WHEA LUNCH & LEARN SERIES WEBINAR Personal Protective Equipment - PowerPoint PPT Presentation

WHEA LUNCH & LEARN SERIES WEBINAR

Personal Protective Equipment (PPE) Head to Toe and All Points Between John M. Eliszewski, MS, CSP Corporate Safety Sales Manager Grainger

Agenda OSHA Top 10 Violations for Healthcare Applying the Hierarchy of Hazard Controls PPE Categories Head, Eye/Face, Body, Hand, and Foot Resources and Tools Q&A

Are Hospitals Safe? Occupational Injury/Illness Rates*, 2015 U.S. Bureau of Labor Statistics Nursing and residential care facilities (private industry) = 12.0 Hospitals (state gov’t) = 8.1 Psychiatric and substance abuse hospitals (private industry)= 8.1 All industries including state and local gov’t = 3.3 Construction = 3.6 Manufacturing = 4.0 *injuries per 100 full-time workers; Source: Bureau of Labor Statistics

The Cost of Healthcare Injuries $15,860 Average workers’ compensation claim for a hospital injury between 2006 and 2011 (OSHA)

OSHA in Healthcare FY’2017 189 Federal inspections of Ambulatory Healthcare, Hospitals and Nursing/Residential Care Facilities – (5,564 hospitals in U.S., AHA Fast Facts on US Hospitals 2017)

OSHA Top 10 List for Healthcare (Federal OSHA Inspections, FY2017) 6. Respiratory Protection 1. Bloodborne Pathogens 7. Electrical general 2. Hazard Communication requirements 3. General Requirements 8. Wiring methods, components (PPE) and equipment for general 4. Reporting fatalities, use hospitalizations, 9. Asbestos amputations and losses of an eye to OSHA 10. The Control of Hazardous Energy (Lockout / Tagout) 5. Formaldehyde

Frequently-Cited Standards in Healthcare FY’2017 The Top 10 OSHA standards represent: 75% of all Federal OSHA healthcare citations 74% of all Federal OSHA penalties issued with citations

Hierarchy of Controls

General OSHA Regulation 29 CFR 1910.132 Employers must: − “Protective equipment, − Assess the workplace including personal protective equipment for eyes, face , If such hazards are present, head, and extremities, or likely to be present, protective clothing, respiratory employers must: devices, and protective − Select, and have each shields and barriers, shall be affected employee use provided, used, and maintained in a sanitary and proper PPE; − Communicate selection reliable condition wherever it is necessary by reason of decisions; and, hazards of processes or − Select PPE that properly fits environment, ….”

Hazard Assessment Hazard assessment review − Knowledge and experience in similar industries − Survey the workplace − Past history and accident analysis − Changes in processes, machines and materials − Observe the environment – operations, process, materials − Ask employees − Look for sources of injury

Required Training • Each employee trained to know at least the following: • When necessary; • What is necessary; • How to properly put on/off, adjust, and wear; • Limitations and; • Care, maintenance, useful life and disposal

Did You Know? “Unscheduled” re -training requirement 1910.132(f)(3) - When the employer has reason to believe that any affected employee who has already been trained does not have the understanding and skill required by paragraph (f)(2) of this section, the employer shall retrain each such employee . . .

Head Protection Personal Protective Equipment

Specific OSHA Head Regulation 29 CFR 1910.135(b) 29 CFR 1910.135(a) − Using providing head ppe − Ensure use of appropriate that are constructed in head PPE where potential accordance with any of the for head injury of falling last three American objects exist National Standards Institute − Ensure use of appropriate (ANSI) national consensus head protection electrical standards shock hazard is present − ANSI Z89-1997 − ANSI Z89-2003 − ANSI Z89-2009 − ANSI Z89-2014 − Anything deemed equivalent to Z89

Guiding Head Regulations • ANSI/ISEA Z89.1-1997, American National Standard/International Safety Equipment Association for Industrial Head Protection • ANSI/ISEA Z89.1-2003, American National Standard/International Safety Equipment Association for Industrial Head Protection • ANSI/ISEA Z89.1-2009, American National Standard/International Safety Equipment Association for Industrial Head Protection • ANSI/ISEA Z89.1-2014, American National Standard/International Safety Equipment Association for Industrial Head Protection

Types and Classes of Head Protection Type/Class Use/Description Intended for low obstructions where head can “bump” into the obstruction. Not Bump rated for falling object impact. Type I Intended to reduce the force of impact resulting from a blow to the top of the head. Type II Designed to provide protection against both side impact (lateral) and blows to the top of the head. Class G General use, rated to 2,200 volts. Class E General and electrical use, rated to 20, 000 volts. Class C General use but no electrical rating.

Markings of Head Protection Optional Description/Use Manufacturer’s name or Marking identifying mark Hard hats marked with a "reverse donning arrow" can be worn frontward or backward in accordance with the Date of manufacture manufacturer’s wearing instructions. They pass all hard hat testing requirements, whether worn frontward Z89.1-2014 or backward. Type and Class Hard hats marked with an "LT" indicate that the hard LT hat meets all testing requirements of the standard Designation when preconditioned at a temperature of -30°C (- 22°F). Size range HV Hard hats marked with an "HV" indicate that the hard hat meets all testing requirements of the standard for Optional markings high visibility colors. This includes tests for chromaticity and luminescence. Hard hats marked with an “HT” indicate the hard hat HT meets the performance criteria after being preconditioned to a temperatures of 140º F.

Sizing of Head Protection Size Small Med Large XL 7 1/8 – 7 ¼ 7 3/8 – 7½ 7 5/8 – 7 ¾ 6 ¾- 7 Hat 23 – 23 ½ 21 ½ - 21 7/8 22 ¼ - 22 5/8 23 7/8 24 ¼ Head Circumference (inches)

Hearing Protection Personal Protective Equipment

Specific Hearing OSHA Regulation 29 CFR 1910.95(a) *Table G-16 Permissible Noise Exposures − Protection against the effects of noise exposures above * 8-Hour Duration per day, Allowable Sound 90 dBA TWA must be provided hours Level dBA 8 90 29 CFR 1910.95(b) − Feasible engineering and 6 92 administrative controls must be 4 95 used first if exposure above * 8- 3 97 Hour 90 dBA TWA 2 100 29 CFR 1910.95(c) 1.5 102 − Included in hearing conservation 1 105 program if exposure above 8- hour 85 dBA TWA 0.5 110 < 0.25 115

Hearing Conservation Program At 85dB as an eight-hour TWA − Train employees − Make hearing protection available − Sample for noise levels − Do hearing tests (audiograms) − Notify employees of results At 90dB or more as an eight-hour TWA − Employer must keep levels at or below 90dB

Noise Reduction Rating (NRR) Required formula: NRR-7 OSHA says that hearing protection is designed to reduce the noise by the NRR, but that is unlikely to happen due to: − Leaks in the seal − Vibration − Improper insertion Recommended formula: (NRR-7) / 2 If both plugs and muffs are used: − Calculate NRR using formulas above − Add 5dB to higher NRR of two

How Loud is Too Loud?

When to Monitor Use rule of thumb: − If employees are having difficulty communicating at a distance of about three feet, noise levels are very likely to be above 85dB Next Step?

Monitoring Noise Levels Sound level meter − Amplifying device that converts sound pressure waves into measurable units of dB – up to 140dB Dosimeter − Sound level meter that integrates noise samples over time

Eye and Face Protection Personal Protective Equipment

Specific OSHA Regulation 29 CFR 1910.133(a) 29 CFR 1910.133(b) − Criteria for eye & face − Ensure use of appropriate PPE eye/face PPE − Using providing eye & − Ensure use of eye face ppe that are protection with side constructed in protection − Prescription eyewear accordance with any of the last three American incorporated into the National Standards design of the eyewear Institute (ANSI) national − Ensure eye & face PPE is consensus standards marked for identification − ANSI Z87-2003 − Ensure proper use of filter − ANSI Z87-2010 lens and color − ANSI Z87-2015

Guiding Eye & Face Regulations • ANSI Z87.1-2003, American National Standard for Occupational and Educational Personal Eye and Face Protection Devices • ANSI Z87.1-2010, American National Standard for Occupational and Educational Personal Eye and Face Protection Devices • ANSI Z87.1-2015, American National Standard for Occupational and Educational Personal Eye and Face Protection Devices