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Occupational health risk assessment
1. Philippa Gibson
OCCUPATIONAL HEALTH RISK ASSESSMENT –
LEGAL COMPLIANCE AND UNCERTAINTIES
PREPARED FOR OHSIG September 2014
2. HEALTH AND SAFETY REFORM BILL (2014)
Duty to manage risk Section 22
1. eliminate risks
2. minimise risks
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3. RISK MANAGEMENT –
AS/NZS/ISO 31000:2009 Principals and guidelines
Risk
the effect of uncertainty on objectives
Risk management
coordinated activities to direct and control an
organization with regard to risk
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5. Risk assessment - AS/NZS ISO 31000:2009
Identification
(ID and describe)
Analysis
(nature and level)
Evaluation
(magnitude, acceptable/not)
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6. OCCUPATIONAL HEALTH RISK ASSESSMENT
• informs (is part of) the risk management process
• You must consider the strengths, uncertainties and
assumptions that affect on the overall risk assessment
Source: Environmental Health risk assessment Guidelines for assessing human
health risks from environmental hazards (Commonwealth of Australia, 2012)
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7. UNCERTAINTIES IN HEALTH RISK ASSESSMENT
RISK IDENTIFICATION
• what are the exposures?
• routes of exposure
• people exposed
• sensitive individuals
RISK ANALYSIS
• variation in exposure
• error – systematic and
random
RISK CRITERIA
• Workplace Exposure
Standards
• absence of exposure
criteria
RISK EVALUATION
• are results comparable
to criteria
• uncertainty and
variability in data
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8. RISK ANALYSIS UNCERTAINTIES – airborne exposure
Quantitative exposure assessment
• varied methods
• instrument limitations
• systematic error- sampling and analysis
• random error - variation in exposure
Qualitative exposure assessment e.g.
control banding
• model limitations
• modelling assumptions
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9. WES = 100 ppm
VARIATION IN EXPOSURE
140
120
100
80
60
40
20
0
Ethyl benzene exposure
0 10 20 30 40 50 60 70
Ethyl benzene concentration (ppm)
Sampling day
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10. RISK EVALUATION UNCERTAINTIES
(risk analysis + risk criteria)
Workplace Exposure Standard as risk criteria
• Compliance with the designated value does not
guarantee that all workers are protected from
discomfort or ill heath – (individual susceptibility)
• e.g. certain genetic variations increase risk of
developing occupational asthma from HDI isocyanate
• e.g. genetic polymorphisms give rise to varying risk of
developing cancer. e.g. variation in DNA repair genes,
differences in metabolism, enzyme polymorphisms
• Basis for the WES often ignored – health end point e.g.
dichloromethane - acutely toxic, skin and eye irritant, CNS,
suspected carcinogen, hepatotoxic, nephrotoxic, produces
carboxyhaemoglobin
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11. UNCERTAINTIES
“Lack of, or imperfect knowledge concerning the present
or future state of an organism, system, or
(sub)population under consideration, which may affect
its accuracy or relevance.
Uncertainty can be reduced, at least in principle,
by improving the quality and/or amount of
information.”
(Source: WHO, “Guidance Document on characterizing and
communicating uncertainty in exposure assessment”, 2008)
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12. HEALTH RISK ASSESSMENT
• Each step in the risk assessment process
introduces uncertainty
• We need to consider the effect of those
uncertainties on the risk evaluation
• What do we need to do to manage those
uncertainties to improve the risk assessment?
A duty imposed on a person under this Act to ensure health and safety requires the person—(a) to eliminate risks to health and safety, so far as is reasonably practicable; and (b) if it is not reasonably practicable to eliminate risks to health and safety, to minimise those risks so far as is reasonably practicable.
No general definition of ‘risk’ in regulations (except specifics e.g. lead risk work – leads to a blood lead level exceeding specific values,
High risk work (forklifts, scaffolding) A female of reproductive capacity— 10μg/dL (0.48μmol/L); or (b) in any other case—30μg/dL (1.45μmol/L).
NZ = 1.5μmol/L (no specific one for females)
GWRM review - The HSE Act focuses on the tangible management of hazards - including a detailed definition of a hazard - and does not refer to ‘risk’. However, requiring duty holders to take all practicable steps to manage hazards means that employers must take into account the likelihood of harm occurring. Risk management is therefore inherent in the process even though it is not explicitly referred to.
e.g. objective is zero harm , or compliance with HS law, or ensuring exposure is less than WES.
AS/NZS ISO 31000:2009 Risk management – principals and guidelines
Context:
Parameters to include when managing risk
Scope
Risk criteria - terms of reference against which the significance of a risk is evaluated.
Risk identification = Identifying and describing risk
Risk analysis= Nature and level of risk
Risk evaluation = Compare risk analysis to risk criteria – determine magnitude and is it acceptable/tolerable
Risk identification = Finding and describing risk
Risk analysis= Nature and level of risk
Risk criteria - terms of reference against which the significance of a risk is evaluated.
Risk evaluation = Compare risk analysis to risk criteria – determine magnitude and is it acceptable/tolerable
Qual model limitations – e.g. doesn’t cover the range of work activities needed.
Qual model assumptions – e.g. simple near field far field dispersion of contaminants, or underlying algorithm for exposure estimation based on flawed exposure data
Systematic errors - usually come from the measuring instruments e.g. mistakes in pump calibration, using pump at P/T without calibrating at the P/T, physical or chemical interference, sample degradation with storage, internal lab
random variation - season, interday, intraday, change in process, worker activities, temperature (re evaporation rate), seasonal changes causes change in natural ventilation, changes in the pump flow rate, collection efficiency, desorption efficiency
DCM HSNO = acutely toxic, skin and eye irritant, CNS, suspected carcinogen and target or system organ toxic hepatotoxic (liver)
TLV based on preventing CNS depression and reducing carboxyhaemoglobin. It metabolises to CO.
Risk evaluation = Compare risk analysis to risk criteria – determine magnitude and is it acceptable/tolerable
American Industrial Hygiene Association (AIHA) compliance = upper tolerance limit less than the WES.
UTL = 95% confident that 95% of the exposures fall below this level.