Leadership as a Learning Outcome by Gregory A. Brightbill

Leadership as a Learning Outcome by Gregory A. Brightbill
Slide Note
Embed
Share

Different leadership models, including Lewin's Leadership Styles, Transactional Leadership, Transformational Leadership, and more. Understand the concept of leadership as influence and situational complexity. Discover the Duke Healthcare Leadership Model and Surgeons' Leadership Inventory.

  • Leadership
  • Models
  • Influence
  • Situational
  • Healthcare

Uploaded on Feb 25, 2025 | 0 Views


Download Presentation

Please find below an Image/Link to download the presentation.

The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author.If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.

You are allowed to download the files provided on this website for personal or commercial use, subject to the condition that they are used lawfully. All files are the property of their respective owners.

The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author.

E N D

Presentation Transcript


  1. Silica in Construction OSHA Std. 1926.1153 https://youtu.be/DndAO32Bdvw

  2. Silica in Industry OSHA Std. 1910.1053

  3. What is Silica? Silica is Quartz Quartz (silica) is found naturally in almost all rock, sand and soil. It is also found in concrete products and bricks. It is sometimes found in sandblasting (abrasive blasting) grit and is called silica sand .

  4. WORKPLACE EXPOSURES OSHA reports 2.2 million workers are exposed to respirable crystalline silica. The majority (1.85 million) are in the construction industry. Exposures occur when workers cut, grind, crush, or drill silica-containing materials.

  5. Silica Health Hazards Inhaled silica dust scars the lungs A lung disease called silicosis is caused by breathing of dust containing silica. The dust causes fibrosis or scar tissue formation in the lungs. This reduces the lung s ability to extract oxygen from the air. There is no cure!

  6. Silica Health Hazards What are the symptoms of silicosis? Early stages go unnoticed. Continued exposure results in shortness of breath during exercise. Prolonged high exposure can lead to extreme shortness of breath, chest pain, respiratory failure and death. 6

  7. TYPES OF SILICOSIS Simple chronic silicosis From long-term exposure (10-20 years) to low amounts of silica dust. Accelerated silicosis Occurs after exposure to larger amounts of silica over a shorter period of time (5-10 years). Acute silicosis From short-term exposure to very large amounts of silica dust.

  8. Lung Cancer There is an association between silicosis and lung cancer Over 500 silica related lung cancer deaths in construction in 2004 Over 10 a week Silica is the second most important cause of occupational lung cancer after asbestos

  9. Chronic Obstructive Pulmonary Disease (COPD) Persistent obstruction of airflow into lungs Irreversible (unlike asthma) Progressive Main cause is smoking Silica exposure associated with COPD Construction workers 2 to 3 times risk Symptoms: breathlessness, cough with phlegm

  10. Whats the Problem?

  11. Why is it a Problem? Particles need to be respirable to cause harm Issue is Respirable Crystalline Silica or RCS RCS particles can penetrate to deep lung https://www.youtube.com/watch?v=R_sC2wX9Uwc

  12. Why is it a Problem? A micron is one millionth of a meter. Human hair varies between 40 to 100 m thick. Respirable dust = 10 m or less

  13. OSHA Silica Standard September 2013, OSHA published a Notice of Proposed Rulemaking (NPRM) for Occupational Exposure to Respirable Crystalline Silica. First update since the original Permissible Exposure Limit (PEL) was adopted in 1971. On March 25, 2016, OSHA published the long-awaited final rule.

  14. CFR 1926 Respirable Crystalline Silica a) Scope and application b) Definitions c) Specified exposure control methods (Table 1) d) Alternative exposure control methods e) Respiratory protection f) Housekeeping g) Written exposure control plan h) Medical examination i) Communication of hazards j) Recordkeeping k) Dates

  15. Scope and Application Applies to all occupational exposures to respirable crystalline silica in construction work, except where employee exposure will remain below 0.25 mg/m3 as an 8-hour Time- weighed average under any foreseeable conditions.

  16. Written Exposure Control Plan Competent Person The employer shall designate a competent person to make frequent and regular inspections of job sites, materials, and equipment to implement the written exposure control plan. Competent Person - an individual who is capable of identifying existing and foreseeable silica hazards in the workplace and who has authorization to take prompt corrective measures to eliminate or minimize them.

  17. Written Exposure Control Plan Must contain at least the following elements Description of tasks that involve silica exposure Description of engineering controls, work practices and respiratory protection used for each task Description housekeeping methods Description of procedures used to restrict access to work areas, to minimize the number of employees exposed Must be evaluated and updated at least annually Must be readily accessible

  18. New OSHA Limits Passed in 2016 Permissible Exposure Limit (PEL) 50 ug/m3 as an 8-hr TWA for all forms of silica including quartz, cristobalite, and Tridymite Action Level 25 ug/m3 as an 8-hr TWA (same as current ACGIH TLV)

  19. 8-Hour TWA TWA = Time - Weighted Average 14 12 TWA 10 Exposure in PPM Levels vary over the shift duration 8 6 4 2 0 8:00 AM 9:00 AM 10:00 AM11:00 AM12:00 PM 1:00 PM 2:00 PM 3:00 PM 4:00 PM Time These limits protect from chronic diseases 8-hr TWA = (C1 x T1) + (C2 x T2) .. (Cn x Tn) 480 min

  20. 1926.1153 (c) Table 1 Specified Exposure Control Methods For each employee engaged in a task identified in Table 1 - Shall implement engineering controls, work practices, and respiratory protection required, unless - Employer assesses and limits the exposure of the employee to respirable crystalline silica in accordance with paragraph (d)

  21. Specified Exposure Control Methods Table 1 Employers who choose to follow engineering, work practice controls and respirator requirements in Table 1 do not have to conduct sampling or ensure employees are exposed below the PEL.

  22. Specified Exposure Control Methods Table 1 18 Job Tasks covered in Table 1 1. Stationary masonry saws 2. Handheld power saws 3. Handheld power saws for cutting fiberglass 4. Walk-behind saws 5. Drivable saws 6. Rig-mounted core saws or drills 7. Handheld and stand-mounted drills 8. Dowel drilling rigs for concrete 9. Vehicle-mounted drilling

  23. Specified Exposure Control Methods Table 1 18 Job Tasks covered in Table 1 (cont.) 10.Jackhammers and handheld powered chipping tools 11.Handheld grinders for mortar removal 12.Handheld grinders for other uses 13.Walk-behind milling machines and floor grinders 14.Small drivable milling machines 15.Large Drivable milling machines 16.Crushing machines 17.Heavy equipment and utility vehicles used to abrade or fracture silica-containing materials 18.Heavy equipment vehicles for tasks such as grading and excavating

  24. Table 1: Specified Exposure Control Methods

  25. Specified Exposure Control Methods When implementing the control specified in Table 1: For indoor tasks or tasked in enclosed areas, provided a means of exhaust as needed to to minimize the accumulation of visible airborne dust; For tasks performed using wet methods, apply water at flow rates sufficient to minimize release of visible dust;

  26. Specified Exposure Control Methods When implementing the control specified in Table 1 For measures implemented that include an enclosed cab or booth: Is maintained as free as practicable for settled dust; Has door seals and closing mechanisms that work properly; Has gaskets and seals in good condition and work properly Is under positive pressure maintained through continuous delivery of fresh air; Has intake air that is filtered through a filter that is 95% efficient

  27. Alternative Exposure Controls Employer shall ensure no employee is exposed in excess of PEL Exposure Assessment employer shall assess exposure of each employee who may be exposed at or above action level 1. Performance Option Use objective data or sampling to determine which tasks are likely to cause exposure over the AL 2. Scheduled Monitoring Perform initial sampling, for each employee, to determine which tasks cause exposure above the AL, then conduct periodic sampling afterwards

  28. Alternative Exposure Controls 1. Performance Option Use objective data or sampling to determine which tasks are likely to cause exposure over the AL 2. Scheduled Monitoring Perform initial sampling, for each employee, to determine which tasks cause exposure above the AL, then conduct periodic sampling afterwards

  29. Performance Option - Objective Data Information such as: Air monitoring data from industry-wide surveys or calculations based on the composition of a substance, demonstrating employee exposure to respirable crystalline silica associated with particular product or material or a specific process, task, or activity. Data must reflect workplace conditions closely resembling or with higher exposure potential.

  30. Objective Data - Recordkeeping Shall include at least the following information: The silica-containing material in questions The source of objective data The testing protocol and results of testing; Description of the process, task, or activity on which the data were based; and Other data relevant data

  31. Scheduled Monitoring Option If initial monitoring indicates exposures are below the AL, may discontinue monitoring for those employees Periodic monitoring At or above AL = repeat monitoring within 6 months Above the PEL = repeat monitoring within 3 months Must repeat monitoring until there are two consecutive measurements below AL

  32. Alternative Exposure Controls Employee Notification Within 5 working days after, employer shall notify each affected employee in writing or by posting the results in an appropriate location accessible to all affected employees When results indicate employees exposures are above the PEL, written notification with include the corrective action being taken to reduce exposures to or below the PEL.

  33. Silica and Use of Respirators Respirators must be used if silica dust can t be controlled with water or ventilation or when specified in Table 1 either or Air-purifying respirator with dust cartridge Supplied air respirator

  34. Filtering Facepieces Air inhaled in Air inhaled in Air exhaled out

  35. Assigned Protection Factor (APF) Defined: Workplace level of respiratory protection respirators are expected to provide when employer implements a continuing, effective respiratory protection program. Respirators must be selected according to Assigned Protection Factors (APF)

  36. Air Purifying Respirators Half mask filtering facepiece Half mask elastomeric Full facepiece elastomeric APF = 10 APF = 10 APF = 50 Source: OSHA Small Entity Compliance Guide Original Illustrations created by Attiliis & Associates

  37. Air Purifying Respirators Loose-Fitting Powered Loose-Fitting (Hooded) Powered Air-Purifying Respirator Air-Purifying Respirator (PAPR) APF = 25 (PAPR) APF = 25/1000 Source: OSHA Small Entity Compliance Guide Original Illustrations created by Attiliis & Associates

  38. Air Purifying Respirators Tight-Fitting Full Facepiece Tight-Fitting Half Facepiece Powered Air-Purifying Respirator Powered Air-Purifying Respirator (PAPR) APF = 1000 (PAPR) APF = 50 Source: OSHA Small Entity Compliance Guide Original Illustrations created by Attiliis & Associates

  39. Respiratory Protection Program Where respirators are required, you need: Written program Worksite-specific procedures Required elements: Training Fit testing Medical evaluations Care and maintenance Procedures for respirator selection Procedures for routine & emergency use

  40. Voluntary Use If employer permits voluntary use: Provide information in Appendix D Implement elements of written program necessary to ensure Medical ability to use Cleaned, stored, maintained to not cause health hazard Exception: Voluntary use of dust masks

  41. Respirator Training Training is required for anyone who wears a respirator. If you don t know how to use a respirator properly, you may think your respirator is providing protection when it is not. 27

  42. Housekeeping Dry sweeping is prohibitedunless wet sweeping, HEPA-filtered vacuuming, or other methods are not feasible Employer shall not allow compressed air to be used to clean clothing or surfaces unless: Compressed air is used in conjunction with ventilation system No alternative is feasible

  43. Medical Surveillance Construction Initial baseline examination must be made available for employees required by standard to use respirator for 30 or more days per year No cost to employee Reasonable time and place Performed by PLHCP Periodic examinations at least every three years

More Related Content