm or leg, abnormal mobility in a place where there should be none,
crackling, swelling, deformity and inability to make any movement.
The fragments of the bone may be displaced to a varying degree in length, width, or at an
angle to each other causing some deformation of the limb.
First Aid; The limb affected must be immobilized. This is especially important
during transportation of the patient. The bone fragments should be tied so that they cannot
move. The rules for immobilizing fractures should be observed. If they are not observed,
grave complications can develop menacing the patient's life.
Treatment:
1. Immobilize the fractured limb with splint like wooden stick, hardboard or
umbrella
2. Make a padding of cotton or hanky on the splints.
3. Do not tighten the splint too tight or loose
4. Elevate the injured limb.
5. Use natural splints, like if a leg is fractured the other leg can be used as natural
splint.
Spine Fracture:
Falling from height can cause spine fracture
Treatment:
Move the patient on a hard surface like table or bench etc.
1. Do not allow to sit, stand or walk
2. Tarn the patient by log rolling
3. Shift the patient to hospital.
Backbone (Spinal) Fracture:
1. Transport on a rigid frame. This frame may be improvised by using available boards
or a door.
2. The rigid frame may be placed on a stretcher for transportation.
3. If a firm frame cannot be improvised, transport patient on abdomen on a stretcher
made of canvas or blanket.
4. In neck fracture cases it is much better to get a doctor to the scene because danger to
the life is great.
5. Immediate hospitalization is necessary.
Suffocation:
1. Remove the patient from the source of danger.
2. Make a rapid examination to ensure that the air passages are free and to clean them if
necessary.
Toxic Ingestion:
Poisoning by Swallowing (Mouth route):
Sometimes acids, alkalis, disinfectants etc., are swallowed by mistake. They burn the
lips, tongue, throat, food passage and stomach and cause great pain. Other swallowed
poisons cause vomiting, pain and later on diarrhea. Poisonous fungi, berries,' metallic
poisons and stale food belong to the latter group. Some swallowed poisons affect the nervous
system. To this group belong (a) alcoholic drink (methylated spirit, wine, whisky etc.) when
taken in large quantities, and (b) tablets for sleeping, tranquillizers and pain killing drugs
(Aspirin or Largectil). All these victims must be considered as seriously ill. The symptoms
are either delirium or fits or coma (unconsciousness). Some poisons act on nervous system
(belladonna, strychnine).
Lay him down on his side and cover him with a blanket. Elevate his feet. Inform and
refer the victim immediately to a physician for his advice. Do not break open blisters
or remove skin. If clothing is stuck to the skin after flushing with water, do not
remove it.
Do not rub or apply pressure to the affected skin
Remove the victim from the contaminated area. Be careful to protect your lungs, skin
and eves while doing so. Act quickly. Flush the victim's eyes with clean tepid water
for at least 15 minutes. Has the victim lie or sit down and tilt his head back Hold his
eyelids open and pour water slowly over the eyeballs starting at the inner corners by
the nose and letting the water run out of the corners.
The victim may be in great pain and want to keep his eyes closed or rub them but you
must rinse the chemical out of the eyes in order to prevent possible damage.
Ask victim to look up, down and side to side as you rinse.
Transport victim to the medical facility as soon as possible. Even if there is no pain
and vision is good, a physician should examine the eyes since delayed damage may
occur.
The poison must be diluted by giving large quantities of cold water (chilled, if possible) This
will dilute the irritant and delay absorption and will replace fluid lost by vomiting.
Tender coconut water will be even better as this will be a food and also a diuretic.
Soothing drinks should be given. Milk, egg beaten and mixed with water or
some congee are good for the purpose.
Alcohol Poisoning:
Alcohol taken in considerable (toxic) quantities may cause fatal poisoning, A fatal
dose of ethyl alcohol is 8 g per I kg body weight. Alcohol affects the heart, blood vessels,
gastro intestinal tract, liver, kidneys and mainly the brain. In a case of severe intoxication,
sleep is followed by unconscious state. • Vomiting and involuntary urination are frequent
symptoms. The respiratory center is drastically inhibited, which is manifested by irregular
breathing. Death ensues when the respiratory center becomes paralyzed.
First aid:Fresh air should be provided (a window open or the victim taken outside)
and vomiting induced by 'minor lavages'. If the patient is still conscious, he should be given
hot strong coffee. A respiratory arrest is managed by artificial respiration.
Poisoning with Acids and Alkalis:
In poisoning with concentrated acids and alkalis, a grave condition rapidly develops,
in the first place, to extensive burns in the mouth, throat, esophagus, stomach and often the
larynx. Later, the absorbed toxins affect the vital organs (e.g. liver, kidneys, lungs, or heart).
Concentrated acids and alkalis are able to destroy. tissues. The mucous membranes, being
less resistant than the skin, are destroyed and necrosis occurs more rapidly involving deeper
layers.
Burns and scabs form on the mucous membrane of the mouth and lips. In a bum due
to Sulphur acid, the scabs are black, in a burn due to nitric acid they are greyish-yellow, in
one due to hydrochloric acid they are yellowish-green and in one due to acetic acid greyish-
white.
Alkalis more easily penetrate the skin and affect deeper layers. The burnt surface is
loose, decomposed and whitish in colour.
As soon as an acid or alkali is swallowed the patient feels strong pain in the mouth,
behind the breast bone and in the epigastrium. When laid down he tosses in bed from
unbearable pain. There is almost always tormenting vomiting often with admixtures of blood.
Painful shock rapidly develops. The larynx may swell and asphyxia develops. When an acid
or alkali is taken in great amount, cardiac weakness and collapse rapidly develop.
Poisoning with ammonium hydroxide takes a grave course. The pain syndromes are
attended by asphyxia because the airways are also affected.
The person -who is rendering first aid must find out at once which chemical caused
the poisoning because the treatment varies according to the type of poison.
If the poisoning was caused by concentrated acids and the symptoms of esophageal or
gastric perforation are absent, the stomach should be leveraged through a thick stomach tube
using for it 610 liters of warm water mixed with magnesium oxide (20 g per litter of liquid)
or lime water. Sodium carbonate is contraindicated for a gastric lavage. "Minor lavage " i.e.
drinking 4-5 glasses of water and then inducing vomiting, will not alleviate the patient's
condition and sometimes may even promote absorption of the poison.
If a stomach tube is unavailable, the patient may be given milk, oil, egg, white,
mucilaginous decoctions, or smoothing substances. In poisoning with carbolic acid (Phenol,
Lysol) milk, oil or fat should not be taken. Magnesium oxide mixed with water or lime water
should be given in this case, as in poisoning by all other acids. Cold compresses or ice
should be put on the epigastric region to lessen pain.
When the poisoning is due to concentrated alkalis, the stomach should be immediately
lavage with 6 10 liters of tepid water or a I per cent citric or acetic acid solution within four
hours of the poisoning. When a stomach tube is unavailable and the patient's grave condition
(swelling of the larynx) prevents a stomach lavage, mucilaginous solutions are given, 23 per
cent citric or acetic acid solution (I tablespoonful every 5 minutes), or lemon juice. Rinsing of
the mouth or administration of sodium hydrochloride solution is contraindicated.
Carbon monoxide poisoning may occur in the chemical industry where it is used for
synthesizing certain organic compounds (acetone, methyl
alcohol, phenol etc.), in poorly ventilated garages, in
furnaces or in stuffy, freshly painted premises. It may
also happen in households when the stove shutters are
closed too early in premises with stove heating.
The early symptoms are headache, heaviness in
the head, nausea, dizziness, noise in the ears and
palpitation. Later muscular weakness and vomiting
occur. If the victim remains in the poisonous
atmosphere, the weakness intensifies, somnolence, clouding of consciousness and dyspnea
develop. The skin turns pale and sometimes bright red spots appear on the body. In further
exposure to carbon monoxide the patient's respiration becomes shallow, convulsions develop
and paralysis of the respiratory center terminates in death.
First Aid: The victim must be immediately removed from the poisonous surrounding,
better into the open air in warm weather. If his breathing is weak and shallow or arrested,
artificial respiration should be continued until adequate natural breathing or the true signs of
biological death appear. Rubbing should be carried out and hot water bottles applied to the
legs. A brief whiff of ammonium hydroxide is beneficial A patient with severe carbon
monoxide poisoning must be immediately hospitalized in order to prevent possible grave
complications in the lungs and nervous system which may develop later.
Antidotes for some commonChemicals:
Antidotes are therapeutic agents used to counteract the toxic effects of specific
xenobiotics. These are heterogenous group of substances consisting of pharmaceuticals,
biological agents and immunoglobulin fragments. Different mechanisms of action are
involved Some specifically act at the receptor sites while others exert their effect by changing
the metabolism of the poison counteracting the toxic injury or just forming the inert complex
with the poison.
Antidotes acting at receptor sites: Drug intoxications are mostly treated with these
antidotes. However, Atropine is a specific antidote for organophosphate or carbamate
pesticide poisoning. Similarly, physostigmine for Datura and neostigmine for Curare
poisonings are useful. Others include, naloxone for opioid, flumazenil for benzodiazepines
and physostigmine for atropine poisoning.
Antidotes changing the metabolism of the poison: These antidotes either interfere
with the metabolism of the toxic agent thereby reducing the toxicity or strengthen the
detoxifying capacity of the body. Antidotes included in this group are ethanol, 4-methyl
pyrazolo, acetylcysteine, sodium thiosulphate, fulminic acid and pyridoxine.
Antidotes binding with the poison and forming fewer toxic complexes: In this
category, poison may be adsorbed or chelated by the antidote. Activated charcoal effectively
adsorbs a large variety of drugs and toxins, thereby decreasing their bioavailability and
enhancing elimination. Role of multiple doses of activated charcoal as gastrointestinal
dialyzer is being recognized in the treatment of poisoning, due to drugs. On the other hand,
chelating agents like BAL, penicillamine and DMSA form complexes with heavy metals,
thereby preventing or reversing the binding of metallic cations to body ligands.
Antidotes counteracting the toxic injury: The agents in this group reverse a chemically
induced damage or functional disturbance and restore physiological conditions. Amyl nitrite,
sodium nitrite, sodium thiosulphate, methylene blue, dantrolene, benzyl penicillin, glucagon,
oximes, etc. are common examples.
In general, antidotes should be given in adequate doses as early as possible in cases of
poisoning. Some antidotes cause serious adverse reactions. Hence, both the risk and the
benefits of the antidotal therapy must, therefore, be carefully evaluated and the patient must
be monitored regularly. At times the half-life of some antidotes like naloxone, atropine is
much shorter than the toxin, in which cases the antidotal therapy must be continued till the
symptoms of the poisoning subside.
(2) Direct finger pressure into the wound in case of larger bleeding wound.
3. Clear the wound with running water and surrounding area with soap or spirit
with clear gauze washing away from the wound. Apply ready-made adhesive gauze bandage
or sterile gauze and roller bandage as needed.
4. Keep the patient quiet; raising the extremity if it is the bleeding part. Give no
stimulants.
Abdominal wounds:
4. Maintain warmth.
5. If. intestines protrude from the wound do not attempt to touch or replace them.
Eye-Wounds:
3. If there is a foreign body embedded in the eye ball, send the patient
immediately to the doctor after applying pad and loose bandage.
ARTIFICIAL RESPIRATION
2. Tilt the head backwards, while supporting the back of neck with your palm. This will
lift the tongue to its normal position. Thus, the air passage will be cleared and the
casualty may begin to breath after a gasp.
3. If breathing does not begin after the above treatment, help movements of chest and
lungs four or five times. This will be usually enough to start breathing. If breathing
does not start even now, mouth to mouth (-to-nose) breathing should be begun.
Mouth-to-Mouth breathing:
1. Place the casualty on his back. Hold his head tilted back.
7. If casualty is young (baby or child) the operations are as above, but your open mouth
should cover both the mouth and nose of the casualty and blow gently.
8. If the chest does not rise (as in 5 above) look for an obstruction.
- Turn the casualty to a side and thump his back. This will make the obstructing
material come to the front of throat. Open the mouth and remove it with your
finger covered with a piece of the cloth.
9. Use mouth-to-nose respiration if mouth to-mouth is not possible, but now the
casualty's mouth should be closed by the First Aider's thumb.
10. If heart is working, continue artificial respiration until normal breathing occurs. Send
for Ambulance.
Bone injuries are the injuries which are resected of fractured directly at the point a blow is
applied, an indirect force may cause the bone to break away from the spot of application of
force.(transmission of force from one part to another) e.g. fracture of clavicle after a fall on
the out stretched hand violent contraction of a group of muscles may pull pieces of bone
away from the point where the muscles are attached e.g. fracture of patella by powerful
contraction of quadriceps muscles wrenching of a joint can cause its ligament to pull so hard
at the bones forming the joint that one of the bone may fracture e.g. fracture of lower leg
bone at the ankle after stumbling. Pathological fractures are called when the bone may be the
seat of number of diseases which weaken it and make it liable to break even with very minor
injuries.
Types of fractures
1) Simple (closed) fractures – In this type the skin surface is infect.
2) Compound (open) fracture- In this type this skin surface over the fracture is
broken and fracture communicates with outside. There is a risk extensive blood
loss and infection.
3) Complicated closed or open fracture – In this type there is injury to never and
blood vessels in addition to fracture.
Fracture of skull –
The skull is a closed box made up of many bones which are united immovable
joints. It protests the brain it can be fractured by a direct blow e.g. falling from a
height instead of landing on feet direct blow usually fracture the skull and also cause
injury to the vertebral column.
Fracture of skull is a serious injury because it may be associated with brain
damage. The brain can be bruised or there may be bleeding outside the brain and
hematoma compresses the brain. The fracture may be line or depressed or
complicated.
Fracture of arms –
It is caused by a direct blow but it is much more common especially in elderly
persons. It is a stable injury hence the victim may walk around for same time before
reporting to a doctor for treatment. It is difficult fracture to treat as the muscles
produce overlapping of ends that are broken and angulations.
Fracture of hand and fingers –
The hand is made up of many small bones with movable joints which may be
injured by direct or indirect trauma. Crash injuries because multiple fractures are
hand fracture of the knuckle between the little fingers and the hand may occur due
to misplaced punch. There may be server bleeding and swelling sprains and
dislocation may affect any fingers. The thumb is particularly prom to dislocation
caused by fall on to the hand.
Fracture of bones of the foot –
This is due to direct crashing by heavy objects. The condition is diagnosed by
following features -1) there is pain in the foot increasing by movement
2) Loss of movement
3) There is an inability to walk properly.
4) Swelling and brushing are seen at the site of the fracture.
5) Deformity may present e.g. irregularity or bony crash of that foot.
Fracture of leg bone-
One of the leg bones (tibia) is quite sturdy and usually requires a heavy blow to
fracture it. The other (fibula) in thinner and can be broken by twisting force as
during twisting of ankle. Since the weight bearing is done by tibia a fracture of
fibula does not cause much problems the victim. The condition is diagnosed by
following fractures-
1) There is pain in leg.
2) Swelling and brushing have been at the site of fracture.
3) Angulations or twisting of leg may be present at the site of fracture.
Sprain – Sprain is an injury to the regiments and joints capsule, it is due to a sudden
movement or twisting of the part involving joint. Ankle is the most commonly
sprained joint.
Dislocation – This is more severe injury than sprain, this occurs when the strong
force act directly on a joint pulling a bone into and abnormal position, it can occur
as result of sudden muscular contraction too.
Strain – strain involving muscles are common in a back first aid calls for rest and
milled head to relive pain. Seek medical attention is needed.
First aid for fractures or broken bones, general principles of treatment of fractures: -
1) Careless handling will increase the pain and shock. It may increase the bone
displacement and turn simple fracture to a more serious compound one, hence
the victim should be handled very carefully.
2) If fracture is compound and severe, bleeding must be controlled at once. Don’t
attempt of replace the protruded bone. Cover the bone wound with a large sterile
dressing and handset firmly.
The fracture may then be splinted. Splinting of fractures-
I) always the splint the fracture before moving the patient. Select sprints that are
long enough wide enough and strong enough to hold the fracture and to firmly
immobilize the joints.
ii) Improvise splints from material at hand strips of wood straight branches of
trees, shovels, trap iron called up magazines etc. Remember, you can always
splint a broken leg to the sound leg or an arm to the side of the body.
iii) Pad the splints wherever necessary, using cotton wool, old wags or even grass
or moss.
iv) Tie the splints firmly using folded triangular bandage roller bandages or strips of
sheeting or rope.
There must be no movement.
Poisoning- Anything which when taken into the body affects it adversely is called
poisoning. Poison can be tablets taken in excess, of which the commonest are pain
killers, sleeping tablets, fruits and plants e.g. mush rooms and berries, chemicals e.g.
Weed killer, domestic cleaning fluids and turpentine taken in excess cause
poisoning bites such as snake bite, dog bite also cause poisoning. Gases like coal
gas, or industrial waste gas which can be absorbed by the lungs through breathing
and cause poisoning. Agricultural pesticidal can be absorbed through skin as well as
mouth and breath also because poisoning. Everybody in fire service should have the
knowledge of poisoning as with knowledge we can save the person affected with
poison.
For necessary treatment as can send that person in hospital.
Poisoning is of various types, so it is elder classified in main two types.
1) Accident of poisoning
2) Suicide poisoning – In suicide-
Poisoning there is a sub type – homicide poisoning
Poison contained material entered in the body through by smelling or though
mouth, it mixes in blood and this blood get circulated to the whole body and the
person suffers with poisoning. In this case the brain systems i.e., the nervous
system gets failure and the person become – uneasy unconscious with adverse
effects like vomiting and drowsiness.
1) Accidental poisoning –
Toxic gas leakage in the factory /industry, Gas container leakage on road, snake bite,
dog bite etc. is accidental poisoning.
2) Suicide poisoning –
In this case a person commits to take poisonous material to end up his /her own
life, and suffer from all adverse effects of poisoning.
* swallowed poisoning –
Usually for a child it is difficult to know how much to swallowed to unless you
know how much the contains was filled with when it was placed. Any swallowed
poison must be treated seriously. Get medical help as soon as possible. Ask
someone to help hone a doctors /ambulance for take the person to hospital by car or
other means at once.
Do not delay because children can go down very quickly even though they see all
right at first.
While awaiting medical help –
I) Remove excess poison from mouth, keeping pills, hems of container for
the doctor.
* If the person is conscious and has swallowed a corrosive substance gets him to drink
water or milk to preserve the lining of mouth and to dilute the stomach contents. Remove any
soaked clothing you will know if the poison is corrosive by chemical burning and white
discoloration it leaves on the mouth lips and clothes.
* Never make a person vomit if he has taken petrol, turpentine or any corrosive chemical
such as strong acids and alkalis.The substance will already have done plenty of damage while
going down to stomach and can only do more on its way up. Give this people milk or water to
drink as this help to protect the stomach lining and to some extend prevent absorption of the
chemical.
Drugs are among the commonest causes of accidental poisoning in children. Aspirin and
other painkiller iron tablets anti-depressant sleeping are the drugs which it is taken in excess,
lead to serious illness all even death in children. The drugs should be kept preferably in a
proper medicine cabinet. Many medicines come in foil strips with each tablet sealed
safety away from children.
Agricultural poisons absolved through skin. There are so many chemicals used
today in Agricultural that is difficult to generalize about them. The disturbing thing
is that many of them are not available for domestic market and so can present as
hazardous even if you live in city as the symptoms are so variable, it does not make
scene to say. If you ever get any strange feelings after using pesticides, weed killers
or fertilizers, do not neglect them.
Early stage the symptoms can quickly change to serious once so do not delay to visit
a doctor.
Some of these poisons affects breathing, some other nerve conduction and many
are absorbed through the skin or lungs through breathing.
*what to do?
1) Stop the person using the chemical
2) Remove him gently from the area.
3) Remove contaminated clothing.
4) Take him to hospital if these are adverse effects.
Poisoning by gas or smoke (fumes)
Although the industrial gases and vapours of various kinds are encountered by
those working with them. The gases most of us come across are domestic gas,
carbon monoxide and carbon dioxide. It possible to be killed by gas because if a
person is trapped in air tight room the gas displaces the oxygen and the person
suffocates.
If an appliance is burning improperly poisonous carbon mono oxide may
be produced which is harmful for human being.
Something happens with smoke also but smoke has the additional disadvantage
of actually damaging of the lungs.
If you find someone in gas and smoke-filled room -1) Go quickly holding
your breath and lift the victim to self-safer place. Ii) If the person is over coming by
exhaust fumes in a closed rage open door, switch of the engine and proceed as
above.
A house contains many substances such as belch insecticide paint, strippers
that are highly dangerous to children. If a child or anybody swallows one of the
above substances, get medical help quickly. The rocctes through with the substances
inter in the body are swallowing breathing and injection.
First aid management –A-if the person is unconscious –do not induce vomiting
*lie him on his back on hard and flat bed.
*Turn the head to one side
*No pillow
*If excessive, vomiting put to lie on his side one leg stretched and another bent at
knee on thigh
*If breathing is slow or stopped, give artificial respiration.
B- If the person conscious –
* Include vomiting
*Plenty of cold water to drink which will delay the absorption and replace the fluid
loss.
*milk is also good for the purpose
* Common poisons are –
1) Aspirin- first aid – Induce vomiting-adding sodium-bi-carbonate one table spoon to a
tumbler of water strong tea, or coffee.
2) Mercury – first aid – give white of the egg in water then milk then induce vomiting.
3) phosphorus- first aid – Induce vomiting then large quantity of water tender coconut do not
give oils as the dissolves phosphorus.
4) Acids – first aid –do not induce vomiting give cautery or soeto bicaeb to drink.
5) Petrol, phenol and other disinfectants- first aid- do not induce vomiting mug sap 4 tea
spurn in a lite of water.
* Alcohol poisoning –
The alcohol poisoning the casually will have the following signs: -
1) Breath will smell alcohol.
2) Vomiting
3) Eyes blood red.
4) Partly conscious or already unconscious.
First aid –maintain the open airway take to hospital.
Industrial poisoning –
In industry some people may come in contact with dangerous chemicals or gases at
their work places, those are grouped as
a) Irritants- e.g. Ammonia, nitrous fumes etc.
b) Asphyxiates- e.g. carbon dioxide
c) Toxic gases- carbon monoxide hydrosensitive
d) Toxic vapours- Those given off volatile chemicals such as carbon tetrachloride
or trichloroethylene.
If the casualty is trapped in an enclosed space never attempt to reissue, unless
you are fully equipped with a practiced in using of breathing apparatus and life
lines.
First aid- Take the patient to open air.
* Bite –
*Frost bite-
Frost bite may occur when the skin is exposed to extreme cold. It most frequently affects
the skin of cheeks, chin, ear, fingers nose and toes.
Frost bitten skin appears whitish and feds numb it should be handled gently, never massage
frost bitten skin and do not rub with it in cold water. Warm the affected area with the help of
your hand or cover it with a heavy cloth until you can get the victim incurs. Treat the effected
skin by soaking it in lake warm water. The temperatures of this water should be between 39
ºCand 41º C,keep the temperature in this range by adding more warm water as needed never
use water later them 40-degree C. If warm water is not available wrap the frost-bitten area
with blankets, obtain the medical assistance as quickly as possible. If a victim of frost bite
must be moved protect the person from additional exposure.
Never treat frost bite with heat from a fire or stove or with heating pad, Hot water bottle or
heat lump. Such treatment may produce temperature that can damage frost bitten tissue. If
frost bite blisters occur do not break them bandage them to prevent infection.
4.7Snake bite-
The treatment of snake bite depends on whether or not the snake is poisonous. If the snake is
nonpoisonous the bite should be washed thoroughly with soap and water. A person bitten by
a poisonous snake, bite cause deep during pain along with swelling and discoloration within
minutes the victim may begin to feel numb and have difficulty in breathing, call doctor, take
the victim to hospital if the possible, kill the snake and bring it along for identification.
Keep the victim still and quite because activity increase spread of poison, place the victim so
that the bite is below the level of the heart, if the bite is on an arm or leg tie the band above
the wound between it and the heart. The band should be loose enough for you to slip your
figure under it. Rebase the band go seconds every 10 minutes to prevent damage from lack of
circulation. Treatment of snake bite should always help prompt
Arrange for medical help immediately in the meanwhile arrest blood circulation in
the snake bitten limb by using constrictive bandage between shoulder and elbow
between hip and knee joint as the case may be till the pulse is not felt beyond the
constrictive bandage. The constrictive bandage should be kept for 20 minutes then
release for one minute for or until skin become pink and again tightened. Repeat the
procedure till the arrival of doctor
Immediately after the constrictive bandage is applied, wash the wound with the
solution of potassium permanganate in order to remove the venom which may have
dried on the skin.
Make a deep cut with sharp knife or razor blade at the bitten site in order to bleed
the bitten site.
Assure the patient and keep him warm by means of blanket, patient should be
absolutely still If he able to swallow, give him to strong coffee or tea heating stops
give the artificial respiration by mouth to mouth method, or Nelson method.
4.10 Stretcher and casualty handling –
Shifting and carrying victim -
After accidental injury victim needs to be shifted and carried to first aid and to hospital.
While shifting the victim care should be taken to see that pains to victim should be bearable
and wound is not getting aggravated. Other considerations are available equipment and
manpower how much long is to be shifted and probable obstacles on the route, considering
such problems some of the method to shift victim are as follows-
1) When assistance is not available and victim can’t not stand on his legs, let the victim lie
on floor, lift it heat little about the floor and insert both of your hand through his armpits,
lift his shoulder along with head of the floor and pull him outside, put his hands on his
chest while pulling out, so that they will not be dragged on floor.
2) When the victim is conscious and can stand you as a first aider should stand closely,
decide the victim put his arm on your shoulders for support, hold his free hand and allow
him to take support of your and allow him to take support of your body while walking. If
one of leg is injured them you may tie his injured leg to your leg, this will reduce stress
on his injured leg if travelling distance is long walking, stick may be provided to victim
as support
3) If helper is available and victim can stand, let victim stand between you and helper hold
your right-hand left hand, let the helper also do likewise your and helper right hand will
be free now, hold each other wrists with free hands this will make a seat allow the victim
to rest on this seat putting his arm around your shoulders as support.
4) If helper is available but victim can’t stand or victim is unable to assist while carrying –
let the victim on floor between you and helper, sit on your knees beside the victim and
taking victim in between while taking seating position, see that you both can stand easily,
insert you lift hand and allow the helper his right hand below the victim near to his
shoulders If possible, try to hold each other’s wrist now, insert your free hand below
victim’s knees grip firmly in wrist and lift above marginally taking support of victims
thighs and wresting his back on other hands, lift him gently the position A victim will be
like seating on the chair while walking on the route, use outer soles.
5) To shift outside the factory premises requires stretcher and ambulance. In case ambulance
is not available private vehicle is necessary to carrying in private vehicle may cause pains
to victim and complicate injury if it is from the bone fracture. It is convenient to shift
victim from factory to hospital on stretcher by ambulance, victim can be easily shifted to
ambulance and hospital bed without causing pain to him.
6) More persons are regarding to shift and carry victim via stretcher this is specific method
to lift and place victim from to strand stretcher. Keep stretcher on the floor beside the
victim with help of four persons gently lift the victim marginally above the floor taking
care that his hand or legs are closed to the body and not hanging. Then one person should
slide stretcher below victim over it place victim gently.
7) Prior to shift victim difficulties and obstacles on journey from accident place to
ambulance or other destination should be considered, this can be many such as distance
may long equipment stair cases on the routs, narrow lanes etc. It will be convenient to
have more helpers on journey avoid haste. If someone from group fells tired over
strained, he should inform other to keep operation in a control.
8) While climbing up the staircase victims head should be at front and at back while coming
down. However, if the victim is very seriously injured. His head should be at front so that
all members caring him can watch the face watch his face.
9) So far as possible it necessary that the stretcher should be parallel to the ground for this,
while coming down the stair case stretcher needs to be raised from victim head side.
10) In many instance victims trapped at accident place is unconscious, in such occasions
atmosphere around like to be hazards contaminated by smoke obnoxious gases etc. person
attempting rescue operation likely to be get affected personal protective equipment’s such
self-contained breathing apparatus is needed to rescue the victim, if such apparatus is not
available special care needs to be taken by rescue team or otherwise there can be danger
to their life.
Insect bite and stings –
Insect bite and stings can cause an immediate skin reaction. The bite from fire ants
and the stings from bees and other bomets are usually painful, bites caused by
mosquito’s flies and mites are likely to cause itching than pain symptoms – The
nonemergency symptoms very according to the type of insect and the individual.
Most people have localized pain redness swelling or itching you may feel burning
numbers and tingling.
First aid –
For emergencies (severereaction)
1) Check the persons air way and breathing. If necessary call 911 and begin rescue
breathing.
2) Reassure the person Try to keep him/her calm.
3) Remove nearby rings and constructing items because affected area may swell.
4) Use the person emergency kit if they have it.
5) If appropriate treat the person for of signs seek remain with the person until
medical help arrives.
General steps for most bites and stings –
1) Remove the stinger if still present by scraping the back of a credit card or other
straight edged object across the stinger. Do not use tweezers- These may squeeze
the renon sac and increase the amount of venom released.
2) Wash the site toughly with soap and water
3) Place ice wrapped in a wash cloth on the site of the sting for 10 minutes. Repeat
those processes.
4) If necessary take an antihistamine, or apply creams that reduce itching.
5) Over the next several days. Watch for signs of infection.
6)
4.11Types of bandages –
i. Triangular bandage
ii. Roller bandage
iii. Adhesive bandage and dressing
I. Triangular Bandage -
This is most useful multipurpose bandage for first aider. It is made by cutting a piece of
linen of fiber not less than 38 inches square, diagonally in to two pieces. The bandage may be
applied.
As a whole cloth – This can be spread out to its full extent e.g. Chest bandage.
As a board bandage – This can be done by bringing the point down to the center of
the base and then folding the bandage again in the same devotion.
A triangular bandage secures dressings or pads in place.
A narrow bandage – This is made by folding the broad bandage one again the same
direction.
To secure the ends of the bandage a reef knot must be used.
To make a reef knot, take the ends of the bandage one in each hand.
II. Roller bandage-
Roller bandages are made up of various materials like canton or leman with loose
mash and are of various lengths and widths according to the use which they are put.
They are used in hospitals and first aid boxes use of roller bandage.
1) To keep dressing in position.
2) To apply pressure to control bleeding.
3) To support a painful part.
Leg 3’’ to 3 ½
Trunk 4 ‘’to 6’’
Basic of application
1) Face the casualty.
2) Apply each layer of the bandage so that it covers two third of the preceding one.
3) Secure the bandage by a safety pin or other suitable method such as adhesion
Strapping.
Methods of application
1) Simple spiral
2) Figure of eight
3) Spice
The respiratory is concerned with breathing for exchange of carbon dioxide from the body
with the oxygen in the air. Air is a mixture of gases containing 21% oxygen. The aim of
breathing is to transfer oxygen from the air to the lungs where it is exchanged for carbon
dioxide is in blood, oxygen is essential for liften.
The oxygen is circulated to body while the carbon dioxide is expelled out by expiration
breathing is an automatic function.
1) Inspiration - breathing in
2) Expiration – breathing out
The respiratory system is composed of the parts – lungs, respiratory track which consist of
nose, pharynx, larynx, trachea or windpipe, bronchi and bronchioles. The bronchioles finally
break in to small sac alveoli which are surrounded by pulmonary capillaries, Gaseous
exchange between inspired air in the alvidi and the impure blood in the capillaries occurred at
this level the hangs are covered by a sea called pleura’s. Inside the sac is smooth and filled
with a thin layer of fluid to allow.
Expansion of lungs without friction when the thorax expands the lungs expands and air is
drawn into alveoli which is known as inspiration with collapsing of thorax to the original size
the air is thrown out is called as expiration. The normal respiratory rate is 16-20 per min. in
adult. It is more rapid children being 40 per min. in a new born baby and30 to 32 per min. at
the age of 5 years. The ratio of respiratory system is
A) Take or inhale air atmosphere to the body
B) Take or observed oxygen from normal air
C) Remove CO2 from the body.
Method of artificial respiration
The important methods of artificial respiration are –
1) Schafer’s prone pressure method
2) Silvestre’s method (Arm lift, chest pressure method)
3) Nielson’s Arm- lift back pressure method
4) Mouth to mouth method.
Duration of these processes is 12 to 15 minutes. When the patent begins to
breathe on his own then operation should be synchronized with natural breathing
and continued till be breath strongly on his own.
Schafer’s method is recommended also for fractures and drowning cases.
Silvestre’s method is recommended when person cannot be laid on stomach with
chest touching the ground due to burn injury.
1) Schafer’s prone method – lay the victim on his belly kneed over the victim’s back
and place the palms of your hand on victim’s thin portion of the back with fingers
spreading on the ribs and the two thumbs parallel to the spine and almost touching
each other. You should assure with arms held.
Straight lean forward and apply pressure on the body of the victim for about three
seconds. Now reduce the pressure gradually and come back to original position
for about two seconds repeat this process for about 12 to 15 times till such times the
victim starts breathing this method of respiration expands and contracts the lungs of
the victim so as to help him to starts normal breathing this great patient on the part
of the person helping the victim.
2) Silvestre’s method –
This method is used when the patient has gotten burns or injuries on the chest or
on from side so that he cannot be laid with his chest down the victim is laid on
his back with a pillow or rolled coat under his shoulders. His cloths are loosened
his arms are grasped above the wrist and drown first upward and then taken over
his head until they are horizontal as position I and II. Remain in position II for
about 2to 3 seconds. The patients’ hands are then brought back to the chest and
pressure is applied in the downward direction by kneeling over the victim hands.
The cycle is repeated after about two Seconds.
3) Nielson’s Arm lifts back pressure method –
The subjects lie prom with both arms folded and hands resting one on another
under his head. The arms are grasped above the elbow and lifted until firm
resistance is made. This induces active inspiration. Then they are let down and
pressure applied on the back to cause active expiration. The movement in this
method follows the sequence given below.
*Position I- place the victim prone i.e.- face down with his arm folded with one
palm on the other and head resting on a cheek over the palms kneel on one or
both knee at victim’s head. place four hand on victims back beyond the line of
armpit with your fingers spread of up words and down words the thumbs just
touching one other.
*Position II- Then gently rock forward keeping arms straight until they are
nearly vertical the thus steadily pressing the victim’s back. This complete
expiration.
*Position III – Synchronizing the above movement rock backwards releasing
pressure and slide your hands downwards along victims’ arms and group his
upper arms just above the elbows continue to rock backwards.
*Position IV - As you rock back gently raise and pull victim arms towards you
until you feel tension in his shoulders. This expands his chest as results in
respiration to complete the cycle lowers the victim’s arms and move your hand’s
up for initial position.
This method is considered to be the best being most effective easy to teach
and perform.
*Holger - Nelson method of artificial respiration.
i) place the victim face down prone position, bend his elbow and place the hands
one upon the other turn his face to one side placing the check upon the hand.
ii) knee on either the right or left knee at the head of victim facing him place the
knee at the side of victim head close to the forearm place the opposite foot near the
elbow. It is more comfortable, kneel on both knees, one on either side of the
victim’s head place your hands that upon the victims back in such a way that the
heels of the hands lie just below a line running between armpits with the tips of the
thumbs just touching spread the fingers downwards and outwards.
iii)Rock forward until the arm are – approximately vertical and allow the weight of
upper part of your body to exert slow steady even pressure downwards upon the
hands. This force air out of the lungs your elbow should be kept straight and the
pressure exerted almost directly down-wards on the back.
iv) Release the pressure avoiding a final thrust and commence to rock slowly
backwards place your hands upon the victim’s arms just about above his elbows.
v) Draw his arms upwards and towards you apply just enough lift to feel resistance
and tension at victim’s shoulders. Do not bend your elbows and as you rock
backward the victim’s arms will be drown towards you. Then drop the arms to the
ground. This completes the full cycle the arm lift expands the chest by pulling on
the chest muscles arching the back and releasing the weight on the chest.
vi) The cycle should be repeated 12 times per minutes at steady and uniform rate
the compression and expansion phase should occupy about equal time the release
period being of minimum duration.
vii) Relief operator- In changing operator the relief operator kneels beside the
operator as indicated by the feet and knee position and takes over so as not to
interrupt the rhythm of pressure and release.
4) Mouth to Mouth method-
In this method the patient is laid on his back with his head slightly sloping
down. A pillow or rolled coat under his shoulders will help to maintain proper
position. The head is tilled look. So that the lower jaw as shown in position I.
Open the mouth of the patient take a deep breath and place your mouth
making air tight contact. Pinch the patient nose with thumb and four fingers and
blow into patient mouth until his chest rises remove your mouth to enable him to
exhale. The first 8 to 10 breath should be as rapid as victim will respond they’re
after rate should be slowed down to about 12 to 15 times a minute. Sometime air
is trapped in patients’ stomach which can be released by applying pressure
gently on the stomach when the victim is exhaling.
5) Silvestre – broach method –
a) If there is abstraction to breathing remove it with your finger or with a cloth
wrapped round your fingers, if it is in mouth.
b) Lay casually on his back, put something under his shoulder to raise them and
allow his head to tall backwards. The head should be it possible be a little
lower than the trunk remember that speed is essential.
c) Kneel at the casualty’s head and grasp his arms at the wrist. Then cross them
firmly over the lower chest this movement should force air out of is a lung. Press with the
hands cross on the lower part of chest and maintain pressure for two seconds.
d) Release the pressure and pull his arms with a sweeping movement upwards and
down words about his head and backwards as for as possible. This movement should
cause air to be drawn into his lungs. Retain the arms in this position for three seconds.
This will keep an equal amount of time at every cycle. Repeat this movement
rhythmically about twelve times per minute checking the mouth frequently for
obstruction. Each cycle three for takes five seconds chest pressure and 3 seconds for arm
lift.
e) With the casually on his back there is a danger A aspiration vomit mucus or
blood re-entering the system. This risk can be reduced by keeping the head extended and
little lower than the trunk
f) If on assistant is available he can press the casualty’s lower jaw so that the chin is
jutting out. The assistant should also ensure that the mouth is kept as clean as possible
turning the head to one side if necessary.
g) When natural breathing begins your movement should be adopted to correspond
to it.
*If burns are present cover with dry sterile dressing
* handle the casually gently do not allow people to crowd around and block fresh air.
*Arrange to remove the injured to care of a doctor or hospital as early as possible.
Even after apparent recovery the casually should be seen by a doctor to ensure that all is
well as casualty suffering from electrical injuries are liable to reoccur even when effect
have seemed to be mild.
Use of artificial resuscitator –
Mechanical means of artificial respiration have been developed and
recommended for use. Artificial resuscitator (unbag) consist of a rubber balloon a special
value and a mouth piece and a tabbing. The mouth piece is capped on the mouth of the
patient for artificial respiration. The balloon is deflated to pump air in chest of the patient
during in handling. There after the balloon is released to get in handling. There after the
balloon is released to get inflow. The atmospheric air entering via the value. The patient
exhales through his nose, the balloon is deflated again. The process is repeated till normal
breathing is restored.
*Cardio pulmonary resuscitation-
It both respiration and circulation have stopped then
1)First give 5 to 6 quick breath by mouth to mouth method and check carotid pulse. If
pulse is left continue mouth to mouth respiration only.
2) If carotid pulse is not felt after 5 to 6 mouth to mouth breaths compress chest 15
times as described in external cardiac massage and then give quick mouth to mouth
breaths till medical help is available. If any assistance is available, one person should give
one quick mouth to mouth breath while other 5 chest compressions immediately after it
maintain these 1 to 5 rhythms till medical assistance is available.
Incidents casually handling by fire man must three for involve detection and treatment of
asphyxia with top priority after rescue or at time even during rescue operation.
It is deficiency of oxygen an increase in carbondioxide in the blood and tissues. It occurs due
to a failure of exchange of oxygen and carbon dioxide between the air and pulmonary
capillaries.
Definition of Asphyxia – The pathological manifestation which become apparent in
an intact animal due to continuous in proper duration of blood for some time are
collectivity called asphyxia.
Asphyxia maybe- 1) General such as by solution of tracheas, pneumothoraxetc.
2) Local as by ligature of blood vessels. Supplying a particular locality.
* Essential condition Asphyxia -
i) There must be both CO2 excess as well as O2 lack.
ii) Animal must be in fact.
iii) The improper duration must be continued.
*How Asphyxia causes death-
The phenomenon of asphyxia has been divided into the stages, each stage showing
characteristic features. The white phenomenon from the onset to death taken only 5 minutes.
*Causes of asphyxia-
Airway obstruction due to
1) Foreign body in the air way causing choking
2) Spasm of respiratory mussels as in tetanus.
3) Draining.
4) Suffocation under bed.
5) Suffocation due to a plastic bag over the head.
6) Strangulation hanging or throttling.
7) Bronchospasm e.g. Bronchial- asthma.
8) Electrical shock.
Lack of oxygen in the air inspired due to high altitudes with low atmosphere pressure fire
inhalation of make Gas lack- inhalation of gas e.g.- coal gas, automobile fumes etc.
*Effects of Asphyxia – first stage-
i) Respiratory rate increases.
ii) Breaths become shorter and noisy.
iii) Chest movement of breathing are reversed.
iv) The chest wall gets sucked instead of moving out when the victim breathe in.
v) Neck veins get distended.
vi) The face, lips, nails, fingers, and toes turn blue.
Second stage-
i)Consciousness is lost
ii)Frothing occurs at the mouth and nose.
i) Convergence may occur.
ii) Urine and feces are passed involuntary.
iii)Death may occur if not treated in time.
Asphyxia- first Aid
1) Remove the cause if possible.
2) Place the victim on his back.
3) Clear the air way and provide warmth.
4) Loosen his collar.
5) Put a finger in the mouth and throat and remove body If present.
6) Remove denture if present.
7) Hold an angle of the jaw forward and tilt the head back words this open’s the air
ways.
8) Give artificial ventilation and external cardiac message, if required.
9) Send him to hospital after he settles down.
The term 'ergonomics' is derived from the Greek word 'ergo' meaning work and strength and
'nomos' meaning rule or law. It simply means "fitting the job to the worker (and not the
worker to the job)". The object of ergonomics is "to achieve the best mutual adjustment of
man and his work to improve his convenience, efficiency and well-being". Ergonomic
approach includes designing of machines, tools, controls, equipment, process, layout,
housekeeping etc. to increase efficiency of both - man and the machine. Application of
ergonomics reduces accidents and improves health and efficiency.
Ergonomics is also defined as 'the study of human characteristics for the appropriate
design of the living and work environment'. It is human centered, transdisciplinary and
application oriented. It can be applied to jobs, equipment, working place, tools, utensils or
any complicated working system (e.g. multi-person socio-technical system).
Successful application is measured by improved efficiency, safety, productivity and
acceptance of the ergonomic design.
Constituents of Ergonomics work man, machine & Environment
Human factors (HF) was the old discipline concerned with how humans react with
their work tasks and environment aiming to make the relationship safer, healthier and more
efficient. The new-name of this discipline is Ergonomics. Previously known 'Human
Engineer' or "Engineering Psychologist" is now known as "Ergonomist or Ergonomists (in
Great Britain). The term Ergonomics is biotechnological and covers the same scope and
complexity of interests that human factors embraces. Therefore, human factors are the main
constituents of ergonomics. For main division of factors affecting work including human
factors see Part-5 of Chapter-3. In a schematic diagram they are shown below:
Work Performance or Man at Work
Ergonomics studies the ‘human factors’ and designs the system or suggests
application or modification of the existing system to make the work more suitable or
convenient to the man at work. Thus, in this context, or its procedural aspect, all human
factors - physiological and psychological contribute in constituting the science.
But from discipline point of view, main constituents of ergonomics are anatomy,
physiology, psychology and engineering. Schematic diagram of disciplines (work areas)
constituting the ergonomics is also shown below:
RTW Strategy:
We will endeavor to keep you advised of your employee’s medical status and work with you
to coordinate a safe and appropriate return to work strategy.
1. Provide medical attention
2. Take care of any necessary follow-up and return to work status.
3. Report Claim to Insurance Co. within 24 hours of the occurrence.
4. Inform medical provider a pre-injury, as well as a modified duty job description.
5. Communicate with the injured worker on a regular basis to:
- Keep the employee connected to the business and motivated to Return to Work
- Secure updated medical information and Return to Work instructions.
- Discuss Return to Work options and availability.
6. Establish a Target Return to Work Date.
A Target Return to Work Date is the anticipated date an injured worker will be able to safely
return to work, in either a modified or full duty capacity, as determined by a physician. The
date(s) should be flexible and take into consideration the individual needs of the employee as
well as the employer’s ability to accommodate any medical restrictions placed upon the
employee. They should be established early in the rehabilitation process and communicated
to the involved parties and followed up upon at least five (5) days prior to the anticipated
RTW date.
The following terms help define these considerations and may help you in formulating a
job description for rehabilitant employee:
Work Environment means the design of the physical surroundings the employee will work in
as well as the equipment, machinery and supplies that the employee will be expected to use to
perform the work.
Work Position refers to the amount of time an employee spends in any one position vs. the
ability to change positions. Consideration is given to the amount of time the employee spends
sitting, bending over, squatting, kneeling, standing, and walking during the work period.
Work Breaks means the amount of time elapsed between specific job tasks or operations that
allows for a change in position or a temporary relaxation of body movement.
Task Variety means the extent to which variation can be introduced into job
tasks/assignments. Related terms include:
Reorganize Tasks: Alternate tasks within a job to minimize repetition
Job Enlargement: Increase the scope of the job /assignment to increase the variety of work
Job Rotation: People move from one task to another according to a schedule
What to Do in Event of an Accident or Injury:
Employee Factors focus upon the employee as an individual in assessing what the employee
is capable of, and willing to do, if (s)he is not able to perform traditional job duties. These
factors include the employee’s physical size and strength, personal health and hygiene, ability
to learn and adapt to change, motivational forces, as well as sense of attachment to the
employer and co-workers.
Load Characteristics is a term applied to materials-handling tasks. The characteristics include
frequency, weight, stability, starting height, distance, and availability of handgrips.
Work Pace means the amount of time required to complete a specific task or job. The
expected work place within a business should take into consideration the reasonable goals,
work quotas and schedules.
Rest Breaks means the frequency and duration of that period of time when the employee is
not performing his or her work. The employee should leave the workstation, stretch/exercise
or otherwise cease work activity.
Adjustment Period means the amount of time an employee needs to be “physically, mentally
and psychologically ready to perform his/her pre-injury job. The adjustment period will vary
depending upon the person and the requirements of the job.
In developing a return to work program, the employee, employer and medical provider need
to agree as to the employee’s pre-injury job description and the nature of the employment that
the employer can reasonably make available to the employee. According to the US
Department of Labor2, the nature of a person’s employment can be classified by the
following categories:
Sedentary Work – Exerting up to 10 pounds of force occasionally and/or a negligible amount
of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including
the human body. Sedentary work involves sitting most of the time, but may involve walking
or standing for brief periods of time. Jobs are sedentary if walking and standing are required
only occasionally and all other sedentary criteria are met.
Light Work – Exerting up to 20 pounds of force occasionally and/or up to 10 pounds of
force frequently, and/or negligible amount of force constantly to move objects. Physical
demand requirements are in excess of those for sedentary work. Light work usually requires
walking or standing to a significant degree. However, if the use of the arm and/or leg controls
require exertion of forces greater than that for sedentary work, and the worker sits most of the
time, the job is rated light work.
The basic components used in the development of an ergonomic plan are as follows:
Workstation Analysis – A safety and health review that identifies jobs and work stations
that may contain musculoskeletal hazards, the risk factors that pose those hazards, and the
causes of the risk factors.
Hazard Prevention and Control – Eliminating or minimizing the hazards identified in the
workplace analysis by changing the jobs, workstations, tools or environment to fit the worker.
Training & Education – A method to give both workers and managers an understanding of
the potential risk of injuries, their causes, symptoms, prevention and treatment.
Understanding Ergonomics
Outreach and Assistance: OSHA will develop a complete and comprehensive set of
compliance assistance tools, including Internet-based training and information, to support
understanding of guidelines and how to proactively define and address ergonomic problems.
The new ergonomics plan includes a specialized focus to help Hispanic and other immigrant
workers, many of whom work in industries with high ergonomic hazard rates.
Research: While there is a large body of research available on ergonomics, there are many
areas where additional research is necessary, including gaps identified by the National
Academy of Science (NAS). OSHA will serve as a catalyst to encourage researchers to
design studies in areas where additional information would be helpful.
The National Institute for Occupational Safety and Health (NIOSH) has published a
document entitled “Elements of Ergonomics Program – a Primer based on Workplace
Evaluations of Musculoskeletal Disorders.” The primer recommends a seven-step approach
to combating these disorders in the workplace. The steps are as follows:
One: Look for signs of potential problems in the workplace, such as frequent reports of
aches and pains, jobs that require repetitive movements or forceful exertions.
Two: Showing management commitment in addressing the possible problems and
encouraging a team approach,
involving the labor force, in the resolution of the problems.
Three: Providing education and training to expand the team’s ability to evaluate potential
injuries
Four: Gathering data to identify jobs or work conditions that are most problematic, using
sources such as OSHA logs, other injury and illness logs, medical records and job
analyses.
Five: Identify effective administrative controls and standard operating procedures for
tasks that pose a risk of injury. Monitor and evaluate these approaches once they have
been implemented to see if they are reducing or eliminating the risk.
Six: Establish health care management protocols that emphasize the early detection and
treatment of symptoms to prevent impairment and /or disability.
Seven: Minimize risk factors for injury when planning new work processes and
operations. The presumption is that it is less expensive to build good design into a
workplace he to redesign or retrofit it later.
3. Make certain the elements of the program comply with any other company personnel
guidelines, policies or procedures. It must also be consistent with any applicable collective
bargaining agreements.
4. Develop and/or utilize job descriptions that include a position description and job (task)
analysis that conforms to the US Dept. of Labor standards. It is suggested you prepare these
documents in advance of an injury but may be created as a need arises. The attached Job
Description Forms are intended to assist you in this process.
5. In the event of a loss, review the position description and prepare a detailed analysis of the
elements which could be assigned within the injured worker’s restrictions.
6. Build business relationships with local medical providers who are interested in understanding
the nature of your business, will work with you to provide treatment for employees
immediately after an injury occurs, and who will help you in determining an injured worker's
ability to return to work. Invite them to meet with you at your facility; the more they know
about your operation, the easier it will be for them to assist you in getting your injured
workers back to work quickly.
7. Communicate the appropriate information to your workforce regarding your temporary
alternative/transitional work program. Introduce the program through the medium best for
your workforce (i.e. Team meetings, workplace postings, payroll stuffer, etc.) If applicable,
incorporate the material into your employee handbook.
8. Once the injured worker has returned to work, maintain an open channel of communication
with him/her and the involved medical provider(s) regarding the rehabilitation plan and
progress towards returning to full capacity employment.
Fundamentals of Biomechanics
Biomechanics means: study of the motion and causes of motion of living things
Introduction to Biomechanics of Human Movement
Biomechanics has been defined as the study of the movement (kinesiology). A core science
in the academic discipline of kinesiology is biomechanics. Biomechanics in kinesiology is the
study of motion and its causes in human movement. Mechanics is a branch of physics that is
concerned with the description of motion and how forces create motion. Forces acting on
living things can create motion, be a healthy stimulus for growth and development, or
overload tissues, causing injury. Biomechanics provides conceptual and mathematical tools
that are necessary for understanding how living things move and how kinesiology
professionals might improve movement.
Since kinesiology majors are pursuing careers focused on improving human movement, today
people refer to professional athletes or painters because people earn a living with these jobs,
People need help in improving human movement and this help requires knowledge of “why”
and “how” the human body moves. Biomechanics is an important science for solving human
movement problems. However, Bio-mechanics is but one of many sport and human
movement science tools in a kinesiology. Integrate biomechanical knowledge into the
qualitative analysis.
QUALITATIVE ANALYSIS
The examples that illustrate the application of the principles of biomechanics in the solution
of human movement problems in this book will be based on qualitative analyses. Research
has shown that general principles of biomechanics provide a useful structure for qualitative
analysis of human movement Quantitative biomechanical analysis can also be used, but most
kinesiology professionals will primarily be using qualitative analyses of movement rather
than quantitative biomechanical analyses. There are several models of qualitative analysis of
human movement. Traditionally, kinesiology professionals have used a simple error detection
and correction approach to qualitative analysis. Here the analyst relies on a mental image of
the correct technique to identify “errors” in the performance and provide a correction. This
approach has several negative consequences and is too simplistic a model for professional
judgments. The application of the principles of biomechanics is illustrated in the present book
using a more comprehensive vision of qualitative analysis than the simple error
detection/correction of the past. This text uses the Knudson and Morrison. This model
provides a simple four task structure: preparation, observation, evaluation/diagnosis, and
intervention. This model of qualitative analysis is equally relevant to athletic or clinical
applications of biomechanics to improving human movement. In the preparation task of
qualitative analysis, the professional gathers relevant kinesiology knowledge about the
activity, the performer, and then selects an observational strategy. In the observation task the
analyst executes the observational strategy
Interdisciplinary Issue:
The Vertical Jump
Now that the principles are out of the bag, let's use them to look at a common sport
movement, the vertical jump. Imagine an athlete is doing a standing vertical jump test. Which
principles of biomechanics would be
of most interest to scholars from motor development, motor learning, exercise physiology, or
sport psychology studying the vertical jump test? What combinations of the sport sciences are
most relevant to the concept of skill in vertical jumping? What sports science provides the
most relevant information to the physical terminatesof jumping ability? How could someone
determine if the success of elite jumpers is more strongly related to genetics (nature/physical)
than coaching? How could a strength coach integrate jump training studies with
biomechanical studies of jumping techniques? to gather all relevant sensory information
about the performance of the movement. The third task of qualitative analysis has two
difficult components: evaluation and then diagnosis of performance. In evaluation the analyst
identifies strengths and weaknesses of performance. Diagnosis involves the prioritizing of the
potential interventions to separate causes of poor performance from minor or symptomatic
weaknesses. Intervention is the last task of qualitative analysis. In this task the professional
executes some action on behalf of the performer. Often in live qualitative analysis, the analyst
will return immediately to the observation task to monitor the intervention and the mover's
progress.
SUMMARY
Most biomechanical research has been based on rigid-body models of the skeletal system.
Kinematics involves the description of the motion, while kinetics focuses on the forces that
created the motion. There are many biomechanical variables and they can be classified as
either scalars or vectors. Despite the precision of quantitative biomechanics, most kinesiology
professionals apply biomechanics at a qualitative or conceptual level. The nine principles of
biomechanics that can be used to apply biomechanics knowledge in professional practice are
Force–Motion, Force–Time, Inertia, Range of Motion, Balance, Coordination Continuum,
Segmental Interaction, Optimal Projection, and Spin. These nine principles can be applied
using a comprehensive model qualitative analysis.
Application: Quantitative Analysis
Ergonomic Design of Work Station: Concept of workstation and its design. Improving
safety and productivity through work station design. Technical and Engineering control
measures. Economics consideration.
Work Station Design:
Introduction to Anthropometry.
Controls should be so designed and located that they will not move or change their
position accidentally. They should not come out accidentally or by slight touch from 'off to
'on' position and start the vehicle or machine [Section 24(3) of the factories Act]. Such
inadvertent operation can cause 'accident to person, machine or system. To prevent such
accidental activation, following measures are useful
1. Cover or guard the control.
2. Provide interlock so that extra movement is required to change the position.
3. Provide resistance by spring action or viscous friction so that extra effort is
required for actuation.
4. Provide rotary action for operation.
5. Provide recess, slot, shield etc. to contain controls within it and finger is
required to insert inside. e.g. push button or switch in recess or guard on foot pedal of a
power press.
6. Provide 'on' and 'off. button separately and with different colour.
7. Provide' Dead man control' which will keep the system working till the control
is pressed and will stop the system when the control is released, e.g. petrol nozzle trigger
(knob) or drill machine push button.
Foot controls.
Foot controls have specific use and where powerful braking force is required or when
leg is only convenient limb, viz. brake pedal or acceleration control lever in car or brake
pedal for power press, press brake, metal shear and other machines.
Displays and Light Signals.
These are useful to provide, necessary information to operator. They may be dial
gauges, pointers, digital, audio, visual, analog etc. Bell, horn and warning notices are also
displaying which give information. Colored signals have some meaning as under
caution or rechecking.
Displays should have clear meaning. They should be easy to understand and
visible, properly illuminated, also visible when power fails, coded and labeled according to
function.
Numerical display indicates time, temperature, pressure, flow, humidity, pH, speed
etc. Moving pointer on a fixed scale 'have many shapes - circular, curved, horizontal straight
or vertical straight. Numbers or figures should not be obstructed by pointer.
It discloses the soundness, thickness or physical property of the material or nature of
discontinuities without impairing the material and by exposing its one side only. Ultrasonic
waves i.e. vibrations are created by an electronic generator and passed through a material due
to its elastic properties. Vibrations above the human hearing range (20000 Hz) are called
ultrasonic vibrations. An ultrasonic testing unit uses vibrations of about 5x10666 Hz (5
megahertz).
Electrical energy is applied to a piezoelectric crystal also called transducer which
causes material displacement within the specimen. The transducer converts electrical energy
into mechanical and vice versa. Thus, transducer can transmit or receives the energy.
Transmission of energy can be pulsed or continuous. Steel, water and oil can transmit
ultrasound very well but air is a poor transmitter because of its low particle density. Velocity
of sound in steel, water and air are 5.9, 1.48 and 0.33 km/sec respectively. Therefore water,
oil (grease) or steel is used as a coolant between the transducer and the test specimen. The
pulses (waves) return back (reflect) from discontinuities in their path or from any boundary
(end) that they strike. The received reflections are displayed on a cathode ray tube (CRT).
The quality of the material is measured in terms of energy lost by a sound beam as it travels
through the material.
Normally two methods are used. In 'Contact testing' method the transducer is coupled
to the material through a thin layer of coolant. In ‘Immersion testing' method, both the
material and the transducer are immersed in a tank of coolant (usually water). Immersion
technique is commonly used to inspect tubing; pipe and butt welds.
There are two types of test systems - Pulse - echo reflection and Through transmission
as shown in A third system known as 'Resonant frequency' is rarely used because its
functions of 'thickness measurement' and 'bond or lamination inspection' are also performed
by the pulse-echo system.
Physiology of respiration, cardiac cycle, muscle contraction, nerve conduction system.
Permissible limits of load for manual lifting and carrying. Criteria for fixation limits
Physiology is the science of dealing with functioning of living organisms or their parts.
Human physiology is study of the normal functioning of cells, tissues and organs of the
human body
Physiology of Respiration:
Respiration is aerobic or anaerobic. Aerobic Respiration is the process by which living
organisms or their components, take oxygen from the atmosphere to oxidize their food to
obtain energy. Anaerobic Respiration is the process by which organisms or their components,
obtain energy from chemically combined oxygen when they do not have access to free
oxygen. Many organisms can respire anaerobically for a short time only, but certain bacteria
depend entirely on anaerobic respiration.
Respiratory Quotient (RQ) is the ratio of the volume of carbon dioxide expired by an
organism or tissue to the volume of oxygen consumed by it over the same period.
Respiratory pigment is a substance formed in blood cells or blood plasma that is capable of
combining loosely and reversibly with oxygen, e.g. hemoglobin.
It comprises a closed canalicular network made up of arteries, capillaries, veins and a central
pumping organ - the heart. Following a cardiac contraction, the blood is distributed to the
arteries and then to the capillary areas, returning through the veins back to the heart. The
arteries and veins are simple transit vessels whereas the capillaries have an important
functional significance since they are involved in the vital exchange of substances between
the blood and the inter-cellular spaces, resulting in important modifications in the blood's
chemical composition and physical properties.
Cardiac work is the quantity of energy that the heart transmits to the volume of blood to
propel it through the vessels. This energy is produced by the oxidation of organic substances
such as glucose, glycogen, lactic acid etc., partially converted to mechanical energy during
myocardial contraction.
The heart has four chambers - left and right atria and left and right ventricles. There are two
separate circulation of blood in these four compartments. The lesser or pulmonary circulation
starts at RV and finishes at LA. The greater or systemic circulation starts from LV and
finishes at RA. The four cardiac chambers are separated by a system of valves. The two
phases in the cardiac cycle are diastole and systole. The cycle occurs around 75 times per
minute but it may vary depending on age and physiological condition.
The myocardial fiber (strained muscle cell of special structure) has four basic
properties to control cardiac function i.e. rhythmicity, conductivity, irritability and
contractility.
The stroke volume has an effect on the arterial wall, the tension of which varies depending on
blood pressure. Blood pressure is directly proportional to the volume of blood injected per
minute (minute volume Vim) and peripheral resistance.
During effort coronary flow increases considerably whereas myocardial oxygen extraction
remains largely the same as at rest. Aortic pressure plays a major role in regulating coronary
circulation' - when it increases, it raises the flow and vice versa.
In a normal subject, an average of 90% of the contractile work is used in the propagation of
systolic wave, 25-45% of this work is stored in the elastic components, only 10% on average,
is not returned and is probably released during the period of isometric relaxation.
Cardiac insufficiency can be defined as the inability of myocardial function to ensure an
output that meets the body's requirements. The patient in a state of cardiac insufficiency is
not capable to increase his cardiac work to the same degree. The result is a reduction in
contractility. The defective heart does not fully utilize the energy obtained from glucose
degradation. The result is a reduction in cardiac output. The predominant symptom is
dyspnea, which results from the increase in respiratory work. Due to reduced cardiac output,
fatigue, gastrointestinal disorders and renal dysfunction take place. This affects the normal
functioning of the various organs.
Physiology of Muscle Contraction
There are about 200 skeletal muscles in the body. Many consist of bundles of muscles, each
of which is wrapped - as is the total muscle - in connective tissue in which nerves and blood
vessels are embedded. The tissues combine to form tendons that connect the ends of the
muscle to bones. The only active action a muscle can do is to contract. It is done by
filaments. Elongation is brought about by external forces.
This is a complex phenomenon involving many internal human reactions. Muscle fibers
(cells) are controlled by a single motor nerve fiber. This is known as the motor unit. An
impulse started in a motor nerve cell (motoneuron) propagates along the nerve fiber and
transmitted to the motor endplate where acetyl chlorine is released. This reverses the resting
membrane potential. The neuromuscular transmission transduces electrical signals, (nerve
impulses) to chemical signals and then back to electrical signals (muscle action potentials).
This initiates the mechanical-chemical mechanisms and causes the muscle to react. In the
activated muscle, the contractile components (myofibrils), shorten and stretch the elastic
components (connective tissue, tendon). When no movement, the contraction is called
isometric (static) and when muscle is activated to vary its length, the contraction is called
isotonic (dynamic). In the latter case external work can be given by the following equation
Work or energy = force x distance
1 watt (W)
or 1 J/sec = 6.12 kilopond meter per minute
Permissible limits of load for manual lifting and carrying. Criteria for fixation limits:
Factories Act 1948 under MF Rules talks about permissible load for manual lifting
manual transport of loads means any transport in which the weight of the load is wholly
borne by one worker including lifting and putting of the load;
Regular manual transport of load means any activity which is continuously or intermittently
devoted to the manual transport of load.
No person, unaided by another person, or mechanical aid, allowed to lift, put down, carry or
move any load of material, article, tool or appliance exceeding the maximum limit in weight,
as set out in the following.
SCHEDULE
-----------------------------------------------------------------------------------------------------
------------------------
Persons Maximum
weight of
Material, article, tool
or appliances kgs.
-----------------------------------------------------------------------------------------------------
------------------------
(a) Adult male...
55.00
(b) Adult female. 30.00
(c) Young person (male 15-18 years) 30.00
(d) Young person (female 15-18 years) 20.00
(e) Young person (male 14-15 years) 16.00
(f) Young person (female 14-15 years) 14.00
-----------------------------------------------------------------------------------------------------
-------------------------
7.1.2: Physiology and Ergonomics at Work: Working posture: Its effect on cardio-vascular
and muscular-skeletal system and implications on health & Control measures
Nutrition and its importance in manual work. Nutritional requirements and nutritional of
diet.
6. Select persons capable of performing the job. The job should be designed to fit the
worker.
Nutrition: Nutritional requirements and the Diets for Exercise, Work and Physical Fitness.
Life functions (heartbeat, breathing, digestion) and all bodily activities (muscular or
mental) require, energy and heat and these are provided by the nutrients present in the foods.
Balanced diet tries to contain all the nutrients in required proportion.
The energy value of food is measured in the form of beat/given off when the food is
burned. The heat required to raise temperature of 1-liter water from 15 °C to 16 "C is called
Kilocalorie (Kcal) or a Calorie (Cal). 1 Cal = 4.184 Joule.
Mainly there are six categories of nutrients Proteins, Carbohydrates, Fats and Oils,
Minerals, Vitamins and Water. Proteins are made of amino acids (some 23 types) and useful
in body building and repair. Growing children and nursing mothers need extra protein.
Cereals, nuts, peas, beans are plant sources and meat, fish, milk, cheese and eggs are animal
sources of protein. Plants provide carbohydrates and also proteins, vitamins and minerals. 1
gm of carbohydrate produces @ 4 Cal energy. Fats and oils are obtained from plant or animal
and provide @9 Cal/gm, and aid some vitamins. Minerals are needed in small quantity.
Calcium in milk and milk products (except butter) is essential for teeth and bones, clotting of
blood after a wound and for normal contraction of muscles. Iron is necessary for red blood
cells. Iodine is a part of thyroid hormone which helps to regulate growth, mental development
and rate of body functions. Vitamins (20 identified) are equally useful for growth,
development and body function. Their quantity required is small. Vitamin A prevents night
blindness, B protects nerves, C prevents scurvy and D ensures strong and straight bones. 60
to 70% of the human body is made up of water and it is most essential for life. Water controls
the body temperature, digestion, absorption and distribution of foods to body tissues, removal
of waste and functioning of the kidneys. During heavy work and in hot environment, extra
water is required to compensate sweating and to keep the body temperature within limits.
Energy is always expended in work and food (nutrients) is the basic need to supply
this energy. Even a simple meal provided at workplace can remarkably improve production
rate and earnings.
A diet which provides enough food of different types and tastes to meet nutritional
values is called a balanced diet. It varies from person to person, states to states and countries
to countries because of the varieties of factors.
Food should be fresh, warm and non-contaminated. It should be eaten after washing
hands, mouth and teeth.
7.1.3: Assessment of Work Capacity Fatigue and Rest Allowances, Physiological Test for
Assessment of Occupational Health Nutrition: Nutritional requirements and the Diets for
Exercise, Work and Physical Fitness.
During work in a hot environment, the body gains heat due to work and external
environment. These two factors put a lot of thermal stress on human beings. A continuous
work in such environment may lead to exhaustion, if sufficient cooling of the body is not
possible. This also leads to lower efficiency and reduced productivity. Under the
circumstances a rest interval or pause is essential for the workers to recover from exhaustion
as well as to increase efficiency and productivity. Frequent rest pauses reduce fatigue better
than a few long breaks.
Tr = Mmax – M x 100
Mr – M
where Mmax is the upper limit of the metabolic cost for sustained work, M the
metabolic cost of the job (task) and Mr the resting (sitting) metabolism.
100-500 -400
This means, rest intervals should have 20% time i.e. 20% x 8 hr. = 0.20 x 8 x 60 = 96 min.
This can be divided in 3 pauses of 32 min or 4 pauses of 24 min in an 8-hr. shift, or 20% per
hour i.e., 12 min per each working hour.
Combination of heavy and light work provide indirect rest. Walking to give or take material,
counting for some time, writing record or sharpening tools etc. are examples of light work
changes.
The above formula may, however, not be applicable to Indians having lower body weights
and low physical fitness standard. In their case 3 'work' Kcal per min will represent the upper
limit for sustained work. The above formula may accordingly be modified to work out the
rest allowances for Indian workers engaged in manual work. -
Above formula represents a method to calculate rest allowance percentage time in total
working time. Another method to determine rest pause is from heart beats and is given in the
following table –
After working out the time of rest pauses it should be decided that how it should be
given to minimize the fatigue.
Reducing Stress and Fatigue:
The decrease in the stress upon the workers and consequently the higher efficiency
and morale in the plant may be achieved by:
1. Reducing energetic workload through mechanization.
2. Reducing the heat load by better ventilation or screening.
3. Machines and tools can be designed formaximum efficiency with minimum
physiological cost.
4. The workers can be chosen on the basis of their physiological fitness for specific
tasks, to work on furnaces.
5. Provision of air-conditioned rest rooms.
6. Adequate rest periods by adjustment of work and rest periods.
7. Organizing workers' team. More workers should be added if the workload in a team is
considered very heavy.
8. Compensating for sweat loss by adequate intake of water and salt. There should be
easy access of cold drinking water close to the workplace.
Tests for Physical Fitness:
The test exercises are carried out by ergometers, stepping tests, treadmills, bicycle or
running. As a precautionary measure, the person should be medically examined prior to
testing and also after maximal testing.
(1) Physiological Test (Step Test):
The step test was developed in the Harvard Fatigue Laboratory, USA to evaluate the
physical fitness of an individual. It is modified for Indian workers and described below:
While carrying out the test, the person has to step up and down on a stool 45 cm. high
at the rate of 30 complete steps per minute for a maximum period of 5 minutes or earlier in
case of difficulty. The rate of stepping is regulated by a metronome. Immediately after the
exercise is over, the subject is seated and his pulse is counted during the period 1 min to ½
min after exercise.
Below 50 - Poor
50-65 - Low average
65-80 - High average
80-90 - Good
Above 90 - Excellent
The test score which is computed from the pulse count taken during recovery after
exercise is a measure of the individual's cardiovascular efficiency and can be made use of in
grading men for their capacity for physical work in general and in hot environments in
particular.
(2) Pulmonary function test:
This test is the simplest test in which an ergometer is used to measure exhaled air
volume and by comparing it with standard average values, the physical fitness or any disorder
is judged.
Other exercise tests are also used to determine physiological load and functional
capacities of the cardio respiratory system. In abnormalities e.g. an electrical activity of the
heart, cardiovascular disease or improvement after illness or injury.
In young adults 170 beats/min has been widely used as a level at which the intensity
of work indicates physical working capacity.
Nutrition, Diets, Physical Fitness and their Relationship:
Among factors modifying physiological functions, nutrition or diet is an important
factor, because it has direct relationship with calorific value which is essential to compensate
energy expenditure (Kcal/min) on heavy or continuous physical (muscular) work.
As workload increases, calorie requirement increases. Insufficient calorie intake
reduces work output or maximum aerobic power which can quickly be restored by
improvement in diet. A well-fed worker can store more energy in his fat and is able to work
easily at required productivity level.
Functions of Nutrients: Diet is made of foods and foods are made of specific
substances called nutrients. Each nutrient has a specific role e.g. in growth, building and
repair of body, in giving heat and energy, in liberating and using energy contained in foods,
in regulating other body functions and maintaining a good health.
Life functions (heartbeat, breathing, digestion) and all bodily activities (muscular or
mental) require, energy and heat and these are provided by the nutrients present in the foods.
Balanced diet tries to contain all the nutrients in required proportion.
The energy value of food is measured in the form of beat/given off when the food is
burned. The heat required to raise temperature of 1-liter water from 15 °C to 16 "C is called
Kilocalorie (Kcal) or a Calorie (Cal). 1 Cal = 4.184 Joule.
Mainly there are six categories of nutrients Proteins, Carbohydrates, Fats and Oils,
Minerals, Vitamins and Water. Proteins are made of amino acids (some 23 types) and useful
in body building and repair. Growing children and nursing mothers need extra protein.
Cereals, nuts, peas, beans are plant sources and meat, fish, milk, cheese and eggs are animal
sources of protein. Plants provide carbohydrates and also proteins, vitamins and minerals. 1
gm of carbohydrate produces @ 4 Cal energy. Fats and oils are obtained from plant or animal
and provide @9 Cal/gm, and aid some vitamins. Minerals are needed in small quantity.
Calcium in milk and milk products (except butter) is essential for teeth and bones, clotting of
blood after a wound and for normal contraction of muscles. Iron is necessary for red blood
cells. Iodine is a part of thyroid hormone which helps to regulate growth, mental development
and rate of body functions. Vitamins (20 identified) are equally useful for growth,
development and body function. Their quantity required is small. Vitamin A prevents night
blindness, B protects nerves, C prevents scurvy and D ensures strong and straight bones. 60
to 70% of the human body is made up of water and it is most essential for life. Water controls
the body temperature, digestion, absorption and distribution of foods to body tissues, removal
of waste and functioning of the kidneys. During heavy work and in hot environment, extra
water is required to compensate sweating and to keep the body temperature within limits.
Energy is always expended in work and food (nutrients) is the basic need to supply
this energy. Even a simple meal provided at workplace can remarkably improve production
rate and earnings.
A diet which provides enough food of different types and tastes to meet nutritional
values is called a balanced diet. It varies from person to person, states to states and countries
to countries because of the varieties of factors.
Food should be fresh, warm and non-contaminated. It should be eaten after washing
hands, mouth and teeth.
7.1.4 Aerobic work capacity (physical work capacity), methods of its determination (use
of bicycle, ergometer, treadmill, step-stool ergometer). Factors affecting aerobic
capacity and work performance.
The evaluation of a worker is made from his physical work capacity i.e. his maximum 0,
intake or aerobic capacity, other physiological functions under classified workloads and his
tolerance limit to work in hot environment.
The physical work capacity of an individual is measured by the physiological work capacity.
This is a measure of his physical fitness and estimated in terms of his maximum oxygen
uptake capacity. The upper level of physiological work capacity of an individual depends on
his capacity to utilize the inhaled oxygen to its maximum possible limit. Beyond this, any
additional work has to be carried out only on oxygen debt. Thus, there is an upper limit of
oxygen uptake, being a measure of his maximal aerobic power and the best index to judge
one's total physical fitness. This is important for many practical purposes such as selection of
right jobs, disability evaluation, and rehabilitation of disabled and diseased workers. It is
practiced in all developed countries.
Factors affecting Aerobic Capacity & Work Performance:
Oxygen intake and oxygen debt are the limiting factors in physical exertion. Factors
determining the rate of 0, intake i.e. the efficient supply of 0, to the active tissues are -
1. Ventilation of the lungs.
2. O2 carrying capacity of the blood.
3. Unloading of O2 at the tissues, and
4. Minute volume of the heart.
Physical fitness is not a static condition. It varies with age, body dimensions, general health
and nutritional state (diet) of the worker. Due to illness or other reason, he may lose his
fitness for some time and may regain after some time. A worker doing light work may adjust
himself to a low level of physical fitness and vice versa, but a change from light to heavy job
necessitates a period of training and adjustment and calls for extra strain on the worker.
Normally female workers can be expected to show 70% aerobic power of males of the same
age. Ageing effect decreases heart rate from an average of @ 200 to @ 165 beats/min
between the age from 25 to 55 years in both males and females along with decrease in
functional capacity of other organs.
Maximum aerobic power is determined by measuring the maximum oxygen uptake during
dynamic muscular exercise. This can be done in two ways. In the direct method, muscular
exercises are performed with increasing intensity until a work rate is established above which
there is no further increases in oxygen uptake. In the indirect method, a linear relationship is
established between the heart rate and oxygen uptake when the metabolic rate, circulation and
respiration have reached a steady state at sub-maximal work rate and the curve is then
extrapolated to the maximum heart rate.
Methods of determination of Aerobic work capacity (physical work capacity), with the
use of bicycle
During muscular work, physiological functions change from the resting level and heart rate,
blood, pressure, cardiac output, respiration, pulmonary ventilation, oxygen uptake, carbon
dioxide production, chemical composition of blood and urine, body temperature, rate of
perspiration, etc. increase. They come back to resting level when the work stops. The period
during which the work continues is known as "Work Cycle" and the period during which the
physiological functions return to the resting level is known as "Recovery Period." Both
together is known as Bicycle
By measuring one or more physiological variables during activity, it is possible to
determine in what degree the working level differs from the resting level. This gives an
estimate of the physiological stress experienced in performing a given task. When the activity
ceases, it is possible to follow the return of the same variables to the resting level and to
determine the duration of the recovery period, at the end of which the individual has returned
to his pre-activity physiological equilibrium. In order to evaluate total physiological
expenditure, one must consider physiological reactions, both during the work and during the
recovery period. A complete work cycle includes physiological cost of work plus the
physiological cost of recovery.
When muscles work they increase heat production from about 4 kJ/min (resting level) to 200
kJ/min (max.) i.e. about 50 times more. The rate of heat removal, CO, water, waste products
etc. must also be increased proportionally. To maintain physical and chemical equilibrium of
the cells, a tremendous increase in the exchange of molecules between intra and extra cellular
fluid is required. Normal pulse rate 60-72 beats/min can rise up to 220 beats/min, normal
oxygen consumption rate 0.2 to 3 lit/min can go up to 4 lit/min and corresponding energy
level rises from I Kcal/min to @ 20 Kcal/min. The energy expenditure, core temperature,
sweat rate, skin galvanic resistance, heart stroke volume and pulmonary ventilation also
increase.
To restore the energy content of the body, working at maximum capacity up to 4 times, more
food must be digested, than when the individual is at rest. Moreover, during physical work,
many of the hormone producing glands are involved in the regulation of metabolic and
circulatory functions of the body.
The energy expended by muscles during work comes from food intake. There are two sources
of this energy supply, one is aerobic i.e. direct oxygen intake from air to oxidized food to get
energy and the other anaerobic i.e. consuming chemically combined oxygen in the body.
During sever muscular exercise, oxygen demand goes up and up and a stage comes when the
body cannot maintain demand and supply. Metabolites like lactic and pyruvic acid get
accumulated and the person gets exhausted or feels fatigue. Such physical fatigue, static or
dynamic should be removed daily by regular light exercises (Yongsan) and deep breathing in
a fresh cool air (in early morning").
In Maximum permissible load limits, three criteria are considered (1) Male or Female as their
lifting capability differs at the same age (2) Age as physical muscle strength varies from child
to an adult person and (3) Safe load limit which should not cause any injury or back pain.
Methods of determination of Aerobic work capacity (physical work capacity), with the
use of ergometer
Pulmonary function test: dynamic
This test is the simplest test in which an ergometer is used to measure exhaled air volume and
by comparing it with standard average values, the physical fitness or any disorder is judged.
Other exercise tests are also used to determine physiological load and functional capacities of
the cardio respiratory system. In abnormalities e.g. an electrical activity of the heart,
cardiovascular disease or improvement after illness or injury.
In young adults 170 beats/min has been widely used as a level at which the intensity of work
indicates physical working capacity.
Methods of determination of Aerobic work capacity (physical work capacity), with the
use of treadmill
It was intended to select the work rates corresponding to 20, 30, 40, 50 & 70% RL (relative
Load) in order to determine the AWL (Acceptable work load). These work rates were
determined by using the monogram constructed by Margarian et al. (1963) for different speed
of walking and gradient of the treadmill.however, the intended rates of work could not be
obtained; the observed mean RLs were 20,28,36,50,62, and70%.
Work –schedule of treadmill running
After an initial rest of 30 min, the subjects were asked to run on the treadmill at the pre-
determine rates for 8 hr. from 0930 to 1730 hr. with a lunch breaks of 15 min each. the details
of the work-schedule are given in table.
Work-schedule for 8 hr. work on treadmill walking.
Initial tea Lunch tea
work work work work
rest break break break
0930
1130 hr. 1145 hr. 1300 hr. 1400hr 1530 hr. 1545 hr. 1730 hr.
hr.
Experimental design:
A randomized block design was used for experiments of treadmill running on different rates
of work to eliminate the effect of training due to previous work rates on the physiological
functions.
Physiological misorients:
Energy expenditure and heart rate responses of the subjects with each work rate were
recorded as per the time schedule given of 3min after each break and at the end of the
day’swork. energy expenditure was determined according to standard procedures using a 120
1 Collin’s Gasometer and Haldane gas analyzer. The expired air was collected for the last 2
min during the steady state condition. Heart rate was monitored simultaneouslyby means of
an electronic pulse counter (heart rate monitor model 504, parks electronic lab, U.S.A)
Time of different physiological observations
Observation time(hr.)
1 0948
2 1028
3 1128
4 1158
5 1258
6 1418
7 1528
8 1558
9 1658
10 1728
Working environment.
The thermal environment of the laboratory during the period of the experiments was
comfortable with respect to dry bulb temperature, wet bulb temperature, air movement and
effective temperature.
Methods of determination of Aerobic work capacity (physical work capacity), with the
use of step-stool ergo meter
Physiological Test (Step Test):
The step test was developed in the Harvard Fatigue Laboratory, USA to evaluate the physical
fitness of an individual. It is modified for Indian workers and described below:
While carrying out the test, the person has to step up and down on a stool 45 cm. high at the
rate of 30 complete steps per minute for a maximum period of 5 minutes or earlier in case of
difficulty. The rate of stepping is regulated by a metronome. Immediately after the exercise is
over, the subject is seated and his pulse is counted during the period 1 min to ½ min after
exercise.
The fitness score is computed as follows:
Below 50 - Poor
80-90 - Good
Above 90 - Excellent
The test score which is computed from the pulse count taken during recovery after exercise is
a measure of the individual's cardiovascular efficiency and can be made use of in grading
men for their capacity for physical work in general and in hot environments in particular.
Environmental Physiology:
Environmental factors that affect are heat, cold, noise, vibration, gas pressure, altitude, air
pollution etc.
Physiological effects of continuous work in Hot Environment are: (1) Cardiovascular stress
(2) Heart rate (3) Cardiac cost (4) Blood pressure (5). O2 uptake and (6) Sweat loss
Physiological effects of repeated work cycles in Hot Environment are: (1) Heart rate (2)
Recovery time (3) Cardiac cost and (4) Sweat loss.
Psychic factors affecting muscular (service) functions are attitude and motivation.
All above factors - food and nutritional, physiological, environmental, psychic and nature of
work - actuate service functions that deliver fuel and oxygen to the working muscle fiber.
This service function capacity transforms food energy (chemically bound) into mechanical
energy for muscular work. This ability of the muscle cell to transform energy actuates ability
to perform a physical work.
Therefore, by paying attention on above factors i.e. giving work according to age and
sex, providing rest intervals, reasonable working hours (no overtime), good ventilation,
temperature and working conditions, ample drinking water and nutrition, proper clothing,
PPE and training etc., good muscular or physical work can be obtained from the workers.
(1) Heat & Cold
Heat causes burns, exhaustion, stroke, cramps, fatigue, decreased efficiency, pain,
discomfort, heal collapse, systemic disorders, skin disorders, psychoneurotic disorders and
tendency to cause accident. Acclimatization to high temperature requires reduction in heart
rate and internal body temperature at the expense of increased sweating. Radiant heat (e.g.
ovens, furnaces), stagnant heat (e.g. textile mills), and high temperature (e.g. mines, glass
furnaces). create stress and impair health.
One UK Standard suggests the following criteria
Environmental Factor Standard
Air temperature 21 oC
Mean radiant temperature > 21oC
Relative humidity 30-70%
Air movement 30-60 mt / min
Temperature gradient (foot to head) < 2.5 oC
The cold causes chilblains, shivering, frostbite, trench foot, vasoconstriction, and
erythromyeloid.
The control measures include (1) sufficient intake of water and salt (2) cotton and
protective clothing (3) break in exposure time and more rest intervals (4) engineering controls
(5) medical control and (6) acclimatization of the workers.
(2) Air Pressure:
Abnormal air pressure can cause decompression sickness known as 'Bends' (dull
throbbing pain in joints or deep in muscles and bones) and 'chokes' (subdermal distress and
difficulty in deep inspiration with coughing).
(3) Light &Colour:
Improper and insufficient illumination causes eye strain, eye fatigue, headache,
lachrymation, congestion around cornea and miner's nystagmus (chronic effect). Glare or
excessive brightness causes visual discomfort and fatigue, tiredness and irritability. There
should be sufficient and suitable lighting natural or artificial in all work areas.
(4) Noise &Vibration:
Noise - too low or too high cause ear strain or pain. Auditory effects are temporary or
permanent hearing loss. Non-auditory effects cause nervousness, fatigue, difficulty in
conversation, decreased efficiency, annoyance and psychological and systemic effects. The
degree of injury depends on intensity and frequency of noise, exposure time (duration) and
individual susceptibility.
Vibration of 10 to 500 Hz frequency range as normally found with pneumatic drills,
hammers and grinders affects the hands and arms. After exposure of months or years, fingers
become sensitive to spasm known as white fingers. Vibrations also produce injuries to joints,
elbows and shoulders.
Sick or Tight Building Syndrome is a health effect on workers, mostly IT personnel
due to heat or cold stress, poor ventilation, poor lighting, or monotonous work in fixed type
of environment for a longer period. Sickness is resulted in health effects like indigestion,
psychosis (mental fatigue), visual problem, mental feeling of impotency, headache, backache,
uneasiness, obesity, acidity etc. Remedial measures include-change in working environment,
new and attractive atmosphere, good lighting and ventilation, good housekeeping, rotation of
persons, recreation facility and staggered working hours instead of continuous eight or more
working hours.
Animal and human studies have shown that exposure to ionizing radiation can cause
carcinogenic, teratogenic or mutagenic effects, as well as other sequelae. The NCRP has
formulated exposure limits. Some such limits are given below:
Medical Surveillance: Exposure to radiation workers may not give any clinical signs.
Therefore, according to ICRP, the medical surveillance of radiation workers should aim at-
1. To assess the health of the workers.
2. To preserve good general health standards by monitoring the work conditions,
exposure levels and the health of the workers and
3. To provide baseline information in case of accidental exposure or occupational
disease.
Functions of such medical service include--
1. Pre-employment and during and after (post) employment examinations are
necessary.
2. Evaluating the fitness of individual workers for specific tasks.
3. Medical examinations and first-aid after radiation accidents, irradiation or
contamination accidents.
4. Keeping of adequate medical records for quite a long time (30 years).
5. Contributing to safety and health training and
6. Helping to solve safety problems in the plant.
Large nuclear installations should have full time and fully equipped medical and
health physics services and facilities - including decontamination facilities and ablutions very
near the workplace. Small units should obtain part-time facilities.
Personal decontamination facilities include a separate ambulance port, monitoring
devices, sink, showers, a disrobing room, clean clothing and pharmaceutical supplies.
Plant medical service should remain in touch with local and other hospitals where
irradiated or contaminated persons can be treated.
A card containing information of possible contaminants, the time of sampling and any
treatment given before the sampling, must be sent along with the samples to the
radiotoxicological laboratory as quickly as possible.
This portion lies in the range of 400 to 750 nm. The danger of retinal injury lies
between 425 to 450 nm due to peak brightness. Eye response to excessive brightness i.e.
partial or full lid closure and shading of the eyes, is a protective human mechanism.
Main sources of visible light are sun, laser beams, arc welding, highly incandescent or
hot bodies and artificial light sources such as pulsating light, high-intensity lamps, spotlights,
projector bulbs, neon tubes, fluorescent tubes, flash tubes and plasma torch sources.
The visible light is of three types: incident, reflected and transmitted light. Incident
light is that light which strikes the work surface. Reflected light is that light which bounces
off surfaces and reflected onto work surfaces by walls and ceiling. It is measured to
determine glare and shadows. Transmitted light penetrates a transparent or translucent
material.
Vision is a photochemical and physiological phenomenon. Exposure to glare can
cause fatigue of eyes, iritis and Blepharisma. But these effects cannot cause pathological
changes.
Poor illumination can cause industrial accidents. Direct glare, reflected glare from the
work and dark shadows lead to visual fatigue. Better lighting provides safe working
environment, better vision and reduces losses in visual performance.
Factors of good lighting are its quantity and quality. The Quantity is the amount of
illumination that produces brightness on the task and surroundings. The Quality refers to
distribution of brightness in environment and includes the colour of light, its diffusion,
direction, degree of glare etc.
(4) Radio and Microwaves:
Within the broad spectrum of radio frequencies, the microwave. region is between 10
to 3 x 105 MHz (megahertz). This form of radiation is propagated from antennas associated
with TV transmitters, FM transmitters and radar transmitters.
Uses of microwave radiation are heating sources like microwave ovens, dryers for
food products and plywood, pasteurization, ceramics, telecommunications like radio and TV
and medical applications (diathermy devices). Microwave ovens for heating or cooking food
are clean, flexible and instantly controllable. The heating rate is very high and use of any fuel
or pollution due to it should be avoided.
Radio or high frequency electrical heaters are used in metalworking plants for
hardening cutting tools, gear-teeth and bearing surfaces and for annealing, soldering and
brazing. Use in food industry is for sterilizing vessels and killing bacteria in foods.
In woodworking plants, high frequency heating is used for bonding plywood,
laminating and general gluing. Other uses include moldings plastics, curing and vulcanizing
rubber, thermosealing and setting twist in textile materials.
Induction heaters are used for annealing, forging, brazing or soldering conductive
materials. Induction furnaces are used in foundries to melt metal. Dielectric heaters are used
for non-conducting, dielectric materials like rubber, plastics, leather and wood.
The primary effect of microwave energy is thermal. The higher frequency cause lower
hazard and vice versa. Frequencies less than 3000 MHz can cause serious damage. At 70
MHz, maximum SAR (specific absorption ratio) in human takes place. Exposure of high
intensity and more time can cause localized damage by skin burning, tissue burns, cataracts,
adverse effect on reproduction and even death.
The basic safety measures include restricting energy (power density in microwatts/
m2 and frequency) below the safe level, reducing time of exposure, shielding and enclosing
microwave source, reorienting antenna or emitting device, use of PPE and controlling at
source.
(5) Power Frequencies:
The main hazards from high voltage lines and equipment (low frequency) are shocks
and current. Extremely low frequency (ELF) radiation produces electric field and magnetic
field. An external electric field induces electric current in the body.
Protection from ELF is possible by shielding of electric field by any conducting
surface. Persons working in high field strength regions (e.g. high voltage lines) should wear
electrically conductive clothing. Avoiding entry in such region is also advisable.
ELF magnetic field cannot be shielded. Therefore, the only remedy is to keep the
magnetic field below safe levels or to restrict entry of personnel into the magnetic fields.
(6) Radar:
Radar means "radio detection and ranging". It is a radio detecting instrument that
operates in the radio frequency range from 100 to 105 MHz, echoing in a wavelength range
from some meters to milli meters. It consists of a transmitter and receiver, usually operating
through a common antenna. Power output varies from a few watts to megawatts.
Hazards &Controls: Main hazards associated with radar are as under:
1. Electrical hazards from high voltage equipment.
2. Fire hazards from flammable gases, vapours, explosives and other materials.
3. Toxic hazards of gas fill in certain waveguides.
4. Thermal effects of electromagnetic radiation.
5. Radioactivity from certain switching tubes.
6. X-rays from high voltage tubes.
7. Material handling hazards in moving portable and fixed equipment.
Control measures include -
1. Standing near or in front of the antenna should be avoided.
2. Radar workers should not look directly into a radar beam from a high energy
unit. High energy is more than 0.01 W/cm2
3. Interior ofmicrowave tubes should be seen through a remote device such as a
periscope or telescope.
4. Microwave absorber should be provided to contain beam discharge.
5. Persons should take care to have minimum exposure by keeping a safe
distance from the beam.
6. Photoflash bulbs should be properly packed to avoid ignition hazard.
7. Pre, current and after employment medical examinations of the radar workers
including blood-count and complete eye examination including slit-lamp examination are
necessary.
(7) Lasers
Laser means "light amplification by stimulated emission of radiation". Normal light
radiates in all directions. Light waves of varying lengths reinforce or cancel each other. When
light waves are made to vibrate in a single plane, made to travel in only one direction and of
the wavelength and focused towards a point, a laser beam is obtained. It is called coherent
light. Lasers involve IR, visible and UV regions, concentrate great energy in a point area and
can be projected over long distances.
Typical areas of laser applications are military, microsurgery, medicine, dentistry,
material processing, stack emission analysis to detect air pollution, blood analysis, laser
drilling & welding, communications, construction, embryology, geodesy, holography,
business offices etc.
Hazards and Controls: It is necessary to understand type of laser, its power density,
the method of usage and its operational aspects to consider laser hazards and controls. It is
not the power but the point source of great brightness which poses hazard. There are two
types of hazards - One from the laser itself and the other from equipment.
The solid-state lasers produce high power outputs and can cause skin burns and eye
damage if safety rules are not followed. Other hazards are thermal effect, electric shock,
ozone effect, high gas pressures in the flash lamp when it is fired (explosion hazard),
cryogenic cool burns due to liquid nitrogen and helium, oxygen deficiency if N or He leaks
into atmosphere and hazards from viewing, operation and reflections.
The control measures include -
1. Minimization of ocular exposure to the direct laser beam and specular, mirror
type, reflections.
2. Education and training of personnel.
3. Shields to prevent accidental exposures.
4. Specially designed eyewear (a major control).
5. Periodical eye examination.
6. A warning sign to be attached to laser equipment.
7. Laser unit in a separate room.
8. Diffuse or retroreflective card targets should be used for short ranges.
9. Laser beam should not be aimed at flat glass, mirror surfaces or flammable
material.
10. Appointment of Laser Safety Officer.
All these need a specialized occupational health services at workplace. Depending on
classified hazards like fire, explosion, toxic and corrosive effects, fully equipped firefighting
team, medical team and trained personnel with special protective equipment are also
essential.
Even if an occupational disease has not occurred, the hazardous exposure at workplace can
reduce the life span slowly and unknowingly.