USDA SHEM Day. February 21, Jessica Cebula, MPH, CIH Industrial Hygienist University Health Services (UHS) 333 E.
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1 USDA SHEM Day February 21, 2018 Jessica Cebula, MPH, CIH Industrial Hygienist University Health Services (UHS) 333 E. Campus Mall
2 UW Madison Health and Safety Services University Health Services (UHS) Occupational Health Environmental Health Occupational Medicine Environment, Health and Safety (EH&S) Chemical Safety Biological Safety General & Building Safety Radiation Safety Lake Safety Fire & Life Safety Engineering & Technical Services
3 HEARING CONSERVATION Occupational Health Respirator Fit testing Indoor air quality Noise Fume Hood testing Employee exposure air testing (formaldehyde, silica, lead, etc.) Occupational Medicine Medical staff Pre and Post exposure services Immunizations Medical Response plans Environmental Health Food Inspections Water Testing Mold Testing 3
4 Eligibility for UHS Occupational Services UW Madison employees Certain affiliates and contract workers Requirements to enter a UW facility UW students taking classes that require occupational medicine services Art students Animal contact Dual appointed employees School of Medicine and Public Health & UW Health USDA & CALS Dual status are automatically imported into UHS medical record by HR system
5 OSH Act 1970 Created Occupational Safety and Health Administration (OSHA) Wisconsin covered by Federal OSHA WI has 4 Federal OSHA offices (Madison, Milwaukee, Eau Claire, Appleton) Some states have State Plans (ex. Minnesota) Responsibility of the head of each Federal agency to establish and maintain an effective and comprehensive OSH program OSHA inspects, but doesn t fine Federal agencies WI State and local government agencies covered by Department of Safety and Professional Services (DSPS)
6 Occupational Noise Exposure Occupational Safety and Health Administration (OSHA) 29 CFR
7 Common Myth Hearing loss affects only old people and is merely a sign of aging. The majority (65%) of people with hearing loss are younger than age 65. There are close to six million people in the U.S. between the ages of 18 and 44 with hearing loss, and more than one million are school age. 10% U.S. reports a hearing difficulty The Prevalence of Hearing Loss in the U.S. Sergei Kochkin, Ph.D. 7 Better Hearing Institute, Alexandria, VA
8 NIOSH Noise and Hearing Loss Prevention
9 Causes of Hearing Loss
10 OSHA Overall Requirement Monitor in a way that determines if employees are exposed to noise at a level at or above an 8 hour average of 85 db during the workday Employers must repeat monitoring whenever changes in production, process, or controls increase noise exposure. Add or remove employees from program? Is hearing protection still adequate?
11 OSHA Standard (29 CFR ) Permissible Exposure Limits (PEL) Action Level Noise Monitoring Audiometric Testing Training Hearing Protectors Recordkeeping 90 db (8 hour average) 85 db (8 hour average) Required Annual Required New Hires/Annual Required at PEL Maintain records of hearing tests, training, and monitoring 11
12 110 db 15 minutes = 85 db 8 hr average 12
13 Noise Measurements Sound Level Meter (Spot Checks) Noise Dosimeter (Daily Average) Does the math!
14 Agriculture Measurements Tasks Sample Time Sample Average 8 hr TWA Maximum Peak Mixing Feed (Dairy Forage) 10 hr 01 min 85 dba 87 dba 112 dba 142 db Rissler Operator (Dairy Forage) 10 hr 28 min 83 dba 85 dba 100 dba 127 db Weed whacking (Arlington) 6 hr 12 min 86 dba 84 dba 102 dba 142 db Flail chopping (Arlington) 7 hr 36 min 93 dba 93 dba 113 dba 144 db Lawn Tractor (OJ Noer) 2 hr 15 min 90 dba 84 dba 103 dba 132 db 14
15 THE HUMAN COCHLEA 17-year old girl Low noise exposure Normal cochlea Receptors intact 76-year old man Low noise exposure Fewer receptors due to age but still intact 59-year old man High noise exposure Damaged cochlea Receptors destroyed 15
16 Noise Induced Hearing Loss 16
17 Indicators of Noise Induced Hearing Loss Trouble hearing high-frequency (pitch) sounds Usually both ears Gradual progression over time Appropriate symptoms Muffled hearing Tinnitus (ringing in ears) 17
18 Other Health Effects of Noise Stress Response Adrenalin is released Blood vessels constrict Muscles tense Blood pressure rises Can lead to: Annoyance Sleep disturbances Hypertension Cardiovascular disease
19 EAR MUFFS BANDS EAR PLUGS 19
20 FITTING TIPS FOR FOAM EAR PLUGS Fitting Push-Ins Earplugs Oft1a4 Fitting Foam Earplugs JingZA 20
21 All hearing protection must have a Noise Reduction Rating or it is NOT hearing protection! Noise Reduction Rating (NRR) Describes effectiveness of hearing protection Larger number = greater protection potential as long as worn properly Noise cancelling headphones are not hearing protection! 21
22 Status of USDA Program USDA would need to assess noise levels to determine if hearing conservation applies If hearing conservation applies: Arrange for audiogram provider (offer testing) Annual training Offer or mandate hearing protection depending on levels Re-evaluate if there are new sources or changes that could affect noise levels Written program is not required (but recommended) UW cannot provide USDA employee audiograms
23 Questions? Jessica Cebula Ph:
24
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