ANALYSES METHODOLOGY
Weighing of filters will be done on a five-decimal point (g) analytical microbalance.
Filters required for sampling must be marked according to the HEG and Area to be sampled and recorded in a register for quality control purposes. These filters must be acclimatised for at least 24-hours before pre-weighing.
In all cases filters must be pre and post weighed against reference filters from the same batch of filters.
After sampling, filters will be acclimatised again for at least 24-hours before post weighing. The mass of the airborne particulate collected will be ascertained. The filters will be sent to an Accredited Laboratory for chemical analyses to determine the pollutant concentration in the sample.
Weighing of filters will take place under controlled conditions in a dedicated weighing facility.
Samples to and from the weighing facility will be transported “right-side up”, in a vertical position, in a suitably marked sample box fitted with a handle and lined with high density foam to minimise any particulate loss resulting from bumping or vibration. The sample box will be equipped with a suitable locking mechanism to prevent inadvertent opening of the sampling box.
Fumes
Fumes are micro particulate matter and are sampled in the same way as other particulates with a total particulate sampling head.
Vapours
Certain HCS are generally in the liquid state at ambient temperatures. At increased temperatures HCS could convert into a gaseous state and will be sampled as gases.
Gases
Spot sampling of the working environment will be carried out by means of direct reading instruments where toxic gases may accumulate. Personal sampling of these gases will be conducted using VOC-badges, Dosi-tubes, depending on the gas to be monitored.Analysis must be done by a laboratory using national or inter national accepted standards.
E.g. NIOSH methods. Test House (SANS) and Gas Chrom Analytical Services and CSIR are being used.
REPORTING AND RECORDING
Activity area assessment records and reports.
Records of all relevant sampling and analyses information must be kept for a period of at least five years.
Deviations of sampling results must be recorded indicating reasons for the deviation e.g. failure of controls, high winds, rain, wearer not employed at correct working activity etc. (App 2. f/sheet)
Partial supervisors must ensure that the sampling effort is carried out efficiently and that all relevant information is recorded.
The partial supervisor must visit the wearer at least twice during the sampling shift to ensure that the sampling train is functioning effectively.
During this visit the partial supervisor must ensure that relevant PPE is worn and record his findings on the field sheet at the end of the sampling shift.
Monthly reports to the relevant managers must include results of sampling during the month with relevant information and recommendations where applicable.
OCCUPATIONAL MEDICAL SURVEILLANCE
Health Care Information:
– All risk related tasks have standard working procedures;
– These standard working procedures are reviewed regularly;
– All Employees are issued with relevant approved PPE for the task they have to perform.
– Employees are trained in the correct use, maintenance and limitations of PPE during training and periodically thereafter.
– Employees are provided with PPE.
– Health and safety committees have been established;
– The Drafting Committees are actively involved in their legally prescribed functions.
– Employees who are holders of First Aid Certificates are responsible for first aid treatment in the working place using the allocated first aid boxes.
– A qualified Occupational Health Nurse and assistants are employed full time.
– The mine has an equipped occupational Health centre.
– An Occupational Medical Practitioner is employed part time
– The surveillance for occupational health is risk based and is detailed in the Mines medical surveillance programme.
OCCUPATIONAL MEDICAL SURVEILLANCE PROGRAM
– Chapter 11 of the MHSA Regulations and Section 13 of the MHSA requirements re Occupational Medical Surveillance
– Occupational medical surveillance will be done on site at the occupational health clinic. Staff conducting medical examination will be competent in terms of the requirements of the MHSA.
– Records will be kept in a medically confidential fashion at the mine and computerised records will have appropriate access controls. These may be made available only in accordance with the ethics of medical practice, or if required by law or court order, or if the employee has in writing consented to the release of the information (section 15 of the MHSA)
– Employees are entitled to copies of, or copies or copies of parts of, medical surveillance records or records of occupational hygiene measurements that relate to themselves (section 19 of the MHSA)
– All reasonable steps will be taken to ensure that records of medical surveillance will be stored safely and not be destroyed or disposed of for 40 years from the last date of medical surveillance of an employee, as prescribed by the MHSA (sections 15(2) and 13(8))
– Medical surveillance procedures will be transparent and open to discussion with all role-players. Endeavours will be made to conduct these professionally, scientifically based on best reasonable current medical practice.
Linkage between occupational hygiene and medical surveillance.
– Occupational Hygiene results are used by the Occupational Hygienist to categorise the exposure HEGs and the HEG averages are summarised in a risk Matrix annually from where the Medical Practitioner are able to do the medical surveillance.
– Employees’ exposure to pollutants will be linked to the medical record of employees by means of the electronic system. Data will be transferred manually into the system from where the Occupational Health Practitioner can be able to retrieve exposure profile and history.
Categories of medical examinations at which medical surveillance must be carried out.
A procedure describing how the following examinations will be conducted:
(a) Initial Examination.
Will be done pre-employment. The OMP will conduct initial examination and baseline tests, appropriate to the health hazards and pollutants of the envisaged occupation. The above examination will include clinical examination, X-ray, lung function, audiometric tests and relevant random biological monitoring if indicated by risk based health risk assessment.
(b) Periodic Examination.
The OMP will ensure that serving employees are examined at intervals appropriate to:
– The health hazards they are exposed to:
– The inherent requirements of their specific occupation
– The results of any relevant risk assessments
– The above examination will include X Ray and Lung Function Tests
(c) Exit examination.
– The examination must be held within 14 days of the termination of employment.
– The OMP who conducts the examination will produce an exit certificate indicating the results of all the medical surveillance that the employee has undergone and whether or not the employee has any occupational disease or health disorder. The copy of the exit certificate will be entered into the record of the employee’s surveillance. The OMP will supply the employee with a copy of the exit certificate.
– The above examination will include X Ray, Lung Function and Audiometric Tests.
METHODOLOGICAL STANDARDS FOR TEST TECHNIQUES FORMING PART OF MEDICAL SURVEILLANCE
The employer will ensure that large film chest x-rays will be of suitable quality for proper classification of Pneumoconiosis. (ILO 1980 should be consulted).
Show the date, name of individual and any unique form of personal identification.
Lung function testing – refer to the MOHAC Guidance Note for OMP on lung function testing.
FVC, FEV1, and the FEV1/FVC ratio should be indicated
MEDICAL SURVEILLANCE ACCORDING TO HEALTH HAZARD
Medical surveillance for each hazard will be done in parallel. The same examination or test will be used for medical surveillance of more than one hazard.
Risk based medical surveillance (RBMS) Risk Matrix.
The medical surveillance is based on a Risk Matrix.
All the Occupational Hygiene results are rated on a matrix according to the measurements and assessments made by the Appointed Occupational hygienist. This matrix is then forwarded to the Occupational Medical practitioner and he will then complete the matrix by determine the surveillance and pre-placement examination.
The Matrix Rating
Very High Category A Above OEL
High Category B 50% to 100%
Substantial Risk Category C 10% to 50%
Tolerable Risk Category D < 10% and Short Term Exposures.
Potential Risk Very low exposure.
The following Table indicate the risk based medical surveillance programme. It will be updated on:
a) an annual base or
b) when there is a change in the process or
c) when there is any significant change in the hazard to which employees are exposed to.