Implementing Rules and Regulations of Chapter 7 of the Code on Sanitation of the Philippines on Industrial Hygiene of the Sanitation Code of the Philippines Amending Administrative Order No. 111 S. 1991

, ; .1 lmplementing Rules and Regulations On Chapter VI 1 iNDUSTRIAL HYGIENE OF THE SANITATION CODE OF THE PHILIPPINES AMENDING ADMINISTRATIVE OROER NO. 111 S. 1991 .. DEPARTMENT OF HEALTH MANILA J TABLE OF CONTENTS FOREWORD IMPLEMENTING RULES AND REGULATIONS ON CHAPTER VII - INDUSTRIAL HYGIENE, P.D. 856 RULE RULE Il RULE 111 RULE IV RULE V RULE VI RULE VII 1 RULE VIII APPENDICES TABLE 1a TABLE 1b TABLE 1c TABLE 1d TABLE 2a TABLE 2b TABLE 2c Definition of Terms Responsibilities of the Secretary and the Local Government Unit Responsibilities of Employer, Employees and the Health and Safety Committee Application, Renewal, issuance and Revocation of the Sanitary Permit Requirements in the Operation of lndustrial Establishments Section 1 - Sanitary Facilities Section 2 - Environmental Control Section 3 - Persona! Protective Equipment Section 4 • Occupational Health Services Penal Provisions Separability and Repealing Clause Date of Effectivity Standard Drinking Water Facility Required Number of Toilet Bowls and Urinais Restroom and Dining Facilities Bathing/Washing Facility Permissible Noise Exposure Limits Threshold Umit Values for Impulsive or Impact Noise Recommended Exposure U:TJit Vaiues for Work in Hot Environment Expressed as WBGT, C 5 6 8 9 13 20 26 40 40 41 ii ii iii iv iv ~ ·; . ·\:·.'+ABLE 2d f °TABLE 2d(1) TABLE 3a TABLE 3b TABLE 3c TABLE 4 TABLE 5a TABLE 5b NCDCS/OH/IH/FORM 1 Illumination- Levels Efficacy Ranges and Color Rendering Indices of Various Lamps Medicines, Medical Supplies and Facilities Required Health Personnel Qualifications of Health Personnel TL V's for Chemical Substances in the Work Environment Types and Uses of Persona! Protective Equipment Protective Clothing Materials Registration Form NCDCS/OH/IH/FORM Il Inspection Report NCDCS/OH/IH/FORM Ill Annual Medical Report NCDCS/OH/IH/FORM IV Annual lndustrial Hygiene Report FOREWORD The pursuit of economic growth by the government through an accelerated industrial dcvelopment, saw the emergence and proliferation of various types and sizes of industries all over the country. This has tremendously improved the economy and increased employment opportunities. However, advances in technology in terms of the introduction of new chemicals, processes and techniques interlinked with development, brought forth the inevitable risks to life and limb resulting from increased exPQsure ofworkers to occupational health hazards, injuries and work-related illnesses. In the light ofthis reality, the response ofgovemment is to asswne a proactive stance to ensure that the fundamental task of safeguarding and promoting the well-being of the Filipino workers is not compromised nor relegated to the background. · ln 1991, fifteen (l-5) years after the promulgation of PD 856, otherwise known as the Sanitation Code of the Philippine, the Implementing Rules and Regulations (IRR) for Chapter VII - lndustrial Hygiene of the Code was formulated to give full force to the implementation of the provisions ofsaid chapter. The onset of globalization brings to the fore, the need to update and amend the existing IRR if we are to respond to the challenges confronting our workers as they constantly adjust to the demands of the time and the changes taking place in their work environment. This amended version of the IRR is the collective effort of our partners from the various sectors of society, representing the· different govemment agencies, NGOs, professional organizations, the academe, industry/management and tabor sector. It is hoped that enforcement of this IRR will translate into concrete action our aspiration to provide the nation's valuable hwnan resources with a healthier and safer work environment conducive to higher productivity and efficiency. ALBER Z, JR., M.D.,M.P.B. Secretary ofHealth IMPLEMENTING ROLES AND REGULATIONS (IRR) ON CHAPTER VII (INDUSTRIAL HYGIENE) OF THE SANITATION CODE OF THE PHILIPPINES, P.D. 856 AMENDING ADMINISTRATIVE ORDER·NO. 111 S. 1991 IMPLEMENTING RULES AND REGULATIONS (IRR). ON CHAPTER VII (INDUSTRIAL HYGIENE) OF THE SANITATION OF THE PHILIPPINES Pursuant to Section 4 of P.D. 856, The Code on Sanitation of the Philippines, the following Rules and Regulations on Chapter VII (Industrial Hygiene) of the Code are hereby issued for the guidance and strict compliance by all concerned. · RULE I DEFINITION OF TERMS Section 1. Definition of Terms A. Annual Examination - regular physical examination done once a year. B. ANS! - refers to American National Standard Institute. C. D. E. F. G. Company's Health and Safety Committee - the composition ofwhich shall be in accordance with the prescribed rules and regulations of the Labor Code of the Philippines and its implementing Rules and Regulatîons. Company's Medical Staff- includes company Physicians, Nurses, Dentists, and First-Aiders with adequate training on occupational health and safety. a. Full time - a service rendered for 8 hours/day; 48 hours/week. b. Part time - a service rendered for at least 4 hours/day, 12 to 24 hours/week as the case maybe. Department - the Department of Health Effluent - wastewater discharged into the environment resulting from process of industry, manufacturing, trade or business from the development, processing or recovery of any natural resources which may cause or tend to cause pollution, or contribute to the pollution. Emergençy Clinic - means an enclosed area, room or building located within the premises of the establishment and equipped with the necessary medical facilities and supplies, where workers maybe brought for examination and treatment of their injuries or illnesses in case of emergency, where more elaborate instruments and equipment (such as examining bed, oxygen funk) are made available for the workers and where the services of a more competent medical staff are provided, who may handle or treat a few simple cases of injuries or illnesses needing short-term confinement, or may refer such cases to hospitals. · r ··- .. - ·-•-·· ---- H. I. Emergency Treatment Room - meahs an enclosed area or room equipped with the necessary medical facilities and supplies, and located within the premises of the industrial establishment where workers maybe brought for examination and treatment of their injuries or il1ness in cases of emergency. Ergonomies - refers to the joint application of certain biological sciences and engineering techniques so as to ensure the optimum mutual adaptation of man and work. J. First-Aider - means any person trained and duly certified or qualified to administer first-aid by the Philippine National Red Cross (PNRC) or by any organization accredited by the same, K. First-Aid Treatment - means adequate, immediate and necessary medical and/or dental attendance or remedy given in case of injury or sudden illness suffered by the workers, . irrespective of whether or not such illness/injury is occupational in nature, before more extensive mcdical and/or dental treatment can be securcd. lt docs not include following treatment for an injury or illness. L. Foot Candie - a unit of illuminance on a surface that is everywhere Qne foot from a uniform source of light of one candie and equal to one lwnen per square foot. One foot candie = 1 O. 75 lux. M. .Glim. - refers to excessive luminance in the field of vision which disturbs the adaptation process of the retina produced by excessive light stimuli. N. Hazard - risk or danger to one• s health or life. O. Hazardous worlçplace - refers to an establishment where any or ail of the following conditions exist: 1) where the nature of work exposes the workers to dangerous environmental elements, contaminants or work conditions including ionizing radiation, chemicals, fire, flammable substances, noxious components and the like; 2) where the workers are engaged in construction work, logging, fire fighting, mining, quarrying, blasting, stevedoring, dock work, deep sea fishing/diving and mechanized fanning; 3) where the workers are engaged in the manufacture or handling of explosives and other pyrotechnie products; 4) where the workers used or are exposed to power driven or explosive powder actuated tools and equipment; and 5) where the workers are exposed to biological agents such as bacteria, fungi, viroses, protozoas, nematodes and other parasites. P. Industrial Establishment- refers to establishment which is either engaged in the manufacture, sale and distribution of goods or processing of raw materials into end products. Q. Industrial Hygiene - the science and art devoted to the anticipation, recognition and control of those environmental factors or stresses, arising in or from tpe workplace which cause sickness, impairs health and inefficiency among workers as well as the surrounding communities. R. Large Scal,e Industries - establishments employing two hundred (200) workers or more. S. Local Health Authority- the Governor, City or Municipal Mayor. 2 . j i r ;; ' f r r T. Local Health Officer - appointed employee of local govemment unit concemed who is a licensed medical physician. He is in charge of formulation and implementation of health policies, plans, programs, and projects of the people in the LGU concemed. U. Material Safety Data Sheet (MSDS) - the document that describes the identity of a substance which includes the following: product and company information; composition information on ingredients; hazards identification; first-aid measures; fire fighting measures; accidentai release; handling and storage; exposure controls and persona! protection; physical and chemical properties; stability and reactivity; toxicological information; ecological information; disposai considerations; transport and regulatory information. V. Medium-scale Industries - establishments employing fifty one (51) to one hundred ninety nine (199) workers. W. Non-hazardous workplace - refers to establishment where none of the condition (s) under hazardous workplace exists in the principal activity of the establishment. X. Occupational Health Personnel - refers to the qualified first-aider, nurse, dentist, or physician, whose seniice/services have been engaged by the employer in order to provide occupational health seniices in the establishrnent/undertaking. Y. Occupational Health Practitioner - refers to a physician, nurse, engineer, dentist or chemist and other qualified health professional duly licensed to practice his/her professions in the Philippines and possessing all of the additional qualifications required by the Departrnent. Z. Occupational Health Services - are services entrusted with essentially preventive functions and responsible for advising the employers, the workers. and their representatives, in the establishment/undertaking of the following: i. ii. iii. iv. V. vi. I. the requirements for establishing and maintammg a safe and healthy working environment which will facilitate optimal physical and mental health in relation to work; and 2. the adaptation of work to the capabilities of workers in the light of their state of physical and mental health. Outfall - the outlet of a drain or sewer. Pre-employment examination - physical examination conducted before an applicant is accepted or hired for employment. Sanitary Permit - a permit issued by the Local Health Officer a fier compliance with the prescribed sanitary and environmental/occupational health requirements. Secretae::•- the Secretary ofHealth Separation examination - physical examination conducted prior to the resignation or termination of the workers. Septic tank - a water-tight receptacle which receives the discharge of a plumbing system or part thereof and designed to accomplish the partial removal and digestion of suspended solid matter in the sewerage through a period of detention. vii. Sewer - the pipe line conveying sewage from the building to the septic tank or to any point of discharge. 3 u L vüi. Sewera,ge system - means pipeline or conduits, pumping station, force mains constructed drainage ditches, and ail other constructions, devices and appurtenances used for collecting or conducting sewage and industrial wastes or other wastes to a point of treatment discharge or ultimate disposai. ix. x. xi. xii. xiii. xiv. XV, xvi. ShAll - is construed to mean mandatory. Small-scale industries-- establishments employing fifty (50) workers or less. Special Examinations: 1. 2. 3 .. 4. 5. ECG (electroçardiogram) - special examination done to determine cardiac abnormalities. EEG (electroencephaloi:ram) - special examination done to detennine brain wave abnonnalities. Lung Function Test - special examination perfonned to detennine puhnonary functions and abnormalities. Audiometriç Examination - special examination done to dètect hearing abnormalities. Q ptometric Examination - special examination done to detennine the abnorm.alities of the eyes. Threshold Lirnit Values {TLVs) - refer to airbome concentration of substances that represent conditions under which it is believed that nearly alt workers may be repeatedly exposed day after day without adverse effect. Ymnin - refers to a smalt group of animais such as mice, rats, and insects which are vectors of diseases. 1. 2. Rats/Mice - refer to a small group of animais inhabiting hwnan households and premises which ue vectors of diseases. ~ - refers to any of the several kinds of arthropods which include flies, mosquitoes, cockroaches, fleas, lice and bedbugs which are vectors of diseases. V ennin and Insect Ahatement Program - a control scheme to eradicate or reduce the vennin/insect population. Waterworks - the system of reservoirs, channels, mains, pumping and purifying equipment by which a water supply is obtained and distributed. Workplace - means the office, premises or worksite, where the workers are habitually employed and shall include the office or place where the workers who have no fixed or defmite worksite, regularly report for assignment in the course of their employment. .. 4 f Section 1. RULEII RESPONSŒILITIES OF THE SECRETARY AND THE LOCAL GOVERNMENT UNIT Respônsibilities of the Secretary A. The Secretaty shall have the following powers and functions: 1. Fomiulates policies, standards, guidelines and programs for the promotion and protection of workers' health. 2. Prescribcs a list of Threshold Limit Values of atmospheric/environmental contaminants as a guide in appraising health hazards and evaluating control measures. 3. Reviews concentration values at regular intezyals to amend or modify the list where indicated. 4. Develops standards regarding other concentrations of short intermittent duration capable of causing acute impairment to health. S. Requires the control of other con~ants known or believed to be capable of causing impairment ofhealth but not included in the list already issued by th~ Department. 6. Prescn"bes control measures to eliminate/minimize industrial contaminants and infectious diseases caused by processing or handling industrial products or wast~. 7. Promulgates illumination standard values and orders their review at regular intervals to alter or amend values when indicated. · 8. 9. 10. 11. Promulgates measures to effectively and adequately control any possible radio-activity to which workers and the general public may be exposed. Promulgates measures to reduce hazardous workplace noise levels. Provides technical assistance to local govemment units for the implementation of Sanitation Code of the Philippines (PD 856) and its implementing rules and regulations. Monitors and evaluates the implementation of PD 856 in coordination with the local government units. 12. Conducts surveys and researches. 13. Recommends the suspension/revocation/closure of an establishment to concemed agencies found violating any of the provisions of the Sanitation Code and· its implementing rules and regulations. 14. Enforces the suspension/revocation/closure of an establishment under the following circumstances: a. when there is a serious tbreat to the heatth and safety of the workers and the ,. community; and b. when the tbreat is national in scope. 5 . --------·-·•'• .,. ·····•·~ Section 2. Responsibilities of the Local Government Unit A. Local Health Authority 1. Provides for the mandatory appointment of a provincial, city or municipal health officer and who shall perfonn both the sanitary and public health functions. 2. Exercifes jurisdiction over the enforcement of the Sanitation Code including its implementing rules and regulations in their localities subject to the standards set by the Department. 3. Issues licenses/business permits and suspends or revokes the same for any violations of the conditions upon which said licenses or permits had been issued, pursuant to existing laws or ordinances. 4. Enforces all laws, ordinances, rules and regulations relating to sanitation and public health. 5. Directs Local Health Officer to prepare and submit yearly reports to the Department. B. Local Health Officer 1. Leads the sanitary and industrial hygiene inspection of all industrial establishments to detennine their compliance with the sanitation code and its implementing rules and regulations. 2. Issues sanitary permit to all industrial establishments upon compliance with the prescribed requirements. 3. Recommends to Local Health Authority issuance of licenses/business permits and suspensions or revocation of the same for any violation of the condition upon which said licenses or permits had been issued, pursuant to existing laws and ordinances. 4. Coordinates with other gove!!'.:nent ag~ncies relative to the implementation of this implementing rules and regulations. 5. Attends to complaints related to industrial hygiene and recommends appropriate measures for immediate compliance. 6. Refers/elevates to higher authority unsolved issues in relation to industrial hygiene. 7. Prepares and submits yearly reports to the Department, Section 1. RULEIII RESPONSIBILITIES OF EMPLOYER, EMPLOYEES AND HEALIB AND SAFETY COMMITTEE Responsibilities of the Employer A. Provides,"installs and maintains in gcod condition all contrai facilities and j;rotective barriers for potential and actual hazards. 6 B. C. D. E. F. G. H. I. lnfonns ail affected employees regarding the nature of the hazar4s and the reasons for the control measures and protective equipment as provided under Rule V Section 3 ofthis IRR. Makes periodic testing for hearing capacity, visual acuity, and other health examinations as related to worker's exposure to potential or actual hazards in the workplace as enumerated in .B.llk...Y Section 2 of this IRR. Provides control measures to reduce noise, dust, heat and other hazards as enumerated to Ru]es Y Section 2 of this IRR. Provides adequate and appropriate personal protective equipment free of charge, when considered necessary in accordance to Rule Y Section 3 of this IRR. Ensures strict compliance on the regular use and proper maintenance of Persona} Protective Equipment (PPB). .,.. Provides his employees occupational health services and facilities in accordance with the provision under Rule Y Section 4 ofthis IRR. Creates and supports the activities/programs of the company's health and safety committee. Submits yearly reports required by the Department or the Local Health Authority. (NCDCS/OH/IH FORM Ill) Section 2. Responsibilities of the Employees A. Strictly observe and practice the use ofpersonal protective equipment and other control measures in accordance with the provision of Rule Y, Section 3, ofthis IRR. B. Observe the proper use and maintenance of equipment provided to them by their employers. C. Report. potential health hazards present in the working environment to company's health and safety committee. D. Cooperate in the conduct ofhealth and safety programs and inspection. E. AU employees shall undergo the following health examinations: 1. • 2. 3. 4. 5. 6. Section 3. Pre•employment Examination Annual Periodic Examination Retum to Work Medical Examination Transfer Examination Separation Examination Special Medical Examination (Optional) Responsibilities of the Company's Health and Safety Committee A. Plans and develops health maintenance and accident prevention programs for the establishment. B. Implements the health maintenance and accident prevention programs in accordance with the set govemment raies and regulations. C. Conducts regular safety meetings (at least once a month). 7 1 lL. D. Reviews reports of inspection, accident and illness investigations and implementation ofprogram. E. Submits progress reports to the manager/employer on a quarterly basis, F. Provides necessary assistance to government inspecting authorities during the condùct of inspection. G. Initiates and supervises health and safety trainings for employees. H. Develops and maintains a disaster contingency plan and organizes such emergency service units as may be necessary to handle disaster situations pursuant to the emergency preparedness manual for establishment of the Office of Civil Defense. 1. Furnishes the Department or the Local Health Authority, copy of the Illness Investigation Reports. RULE IV APPLICATION, RENEWAL, ISSUANCE AND REVOCATION OF THE SANITARY PERMIT Section 1. Prior to operation, all industrial establishments•shall obtain a sanitary permit from the Local Health Authority or his duly authorized representative under the following conditions: A. ARJ2lication of Sanitaxy Pennit 1. The application of sanitary permit for new establishment shall be filed at the city/municipal health office having jurisdiction over the establishment anytime before the actual operation. 2. A written application shall be required from the owner/manager of the establishment citing their intention and purpose for establishing such operation together with the duly accomplished registration form {NCDCS/OH/IH FORM I). Ali existing establishments prior to the approval of this IRR, shall also be required to submit registration fonn for record purposes. 3. The City/Municipal Health Office verifies the validity of the application and if found in order, schedule the establishment for inspection. B. Renewal ofSanitary Pennit C. 1. The renewal of sanitary permit shall be fil~ and done on or before the 20th day of January of the current year. 2. Late renewals shall be subjected to penalties. Issuance of Sanitmy Pennit 1. Before the issuance, the City/Municipal Health Team composed ofmunicipal/city health officer, sanitary engineer and or sanitation inspector conducts the actual inspection of .. establishment as scheduled using the prescribed inspection report fonn. {NCDCS/OH/IH FORMII) 8 D. 2. After inspection, a written report shall be made and duly signed by the team.members. If the results are favorable, CHO/MHO issues the sanitary permit. If not, a sanitary order shall be issued to that effect. 3. No sanitary ·permit either new or renewal shall be issued without the requisite of inspection. 4. Inspection and evaluation of the establishment shall be conducted at least once a year, to ensure the compliance with the requirements ofthis IRR. Revocation of Sanitazy Permit 1. After prior notice and hearing, the local health officer, if satisfied that the tenns of the two notices have not been complied with or that failure to comply therewith is not excusable, shall recommend to the Local Health Authority the revocation of the said permit, or; 2. After the second sanitary order on an extended grace period, a re~inspection was conducted and still the owner failed to comply with such order as reported by the sanitation inspector, the local health officer shall recommend the revocation of the sanitary permit without delay and shall inform other related agencies of the city or municipality of the revocation. 3. Lifting of suspension of permit maybe recornmended whenever the owner of the establishment satisfactorily corrected the defects. 4. The establishment owner may file a motion for reconsideration to the local health authority ifhe is not satisfied with the action of the city or municipal health officer . 5. . The local hèalth authority may file court proceedings against- any establishment continuously operating after the revocation of the said permit. Section 2. Fees A·. B. Corresponding fees shali be paid upon application or renewal of the sanitary permit according to the City/Municipal Ordinance promulgated. Fees payable resulting from penalties shall be such amount as existing law prescribed and or as set through City or Municipal Ordinances. RUL)l: V REQUIREMENTS IN THE OPERATION OF INDUSTRIAL ESTABLISHMENTS Section 1. Sanitary Facilities A. Water Supply. Adequate potable water supply shall be provided to ail employees. 1. Atrt adequate potable water supply approved as to source and distribution by the Department shall be provided in all piaces of employment. 9 2. Standard drinldng water facilities readily accessible to ail employees and approved type of drinking water facilities shall be provided to all employees in the ratio of one (1) facility for every fifty (50) employees. (See Table la of the Appendix) 3. Where a local or city waterworks system exists, the industrial establishment shall utilize water from the system or from its own water supply that complies with the IRR of Chapter II (Water Supply) of PD 856 and the prescribed water quality standards of the Philippine National Standard for Drinking Water (PNSDW), 1993. B. Sewera,ge System - Sewage works and treatment plants shall comply with the following requirements: C. 1. All establishments coyered by the system shall be connected to the sewer in areas where a sewerage system is available. 2. Completely treated effluent if confonnfug to the quality standards prescribed by Environmental Management Bureau-Department of Environment and Natural Resources (EMB-DENR) may be discharged into a body of water. 3. Storm water shall be discbarged to a storm sewer; only sanitary sewage shall be discharged to a sewerage system; but this should not prevent the installation of a combined system. 4. Properly designed grease traps shall be installed in establishments where the sewage carries a large amount of grease as determined and approved by EMB-DENR. Sçptic Ta,nk - Where a public sewerage system is not available, sewer outfalls from industrial establishments shall be discharged into a septic tank to be constructed in accordance with the following minimum requirements: 1. It shall be generally rectangular in shape. When a number of compartments are used, the first compartment shall have the capacity from one half (1/2) to two thirds (2/3) of the total volume of the tank and shall be water-tight. 2. 3. It shall be built of concrete, either pre-cast or poured-in-place. Bricks and concrete blocks may be used provided it confonns with Rule V Section 1 c ( 1) of this IRR. It sball not be constructed under any building and within 25 meters from any source of water supply. D. Disposai of Septic Ta,nk Effluent - The effluent from septic tank shall be discharged into a subsurface soil, absorption field where applicable or shall be treated with some type of purification device. The treated effluent may be discharged into a stream or body of water if it conforms to the quality standards prescribed by the (EMB-DENR}. E. Disposai of Industrial Wastes - The following requirements shall be complied with: 1. Ail taxie and hazardous wastes including nuclear wastes incident to the operation of the industrial plant shall be collected, stored or disposed of in a manner that will prevent health hazards, nuisance and pollution in accordance with the guidelines set by DENR­ DAO 29 (RA 6969). 10 1 l t f i 1 . • 2. Ail industrial establishm,.euts discharging toxic wastes shall submit a copy of the method of treatment approved and certified by the EMB-DENR to the Department or its duly authorized representatives. F. Compliance with Threshold Limit Values for Hazards - The air quality within the workplace shall be in accordance with the Th.reshold Limit Values for Hazards as adopted by the Department from the American Conference of Govemmental Industrial Hygienists - Threshold Limit Values (ACGIH-TLVs). G. Abatement Program for Vermin Control - An abatement program for the control of rats and insects shall be maintained · 1. A vermin abatement program shall be maintained in places by their owners, operators or administrators. 2. The procedure and frequency of vermin abatement program shall be determined and approved by the Municipal Health Offi.cer/City Health Officer. H. Facilities Reqyired. The following facilities shall be installed in all industrial establishments. (See Table lb-ld of the Appendix). 1. Adequate and suitable toilet and bath facilities for both male and female employees at the following ratio: 2 . a. b. C. d. Where the number of female employees exceeds one hundred (100), one (1) toilet for every twenty (20) female employees up to the first one hundred (100) and one (1) for evei:y thirty (30) thereafter. Where the number of male employees exceeds one hundred (100) one (1) toilet for every twenty five (25) males up to the first one hundred (100) and one (1) more for every forty (40) thereafter Where the number of males employed exceeds five hundred (500), it is sufficient to provide one ( l) toilet for every sixty { 60) males. In addition, male workers shall be provided with sufficient urinais in the same ratio with toilet bowl in accordance with Rule V Section 1 H ( 1) b and c of this IRR. Adequate restrooms and mess halls shall be provided for the employees at the following ratio: a. Where ten (10) or more workers are employed at any one time, at least one (1) restroom for each sex for their exclusive use shall be provided. b. Where less than ten (10) workers are employed and a restroom is not available, an equivalent space shall be provided which can be properly screened and made suitable for such use. 3. Dining facilities/mess halls shall be provided where there are ten (10) or more workers in an establishment. The recommended space requirement for four (4) workers is 10.80 sq~m., and for each additional employee, the minimum addition shall be at 0.90 sq.m. Il 1. J. 4. A separate bathing/washing facility for each sex shall be provided in the ratio of one bathing/washing facility for every twenty five (25) employees up to the first one hundred (100) and one more for every forty (40) thereafter. The following minimum standards shall be stri?tly observed: 1. Every toilet shall be provided with enclosure, partitioned off so as to provide/ensure privacy and shall have a proper door and fastenings, so doors shall be tight-fitting and self-closing. 2. In cases where persons of both sexes are employed, toilet and bath facilities for each sex shall be situated or partitioned so that the interior will not be visible even when the door of any facility is open from any place where persons of the other sex have to work or pass. 3. Iftoilet and bath facilities for one sex adjoin those for the other sex, the approaches shall be separate and toilet and bath facilities for each sex shall be properly indicated. Partition shall be made of concrete or other similar permanent materials. 4. Toilet and bath facilities shall be so arranged so as to be conveniently accessible to the workers at all times while they are at the estab~ishment and shall be kept clean and in orderly condition. 5. Every toilet and bath facility shall be sufficiently ventilated and well lîghted and shall not be joined with any workroom, kitchen or dining room, except through the open air or through an intervening ventilated space. 6. Urinais shall be so placed or screened so as not to be visible from other parts of the factory where employees work or pass. 7. Restrooms and mess halls shall be so arranged so as to be conveniently accessible to the workers and shall be kept clean and orderly at all tunes. 8. 9. The minimum space provided for a rest room for ten (10) workers shall be six (6.0) sq.m., and for each additional employee, the minimum addition shall be at least point two (0.2) sq.m. Bathing/washing facilities shall include a supply of clean running, hot and cold or warm water; soap; clean toweis; or other suitable means of cleaning or drying. 10. Adequate hand-washing facilities shall be so provided within or adjacent to toilet facilities. 11. Mechanical washing facilities for working clothes shall be provided to prevent contaminated clothes to be brought home. Working clothes shall be washed and/or dried between shifts on any job where the process is such that washing or drying is needed or a change of clothes shall be supplied to ensure that dry clothes are available upon retum to work. Workrooms and Work Equipment. Al! places of employment and ail workrooms, including machinery and equipment shall be kept clean and sanitary. 12 . l . r K. 1. All places of employment. passageways, storerooms, service rooms, machinery, equipment and supplies shall be kept in a clean/sanitary condition with all the unnecessary dusts, spillage and debris removed at regular intervals, frequent enough to maintain good housekeeping. 2. Where wet process is used, reasonable drainage shall be maintained, dry standing areas (platforms/false floors, mats, etc.) shall be provided. 3. Sweeping and cleaning shall be strictly done in such a manner so as to avoid dispersal of air contaminants/dust particles into the work environment. Location and Sitini:, The location and siting of industrial establishments shall be in compliance with existing policies, zoning laws, and ordinances. 1. 2. 3. No industrial establishments shall be allowed to be constructed in a non-industrial zone as prescribed by the City/Municipal or Provincial Planning and Development Office. Highly toxic and bazardous processes/operati.ons shall be segregated/sepai-ated from non­ hazardous establishments. In the case of old establishments, which were not covered by existing provisions of the zoning law, periodic environmental and occupational health monitoring are necessary. Section 2. Environmental Control A. Physical Hazards 1. N2is 1.1 Where noise levels are above the TLVs, one or more of the following control measure/s shall be adopted: .. a. Engineering Control a.1 Substitution with quieter moving parts of machines, materials or processes. . a.2 Proper upkeep and regular maintenance of machinery. a.3 Total or partial enclosure of noise producing equipment. a.4 Utilization of anti-vibration mountings. a.5 Treatment of the area with sound absorbing materials to decrease reverberation. a.6 Increase the distance or construct barriers between the work area and the noise source. a.7 Construct sound insulated remote control booths. b. Administrative b.l b.2 b.3 Change of job schedules. Rotation of workers When noise exposure cannot be controlled adequately by environmental changes, the use of hearing protection ~y workers is necessary. 1.2 Permissible Noise Exposure Limits (See Table 2a & 2b of the Appendix) 13 1 2. Vibration 2.1 The response of the vibrating surface shall be reduced by any of the following means: a. b. c. Interface damping (Friction} Application of layer of material with high internai tosses over the surface of the vibrating element. Designing the critical elements as "sandwich" structures. 3. Heat and Cold Stress 3.1 The adoption of the following control measures will enable workers to maintain -, a deep body temperature of 38°C and below: a. Decrease in the number of hours of physical work of the task. b. Modification of the number and duration of exposures. c. Modification of the thennal environrnent. d. Maintenance of normal thermal conditions of the rest areas. e. Use of appropriate work clothing. e. l Use of thick clothing, gloves and shoes. e.2 Use of aluminized reflective clothing. 3 .2 Recommended Exposure Limit Values for work in a hot environment expressed as WBGT, °C (See Table 2c of the Appendix) 4. Illumination 4.1. Ail places where persons work or pass or may have to work or pass in emergencies, shall be provided during time of use with adequate natural lighting or artificial lighting or both, suitable for the operation and the special type of work performed. a. Natural.Lighting a.1 Skylights and windows should be located and spaced so that daylight conditions are fairly uniform over the working area. a.2 Where necessary, skylights and windows should be provided with means to avoid glare. a.3 A regular system of cleaning skylights and windows should be established to ensure that they are kept clean at all times. b. Artificial Lighting (Quality) b. l Artificial lighting shall be provided when daylight fails or for area where the daylight illumination is not sufficient. b.2 The general lighting should be of unifonn level, widely distributed to avoid harsh shadow or strong contrast and free from direct or reflected glare. 14 1 i .. L b.3 Where intense local lighting is necessary, a combination of general and supplementary lighting at the point of work may be provided. b.4 Supplementary lighting shall be especially designed for the particular visual task and arranged or provided with shading or diffusing devices to prevent glare. Artificial Lighting (Intensity) (See Table 2d of the Appendix) c. l Artificial lighting shall be adequate at the place of work for the operation or work performed. c.2 A minimum of twenty (20) lux (2 foot candies) shall be provided for yards, roadways, and outside thorough fares. c.3 A minimum of fifty (50) lux (5 foot candies) shall be provided: c.3.1. Where discrimination of detail is not essential, such as handling coarse materials, coals or ashes, rough sorting or grinding of clay product; c.3.2. For passageways, corridors, stairways warehouses, storerooms for rough and bulky materials. c.4 A minimwn of 100 lux (10 foot candies) shall be provided: c.4.1. Where slight discrimination of detail is essential such as for the production of semi-finished iron and steel products, rough assembling, milling of grain, opening, picking and carding of cotton, or other primary operation in most of the industrial processes; and c.4.2 For engine and boiler rooms, passenger and freight elevators, crating and boxing departments, receiving and shippîng rooms, storerooms and stockrooms for medium and fine materials, locker rooms, toilets and washrooms. c.5 A minimum of 200 lux (20 foot candies) shall be provided where moderate discrimination of details is essential, such as for medium assembling, rough bench and machine work, rough inspection of testing of products, sewing light-colored textile or leather products, canning and preserving, meat packing, planing of lumber and veneering. c.6 A minimum of 300 lux (30 foot candies) shall be provided where close discrimination of details is essential such as for medium bench, and machine work, medium inspection, fine testing, flour grading, leather finishing and weaving cotton goods or light colored cloth/goods or for office desk work with intermittent reading and writing for filing and mail sorting. 15 5. c.7 c.8 c.9 c.10 A minimum of500 to 1,000 lux (50 to 100 foot candies) shall be provided where discrimination of fine details is involved under conditions of a fair degree of contrasts for long assembling, fine bench and machine work, fine inspection, fine ·polishing and bevelling of glass, fine wood-working and weaving dark colored cloth/goods or for accowiting, bookkeeping, drafting, stenographic work, typing or other prolonged close office desk work. A minimum of 1,000 lux (100 foot candies) shall be provided where discrimination of extremely fme details is involved under conditions of poor contrast for long periods of time, such as for extra fme assembling instrument, jewelry and '"';S watch manufactu.ring, grading and sorting tobacco products, '\: make-up and proof-reading in printing plants, and inspection : :{1 of sewing dark-colored cloth products. The provisions of paragraph c2 to c8 apply to lighting equipment under average operating conditions. Where conditions allow, it maybe necessary to provide initially an illumination of at least 25% more. In locations where dirt will collect rapidly, the initial level should be at least 50% above the recommended standards. Any windowless room shall be provided with general lighting sufficient in inténsity for the most exacting operation carried therein. Note: 1 foot candie= 10.75 lux For purposes of computation, use 1 foot candie = 10.0 lux d. Emergency Lighting d. l Where large number of persons are employed in buildings more than one storey in height, emergency lighting shall be provided in ail important stairways, exits, workplaces and passages. d.2 Emergency systems shall be capable of producing and maintaining for at least one ( 1) hour a minimum intensity of 5 lux ( 0.5 foot candie) and shall bave an energy source independent of the general lighting system installation. d.3 Provisions shall be made for the automatic lighting of the emergency system immediately upon failure of the general lighting system. Radiation 5.1 Provisions for ionizing and non-ionizing radiations shall follow the standards set by the Philippine Nuclear Research Institute (PNRJ) and the Radiation Health Service (RHS) of the Department. 16 t l i i' f ) L 6. General Ventilation 6.1. Natural or artificial means shall be provided to insure a safe and healthy working atmosphere which is free from injurious amounts of toxic materials and reasonably free from offensive odors and dust throughout the establishments. The natural air supply in any workroom shall in no instance be less than 0.45 cubic meter per second per person. A ventilation rate of 0.90 cubic meter per second per person is desirable in workrooms in which the work is ardous. 6.2 6.3 All industrial establishments where recognized or established hazards exists, from dusts, fumes, mists, vapors, gases or other means of control is deemed not adequate by the health authorities, such contaminated air shall be diluted with a sufficient amount of clean air so that the concentration of the toxic materials shall be reduced below the maximum allowable concentration for such contaminants. All equipment and processes that emit or create harmful dust, fumes, vapors, and gases in quantities that can injure the health of those exposed shall thereto be connected to an exhaust system or otherwise effectively controlled. 6.4 A complete exhaust system shall include an air suction device, hoods, ducts, fans objectors, separators and receptacles and all the other parts necessary for its proper installation, its inlet velocities shall be regulated at: 6.5 a. b. 0.61 meter/second for inlets between 2.44 to 3.66 meters above the floor. 2.54 meter/second for inlets between 3.66 to 4.88 meters above the floor. c. 5.08 meter/second for inlets more than 5.49 meters above the floor. All exhaust system shall discharge to the outside atmosphere provided however, that air may be recirculated if it is passed through a suitable cleaning device and is safe and wholesome when reused. The amount cf uir recirculated in workrooms shall not exceed seventy five (75%) percent and in plants and dining rooms shall not exceed fifty (50%) percent. 6.6 The point of discharge of an exhaust system shall be so located so that the discharge materials shall not re-enter places of employment or habitation, nor create hazard to the public nor cause any general nuisance. 6.7 Air shall be provided and distributed in all workrooms as required in this implementing rules and regulations and outside air shall be provided to all workrooms at the rate of 0.48 cubic meter per minute per person, or one-half air change per hour whichever is greater. 6.8 Air circulated in workrooms shall be supplied through air inlets arranged, located and equipped so that workers are not subjected to air velocities exceeding 1.02 meter per second except under special circumstances specified in this IRR or approved by the Department. 17 7. Local Exhaust Ventilation 7.1 The air velocity and/or rate of air flow required through a hood, booth enclosure, other points of ventilation and through the pipes shall be maintained at all times whenever the machine or process for which the ventilation is applied is in operation or use. 7.2 The effectiveness of every lQcal exhaust ventilation system shall be judged according to: a. The ability of the hoods. booths or other openings to produce a movement of air toward the opening is sufficient to prevent the escape of the contaminant to the workroom beyond the maximum allowable concentration set-up by the Department. b. The ability of the air flow and main ducts shall be sufficient to transport the contaminant through branch and main ducts without settling. 7 .3 Piping shall be lQcated so as to be accessible for inspection and maintenance. 7.4 Air flow equipment including hoods, pipes, fan motors and collectors shall be effectively grounded. 7.5 Two or more operations involving more than one substance 'shall not be pennitted to be connected to the same exhaust system when a combination of such substances being removed may constitute fire hazard, an explosion hazard, or otherwise dangerous mixture. 7.6 Processes or operations using or generating flammable dust, gases, fumes, vapors, mists. fibers or other impurities shall be protected completely from all sources of ignition. 7. 7 The capacity of an exhaust system shall be calculated on the basis of all hoods, booths, and enclosures connected to the system being open, except where the system is so interlocked that only a portion of it can be operated at a given time, in which case of the capacity shall be calculated on the basis that all of the hoods in the group requiring the greater volume rate of exhaust are open. 7 .8 Exhaust system holding dust discharging to the outer air shall be provided with suitable air cleaning devices to remove air contaminants prior to the discharge to the outer air unless otherwise approved by the Department or meets the air quality standards as provided for by the air pollution rules and regalations of the EMB-DENR. 7 .9 The discharge from any exhaust system shall be such that no air contaminants will enter any window, door or other opening of any work space in quantities sufficient to create health hazards to such space or create a nuisance to surrounding areas. 7.10 Collected materials shall be removed at intervals frequent enough to insure that the exhaust system shall meet the requirements of the Rule V, Section 2-6, of this IRR at ail tunes. 7 .11 Collected materials shall be disposed of in a manner. which will not result in a health hazard. 18 fr 1 ! 7.12 Suitable air inlets shall be provided for replacement of fresh air. B. Chemical Hazards C. D. 1. Substitution oftoxic substances to non-toxic substances shall be applied in cases where it is possible and less hazardous processes shall be utilized whenever applicable. 2. Material Safety Data Sheet {MSDS) shall be provided by manufacturers/distributors/ suppliers and shall be made available to agencies/workers upon request. 3. Isolation/enclosure/interposing of a barrier between a hazard and those who might be affected by the hazard shall be applied. 4. Proper ventilation and lighting of the hazardous area/s shall be provided. 5. The number ofworkers exposed shall be reduced to a minimum. 6, Proper persona! protective equipment sha1l be wom by workers. 7. Safety and health education of the workers shall be implemented. Biological Agents 1. Proper personal protective equipment with special emphasis on gloves, masks, aprons, and water resistant shoes like rubber boots shall be wom by workers at all times. 2. Control measures shall be provided to eliminate or control the transmission of infectious diseases through processing or handling of industrial products or wastes. Ergonomies 1. AU work procedures shall be in such a manner that it will not produce undue stress to the musculo-skeletal system of workers. · 1.1 Provide instructional materials and orientation in proper sitting, standing and lying postures in the workplace. 1.2 Workroom furnitures and equipment shall be designed to prevent stress on musculo-skeletal system of the workers. 1.3 Male workers shall not be allowed to lift, carry or move any load more than 50 kg. and female workers over 25 kg. Weight over 50 kg. shall be handled or carried by more than one worker; by mechanical means; or with appropriate back support. E. Monitoring 1. Measurement of the various hazards shall be done at regular intervats according to the guidelines set by the Department as well as by the Department of Labor and EJ;llployment. 2. Working environment measurement shall include ternperature, humidity, pressure, illumination, ventilation, concentration of substances and noise. 19 1 1 3. 4. S. 6. Section 3. The employer shall cany out the working envirorunent measurement in indoor or other workplaces where hazardous work is perfonned and shall keep a record of such measurement which shall be made available to the enforcing authority. The working environment measurement shall be perforrned periodically as may be necessary but not longer than annuaUy. The working environment measurement shall be perforrned by the medical and safety personnel who have taken adequate training and experience in working environment measurement. In the event of inability to perform the working environment measurement, the employer shall commission the Department or the Department of Labor and Employrnent, to perform the measurement. Persona! Protective Equipment A. Persona} protective equipment (PPE) shall be used whenever engineering and administrative control measures are not feasible or insufficient/inadequate as specified in Rule V, Section 2, of this IRR. B. Persona! protective equipment and/or protective barrier shall be provided whenever necessary by reason of the hazardous nature of the process or envirorunent, chernical or radiological or other mechanical irritants or hazards capable of causing injury or impainnent in the functions of any part of the body through absorption, inhalation orphysical contact. C. AU persona! protective equipment shall be of the Department's approved design and construction appropriate for the exposure and the work to be performed. D. No persan shall be subjected or exposed to hazardous environrnental condition without protection. List of personal protective equipment recommended for use and shall be fitted to each exposed worker whenever necessary. (See Table Sa and 5b of the Appendix) 1. Eye and Face Protection 1.1 Eye and face protective equipment shall conforrn with the following minimum requirements: a. Provide adequate protection against the particular hazard for which they are designed or intended; b. c. d. e. f. Be reasonably comfortable to use; Fit smugly and shall not unduly interfere with the movements of the user; Be durable, easily c!eaned and capable ofbeing disinfected; Be kept clean and in good condition; and Be of the approved type. 20 2. 1.2 Whenever eye protection is needed, persans whose visions require the use of corrective lenses shall wear goggle~ or spectacles of any of the following types: a. Spectacles which provide optical corrections; b. Goggles that can be worn over corrective spectacles without disturbing the adjustment of the spectacles; or c. Goggles that incorporate corrective lenses mounted behind the protective lenses. 1.3 Limitations and precautions indicated by the manufacturer shaU be transmitted to the user and care shall be taken to ensure that such limitations and precautions are strictly fo!lowed and observed. 1.4 For purposes of design, construction, testing, use of eye and face protection, the American National Standards for Occupational Eye and Face Protection Equipment (ANSI z87.l - 1968) is adopted. Respiratory Protection 2.1 Appropriate respirators shall be fumished by the employers when such equipment are necessary to protect the health of the employees. 2.2 Respiratory Protective Program shall include the following: a. Proper selection of respira tors on the basis of the hazards to which the worker is exposed. b. C. d. Suffi.dent instruction and training in the proper use and limitations of respirators. When practicable, the assignment of respirators to individual workers for their exclusive use. Regular cleaning and disinfecting of the respirators. Respirators issued for the exclusive use of one worker shall be cleaned after each day's use as often as necessary. Those used by two or more workers shall be thoroughly cleaned and disinfected after each use. e. Appropriate examination and testing of the conditions of the work area in order to assure that the allowable degree of employee exposure is màintained and to determine the effectiveness of the control measures. 2.3 For purposes of proper selection, design, construction, testing and use of respirators, the latest recommendation of the American National Standards Practices for Respiratory Protection (ANS! z88.2 - 1059) or its equivalent is adopted. 2.4 Standard procedures shall be developed for the use ofrespirators. These should include all information and guidance necessary for their proper selection, use and care. Possible emergency uses of respirators should be anticipated and planned for. 21 2.5 Written procedures sliall be prepared covering saf e use of respirators in dangerous atm.ospheres that might be encountered in normal operations or in .,-t emergencies. All personnel shall be familiar with these procedures and the right respÜ'ators to use. a. Workers in enclosed toxic or oxygen-deficient atmosphere shall be assisted in case of accident by at least one additional worker stationed in an area unaffected by the incident and provided with proper rescue equipment to assist the other ( s) in case of emergency. Communication ( visual, voice, or signal line) shall be maintained among the individuals preseni. b. When self-contained breathing apparatus or hose masks with blower are used in atmospheres dangerous to life or health, standby men must be present with suitable rescue equipment. c. Persons using air-line respirator in atmospheres hazardous to life or health shall be equipped with safety hamesses and safety lines for lifting or removing persons from hazardous atmospheres or other equivalent provisions for the rescue of person. A standby men equipped with appropriate rescue equipment must be present. 2.6 For the safe use of any respirator, the workers shall be properly instructed in its selection, use and maintenance. 2.7 A program for the maintenance and care of respirators shall be adopted to the type of plant, working conditions and hazards involved and shall include the following basic services: a. inspection for defects including leak check; b. cleaning and disinfecting; and c. repair and storage 3. Head Protection 2.8 Appropriate Head Protection shall be furnished by the employer where such equipment are necessary to protect the safety of the employees. a. Hard hats for the protection of workers from impact penetration from falling and flying abjects, blows and from limited electric shock and bums shall be provided where there is reasonable probability of exposure to such hazards. b. Hard bats shall be made of non-combustible or slow buming materials and when used in electrical environment shall be non-conductors of electricity. C. d. The total weight of a complete hard bat should not be more than 0.45 kg. (16 ounces). Hard hat shall have a brim ail around to provide protection for the head, face and back of the neck. 22 4. 5. ~ ' (, • . ~ L e. Hard hat without brirn and low crown may be allowed only in confined spaces. f. The cradle and sweatband of bard hat shall be detachable and replaceable. g. For work in excessive moisture, bard bat shall be made of waterproof material. b. For the puxpose of proper selection, design, construction, testing and use of head protectors, the American National Standards Safety Requirement for Industrial Head Protection (ANSI z59-1-1969) is adopted. Hair Protection 4.1 Ail workers with long hair employed around machinery shall completely cover their hair with well-fitting caps or other equivalent protection. For better protection, workers shall be advised to have short hair. 4.2. Caps shall be made of materials not easily flammable and sufficiently durable to withstand regular laundering, disinfecting and cleaning. Hand and Ann Protection 5.1 5.2 5.3 5.4 5.5 5.6 When selecting gloves, consideration should be given to the hazards to which the wearer may be exposed to and the ease and free movement of the fingers. Gloves shall not be wom by workers operating drills, punch presses or other machinery in which the hand may be caught by moving parts. Gloves, mittens, and leathers, or pads for workers handling sharp edged or abrasive objects shalt be made of tough materials and where necessary provided with special reinforcement. Gloves, mittens and sleeves for workers handling hot metals shall be made of suitable heat resisting materials. Gloves and sleeves for electrical workers shall be made of rubber or other suitable materials conforming with the test requirements on dielectric strength. Gauntlets for workers handling corrosive substances such as acids and caustics, shall be made of natural rubber, synthetic rubber or pliable plastic material resistant to corrosion. 5.7 Gauntlets for protecting workers against the action of toxic, irritating or infectious substances shall: a. Cover the foreann as much as possible; b. have a closed fit at the upper end; and c. not have the slightest break. Gloves tom during use shall be replaced immediately. 23 6. 7. Hearing Protection 6.1 The systematic and correct use of ear protectors can prevent hearing loss and other noise-induced hearing impairment. Individual ear protectors include ear plugs, earmuffs and hearing protective helmets. 6.2 Mandatory use of hearing protectors are necessary when the sound level within a workplace exceed the 90 dBA for an 8 hour working period. 6.3 Numerous types of earplugs are made offibrous materials impregnated with oils· or consisting of wax-like mastic, rubber and other polymers, or of solid cores covered with soft materials. The different shapes and dimensions of externat ear canais make it necessary for manufacturer to design various standard sizes. 6.4 Earmuffs are almost hemispheric cups made of light alloys or plastics, and filled with fibrous and porous materiats. Absorbent to ensure a comfortable and tight fit around the ear they are provided with air or liquids with high internai fonction (glycerine, minerai oil). 6.5 Ear protectors of whatever type should ensure efficient noise attenuation of the noise penetrating into the externat ear canal. 6.6 A distinction must be made between requirements of individual ear protectors against powerful noise occurring for short periods during the work shift, against noise with clearly defined tow or hîgh frequency spectra and against broad-band industrial noise to which workers are exposed during the entire shift. 6.7 Protection against powerful noise can only be achieved with highly efficient ear protectors, i.e. helmets which are made of rigid materials with built-in earmuffs tightly fitting to the head. 6.8 Earmuffs for low frequency noise must have large volume and relatively heavy muff shells, those for high frequency noise must be light with small shells filled with sound absorbent material, welt fitting around ear with their sealing rims. 6.9 The attenuation specifications for ear protectors fall into the groups A, B and C for both earmuffs and earplugs. These specifications allow for existing types of ear protectors and should pemùt for wearing them in comf ort for four ( 4) hours without interruption. 6.10 Earplugs for repeated use should be availabte in standard sizes to ensure good individual fit; their weight is not specified but should not exceed 10 g. Safü~ B!i:lt~. Lif~ Lin!:<~ and S!!fe~ N~~ 7.1 Workers working in unguarded surface above open pits or tanks, steep slopes, moving machinery and similar locations, or working from unguarded surfaces six (6) meters (20 ft.) or more above water or ground, temporary or permanent floor platform, scaffold construction or where otherwise exposed to the possibility of falls hazardous to life or limb, shall be secured by safety belts and lifelines. In situations where safety belts and lifelines in guarded platforms and scaffolds or temporary floors are not feasible, safety nets shall be provided and installed. 24 ~ .. i. 7.2 Window washers or cleaners working outside buildings six (6) meters (20 ft.) or more above the ground or other surfaces unless protected from falling by other means, shall use safety belts attacbed to suitable anchors. · 7.3 Workers entering a sewer, flue, duct or other similarly confmed places shall be provided and required to wear safety belts with life lines attached and held by another person stationed at the opening ready to respond to agreed signais. 7.4 Workers who are required to climb and work on top of poles six (6) meters or more shall use safety belts. On top of structures where there is no place to strap a safety belt, a messenger line shall be installed for strapping the safety belt or lifeline. 7.S Requirements: .. a. Safety belts shall be made of chromed tanned leather, linen or cotton webbing or 9ther suitable materials at least 11.5 cm. (4 ½ in.) wide and 0.65 cm. (1/4 in.) thick and ofsufficient strength to support a weight of 114 kg. (250 lbs.) withaut breaking. b. Hardware used for safety belts should have a strength of approximately equal to the strength of the waist band. Buckles shalt hold securely without slippage or other failure. This holding power should be achieved by only a single insertion of the strap through the buckle in the normal or usual way. c. Belt anchors shall be made of metal machined from bar stock, forged or heat treated, capable of supporting a pull of 2730 kg. (6,000 lbs.) without fracture applied in the direction which the anchor must withstand should a man fall. AU anchors and fastenings shall be provided with means to prevent tuming, backing off or becoming loose. Anchor fittings with single thread section which is merely screwed into reinforcing plates shall not be used. Metals recommended for belt anchors are nickel, copper alloy and stainless steel. d. Lifelines shall be rr.ade of good quality manila rope of at least 1.9 cm. (3/4 in.) diameter or equivalent material such as nylon rope of at least 1.27 cm. (1/2 in.) diameter and shall be of sufficient strength to support a weight of 1140 kg. (2500 lbs.) without breaking. e. f. Safety nets shall not be less than 0.94 cm. (3/8 in.) diameter mesh ropes and not less than 1.90 cm. (3/4 in.} diameter border ropes (perimeter) made of manila rope or other materials that can absorb the impact of a falling body equally as nets fabricated from manila rope of the dimensions specified. The mesh shall be arranged not to exceed 15.25 cm. (6 in.) on centers positively and securely attached to avoid wear at each crossing point and at points of contact with the border. Safety nets shall be equipped with adequately padded thimbler sockets or equivalent means of attachments. Supports and anchorages shall be of sufficient size and strength to catch any falling worker. The nets shall be attached to sufficient supports outside and beyond the area of possible fall and supported at sufficient heights to prevent sagging to any solid object beneath when cushioning the fall of a worker. 25 g. Safety belts, lifelines and safety nets shall be inspected before use and at least once each week thereafter. Defective belts, lines or nets shall be immediately discarded and replaced or repaired before reuse. 8. Use of Safety Shoes Section 4. 8.1 Workers shall be provided with approved safety shoes and leg protection whenever necessary as detennined by the nature of work. Occupational Health Services A. Health Services shall be provided to all employees in accordance with the mies and regulations prescribed hereunder by the Department and Department of Labor and Einployment. B. Coverage: 1. This section shall apply to ail industrial establishments including govemment-owned or controlled corporations. 2 The Dental Health Service of the Department shall be responsible for the development and enforcement of dental health standards. C. Occupational Health Services: 1. Functions: Without prejudice to the responsibility of each employer for the health and safety of the workers in his employment, and with due regard to the necessity for the workers to participate in matters of occupational health and safety, occupational health services shall have the following functions as are adequate and appropriate to the occupational risks of the establishment/undertaking. 1.1 Identification and assessment of the risks from health hazards in the workplace; 1.2 Surveillance of the factors in the working environment and working practices which may affect the workers' health, including sanitary installations, canteens, and housing where these facilities are provided by the employer; 1.3 Advice on planning and organization of work, including the design of the workplace, on the choice, maintenance and condition of machinery and other equipment, and on substances used in work; . 1.4 Participation in the development of programs/projects for the improvement of working practices as well as testing and evaluation for the possible health eff ects brought about by the new equipment; 1.5 Advice on occupational health, safety and hygiene, as well as on ergonomies and personal protective equipment; 1.6 1.7 .. 1.8 Surveillance ofworkers' health in relation to work; Promotion of the adaptation of work to the workers and vice versa; Collaboration in providing information, trainiug and education in the fields of occupational liealth, industrial hygiene, occupational medicine and ergonomies; 26 1.9 Organization of first-aid and emergency treatment; and 1.10 Participation in the evaluation and analysis of occupational diseases and accidents. D. Organization and Preventive Services: 1. Occupational health services maybe organized by: 1.1 the establishment/undertaking; 1.2 government authorities or official services recognized by the Bureau of Working Conditions, DOLE and the Department; 1.3 social security institution; · 1.4 any other bodies authorized by the Bureau of Working Condition. DOLE and the Department; 1.5 a combination ofany of the above. 2. Occupational Health Services organized as a service for a single small-scale establishment shall have an occupational health practitioner as one of its personnel, who shall conduct the inspection of the workplace. 3. 1.6 at least once every two (2) months for hazardous small-scale establishment employing 1-50 workers; 1. 7 at least once every month for hazardous small-scale establishment employing 51-99 workers; 1.8 at least once every six ( 6) months for non-hazardous establishment employing 1 99 workers. Occupational Health Services organized as a service for a single, non-hazardous medium­ scale establishment employing 100 to 199 workers, shall have an occupational health practitioner as one of its personnel who shall conduct an inspection of the workplace at least once every three (3) months. 4. Occupational health services organized as a single, hazardous medium-scale establishment employing 100 to 199 workers shall have a part-time occupational health physicians as one of its personnel, who shall perfonn the duties of an occupational health physician as provided for under Rule Y Section 4 G (1), ofthis IRR. S. For hazardous and non-hazardous large-scale establishments employing 200 workers and more, occupational health services shall be organized as a service solely for a single establishment/undertaking, and shall have a part-time or full-time occupational health physicia.n. in accordance with the provisions of Rule Y Section 4 E as one of its personnel Such occupational health physician shall perform the duties of an occupational health physician as provided for under RuJe Y Section 4 G ( 1 ). of this IRR . .. 27 7. When an occupational health service is organized as a service common to a number of . establishments/undertakings, the following regulations shall be followed: .: · 7.1 for small-scale industries within. contiguous area, the total number of establishments shall not exceed ten ( 1 O); .... ,. 7.2 for medium-scale industries within contiguous area, the total number of establishments shall not exceed four ( 4). E. Emergency Health Services 1. Medicines and Facilities 1.1 Every employer covered by this IRR shall keep in his workplace at least the minimum quanticy of emergency and essential medicines, medical supplies and equipment and medical facilities listed in Table IIIa (Appendix) on medicines, supplies and facilities, for the use of the workers· employed in the establishment/undertaking. 1.2· The medicines, medical supplies and facilities prescribed in Table IIIa may be substituted with other comparable medicines and/or facilities as prescribed by the occupational health physician of the workplace. 1.3 The medicines, medical supplies and facilities prescribed in Table IIIa shall be kept inside the treatment room/medical clinic required under Rule V Section 4 E ill and shall be replaced with the same quanticy immediately after use or consumption. 2. Medical and Dental Services: (See Table 3b of the Appendix for the required health personnel) For hazardous workplaces: 2.1 Where the number of workers is from 1 to 50, the services of a full-time first­ aider shall be provided, who may be one of the workers in the workplace and who has inunediate access to the first-aid medicine prescribed in Rule V Section il of this IRR. 2.2 Where the number of workers is from 51 to 99, the services of a part-time occupational health nurse shall be provided, who shall stay in the premises of 2.3 the workplace at least four (4) hours a day, six (6) tiines a week. Where there are more than one work shift in a day, the Nurse shall stay at the workplace during the shift which has the biggest number of workers. The services of a full-time first-aider including the maintenance of an emergency treatment room for workers shall also be provided. Where the number of workers is from 100 to 199, the services of a part-time occupational health physician and a part-time dentist shall be provided, each of whom shall stay in the premises of the workplace at least four (4) hours a day, three (3) times a week, and each one working on altemate days with the other, where there are more thàn one work shift in a day, the physician and the dentist shall stay in the workplace during the shift which has the biggest number of workers. In addition, the services of a full-time occupational health nurse and a full-time first-aider shall be provided. An emergency treatment room shall be maintained in the place of employment. 28 l . } • ~ i 2.4 Where the number of workers is from 200 to 600, the services of a part-rime occupational health physician and a part-time dentist shall be provided, each of whom shall stay in the premises of the workplace at least four (4) hours a day, six {6) times a week, and each working in altemate periods with the other. Where there are more tllan one work shift in a day, the physician and tlle dentist shall stay at the workplace during the shift which has the biggest number of workers. The services of a full-time occupational health nurse and a full-time first-aider shall also be provided. An emergency medical clinic for workers shall be maintained in the place of employment. 2.5 Where the number of workers is from 601 to 2000, the services of a full-time occupational health physician shall be provided who shall stay in the premises of the workplace eight (8) hours a day, six (6) tirnes a week in altemate periods with the other. The services of a full-time dentist shall also be provided. The physician and the dentist shall stay at the workplace during the shift which has the biggest number of workers. The services of a full-time occupational health nurse and a full-time first.,aider shall be provided for every shift. An emergency medical and dental clinic for workers shall be maintained in the place of employment. 2.6 Where the number of workers is more that 2000, provisions shall be made for the services of a full-time occupational health physician and a full time dentist, each ofwhom shall stay in the premises of the workplace eight {8) hours a day, six (6) times a week during the work shift which has the biggest number of workers. In addition, provisions shall likewise be made for the"services of one (1) part-time occupational health physician for each of the other work shifts who shall stay in the premises of the workplace at least four (4) heurs a day, six (6) times a week. The services of a full-time occupational health nurse and a full­ time first-aider shall also be provided for every work shift. An emergency hospital having a bed capacity of one (1) bed for every one hundred (100) workers and a dental clinic shall be maintained in the place of employment. 2. 7 Every employer of industrial establishments having factories/plants using, manufacturing or formulating pesticides under toxicity categories I and II of the World Health Organîzation (WHO) toxicity classification standards shall provide the following: a. b. c. d . .. a medical clinic within 100 meters ofworking areas in the fonnulating/ manufacturing plant; the services of a competent full-time occupational health physician who shall stay in the medical clinic provided for above, at least eight (8) hours a day during the work shift which has the biggest number of workers; a bathroom with showers and eye wash facilities within or beside the medical clinic; and an examining table with capacity to allow trendelenburg position. 29 For Non-Hazardous Workplaces 2.8 Where the number of workers is from l to 99, the services of full-time first­ aider shall be provided who maybe one of the workers in the workplace and who has immediate access to the first-aid medicines prescribed under Rule V Section il, of this IRR. Where the num.ber ofworkers is from 51 to 99, an emergency treatment room shall be provided. 2.9 Where the number of workers is from 100 to 199, the services of a part-time occupational health nurse ~hall be provided who shall stay in the premises of the workplace at least four (4) hours a day, six (6) times a week. Where there are more than one work shift in a day, the nurse shall stay in the workplace during the shift which has the biggest number of workers. The services of a full-time first-aider shall be provided. An emergency treatment room for workers shal1 be maintained in the place of employment. 2.10 Where the number of workers is from 200 to 600, the services of a part-tune occupational health physician and a part-time dentist shall be provided, each of whom shall stay in the premises of the workplace at least four (4) hours a day, three (3) times a week, on alternate days with the other. Where there are more than one work shift in a day, the physician and the dentist shall stay in the workplace during the shift which has the biggest number of workers. In addition, the services of a full-time occupational health nurse and a full-time first-aider shall be provided. An emergency treatmem room for workers shall be maintained in the place of employment. 2.11 Where the number of workers is from 601 to 2,000, the services of a pan-time occupational health physician and a part-time dentist shall be provided, each of whom shall stay in the premises of the workplace at least four ( 4) hours, a day, six (6) .times a week working in altemate periods with the other. Where there are more than one work shift in a day, the physician and the dentist shaJl stay in the workplace during the shift which has the biggest number of workers. The services of a full-time occupational health nurse and a full-time first-aider shall also be provided. An emergency clinic for the workers shall be maintained in the place of employment. 2.12 Where the number of workers is more than 2,000, the services of a full-time occupational health physician and a full-time dentist shall be provided each of whom shall stay in the premises of the workplace eight (8) hours a day, six (6) times a week during the work shift which has the biggest number of workers. ln addition, the services ofone (1) part-time occupational health physician for each of the other workshift shall be provided, who shall stay in the premises of the workplace at least four (4) a day, six (6) times a week. The services of a full­ time occupational health nurse and full-tune first-aider for every workshift shall also be provided. An emergency medical and dental clinic for workers shall be maintained in the place of employment. For both hazardous and non-hazardous workplaces 2.13 Where there are more than one workshift in a day, additional services of a full­ time first-aider for every work shift shall be provided. 30 '1 1 1 1 1 j, L 2.14 Where only a treatment room is provided for the workers, in case of emergency, access to the nearest medical/dental clinic or to a medical/dental clinic located not more than 5 kilometers away from the workplace shall àlso be provided. Such access shall be in the form of providing the necessary transportation facilities and a written agreement with the medical/dental clinic to attend to such emergencies brought to them. 2.15 The physician/dentist required to stay in the workplace during the work shift having the biggest number of workers shall be subject to call at any titne during the other shifts to attend to emergencies. 3. Emergency Hospital 3.1 An employer may not establish an emergency hospital or dental clinic in bis workplace as required in this IRR provided there is a hospital and dental clinic which is located not more than five (5) kilometers away from the workplace, if situated in an urban area or which can be reached in twenty-five (25) minutes of travel, if situated in a rural area, and the employer bas facilities readily available for transporting workers to the hospital or clinic in case of emergency. For purpose of this IRR, the employer shall enter into written contract with the hospital and dental clinic for the use of such hospital/clinic in the treannent of workers in case of emergency. However, this $hall not excuse the employer from maintaining in bis workplace an emergency treatment room for his workers. 4. Contracts for Occupational Health Services: 4.1 Contracts for occupational health practitioner services entered into by employer shall only be with occupational health practitioners and/or occupational health clinics accredited by the Bureau of Working Conditions, DOLE and the Department. 4.2 No occupational health practitioner, whether acting singly or as part of a group/association, shall enter into a contract for occupational health practitioner services with more than ten ( l 0) establishments. 4.3 No part-tiine occupational health physician/nurse shall enter into contract for occupational health services with more than four (4) establishments. 4.4 When full-time occupational health physician/nurse who is also a qualified occupational health practitioner, has entered into a contract for occupational health services with one (1) establishment, he/she shall not engaged himself/herself, with or without a written contract, for the same services with any other establishment. 4.5 '4.6 .. Under no circumstances shall an employer enter into a retainership contract for health services in place of the occupational health services provided for under Rule V. Section 4, ofthis IRR. The employer shall fumish the Department and the local health authority concemed a copy of each of the contract for Occupational Health Services . 31 F. Training and Qualifications of Health Personnel 1. Qualifications Li A first-aider must be able to read and write and must have completed a·course in first-aid conducted by the Philippine National Red Cross (PNRC} or any organization accredited by the same. 1.2 A nurse must have passed the examination given by the Board of Examiners for Nurses and duly licensed to practice nursing in the Philippines with at least fifty (50) hours of Basic training in occupational nursing conducted by the Bureau of Working Condition or the regional office concemed, the College of Public Health of the University of the Philippines, or by any institution/organization accredited by the former. 1.3 A physician, whether part-time or full-time, must have passed the examination given by the Board of Examiners for Physicians, is licensed to practice medicine in the Philippines, and a graduate of the Basic Training Course in occupational health medicine conducted by the Bureau of Working Condition, DOLE, the College of Public Health of the University of the Philippines, or by any institution/organization duly accredited by the former. 1.4 A physician engaged by the employer of a hazardous establishment employing more than 2,000 workers, to be its full-time occupational health physician must have, in addition to the qualifications required under Rule V, Section 4 F 1.3 , of this IRR, a diploma or master's degree in occupational health or industrial health or its equivalent or completed a residency training program in occupational medicine, must be duly certified by the Bureau of Working Conditions, and must have registered with the DOLE, Regional Office. 1.5 A dentist, whether part-time or full-time, must have passed the examination given by the Board of Examiners for Dentists, is licensed to practice dentistry in the Philippines, and bas completed a basic rraining course in occupational dentistry conducted by the Dental Health Service of the Department or any organization duly accredited by the same. 1.6 An occupational health practitioner, as defined under Rule I, Section i, of this IRR must have all of the following qualifications: .a. a graduate of an advanced training course in occupational health and safety conducted by the Bureau of Working Condition, DOLE, the College of Public Health of the University of the Philippines, or any institution/organizatîon duly authorized/accredited or recognized by the fonner; b. must have had at least five (5) years experience in the field of or practice of occupational health and safety; c. must be duly certified/accredited by the Bureau of Working Condition, DOLE: and d. must have registered with the DOLE-Regional Office concemed. 32 .... ---. G. i. t 1 2. Opportunity for Training 2.1 Physicians, Dentists and Nurses who do not possess the speciat training qualifications provided for in Rule Y, Section 4 F,.of this IRR. shall within six ( 6) months from the date of employment, comply with this requirement. 2.2 Alt employ~rs w'ithout the required trained first-aider on the date of this IRR sball, within six (6) months, have the required number of bis workers undergo the prescribed training in first-aid. 3. Refresher Training 3.1 The occupational health personnel and .the first-aiders of every establishments shall undergo a minimum of eight (8) hours refresher training course in their respective fields at least once a year. Duties of the Health Personnel 1. 2. Duties of the Occupational Health Physician: 1.1 Organizes, administers and maintains an occupational health service program integrating therein an occupational safety program; 1.2 Monitors the work environment for health hazards through periodic inspection of the workplace; 1.3 Prevents diseases or injuries in the workplace by establishing proper medical supervision over substances used, processes and work envii'onmerit; 1.4 Conserves the health of the workers through periodic physical exanùnations, proper advice for placement and health education; 1.5 Provides medical and surgical care to restore health and eaming capacity of injured workers; 1.6 Maintains and analyzes records of all medical cases and to prepare and submit to the employer annual medical reports as required by this IRR; 1.7 Conducts studies on occupational health within his means and resources; 1.8 Acts as adviser to management and labor on all health matters; and 1.9 Reports directly to top management in order to be effective. Duties of the Occupational Health Dentist 2.1 2.2 . Plans, organize and establish a comprehensive dental health program integrating occupational health, hygiene and safety to promote a high level oral health of the workers; Conducts a complete and thorough oral ex.amination of the workers in addition to the required pre-employment physical examination and certifies whether the workers is "orally fit or not"; 33 '~-·' i j 2.3 2.4 2.5 2.6 2.7 2.8 2 .9 2.10 2.11 2.12 2.13 2.14 2.15 2.16 2.17 Conducts ·oral examination of the workers during employment at least once a year in a non-hazardous workplace and periodic oral examination as may be deemed necessary upon the request of supervisors in work areas which are hazardous in nature; Using x-ray and other diagnostic aids, conducts a complete thorough oral examination of workers in hazardous work areas who are leaving the company and certifies whether a workers is suffering or not from occupational diseases of the hard and soft tissues of the oral cavity; Conducts oral examination of workers treated and recovered from contagious oral diseases to certify whether they are fit to retum to wo1k or not; Repo!t,S to Company physician and supervisors for immediate and appropriate action, cases of occupational oral diseases detected after oral examination during employment which cannot be attended to by the dental service; Attends to emergency dental cases so that the worker can go back to work as soon as possible; Provides prompt treatment and/or referrals of occupational and non-occupational oral diseases; In hazardous work areas, it is the responsibility of the occupational dentist to recommend to management that worker shall be provided with suitable protective equipment/devices to protect them from occupational hazards; Gives chairside instructions white treating the patients, explains and discusses with him his oral condition and recommends positive actions with emphasis on good and proper nutrition that the worker can take to improve his oral health; Participates actively with other health personnel in the preparation of health education materials, as well as disseminating health information to the workers and thru them to members oftheir families; Should be recommended and serves as member of the Health and Safety Committee including investigation of accidents and inspection of workplaces; Coordinates with the supply officer of the industrial establishment in establishing a regular schedule in the procurement of needed equipment, dental materials and supplies; Submits for the approval of the management tbrough the Budget Officer, budget estimates to operate and maintain adequate standards of dental services for a period of at least one calendar or fiscal year; Complies and maintains a complete record of oral examinations, treatments, and/or referrals done for each patient; Submits periodic reports of accomplishments to the employer; Submits dental reports to the employer and to the Departrnent or the Local Health Authority; 34 2.18 Evaluates the ·occupational dental health service/program of the establishment annually and makes a report of such evaluation and recommendation to management; 2.19 Coordinates his activities with the activities of the other members of the health staff; 2.20 Performs such other duties that may be assigned by his employer. 2.21 Other Responsibilities: The occupational health dentist should know the extent and magnitude of the oral problems of the workers. This information will provided him the basis for organizing, planning, implementing, monitoring and evaluating dental care programs; its effects and cost benefits as well as recommending budgetary requirements. 3. Duties of the Occupational Health Nurse 3.1 In the absence of a physician, organizes and administers a health service program integrating occupational hygiene and safety, otherwise, these activities of the nurse shall be in accordance with the physician; 3.2 Provides nursing care to injured or il1 workers; 3.3 Participates in health maintenance examination. If a physician is not available, to perform work activities which are within the scope allowed by the nursing profession and if more extensive examinations are needed, to refer the same to a physician; 3.4 3.5 Participates in the maintenance of occupational health, hygiene and safety by giving suggestions in the improvement of working environment affecting the health and well-being of the workers; and Maintains a reporting and recording system, and if a physician is not available, prepares and submits an annual report to the employer and the Department or the Local Health Authority as reguired by this IRR. 4. Duties of the First-Aider 4.1 Gives imrnediate temporary treatment in case of injury or illness, before the services of a physician becomes available. If the case needs a physician, the first aider shatl immediately call or refer the injured to one; 4:2 Participates in the maintenance of occupational health, hygiene and safety programs, if a member of the health and safety committee; and 4.3 Maintains medical services and facilities. 5. Duties of the Occupational Health Practitioner 5.'l Advises the employers, the workers and their representatives in the workplace the necessary requirements in establishing and rnaintaining a healthy and safe working environment which will facilitate optimal physical and mental health for workers; 35 5.2 S.3 5.4 Conducts· periodic inspection of the workplace as required under Rule ~ -~; Section 4 E. ofthis IRR; · .::t . 1 Acts as adviser to the employer, workers and their representatives in matter8 < conceming the organization, administration and maintenance of an occupatiolllll .. ) health program; and · -~:, Maintains a reporting and recording system and prepares and submits an annual -.} medical report to the employer and to the Department or the Local Health j;: Authority as required by this m.R. ?\ ' . . H. Occupational Health Program i:~ 1. Aside fr~m the responsfüilities of the employer under Rule III. Section 1, of this IRR the )t employer shall organize and maintain an occupational health program to achieve the \t following objectives: ·t ., 1.1 Assess the workers' physical, emotional and psychological assets as well as his ·., liabilities in order to facilitate his proper placement and ensure the suitability of ;. individuals according to their physical capacities, mental abilities and emotional ·:::1· make-up in work which they can perform with an acceptable degree of efficiency without endangering their own health and safety and that of their co­ workers; 1.2 Protect employees against bealth hazards in their working environment in order to prevent occupational as well as non-occupational diseases; 1.3 Provision for füst-aid, emergency services and treatment depending on the nature of the industry; 1.4 Assure adequate medical care of i11 and injured workers; 1.S Encourage persona] health maintenance and physical fitness and proper nutrition practices; and 1.6 Provide guidance, infonnation and services for the family planning programs. 2. The Health Program shall include the following activities: 2.1 Maintenance of a healthy work environment by requiring occupational health personnel to conduct regular appraisal of sanitary conditions, periodic inspection of premises. including all facilities therein, and evaluate the working environment in order to detect and appraise occupational health hazards and environmental conditions affecting comfort and job efficiency; 2.2 Health Examinations " a. b. C. d. e. Entrance or pre-employment Periodic or Annual Examination Special Examination Transfer Examination Separation Examination 36 .. 2.3 Diagnosis and Treatment of all injuries and occupational and n~n-occupational diseases; 2.4 Immunization and family planning programs; 2.5 Accurate and complete records of each worker starting from bis first examination or treatment, which must be under the exclusive custody and control of the occupational health persot1Ile1. Such records shall be made available to the worker or bis duly authorized representative and shall not be used for discriminatory purpose or in any other manner prejudicial to his interest. 2.6 Health Education and Counselling in which the occupational health and safety personnel shall cooperate with the supervisors in imparting appropriate health and safety information to employees, such as health hazards and proper precautionary habits of cleanliness, orderliness, safe work practices, use and maintenance of approved personal protective equipment and the use of available health services and facilities; and 2. 7 Nutrition program which shall be under the dietician and supervised by a physician if the latter is present. 1. Physical Examination 1. Ali workers, irrespective of age and sex, shall undergo physical examination: 2. 3. 4. 1.1 before entering employment for the first time; 1.2 periodically, or at such intervals as may be necessary on account of the conditions or risks involved in the work; 1.3 when transferred or separated from employment; and 1.4 when injured or ill. Ail ~aminations shall: 2.1 be complete and thorough 2.2 be rendered free of charge to the workers; and 2.3 include x-ray or special laboratory examinations when necessary due to the peculiar nature of the employment. The results of these physical examinations shall be recorded carefully and legibly on appropriate fonns by the health service personnel charged with such responsibility. Records of physical examinations and all infonnation obtained by the health personnel shall be considered strictly confidential. 37 5. Pre-employment/Pre-placement Physical Examinations 5.1 a: . to detennine the physical condition of the prospe ctive employe~ âÜ , ,:· .,. - ·•tlme ofhirin;g;<and <; ,,.-'- ·:· -, ,-· ', :'.-'.:"-- ·:,:" ·· · =· ,::' ·· ,, ·. , '?"'-:'.• b. · to prevent .the" placement of a-wôrker'.:01f:à job --wliere'. tliroûghf~l . physical or"nien~l defects, he :rilay bé dàri.gerous to bis féllow. work. · or to property. · · }rX 5.2 Pre-employment physical exa~ation shall: 5.3 a. 'b~ · a ~e~;~l. ,cÜ~ic~i':;è~~~tl·o~'./·~~hiding · -~pecial laborato examinations when necessacy:'d-uê t<)the'pëculiar nature ofthè wdrkét ptospective;employinënt;'.,\v<;,.,;~':éi>i<>·: ;:· · ·· · ', •· >· - ~-,}) b. include chest x-ray examfuations. Under the foilowing circùmstanc{ c. · x-ray examination shall be rèndered free of charge: • · \i ., .- . . . ' . '. .- , -.·. ':. ,; , ~--i~~ where the employer or· establishment is required by these'IRR. to engage the services of an Occupational Health Physiciari and where there are x~ray facilities in the establishment; where the employer does not maintain such facilities, x-ray { examinations ·shall be conducted by the govemment clinics or \}J: hospitals; the occupational health physician and private , -fî. clinics or hospitals when-applicants are referred to them. · ··:rft m ail other instances, the applicant sball pay- the cost of the lf examination. · ;\i~ At the completion of the examit~.ation, the applicant shall be rated as follows: :·?{; a. b. C. Class A - Physically fit for any work Class B - Physically under-developed or with corrective defects, ( e:r;ror of refraction, dental caries, defective hearing and other similar defects) but otherwise fit to work. · Class C - Employable but owing to certain impairments or conditions (heart disease, hypertension; anatomical defects) requires special placement or limited duty in a specified or selected assignment requiring follow-up treatment/periodic evaluation. d. Class D - Unfit or unsafe for any type of employment (active PTB, advanced heart disease with threatened failure, malignant hypertension and other similar illnesses ). \,]ù \~,..f..:-: ·)ft. '\{? ., ;•:~ . . . "'.!:t 6. Periodic/Annual Medical Examinations a J 6.i Shall be as complete and as thorough as the pre-employment examinations and include general clinical examinations. 38 1 f I'. 1 ! r , ; ' i 6.2 Shall include all special examinations and/or investigations deemed necessary for the diagnosis of these diseases which will be free of charge in case the workers are exposed to occupational health hazards. 6.3 Shall include, whenever feasible, a chest x-ray examination at least once a year which shall be rendered free of charge to the workers. 6.4 Shall be as frequent as the nature of employment may warrant taking into consideration the special hazards involved and their relative importance. 6.5 Shall include regular biochemical monitoring which shall be conducted free of charge for workers exposed to toxic substances/pesticides classified under toxicity categories I & II of the World Health Organization (WHO) toxicity classification standards. 6.6 Shall have an interval of not longer than one year between two (2) consecutive periodic physical examinations. 7. ln occupation where there is a risk to the health of the worker either due to toxic substances they handle or of the environment in which they work, only persons who are pronounced medically fit shall be employed. 8. When occupational diseases have been detected in workers and continued employment might jeopardize their health, their employment shall be- discontinued until after their complete or satisfactory recovery. If circumstances permit, such workers shall meanwhile be given some other job consistent with their state of health and which shall not impede or retard their recovery. 9. Transfer Ex.aminations 11. 9.1 Applicants examined for employment and accepted for specific work or job shall not be transferred to another work or job until they have been examined by the physician and certified that the transfer is medicallly advisable. Other Special Examinations 10.1 Special examinations maybe required where there is undue exposure to health hazards, such as lead, mercury, hydrogen sulfide, sulfur dioxide, nitroglycol and other similar substances. Retum to Work Examinations 11.1 to detect if illness of the worker is still contagious; 11.2 to determine whether the worker is fit to retum to work; and 11.3 after prolonged absence for health reasons, for the purpose of detennining its possible occupational causes. 39 12. Separation from Employment Exanùnation 12.1 to determine if the employee is suffering from any occupational diseases; 12.2 to determine whether he is suffering frorn any injury or illness which has not completely healed; and 12.3 to determine whether he has sustained an injury. RULE VI PENAL PROVISIONS Section 1. Any person who shall violate, disobey, refuse, omit or neglect to comply with any of the provisions ofthese implementing rules and regulations shall be guilty ofmisdemeanor and upon conviction shall be punished by imprisonment for a period not exceeding six (6) months or by a fine not exceeding PI,000 or both. Section 2. Any person who shall interfere with or hinder or oppose any officer, agent, or member of the Department or of the Bureaus, Offices, Services and Regional Offices under it, provincial, city or municipal health officers, sanitary engineers, and sanitation inspectors of the Local Govemment Units in the perfonnance of his duty as provided for under these rules and regulations, or shall tear down, mutilate, deface or alter any placard, or notice affixed to the premises in the enforcement of these implementing rules and regulations shall be guilty of a misdemeanor and punishable upon conviction by imprisonment for a period not exceeding six (6) months or by a fine not exceeding PI,000 or both depending upon the discretion of the court. Section 3. Any person, firm corporation or entity who shall operate an industrial establishment without the necessary sanitary permit shall be subjected to the sarne penal provision as specified in B.Yk VI, Sections 1 and 2, ofthis IRR. RULE VII SEPARABILITY AND REPEALING CLAUSES Section 1. In the event that any rule, section, paragraph, sentence, clause or word of this IRR is declared invalid for any reason, the other provision thereof shall not be affected thereby. Section 2. All pertinent rules and regulations which are inconsistent with the provisions of this IRR are hereby repealed or amended accordingly. 40 l RULE VIII DATE OF EFFECTIVITY This implementing rules and regulations shall take effect after fifteen (15) days from the date of publication in the official gazette or a newspaper of general circulation. Da.te or Publication, 1 January 199 9 Philippine Daily In~uirer 41 JR.,M.D.,MP .H. Secretary of Health : APPENDICES :,! ' rJ ~ 1 J'f R t l ~ -i 1. ~ ~ . ·j j • f ,: ~ ; ' . , l TABLE la-STANDARD DRINKING WATER (SDW) FACILITY* NO. OF SDW FACILITY NO. OF EMPLOYEES 1 l - 50 2 51 - 100 3 101 - 150 4 151 -200 5 201-250 Refers to faucet, fountain, dispenser or any other suitable means. TABLE lb- REQUIRED NUMBER OF TOI LET BOW~S AND URINALS NO. OF WORKERS NO. OF TOILET BOWLS NO. OF URINALS Male 1 - 25 1 1 26 - 50 2 2 51 - 75 3 3 76 - 100 4 4 101 - 140 5 5 141-180 6 6 181 -220 7 7 221 -260 8 8 261 - 300 9 9 301 - 340 10 10 341-380 11 11 381 -420 12 12 421 -460 13 13 461 - 500 !4 14 ' 501 -560 15 15 561 -620 16 16 621 -680 17 17 681 -740 18 18 741 - 800 19 19 Female 1 - 20 1 21 - 40 2 41 - 60 3 61 - 80 4 - 81 - 100 5 JO! - 130 6 ·-131 ·- 160 7 161 - 190 8 191 - 220 9 · 221 - 2.50 10 TAULE Ic--RESTROOM AND DlNING FACILITIES FACILJTY RECOl\11\-IEND[W SPACE NO. OF EMPLOYimS IŒSTROOM 6sq. m. 10 or less 6.2 sq. m. 11 6.4 Sq. Ill. 12 6.6 Stj. Ill. 13 6.8 sq. m. ·-r4 - ·-· 7.0 sq. m. 15 7 .2 sq: Ill. ·--16 . , 7.4 sq. m. 1r .. .,. ,, 7.6 sq. m. I 8 7.8 sq. m. 19 8.0 sq. m. 20 · DINING/MESS HALL 10.80 sq. m .. 4 or lcss ··--· 11.70 sq. m. 5 .. 12.60 sq. m . 6 -... 13.50 sq. m. 7 ·· , ..,. ··-·--------- 14.40 S(f. Ill. 8 ---~-- ·-15.30 sq. Ill. 9 ---- ·------- 10 --16.20 sq. m. ...,. ....... ~ TABLE Id - BATHING/WASHING FACILITY NO. OF BATHING/WASHING FACILITY NO. OF-EMPLOYEES 1 1 - 25 2-,----------1--------2-,-6---50 3 51 - 75 ; 4 7(i - 100 5 ------,-01 - ~14..,.,..0 1----·-----------------+---- ---· 6 141 - 180 i-----------~--------~---------..,...,... 7 181 - 220 8 -----------,2,-,-21 - 260 9 261 - ·-3-0(-) l O ,, 30-1 - 340 Il l 1 ~ 1 ,, ~ ; 1 TABLE 2a- PERMISSII3LE NOISE EXPOSURE LIMITS. DURATION/DA Y (HOURS) SOUNO LEVEL (dBA+) 8 90 6 92 4 95 3 97 2 100 l½ 102 l 105 ½ 110 ¼ 115* + Sound Level in decibels are measured on a sound level rneter, weighted network with slow meter response. * No exposure is allowed to continuous intermittent in excess of 115 dBA 111 c L ....... . TA BLE 2b - THRESHOLD LIMIT V A LUES FOR IMPULSIVE OR IMPACT NOISE SOUND LEVEL (dB*) 140 130 120 PERMITTED NO. OF IMPULSES OR . IMPACTS/DA Y 100 1,000 10,000 • Decibels peak sound pressure level: re 20 uPa . wo Cont 75% 50% 25% TABLE2c-RECOMMENDED EXPOSURE LIMITVALUES FOR WORK IN A HOT ENVIRONMENT EXPRESSED AS WBGT, oC. w 0 R K L 0 A D RK/REST REGIMEN LIGHT MEDIUM I-IEAVY inuous Work 30.0 26.7 25.0 Work - 25% Rest/Hour 30.6 28.0 25.9 Work - 50% Rest/Hour 31.4 29.4 27.9 Work - 75% Rest/Hour 32.2 31.1 30.0 A iv j t ' 1 l 1 1 li 1 1 l f. t j TABLE 2d: ILLUMINATION LEVELS MINIMUM LIGHTING LEVEL AREA OF OPERATION ANDTASKLUX I1.,uumg vium :.:uuu ana auuve Sewlng Cloth (200 foot candie$ Finish Inspection Fine a$$embly Color grading Fine machining ana assemo1y lOOU Clay enameling and glazlng (50 foot candies) Electrlc motor lnsulating Coi! windlng and tesUng Chipping Grinding Fine core making Machine shop benchwork Transcnbing handwriting lndexing references Accountlng· Pattern making Drafting 1n•numg ;;iuu Automolive frame assembly (50 foot candies) Chemical laboratory Foundry molding Metal pouring Sorting Coremaking Rubber extrusion and tire making Punch Press Shearing Slamping Spinning Woodworking Sizing Planing Rough Sanding Medium quality machine and benchwork First aid station r-a=a91ng ;;iw Barrel Washing (30 fool candies) Turbine Clay molding and pressing Chemicai furnace Tank Dryer Evaporator Exlractor Cleaning and annealing furnace Plating Drop-forge shop Lunchl'(oom Restroom Showerroom 1uenera11.,onsuucuon piam am,l snops lUU e.g. batching plants, screening plants, (10 foot candies) mechanical and electrical equipment rooms, carpenter shops, rigging lofts, and active storerooms, barracks or living quarters, tunnel and shaft heading during drilling, muckling and scalding 11 unne1s, snan ano genera1 . .,.-uno ;;iu workareas, General construction areas (5 foot candies) concrete placement, excavation and waste areal, access ways, actove storage areas, loading platforrns, refueling, and field maintenance areas, lndoors: warehouses, corridors, hallways and exitways. V l TABLE 2d(l)-EFFICACY RANGES AND COLOR RENDERING INDICES OF VARIOUS LAMPS EFFICACY RANGE (*) COLOUR LAMPTYPE (LUMENS/WATT) RENDERING INDEX(CRI) Incandescent Lamp ( 10-1 00w) 15-25 100 Flourescent Lamp (10-40w) 50-95 52-86 HP Mercury Flourescent (50-200w) 40-63 20-45 Metal Halide (up to l 0,000w) 75-95 70 LP Sodium Lamp (20-200w) 100- 180 HP Sodium Lamp (50-l00w) 80-130 25 Note: (*) Values exclude power usage of ballasts For purposes of computing (approx.) illumination levels (lux) in reference with power output, use the fonnula: 1 (lux)= Light source (number) X Note: l (lux) = lm/m2 .. Power Output (watts) X Efficacy Range (lumens/watt) Total Area (m2) Vl 1 .J i TABLE 3a: TABLE OF MED!CINES, MEDICAL SUPPLIES, AND FACILITIES A. FOR HAZARDOUS WORKPLACES 1. MEDICINES** 1 N. U M B E R O F W O R K E-R S ·----------i i----1-50 i -51-99 ···1-to-1991200-000 !! 601-2,ooor-·2,001 Il 1 • I & above , i-1-. ~.a-op--rca~r--n--.,ti.-sep- -.r,.,-1c-. cc-.---+-/ ----=60 7 60 1 120 Il 120 ; 240. 2401' 2. Antiseptic eyewash, cc. \ 120 120 120 240 240 240 3. lsopropyl Alcohol, cc. 1 240 240 1\ 240/ 500 500 500 4. Aromatic Spirit of Ammonia, cc. 30 30 \ 30 30 60 60 5. Toothache drops, cc. 15 15 ( 15 30 30 30 6. Hydrogen peroxide / solution, cc. 120 120 240 240 360 7. Bum ointment. tube 1 1 1 1 1 1 8. Anafgesic/Antipyret!c, ! tablets 201 30 l 9. Ann.:..histàm!nlc 1abfets 1 1 O. Antacici tablets 10 l 10 1 11. Anti-d!arrhea tabfets 1 o / 1 o 12. Anti-spasm'odictab\e\s ) 10 13. Antihypertensive tab. tO 14. Coronary vasodilator l 1 40 20 20 20 20 20 40 30 30 30 30 30 50 40 40 40 40 40 48~, 501 50 50 50 50 50 tabfets J - 1 iO 1 10 20 / ~o 40 501 15. Anti-Asthma tab. j 16. Anti-hemorrhagictablets 117. Glucose solution 5%, 1 ! 500 cc. bottle - 1 1 ~- Anesthel\f; pseparation~ cc. - J -~--- 10 20 20 1 20 20 30 301 2 2l 3 41 .. 500 l 000 1 . "' so ---•--- so J li. MEDICAL SUPPLIES AND EQUIPMENT**" ·····---- --- -·- t··-·1:=~~-~~c-5·~--~~~ ~ ~-g n;~s ;0~~{~~~2~-~~:r~:;~~~;-~~l 1. First aid pamphlet --.- ----·-r; ------·- ri-----------r ····----- 1 · ---- 11 &. abo'le~ 2. Flrs\ /\id box \ \ · 1 1 1 \ 1 \ 1 3. Thermomeler 1 1 1 1 2 f 2 i 2 4. Stethoscope l î 1 1 l 1 1 1 5. Spygmomanometer j 1 1 1 1 1· 1 é. Stetiie gauze pads l 5 5 10 "\ 0 20 20 7. Gauze band."ge, roll 1 1 i 1 2/* I 2/* 1 2/* , 8. Adhesive tape, roll \ i i 1 1 t 1 1 i \ 9. Absorbent cotton / * * * , * · * * 10. Bandage scissors 1 1 1 11 ! 1 ( 1 l 1 11. Triangular bandage / 1 1 2) 2 \ 2 12.Safetypins · * * * * 1 * * 13. Tongue depressors wooden l 100) 100 1 oo1 1l rno 1 100 1 oo 14. Hot water bag 1 1 I 11 ) 1 1 · 1 1 15. lce bag Î 1 1 1 \ 1 1 1 16. Disposable hypodermic ( 1· 1 . j ( syringes with needles 1 1-17. Ffugb~ tourniquet i 1 1 O 1 ~ \ 1 ~ 2~ 118. Venocfysisset(lV tubing. 1 ) 1 1 l \ butterfly) l i 1 1 i 1 ! 19. Minor surgical instruments 1 / 20. Forceps " 1 * 1 ,.. "' * * !21. Sterilizer i i 122. Waterpail 11 1 I 123. Soap cake * ! " f 24, Exam·mation table 1 1 1 25. Unens 11 1 26.Bed 1 ,.. (27. Stretcner . i 1 l 28. Cabinet lor medicines ) ! \ ! :;1 nd sueRlii:,s --·--- . . - .. . L. ~- .. .J.. 111. MEDICAL SUPPLIES Number of Workers lreâtment Room Emergency Clinic Emergency/ Dental Hospital/ Cllntc:: 51 -99 100-199 200-600 601 -2.000 X )( X XX X 2.001 - above X X * Adequate quantity upon the needs of the workers as determined by the health personnel ot the establishment. ** Any medlclne, supply or equipment prescribed ln the table may be substltute wlth one of comparable · effecftveness, and sharr be rep!aced wtth the same quantity immediately after use or consumption. B. ADDITfONAL REQUtREMENTS FOR FACTORIES/PlANTS USfNG OR PRODUCfNG PESTICfOES UNOER TOXICITY CATEGORIES I AND Il OF THE WHO lOXICllY CLASSIFICATION STANDARDS f. MEDICfNES** 1-60 2,001 & above anti-convu/sant ampure 2 2 2 2 3 4 2. antid~e ( as atropine sulfate, acfivated charcoal F uller's earth, or the specific antidote for the chemicalsitoxic substances used in the 1aci * .. * * * * li. MEDICAL SUPPLIES AND EQUIPMEN T*"""" f-5 1. oxygen tan wit regu ar mask and humidifier 1 1 2 2 2 2. ambubag 1 1 2 2 2 3. endotracheal tube ot oroJa,yngeal airway ' 1 1 ' 2 2 4. laryngoscope 1 1 1 1 2 2 5. sucllon spparatus 1 1 1 1 2 2 6. NGT or orogastic hose 1 1 1 1 2 2 7. aseptosyringe 1 1 1 1 ... 2 8. medicine kil 1 1 1 1 21 2 Ill. MEDlCAL F AClllTIES On:y for establishments emplo~·ing 51 workeœ and more: (1) Meclical dinic within 100 melers in the fodory/plant. (2) Bathroom with shower and eyewash facililies within or b&side the clinic (3) Examining table with c.:,pacity to allow T rendele11berg posilion viii C. FOR NON-HAZARDOUS WORKPLACES f 1. MEDICINES** 1. op1œ thleptic. cc. 2, Antlseptlc eyewash, cc. 3. 70% lsopropyl Alcohol, cc. 1 4. Aromatlc Spirit of Ammonlà, oc. 5. Toothache drops, cc. 6. Hydrogen Peroxide solution, cc, 7. Bum olntment, tube 8. Analgeslc/Anti-pyretlc. tablets 9. Antf-h!staminfc tab!ets 1 o. Antacid tablets 11. Antr-dlarrhea tabrets 12. Anti-spasmodlc tablets 13. Antlhypertemsfve tabtets 15. Anti-Asthma tablet 1 1 1-50 1 1 60/ r 1 2401 1 sol J 15{ 1201 f 101 1 10\ 101 1 1 -- 1 NUMBËR OF-wORKERS 51-99 j 10-199 200-600 601-2,000 2,001 & above 60' 60 120' 240 240 2401 - - - 240 240 500 500 1 301 30 30 30 30 15 30 301 30 30 120! 120 2401 240 240 1 1 1 11 10 101 20 30 40 10 20 30 40 10 10 20 30 40 10 10 20 30 40 10 20 30 40 10 20 301 40 1 10 20 30 40 - 10 10 20 20 14. Coronary vasoallator tablets 1 16. Anti-hemorrhagic tablets ) 10 10 20 201 17. Glucose solution 5%, ! 500 cc. bottle ! J 18. Anesthetic re aratio,:!,'-'CC.==------'---------'----- j.l ...., , : , = -···• Il. MEDICAL SUPPLIES AND EQUIPMENT"'* u "M"lff:l•roF""-WO-tfKE""\Hî------·---·-··---·1 1-50 ... ~Î710-199T20ô:..~ooo 601-2,0001 ·2,ooc· .l & above 1. FirstAidpamphlêf 1,.... f i ------·-·-· 1 -···---·-·1 2. Firs\Aid box. 1 1 '1 1 1 \ 3. Thermomefer 1 l 1 1 1 1 4. Stethosccpe 1 1 1 1 1 5. Sphr,gmomanometer 1 1 1 1 6. S~enle gauze pads 5 5 5 10 20 20 7. Gu.aze bandages, roll 1 1 1 1 2 2 8. Adhesive tepe roll 1 1 * "I * 1 * 1 l ~. 1 9. Absorbent cotton * * = 1 O. Bandage scissors 1 1 1 t t 1 1 11. T rinagular bandage 1 1 1 1 1 12. Safety pins * * 13. Tongue depressors wooden 14. Hot water bag 15. lcebag 16. Oisposable hypodermic, syringes with needles 2.5cc 17. Tubbertoumlquet 18. Venoclysis set (IV tubing, butterfly) . 19. Minor surgical isntruments 20. Forceps 21. Sterilizer 22. Waste Pail 23.Soap,cake 24. Examinlng table 25. Linens * 1 1 1 * * 1 1 1 * * * 100 1 1 10 1 * * * * * 100 1 1 10 1 2 1 * * * * * * 100 1 1 10 1 2 1 26. Bed 27. Stretcher - - 1 - 1 1 * 100 1 1 20 1 2 * * 1 * * 1 * 1 1 ?.8. Cahinet for mediêines . 1 ) L ~r.d Sj,!P...Q.lies ·----·--·-··--·· i . - 1 .. -. .... ···-·····-·---1 ··--·---··- 1 1 , .1 ···-· '-.J l Ill. MEDICAL FAC1UTIES Nwrber of W011œfs 51-99 100- 199 200-, 600' 601 -2,000 2,001-above Treatrnent Room X X x ··•···. .... . Emergency ainic X X Emergency/ Hospital/ ;.-. ·· . · ··:·rfi; Dêntal ·:-) Clinic . ,::.l .•,': ·- .. : 1 ~ "'·~•/ X .. ;:/t ...:, -"'. ;; .. j X !I 1 , . J ,. t ' . i,;;;;., :.;ri \1 ·~~ TABLE 3b • REQUIRED HEAL TH PERSONNEL ' ONE ONE ONE ONE ONE FULL-TIME PART-TIME ONE ONE FULL-TIME PART-Tl ME FULL-TIME O.H. O.H. 1:ULL-TIME PART-TIME O.H. 0,H. r=,r<sr • PHYSICIAN PHYSICIAN DENTIST DENTIST NURSE NURSE A\t>S:R. REMARKS HAZAROOUS: 1 - 50 X 61 - 99 X X 100 - 199 X X X X 200- 600 X X X X 601 - 2000 X X X X or 2 part-üme OH physician in place of 1 full-lime OH physician 2001 up X X X X 1~~imey~ ~o.neo.cti. 'Mltk~\1 NON-HAZARDOUS: 1 • 50 X 100 - 199 X X 200 -600 X X X X 601 - 2000 X X X X 2001 up X X X X X •~-:time 0~ ~~v:t ?t xi ~ ...,, TABLE 3c - Qualifications of Health Personnel QUALIFICATIONS HEALTH PERSONNEL (Requirements) F-Aider Nurse Dentist Physician OH Physician OH Practitioner 1. Completed Course in First Aid X 2. Passed Nurses Board Exam and X licensed to practice Nursing in the Philippines 3. Completed 50 hrs. of Basic Training X in OH Nursing 4. Passed Dentists Board Exam and X licensed to practice dentistry in the Philippines 5. Complete Basic Training in OH X Dentistry X 6. Passed Physicians Board Exam X X and licensed to practice medicine in the Philippines 7. Graduate of Basic Training Course X in OH Medicine 8. Diploma or Master's Degree in X Occupational Health or lndustrial Hygiene 9. Residency Training in Occupational X Medicine , 1 o. Graduate of Various Courses in X Health and Sciences 11. Advance Training Course in Occupational Health and Safety X 12. Five years experience/practice of X Occupational Health and Safety t . ~-·~-- -·- -,-1, •.• ·..!....'.-=-.:.·.~;. .... ',,~:-::.:=:h"'-"'~"=.'lr.~:--•---.. •• .. -~.,...~.,~.-..-.---.,. ...-.......... jr ....... ,...... • .~~~• b!i'!t>Wlfii ali: : 1» oir:rs·':uxn ill ·art ·cr zr nuer rr gz TABLE 4 - T LV's for Chemlcal Substances in the Work Environment (Adopted by DOH ftom the Ameriœn Conference of Governmental lndustrlal Hygienlsts - 1995 Issue.) XboPim vÀWes · Substance [CAS #J /üiîtaidehycie [75-07-0) {1993) Ac::etfC ackf C04-19-TJ (1976) Acellcanhydrlde t 108-24-7) (1993) Acetone ('67-64-fJ (1982) Acetone cyanohydrin 175-86-5), a s.CN-Skln (1904) Acetonitrile [75-05-8] (1976) Acetophenone (98""86-2) (1993) Acetylene [74-86-2) (1981) Acetylene dlchlorlde. see 1,2-DlcHloroethylene Acetyle~te1rabromlde (79-27-6) (1986) Acetylsalicylicadd (Aspirin) (50-78-21 (1980) Acr9lein (107-02 ... 8} (1976) Aaylamide (79-06-1 I-Skin (1987) Acrylicacid l79-10-7J-Skin (1900) Acrylonitrile ( 107- 13-1 J-Skln (1984) Adipic acld (124-04-9) (1993) Adiponnrne (111-69-S)-Skin (1994) Aldrin (009-00-2)-Skin (1986) Allyl alcohol (107-18-6]-Skin (1976) Allyl chloride [107-05-11 (1976) Allyl glycidyl ethl!f (AGE) 1106--92-3] (1976) Allyl propyl disulfide l2179-50-1 l (1976) Alumina, see Alumlnum oxide Alumlnum (7429-90-5] Metal dust (1986) Pyro powders, as Al (1979) Welding fumes, as Al ( rn79) Soluble salts, ~Al (1079) Alkyls (NOC ), as A.l (1979) Aluminum OlC.lde {1344-28-1] (1986) 4-A.minodlphenyl [02-67-t)-SKin (t972) 2-Aminoethanol, see Ethanolamine 2-Aminopyridil'le \504-29-0) {Hl86) 3-Amino-f,2,4-lriazole, He Amil1ole Amilrole [6\ ·-82-5j ( lœ6) Ammonla l7864-41-7J {1976} Ammonium chhx\de fume { 12125-02-9) ( \976) Ammonium per#Juorooctano«te f3825-26- 11 Skln {1994} Ammonlumsulfam«te {7773-06-0J (1986/ A.mosite, see A.slleatos n-Amyl aœt«te (628-63-71 (1967) sec-Amy\ aceta\e l626-~-0l (1987) Aniline (62-53-SI and homologues Skin (1986) Anisidine (29f9f-52-4J (o-,p-isomers) Skin (19n) Antimony (7440-315-0f and compounds. as Sb (1960) lWA ppm 10 5 750 40 10 (c) 0.1 2 2.A2 2 2 1 5 2 0.5 25 100 125 2 0.1 xiii STEl.lCEILING (C) mgtm Pfr c ,A:3 am ,Â3 25 15 37 21 .. 1780 1000 2380 C4.7 05 67 60 101 49 14 5 0.23 0.3 0.69 0.03,A2 5.9 4.S,A2 5 8.8 0.25 4.8 4 9.5 3 2 6 23 10 47 12 3 18 10 5 5 2 2 10 A\ l.9 0.2 17 35 24 10 20 0.01.A.~ 10 532 665 7.6 0.5 0.5 F ·-,-:~ . - ----------··. ~aPTm vxm~§ lWA STEUCEILING (C) Subnrnce ~AS #I Antimony 1riÔxide (1309-64-4} fiânàfrig eem !5/ffl eem 91m and use, aslSb (f9781 0.5 Production 11180) A2 ANTU (80-~-4J (11180, 0.3 Argon (7440-37-1} {11181) -(c) Arsenic, el'em4mtar (7440-:-38-21 ancHnorganle: compounds (excefjt Ar~ne) ~-As (1993) 0.01,A1 Arsine {7784-42-1 J (197.7) 0.05 0.16 Asbes1os Amoslte [12172"- 73-5J(t~ (0.5 liber/cc. A 1) Chrysoffle l 12001 -'29-5) (.1980) (2 fiberstoc, At) Crocldollte (12001-,28-41 (1980) (0.2 fiber/cc, A 1) other forms (1980J (2 fibers/cc, A 1) Asphalt (pe1roleum) fumes [8052-42-4) (1987) 5 A1razine (1912-24-9] (1983) 5 Azinphos-mèthyl (86-50-0)-Skin (1986) 0.2 Bari~m l7440-so•...,31 soluble oompounds asBa(I077) 0.5 ....; Barlum sulfate (7727-43-7] (1986) 10(e) Benomyl {17804-35-2) (1986) 0.84 10 Benz[a]anthracene [56-55-31·(1993) A2 A2 Benzene [71-43-21 (1987) (10,A2) (32,A2) Benzidine {92-87-5)-Skin (1982) At Benzo{b!fluoramhene [205-99--21 (1992) A2. p-Benzoquinone, see Quinone Benzoyl peroxide l94--36-0l (1077) 5 Benzo{a}pyrene f50-32-8J (1976) A2. Benzyl chlorlde {100-44-71 (ton) 5.2 Beryllium f7440-41- 7) and compound$, as Be (1979) 0.002,A2 Biphenyl f92-52-4] (1987) 0.2 1.3 Bismuth tellurlde, as BI Te Undopecl [1304-82- tl (1986) 10 Se-doped (1986) 5 Borates, tetra, sodium salts (1303-96-41 AnhydTous {1!;177) J Decahydfate (1977) 5 Penlahydrate (lg;7} i Boron oxid6 \1303-80-21 ( 1986) to • Bo,on ltibtomide {10294-33-4} (1986} Cl CIO 1 Boronùiluoride [763~--07-21(1977) C1 C2.8 Bromacil {314-40-0J {f986) 10 Bromine ln26-95-6} (1994} 0.1 0.66 02 1.3 Bromlne pentalluotlde (7789-30-2/ (Hle6) 0.1 0.72 Bromochloromathane, $68 Chlorobromomettiane Bromoform f75-25-2f-Sl<in (1977) 0.5 5.2 1,3-Butadlene {106-99-0l (1994} 2,A2 4.4.A2 Butane (106-97-BJ (lflBt) 800 1900 Butanethiol, se9 Butyl m8'captan n-Butanol (7f-36-SJ-Skin (1977) C50 0152 sec-Butanol [78-92-2} {1990) 100 303 1 tert-Butanol (75-65-0) (1998) (100) (303) 2-Butanone, see Methyl ehtyl ke!one (MEK) 2-Butoxyelhanol (EGBE) (111-76-2]-Skln (1987) 25 121 • t .. j , . .• ; ! f f xiv ~'l'!!llll-ni~\·~--1":=4•,:<,• ... ~~;,~•i·•:::~;,\~--.::1,~.~•i~/~:::'tJ.?f.i(;j'·,"?•:::;~~i:-~~:t:~-~--;~:..::.(=-:.~•;~,;~ . .,.i>)\;,:.;i~; -r-.-·. ~ .•.:•.:· ~ : - .~-.. · ;~,.::-·• · ·; --;-: ~-- .. ~ 11~ 1 ;,<; ,;~:,'. ,~;: '.~: :;;;· '.'.'. · ; ~~ ~ ;'.; :~ S; :; ; ~'.. , . . . • . ,. AoO,.;ED,VAttiES • · · ' ;ti , .. jJ;/l~:::::,,,;p J:J:J:;k ?«( ' ~î~%.t:;- ~v .. .r-~·f:~ .. ~"-~ t:v::· 1. • .-!.; -~-t-,~-:,t)J((lf .. ~: ,··TWA<. · ~,ii•· · ·'. ~-,..~ · ·:~ . · · ~ ~ STElJCEILING (Cl · ·,· :-· ; ~t. ;t.;r~~~!f~ :~~~~::s1m {~t.:.s;~~;-:,r:c,;~1.~;z;,·èAS:~1· 1 ·'-. .~r:·.-··· .. ::r:· m :::"" .--,-~~, 111 ,m. ' . m :.~~ .. - .-m lm -~v,,~~~ti~ ::':è?:l"';~ or:o ·c oride 79.,;.04.:..9)-:--Skin(199l)-c•.-,,, .. " •-•:"·"· ,- 0.05'·· -· ',· 0.23 0.15 · 0 59( :~ ., ~~~--~lf§lM:~;j;t,~,. • V' '" 1 ~ ~ 46 . •·~fr :,. t!;!1t'·'' ' .·. ;,/ ~?ë~~,1t:;:.g~'2,;.;... . 1: . ' :~ " ?'..~; . ,2.-,: . 0.5, :· /::1) , ~;,,:~% • ooo!~~ ,o ·t 1 l,,I, :':::§~~~t{:.~}!!'(1981)< ·~ -~~ - ,, 5 : ,;'.-; I ; , i r : ~ . ,l,i:1! .. l.: :. , .· .. :, !~-*~~~!f.!:';· (lWl) i! ~E 75 -:~ o:~qliii ojà l ~~.,e 195:-~;::8),(1990) . . 50 259 , : . 2::.:Qf:if oro :.::6--:-(trfchloromethyl) pyridine, see Nilrapyrln . Î • Chlorpyrifos {2921.:.aa::.:2}'-Skln (1990) ·r . Chromfte ore processfng .(Chromate), : . .. as ci (197-~ •. /:':' •,. ·. <' . · · Chromfum. mata! f7440--:-47-3 f. and inotganlc ~inpoùrids , as,cr . Métàr'a~-Pr-·m.c:ompou~s (1994) W~èi-~soluti[è Cr VI compounds,, J,;- ~(Q) nQ94)··. ·.•· ·. :. · , ;.: .. . .- ..• lmiol~IE!PfYl:èompoµnds, NOC(d) (1994) QhrÔmyf chloride {1,49n-61-81 (1982) Cl)ryserie (21s..;01..cg11(1961) · · • · Ctuyootitei sea asbestos èlopldol [297t:.:oo.:.6l (1990) pqélJ<:1!!~.(J~8?)..:. <· ,· ;, . . Coal .tm p1tch volatiles [659SG-9!3-2l, as .. bé1JZ&1J eso!ubies·(19a1) ... · Cobalt; e!émenta!{7'.440-4~"""4], and inorg·anic compopunds, as Co (1994) Cobalt carbonyl [10210-:--68-1], as Co (1983) Cobàlt hydrocarbonyl { 10210-68 ·-1]. . ·-\as Co (f983) Copper f7'140-500-8) Fume (1977) . Ousts &. mists, as Cu (1006) . Co~on dùst, raw (1986) ,.- Cres9I f I3 19:-n -5], ail isomers-Skin (19n) '·· Cristoballte, see Sil ica ..:.crystalline Croqdolite,·see Asbestos . Cfotonaldehyde (14170-~30-·31 (1987) Crufomate l299-86-5) (1000) Cumene.l98-82-8l-Skin (1987) Cyanamide /420-04-2} {1977) .. 0.025 A2. xvi 5 2 50 0.05,At 0.5.A4 0.05,A1 0.05.At 0.16 A2. 0.2.Af 0.02,M 0.2(h) 0.2 10 2 0.1 0.1 0.2 1 22 5.7 5 246 2 1il51515Tl!S vxm~§ lWA STEUCËIUNG (C) Substance ICAS #J eem ms/m eem msfm eyanogen {460-19-51 (1977) 10 21 Cyanogen chloride J506-77 -4 J ( 1080) C0.3 C0.75 Cy<;lohexane (110-82-71 (1987) 300 1030 Cyclohexanol J108-93-·0J-Skin (H}77) 50 206 Cydohexanone { 108--94- tl- Skin ( 1087) 25 100 CydoheXene { 1 I0-83-8J (1977) 3.00 toto Cydohexylamine {'tOB-91-81 {1977) 10 41 Cydonite l121-82-4J-Skin (1900) 1.5 Cydopentadiene {542-02-7} (t087) 75 203 CyclopentaneJ287-P2-3J (J987) 60 1720 Cyhe)(atin {13121-700-5} (1986) 5 2,4-D f94-75-7J (lœ6) 10 DDT (Oichlo;odipheny\mchloroethane) 'I (50-29-3} (1986) l Oecaborane {17702-41-9}-Skin (197«>) 0.05 025 0.15 0.75 D81T16ton (8065-48-3}-Skin (1986) 0.01 0.11 ., Oiacetone alcohol i 123-42-21 {1967} 50 238 1,2-Diaminoethane, see Elhylenediamine Dlatomaceous earth, sae Silica-Amorphous Oiazinon (333-41-5J-Skin (198(1) 0.1 Oiazomethane l334-88-3} (1977) 0.2 0.34 Diborane {t9287-45--7J (1977) 0.1 O.lt 1,2-Dibromoettiane, seo Ethylene Oibromide 2-N Dibutylaminoethanol ( 102-8 f -8 J-Skin ( HX14) 0.5 3.5 Dibutyl pheny\ phosphate \2528-36- 1 l Sk!n (1990) 0.3 3.5 Oibutyl phosphate [107-66-4} (1976) 8.6 2 17 Dlbutyl phathafate (64-74-21(1987) 5 Dichloroacetylene {7572-29-4} (1970) {C0.1) (C0.39) o--Dichforobenzene [95-50-fJ (1992) 25 150 50 301 p-Dlchlorobenzene [106-46-71 {1993) 10.A3 60,AS 3,5-Dichlorobenzidine (91-94-1 I Skln (1976) A2 1,4-Dichloro-2-butene 0.005,A2 0.0'25,À2 Olchlorodifluoromethane [75-71-8) (1986) 1000 4950 ~ 1,3-Dichloro-5,5-dimethyl f, hydantoin 1118-52-5} (1976) 0.2 0.4 1, 1 Dichloroethane (75-34-3) (1992) 100 405 .. 1,2-0ichloroethane. see Ethylene Dich!Ofide "l ., 1, t ... Qichloroethylene, see Vinylidene chloride I 1,2-Dichloroethylene {540-59-0) 91987) 200 793 ; Dichloroethyl ether [ 111-44-41-Skin (1976) 5 29 10 58 ... } Oichloroflouromethane (75-43-41 (1980) 10 42 Dichloromethane, see Methylene choloride 1, 1 - Oichloro- 1-nitroethane l504-- 72--91 {1986) 2 12 1.2---0ichlororropane, see Propyllene dichloride 1,3-Dichloropropene l542--75-6l-Skin (1986) 1 4.5 2,2-Dicholoropropionic acid 175--99-0J (1000) 1 5.8 Dichlorotetraflouroethane (76-14-21 {1986) 1000 6900 Oichlorvos l62-73-7l-Skin (1986) 0:1 0.9 Oicrotophos {141-66--21-Skin (1077) 0.25 Oicyclopentadiene [77-73 .. -6J (1977) 5 27 Oicydopentadienyt iron {102--54--51 (1986) 10 Dieldrin !60-57-1}-SJdn (J986) 0.25 Oiethanolamine l1 t 1-42-2\-Skin ( 1994) 0.46 2 Diethylamine l10l)-80-7J-Skin (1994) 5,A4 15,A4 J51A4 45,A4 ; ~ .. .i ;:-~ t; xvii xrio~o~M'l'lrnm-nvTA"W~E~s~----------,;,;,·'; ,,. i~/ff lWA STEUCEILING (C) · · ,., ~-,,::~S'.""'.ubf':'s~ta~nce~":"':".:"."7'.:-:::::::~~;:;-"I ... C...,AS......,#...,J... ,p. .p m m ... 9..,/m ... e ... e m m ..9, lm:.:. ..;. ..;.·· , . 2-Olethylaminoethanol l 100--37-6l Skln (1004) Oiethylene triamine l111-40-0\-Skin (1977) Dleth;tl ether. see Ethyl ether O1(2-ethylhexy~ phthalate. ses Di-sec-octylphtha!ate Diethyl ketone {06-22-00} (1081) Dlethylphthal.rte l84-66-2J (1gB7) Dilo\Jl'odibromomethe.ne.[75-61-61 ( 1G86) Dlg!yçklyl ether (DGE) l2238-07-5) (1981) Dlhydroxybenzene, s.ee Hydroquinone Oisobutyl ketone [100-83-8} (llil77) Dii&opropylamine {100-16-91-Skln {1977} Dimethoxymefüane, s.oe Mathy/al N,N-Olmethyl acetamide (127-19-5) Skin (1986) Dlmethylamtne {124~40-31 (1992} Dimethylamlnollenzene, see Xylldene Oimethylaniline {12f-69-7l (N,N-Dlmethylanil e)-Sldn (1976) Oimethylbenœne, see Xylene Dlrne1hyl carbamoyl ctiloride 179-44-7) (1978) Oimethyl- t ,2-dibromo.,. 2,2-dichloroethy/ phosphate, see Naled Olmethylformam[de [66-12-2f-Skln (1900) 2,6-Dimethyl-4-heptanone. see Dfisobutyf ketone 1, 1-Dlmethylhydrazlne[154-14-7l {1'i17o) Dfmethylnrtrosoamine. see N-Nitrosodimethylamine Dlmethylphthalate (131-11-3) (1986) Dimethyl sulfate tn-78-1]-Skin (1977) Dinlto!mide (145-01-61(1976) Dln!trobenzene [528-29-0; 99-65-0; 100-25-4J (all isomers)-Skin (1986} Dinitro-o-cresol (534-52-11-Skin {1986) 3,5-Dinitro--o-toluamide, see Dinitolmide Olnitrotoluene [25321- t4-6J-Skin (1992) Dioxane [123-91-1]-Skin (1986) Dioxa1hion [78-34-2]-Skin (1977) Olphenyl, see Blphenyl Diphenylamins [122-39-41 (1986) A2. (0.5,A2) 0.1,A2 200 100 0.1 25 5 10 5 5 to 0.15 25 Oiphenylmethane diisocyanàte, see Methylene bisphenyl isocyanate Oipropylene glycol m~hyl ether (34590-94-81-Skin (1976) Dipropyl ketone f 12$-19-3J (1981) Diquat [2784-72--91-Skin (1993) Di-sec-oc:tyl phthalate {117•--81 ·- 7\ (1976) Disulfiram I97-77-8J (1986} Oisulfoton [298--04-41-SKin (1986} 2,6- Di --tart--buty!-p-cresol {12s-37-0l (11187) Di won [330 - 54-- 1) ( 1977} Diviny\ bam:ene l 1321 - 74- 01 ( 1980) Emei'Y ! 1302-74-0l (1086) xviii H)O 50 10 9.6 4.2 705 5 858 0,53 A2 (1.2.A2) 0.52,A2 145 2\ 36 9.2 25 30 5 5 1 0.2 0,15,A2 90 0.2 10 606 233 0.5(i) 0,1(~ 10(e) 5 2 0.1 10 10 53 f5 27.6 10 50 150 10 7'15ë5PTm Q7'CD~§ TWA STEUCEILING {C} Substance ICAS #J l?J>ffl m51/m eem ma/m "êndosulfan (115-29-71-SKin (1986) 0.1 Enclrin (72-20-BJ-SKin (1988) 0.1 Enllurane l13838-16-9} (1008) 75 566 Enzymes, sae Subtilisins Epichlorohydrln (t06-89-8J- Skin ( 1986) (2) (7.6) EPN {2104-64-5)--Skin (1004) 0.1 1,2-~ox.ypropane, see Propylene oxide 2,3-Epoxy-1-propanol, see GJycidol Ethane {74-84-0l {\081) -(c) Ethanethiol, see EthyS mercaptan Ethànol {64-17-51 {'\Q77) \000 1880 EthanoJamine J141-~-5J (1078) 3 7.5 8 15 Ethion [563-12-2\-Skin {1Q77) 0.4 2-Ethoxyethanol (EGEE} (110-80-5)-Skin (1984) 5 \8 2-Ethoxyethyl aoetate {EGEEA} (111-15--:-~I-Skln {1984) 5 27 Ethyl aœtate I t4t-78-6I (1977) 400 t440 Ethyl acrylate {140-88-5) (1990) 5,A2 20,A2 15,Aa 61,A2 Ethyf aloohol, sec, Ethanol Ethylamine [7S-04-71-Skln {1994) 5 9.2 15 27.6 Ethyl amyl kefDne (54f-85-5l (t97i'J 25 fSt Ethy1 ben:z:ene {100-41-4) (1976) 100 434 125 543 Ethyl bromide (74-96-4]-Skin (t992) 5.A2 22,A2 Ethyl butyl ketone \106-35-4) (1987) 50 234 Ethyl chlorlde (75-00-3) (1980) (1000) (2640) Ethylene 174-85-1) (t98t) -{c) Ethylene chlorohya'rln {107-07-31 Skin ( 1977) C1 C33 Ethylenediamine f 107 - 15-3 f-• Skfn {1977) 10 25 Ethylene dibromide l106-93-4]-Skin (1982) A2 A2. Ettlylene clichlorlde {107--06-2J (1986) 10 40 Ethylene glycol {107-21-f J Vapor and mist (1981) (C50) (0127) Ethylene glycol dlnltrate (628-96-6}-Skin (1985) 0.05 0.31 :t Ethytene glycol methyt ether acetate. see 2--Methoxyethyl acetate Ethylene oxide (75-21-61 (1984) 1.A2 1.8,A2 Ethylenimine (151-56-4j-Skin (1977) 0.5 0.88 Ethyl ether (60-29- 7} (1976) 400 121.0 500 1520 Ethyl formate (109-94-4) (1987) 100 303 Ethylldene chloride, see 1, 1 -•Dlchloroethane Ethylidene norbornene (16219-75-31 (1977) C5 025 Ethyl mercaptan (75-08-11 (1986) 0.5 1.3 N-Bhylmorpholine [ 100-74-3)-Skin (1986) 5 -24 Ethyl silicate [78-10-4} (1986) 10 85 Fenamiphos [22224-92-6}-Skin (1984) 0.1 Fensulfothion 1115-90-2) (1977) 0.1 Fenthion (55-38--9)--Skin (1883) 0.2 Ferbam l 14484-64 -1} {1986) 10 Ferrovanadium dust l 12604-- 58-91 ( 1983) 1 3 Fibrous glass dust (1978) 10 Fluorides, as F (1977) 2.5 Fluorine [7782-41--41 (1976) 1.6 2 3.1 Fluorotrichloromethane. see Trichlo101\uoromethane Fonofos (844-22-Qj-Skin !J072l 0.1 xix ·--··---·------··--·--------------------, Ao-o-PT11111ED-V"A~· w-ES---.--------- .. :.; SubS1ance . - ICAS #j F&maldehyde [50-oo-oj {1992) Formamlde 175-12-7)-Skin (1988) Formlcacld [64-18-.61(1991) .-, . FurfùraJ (98;..01 -1 )-SKlri {1987) Futfuryl alo!>h.ol (08-00:..0J-Skin (1982) GasoJine 18006-61-0J {1982) Qermanlum.'81rahy~de (7782-65-2\ 91986) Glass. fibrous or dust see fibrous glass dust Glutaraklehyde {1tt-S0-8J (\97~). Glycedn mlst f56-81-SJ fSOSj} Glyâdo\ (556-52-5} 01087) ,Glyc:ol mono9ther,·see2;..Ethoxy&fhanol Grain dùst (œt. wheat, badey) (1986) Graphite {all rorma.~t graphite libels) {7782-42-~J.(1~1). . Gypsum,·s•c«làum wJfatB Hafnium (7449-58-61 {1986} Halottrane l t5f-67-7l (t988J Helium l7440-59..:71 (1981) ·: Hept«ohlor 176-44-8] and Hept«chlor epo1dcfe l1024-57-3)-Skln'(1994) . Heptane lf42-82-5J(n-tieptane} (t9761 2-Heptanone, see Methyl n-amyl 'ketone 3-Heptanone, see Ethyf butyf ketone Hexachlorobenzene t 1°16-74=--11-Skin . Hexachforobutadlene (87-~-31-Skfn (t982) Hexachloroc:yclopentadine 177-47 -4 )( 1986} Hexachloroethane f67-72-1J.,;.Skfn (1992) Hexa9hloronaphthalene l 1335-87- 1) Sf"jn (1986) Hexafluoroacetone (684-16-2}-·Skln (1986) Hexamethytene dilsocyanate . {822-06-0) (1988))· Hexamethyl phosphoramlde [680-31-9}-Skln (1978) 1.6-"Hexanediamlne t 124-09-4] (1992) Hexane (n-Hexane) (110-54-31 (1982) Other isomers (1982) 2-Hexanone, see Methyl n -bulyl ketone Hexone, see Methy: lsobutyl ketone sec-hexyl acetate (108-84--9) (1977) Hexyler,eglyèol [107-41-5) (197?) Hydrazine (302-01-2]-Skin (1977} Hydrogen (1333-74-0J (1981) Hydrogenated terphenyls (61788-32-71 (1977) Hydrogen bromide I 10035-- 10-· 6] ( 1986} Hydrogen chlorlde (17647--001 ---Otl (1977) Hydrogen cyanlde and Cyanide salts as CN Hydrogen cyanide (74-90-8}--Skin (1904) Calcium cyanide J592-01-·-8J--Skin (1994) Potassium cyanide [f s1 .. 50 •• 8}.-Skin (1094) Sodiumcyanide 1143--33--0J-Skin (1904) Hydrogen 1luorlde {7664--39---31, as F (1986) Hydrogen per®de J7722-84-- !)(l 986) Hydrogen selenide \7783-0ï-5] 1 as Se (1977) Hydrogen sulti.de {7783--06-41 {\Qï6) Hydroquinone [ 123-31-91 ( 1987} .. lWA· ppm 10 5 ·2. 10 300. 0.2 ·- · · ·, -:.::-STB/CEIÙNG (C): · .- , 'n• : .-.. ,::-,:: mp(m·= -. - .. .-.ppm··:,·,.-. ;:·mq/m· .. .->·~:;: · : ·· CO.SA2 . C0.S7A2 18 - .su·.-·:· 7.9 . 40 ... 800 . o·.ss. '·. ,•,· 10(i) t5 500 00 · ,, 1480 . ..,,. C0.2 · C0.82 25 76 50 (e) 400 0.02,A2 . 0.01 1,A2. 0.1 0.005 A2 (0.1,A2) (c) 0.5 50 500 50 0.5 0,05 10 0.$ 404 . o.05,Aa t640 0.025,A.3 0.21,A2 0.11 9.7,A2. 0.2 0.68 0.034 A?, 2.3 176 1760 .295 {0.13A2) 4.9 1A . 500 2050 1000 3500 025 C121 C3 C9.9 CS C7.5 .C4.7 C5 C5 C5 C5 C3 02.G \5 21 ,. 1 i. ~ il 1 ï { t ' ..... 4- droxy-4- -2-pentanone, see Dlacetone alcohol 2..-Hydr~ropyl aaylate 1900-61-tJ· Skln(tàao} lnden, {05-13-6} (1087) lndiUITI ·(7440-74-6J & compoul')ds, asln(tQ86) fodJJte 17553-56-2J (JD77) lodoform l75-47-8J ( t986) Iron oxlde d&Jst & fume (Fe2O3} \tS00-37- \\, as fil (1086) · lro~ ll6~MYI l 13463-40-6I, a&Fe{1982} Iron salts. solwJs. as Fe (f986) lsoamyl aoetate {123-92-2) (1987) lsoamyhdœhol f123-:-5I-3J (1976) laobu\y\ aœtate (110-19-0} (1990) lspbutyfttlcohol (78-83- f 1(1967] ISO~c\11 $1cohol \26952-21-:-6J-Sldn {1982) lsophorone (78-59- t J (1977) lsophol'one dibocyanate l4096-71-91 (1966) lsopfoppxye~ {f09-59- ff-Skin (1987) lsopropyi acelate 11œ-21-4l (1976) lsopropyf afcohof (67-C,.,-01(1976) lsopropytamlne 175-31-0l (1976) N-{sopropylanlffne (708-52-5J-Skfn (1966) lsopropyt ether [108-20-3} 91976 lsopropyl glfddy( ether (!GE) (4016-14-2} (1976) Kaolfn [1~2-59-71 (1982) Ketene {463-51-41 (1976) Lead (7439-92-1 j. inorganro dust & filmes. as Pb (1986) Lead arsenate 17784-40-91, as Pb3{As04)2 (1985) lead chromate [7758-97-6}. as Ph (1991) as Cr (1991) Umestone, see Calcium carbonate Llndane (58-89-9I-Skln (1986) Llthlumhydride {7580-67-8] (19n) L.P.G. (Uquified petroleum gas) [68476-85-71 (1987) Magnesite {546-93.:.o) (1986) Magnesium oxidefume [1309-48-4] (1977) Malathlon (121-75-5J-Skin (1977) Malelc anhydride [108-31-6) (1977 Manganese 1'7439-95-51, as Mn Oust& compounds (1988) Fume (1979) Manganese cydopentadlenyl tricarbonyl (12079--65-1}, as Mn-•Skin (1986) Marble, see Calcium carbonate Mercury {7439-97-6). as Hg-Skin Alkyl compounds (198) Aryl compounds (1982) lnorganicfotms inclucling metallic mercury (1984) AboPfBl VAWES . TWA STEUCEIL!NG (C) m m /m m mlm 0.5 2.8 10 48 0.1 CO.I CI.O 0.6 tO 82 5 O.\ 0.23 0.2 0.45 f 100 532 100 361 125 452 150 7\3 50 152 50 266 {C5) (C2{t) 0.005 0.045 25 t06 250 1040 310 1290 400 ge:., 500 1230 5 12 ,o 24 2 11 250 1040 ~10 1300 50 238 75 356 2(1} 0.5 0.86 \.5 2.6 (0.15) 0.15 0.05,A2 0.012.A2 0.5 0.025 1000 1800 10(e) 10 10 0.25 (5) (1) (3) 0.1 0.01 0.03 0.1 0.02§A4 Substance {CAS #] Mesityl oxide l 141 - 79-71(1001) Methaàylic acid 179-4 l -4J { 1 oo f) Methane {74-82-81 (1981) Methanethiol, see Methyl mercaptan Methanol (67-56-11-Sl<in {1976) Methomyl [16752-n-5) (1977) MethoxychtOf (72-53-51 (1977) 2-Methoxyethanol (EGME) {I0Q-86-4J-SKin (1004) 2-MetnoxyethylaCBtats (EGMEA) { t 10-4'1-6]-Skin (1984) 4-Methoxypheno/ [150-76-5} (1982} Methyl aœtate {79-20-9} (1976} Methyl acety/en& /74-91>-7/ (/IX>O} Methyl aœtylene-ptop&iiena mix\wa (MAPP) {1fmm Methy\ actylate fge-~-~j-Skln (1977) Met/'ryll«cryfonltril11 l t28- oo- 7 J Skln (1006) Methyfal f109-97-5j (t987} Methyl alcohol, see Me\llanol Methylamlll6 {74-89-5/ (1992} Methyl amyl aloohol, see Mehlyl isobutyl carbinol Methy/ n-amyl ketone {t 10-43-0J (1987) N-Methyl anlllne (\00.:.61-8)-Skin (1986) Methy! bromfde {74-83-9!-Skin (1900) Mathyl-tertbutyl ether {1634-04-4] {1994) Mathyl n-butyl l<etone (591-76-6! Skin {1981) Methy! chtoride f74 - 87 ··31 ··•Skin (1981) Methyl chloroform {71--55--6) (1976) Methyl 2-cyanoaCfylate [137-05-· 3[ (19761 Methylcyclohexane [108-87 •-2I (1987) Methylcyclohexanol [25639-42-31 (1987} o-Methylcydohexanone f583-f50-8J Skin (1976) 2-Methylcyclopentadîenyl mMganese trlcarbonyl [12108--13-3), as Mn-S!<(in (1006) Methyl demeton {8022-00-2]-Skln (1986) Methylene bispheny! !socy,1!lê\te {MOI) ( 101--68-8) { 1988) Methy!ene chloride {Dichloromethans) {75-09-2} (1988) 4,4' --Methylene his (2- chlorMniline) [MOCA l [101--14--4j-SY.in {1993) Methylene bis(4•• cyclo .. hexylisocyc1nate) l5124 -30 il (1988) 4,4'·· Methylene dianiline [101-· 77 -91 · Skin (1986) Methyl ethyl ketone (MEY.) J78• 93 -3] (1975) Methyl ethyl ketone pernxide [1338--23 -41 (1977) Methylform;;ite f107--3l-3) (1976) 5 • Methyl -3•- heptanone. see Ethyl .:imyl kctone Msthyl hydra.:ine l60···34-41- Skin (1976) MethyJ iodicle /74-88-4)-Skin (1900) t.1ethyl isoarnyl l<.etoM !110- t2-3] ( 1982) TWA ppm 15 20 (c) 2.00 5 5 200 /000 100 (10) 1 1000 5 50 0.5 5 (40) 5 50 350 2 400 50 50 0.005 50.A2 0.ü1,A2 0.005 O. 1,A2 200 100 2.,A2 50 xxii AboP1Eb VAWEs STEUCEILING lC) mµ/m ppm mgfm 60 25 100 70 262 250 32.8 2.5 10 16 24 5 606 25() 757 1640 1640 1250 2050 \35} 2.7 3110 6.4 15 19 233 2.2 19 {144) 20 103 100 207 1910 450 2460 9.1 4 18 1610 234 229 75 344 0.2 0.5 .! '! 0.051 174,A2 o.11,A2 0.054 0.8I.A2 t 500 300 885 ~ ,, C0.2 C1.5 ri ' 2~6 150 368 1 (C0.2,A2) (C0.38,A.2) l 12.A2 234 '.l ,, ÀooPT'ffi t77':ttJËs lWA STELJCEILING {C) Substance (CAS Ill ppm mg/m ppm mg/m 73ettiyl isobutyl carblnol [108- t 1--2}-Skin (1976} 25 104 40 157 Mathyl isobufyl ketone f108-- I0---1J (1981)) 50 205 75 307 Methylisocyanate {524-83-9]--Skin (1977) 0.02 0.047 Methyl Jsopropyl ketona [553-- 00--4J (1981) 200 705 Mothyl mercaptan {[74-93-1] (19n) 0.5 0.98 pJethyl methaCf)llate [80-62-6} (11.187) 100 4.10 Methyl paration {208-00-0l--Skin (1006) 0.2 Methyl propyl ketone [ 107-87 -9 J ( 1976) 200 705 250 881 Methylsilicate \681-84-51 (IQ86} 6 Methyl sl}1rene: {98-83-9! (1981} 50 242 100 483 Metribuzin (21087-64-Ql (1004) 5 Mevinphos (7786-34 - 7} ( 1 !,76) 0.01 0.092 0.00 0.27 Mica l12001-26--2\ (1Q86) 3()) Minerai wool liber (1974) IO(e-) Molybdenum {7439--'~6..:.7}, as Mo Soluble compounds {1006} 5 Insoluble compounœ { 1986} 10 Monochlorobenzene, see Ch/orobenzene Monocrotophos \00~-22-4}-Sk (Hl77} 0.25 Morpho/ine {110-91-8!-Skin (t9!1t) 20 71 Naled l300-76-5J-Skin (1986) 3 Naphthafene {91-20-31 (f976) 10 52 15 7g Naphthylamine l9l-59-8) (1972) A1 ~eon [7440-01-111 (1961) -(c) Nick~ 17440-02-0) Matai (1006) (1) lnsolublecompounds, as Nl {1974) ( 1) Soluble compounds, as Ni (1976) (0.1) Nickel carbonyl !13463-39-3}, as N1 (1977) (0.05) (0.12) Nickel suffide roasting, fume & dust, as Ni {1978) (1.A 1) Nicotine {54-11-5)-Skin ( 1986) 0.5 Nitrapyrln {1929-82-4I (1982) 10 20 Nitrlcacid {7697-37-2) (1976) 2 5.2 4 10 i Nitricoxide {10102-43•-0l (1986) 25 31 p-Nitroanllîne {100-01-6!-Skin (1982) 3 { Nitrobenzene !9B-95-3]·-Skin (1986) 5 p-Nitrochlorobenzene [100-00-5)-Skin (1988) 0.1 o:64 4-Nitrodiphenyl (92-93-3)-Skin (1976) A1 Nitroethane [79-24-3} (198~) 100 307 Nltrogen (7727-37-91 (1989) -·(C) Nltrogen dioxide [10102-44-0] (1981) 3 5.6 5 9.4 Nitrogen trifluorlde {n83-54-2J (1986) 10 29 Nitroglycerin (NG) [55-63-00J-Skin (1985) o.os· 0.46 Nitromethane (75-52-5] {1994} 20 50 t-Nitropropane [108---03 -21 {1986) 25 91 2•-Nilropropane 179--46--9] (1987) IO,A2 36,A2 N-Nitrosodimethylamine l62-75-9J -Skin {1972) A2 Nitrotoluene [88-- 72-,-2; 99--08-- t: 99 -·99----01- Skin ( 1Q82) 2 11 Nitrotrichloromethane, see Chloroplcrin Nitrous oxida {10024-- 97-2) (1988) 50 90 Nonane p 11---84-2J, ail isomers {1976~ 200 1050 .IO(iii Substance (CAS #1 . Nuisance pârtiêiilates, see Par1iculates Not Otherwise Classifled (PNOC) Oelachloronaphthalene 12234-13--;11 Skin (1976) Octane [111-65-0J (1076) 00 Mist, minerai (1976) Osmlwn telraxkle 120816-12-0}, as Os (1976) Oxalic aàd (144-62-71(\976) OxygM diffuoride f7783-4J -7} (1~} Omne (10028-t5-6] {1089) Paraffin waic fum. (8002-74-21 (1987} Paraquat {4685-14-71, loial dust {1978) respirable fraction ( 1976) Paratmon (56-38-~-Slcin {f086) Pwticulate polyc,dlc eroma1ic hydtocarbons (PPAH), see Coal w pitch vo/alles Partlculatea Not Otherwlse Claasifled (PNOC) (1989) Pentaborane (t9624-22-7I (1976) Pentachloronaphthalene 11321-64-8} Skin (t986) Pentachloronitrobenzene {82-68-8} {1991) Penta0hlorophenol {87-6G-5J . -S~ln (1986) Pentaerythrltol rms- 77-5 J (196~ Pentàne (109-66-0J (1976'] 2-Pèntanone, see Me1hyf propyl ketone Perchloroethylene (Tetrachloroethylene) {127-18-4) (1993) Perchforomethyl mercaptan [594-42-3] (1977) Perchloryl ftuorlde (7616-94-6) (1976) Perfluoroisobutylene {382-21-BI (1992) Precipitated sllic:a, see Silica-Amorphous Perlite (93763-70-31 (1986) . Petroleum dlstillates, see Gasoline; Stoddard sovent; VM&P naphtha Phenacil chloride, sée Chloroacetophenone Phenol (108-95--21-f.:kin (1987) · Phenothiazine [92-64-2]-Skin (1986) N-Phenyl-beta-naphthy1amine {135-88-6] (1979) o-Phenylenediamine (95-54-5) (1991) m-Phenylenediamine {108-45-2] (1991) p-Pheny!enediamine l106--50-3] (1991) Phenyf ether l 100I •·· 84-·-8I, vapor 91976) Phenylethylene, see S1;yrene. monomer Phenyl glyc:idil ether (PGE) (122-fiO-tl-Skin (19940 Phenylhydrazine (100-63-0)-Skin (1991) Phenyl mercaptan (108-98-5) (19780 Phenylphosphlne (638-21-1) C19770 Phorate (298-·02-2I-Skin (1976) Phosdrin, see Mevinphos Phosaene !75-44-5) (1978) TWA ppm 300 0.0002 {-) 0.005 600 25,A3 A2 0.1 3 O. I.A3 0.1,A2 0.5 O.t xxiv AbôP'rEb VAWEs STElJCEILING (C) m9/m · ppm mp/m 0.1 1400 51,k) 0.0016 t (-) 2 0.5 0.1 0.1 10{e) 0.0f3 0.5 0.5 0.5 (0 1no 170,AS 0.76 13 IO(e) 19 5 A2 0.1,A2 0.1 0.1 7 0.6.A3 0.44,A2 2.3 0.05 OA 0.3 375 1750 (10) 0.0006 0.0047 2 C0.05 co.u {CO.t) {C0.20) 0.015 750 2210 100.A3 665,AS 6 25 C0.01 C0.082 2 C0.05 14 C0.23 0.2 ,,~,. r moPTm~m~§ lWA STEUCBLING (C) Subs1ance ICAS 'I eem m9lm eem mg/m PhÔsphine l7803•-51-2l (1976) 0.3 0.42 1.4 PhOSPhorlc acld {7664-38-21 (1976) 1 3 Phosphorus (),ellow) ITT23-14-0l (1986) 0.02 0.1 Phosphorus oxychloride (10024-87--31 (1990) O.t 0.63 Plmf)fiorüs pe.ntadlfœJde {10026-.13-81 (1980) 0.1 0.85 Phosphorus pentasulffde l f3 J4-80-3J ( U176} f 3 Phosphot\lS 1ricWcride {7719-12-2\ ( 1982) 0.2 t.t 0.5 2.8 Phlhalic anhydrida, {85-44-9} (1987) J 6.1 m-Phthelodinitrile \626-17-5)(1977) 5 Pld«am (ft18-02- Il (1990} 10 Piaic ac:id (88-69-t\ (1990) 0.1 pjncfom, {83-20-11 (1981) 0.1 Piperazlnti dihydrochloride {142-154-3} (1982) 5 2-Pivalyl- 1.3-lncf.elndlone, see f'fndone Plaster of Parla, •e calcium sulfate Platinum {7440-00-4] Meta! (1981) 1 Soluble sa«:&, as Pt(f970) 0.002 Polychloroblphenyls, see Chlorodiphenyls Potytefralluoroethytene decomposttlon products (1972) 81 Portla nd cernent {155997-15- t J (1986) f0(e) Potassium hydroxlde {1310-58-3} (1977)0 C2 Propane {74-96-61 (1961) -(c) Propane sultane Jt120.a.7t-4] (1'if77) A2 A2. Propargyl afcohol (107-19-7(-Sfcln (198n 2.3 Proplolactone 157-57-8] (1987) 0.5.A2 1.5.A2. Proplonic acld [79-09-41 (1990) 10 30 Propoxur {114-26-1) (1987) 0.5 ~ n-Propyl aœtate (109-60-4) (1976) 200 835 250 1040 n-Propyl alcohol (71-23-8)-Skin (1976) 200 492 250 614 ' Ptopylene (115-07-1] (1976) -(c) -~' Propylene dichlorlde {78-87-5] (1976) 75 347 110 508 Propylene glycol dlnitrate (6423-43-4) Skin (1985) 0.05 0.34 Propylene glycol monomethyl e1her [107--98-21 (1976) 100 ~69 150 553 Propylenelm e [75-55-8)-Skin (1983) 2,A2 4.7,A2 · Propylene oxlde [75-58-9) (1981) 20 48 n-Propyl nltate (627-13-41 (1978) 25 107 40 172 Propyne, see Methyl aœtylene Pyrethtum [8003-34- 7} (1981) 5 Pyridine [110-86-1] (1987) 5 16 Pyrocatechol, see Cathecol Quartz, see Sillca-Crystalline Qulnone {106-51-41 (1987) 0.1 0.44 ROX. see Cydonite Resorcinol [108·-46-3} (1976) 10 45 20 go Rhodium {7440 7 16-6J Matai {1982) Insoluble compounds. as Rh ( 1984) Soluble compounds, as Rh (1984) 0.01 Ronne! L290-84-3j (197:zl 10 .. XXV Substance JCAS #1 Rosin core solder thermâl decompœltion products. as resin adds- éolophony (8050-09-· 7) (190'.3) Rotenone (commercial) {83-79---41 (t987) Rouge (1986) Rubher solvent(Naphtha) {8030-S0-6) (1077)" Selenium (7782-49--21 and t:0mpound3, as Se (t977) Selenium heJ<a11uoride l7783-7S)-- l J asSe(197Q) Sesom,J 136-78-71 (1986) Silane. see Silicon teb'ahydride Silica-Amorphous Dlatomaceous ~h (u,:icalcined} [6179P-53-2] {1086) Proapltated s111ca f1 ,202e-oo-e1 {1987} Slllcafume {69012-64-21 {1992) Silica fused ceœ1e-88-0l (f992) Slllca-Crystalllna. Crisbbafif8-{f4464-46- tJ.-(r966) · Quartz [148œ--60-'7l (1986) Tridymite [15408-SZ-~l (t980J Tripoli [1$17-95-9111985) srucon {7440-2-1-31 ·(1986) Slll~n earbfde (409-21 :-2J (19860 s·11lcon tetrahydridt1 f7803-62-5 l ( t 98:JJ Slfvet f7440-22-4t Meial-(1981) Soluble compounds. as Ag (1981) Soapstone Respinible dust (1900) lrihalable dust (1985) Sodium azlde (25528-22-8!' (1977) as Sodium azide as Hydrazole add vapor Sodium bisulfite (7631--90--51 (1980) Sodium 2,4-dichloro--phenoxyethyl sulfate. see Sesone Sodium fluofOaoetats (62-74-SJ-Sl(ln (~084) Sodium hydroxide [1310-73-21 (19no Sodium metablsulfite [7681--57-4) (1980) Sodium perfluoroaœtate, see Sodium 1h.roroacetate Starch (9005-25--81 (1086) StearatesO) (1988) Sfüine {7803-52-3} (1986) Stoddard solvent 18052--41 ···3) (1987) Strontium chromate (7780--06--21, as Cr (1902) Styrene mol)omer 1100-42-5)--Skin (1981) Strychnine [52-~4-0}(1986) Subtilisins I t3!)5~2t-7; 9014-01 •·· 1) (Proteolytic enzymes as 100'%,pure crystalline enzyme) (1977) Sucrose f57-50-1J (1986) Sulfometuron methyl [74222-97-2) (1994) Sulfotep 13689-24-SJ-Skin (1086) .. XbôP1Eb VALUES lWA - STElJCEILING (C) ppm mg/m ppm mgim xxvi Sensitizer. reduce exposure to as low as possible 5 10(e) 400 \590 0.05 0.2 0.16 10 tO(e} 2(i) 0.05(i) 0.1{& 0.05(j) 10 10 ·0.1 (i) 6t contained respirable q uartt tO(e) 10(e) 5 C'U'J 30) 0.1 0.01 6(el 5 0.05 5 10 10 0.1, 0.51 100 525 0.0005,A2 50 213 0.15 10 5,A4 0.2 CO.li C0.29 C2 100 C0.00006 426 j ,, , .. , ...... Af>ô~rn w;:rn~§ TWA STElJCEILING (C) Substance [CAS f·J .eem mg/m eem m51/m Sulfur dioxide (7446-09-51 (1985} 2 5.2 5 13 ' Sulfur hexafluoride /2551 .. 62 •-4.J (1986) 1000 5970 ~-Sulfuric acid (7664-93 .. gJ (1989) 1 3 Sulfur monochloride 110025-67-9) (1986) Cl C5.5 Sutfur pentafluoride (57t4-·22•-7J (1986) C0.01 C0.10 SuJfur tetralluoridè (7783--60--0) ((1006) 00.1 00.44 Sulfuryl lluoride [2699-79--81 (1976) 5 21 10 42 Sulprofos (35400-43-2) (1984) 1 Systox, see Oemeton 2,4,5-T /93-76-5} (H,86) lO Talc (containing no awestos libers) /!4807-00-61 (1003) 2(j) lm: Talc (containing asbestos 1ibers) (1985} Use asbestos TLV-1WA(11) Tantalum f7440-~5-7). metal and oxide [1314-61-0\ dusts, as 1a (1988) 5 TEDP, see Sulfot,ep Tellar\um l 13494--80-9} and compounds, asîe (1977J 0.1 Tellurium hexa11uoride [7783-80-41, as Te (t977) 0.02 O.t Temephos [3383--96-8) (1006) 10 r Terephtha/ic add ( 100-· 21-0/ (1900} 10 TEPP l 107-49-3)-Skin {1006) 0.004 0.047 Terphenyls [26140--00-S/ (1980) C0.:53 C:5 [' 1, 1, 1,2-Teli' achloro - 2.2- difluoroethane (76-·11-Q! (îQ66} 500 4170 1. 1,2,2-tetrachloro- l ,2- dit!uoroehtane {76-12-0J (t866) 500 4170 1, 1.2.2 ... Tetrachloroethane f79-· 34 ·- 5J --Skin (f 006) f 6.9 Tetrachloroethylene, see Perchloroethylene Tetrachloromethane. see Carbon tetrachloride Tetrachtoron<'\phthalene [1335-88-2} (1986) 2 Tetraethyl lead [78-00-2J. as Fb•-Sl<ln (1966) 0.1 (0) Tetrahydrofuran (109- 99-9] (1976) 200 . 590 250 737 Tetramethyl lead (75--7 4 - 1 l. as Pb - Skin (1986) 0 15(0) Tetramethyl succinonitrile {3333--52-6I Skin (1986) 0.5 2.8 Tctranitromethane [509-14--8] (1S93) 0.005.A2 0.04.A2 ~ Telmsodium pyrophosphnte i [7722-·88-5J (1980} 5 Tetf',1 [479-45•-8! (l 006} 1.5 Thallium, elemenlal [7440--28·-0]. and soluble compounds, as 11-Skin (1977) 0, 1 4,4'-•Thiobis (6-tert- butyl-m-crnsol) [96-6Q ... 5\ (1986) 10 Thioglycolic acid J68- 11 -1 ]--Skin (1978) 3.8 Thionyl chlorida (7719--00-7) (1986) C1 C4.9 Thiram [137-26--8) (1900) Tin [7440-31--5) Meta! ( 1982) 2 Oxide & inorganic compounds. except SnH4, as Sn ( 1982) 2 Organic compounds. as Sn - Skin ( 1992) 0.1 0.2 T1tanium dioxlde l\3463- 67 - 7 l ( t 986) 10 o - Tolidine 1119-93-7!-Skin (1002l A2 A2 xxvii . "''f maisrm t'AITJ~~ TWA STEUCEILING (C) Subs1ance CAS# m m lm m m m Tofuene 108-88-3I-Skin (1992) 50 188 Toluene-2,4-diisocyanate CTOO {584--84-91 (1003) 0.005 0.036 0.02 0.14 o-Toluidlne J95-53-4]-Skin (1984) 2,A2. 8.8.A2. m-Toluldina {108-44-11-Skin (1986) 2 8.8 p-Toluidioa f 106-4!l-OJ-·Skin (1006) 2,A2 8.8,A2 Toluol, see Toluene To.xéphene, see Chlorlnated campoone Tfibutyl phosphate {126-73-8) (10060 0.2 2.2 f ,:rlchforoacetic ~dd {76-03-0191980) 1 6.7 1 1,2,4-Trichlorobetu.ene {120-82-11 (1W8) C5 C37 t 1, 1, 1-Trichloroethana, soo Methyl chloroform 1 1, 1,2-Trichloroethano {79-00-5}-Skin (1006) 10 55 Trîchloroeth)'fene l79-01-6J (19P3} 50,A5 269,A5 100,AS 537,AS Trichlorofl~romethaM {75-69-4) (1992) C1000 C5620 Trichloromethane, see Chloroform Trichloronaphthalene (1321-65-9) Skln (1900) 5 Trlchforonitromettreino; sec, Chloropic:rin 1 1,2,3-Trîchloropropane [06-18-41 ~ Skîn (1987)0 10 60 1 t, 1,2-Trlchforo-1,2,2-trifluoroetlmne i [76-13-1) (1976) 1000 7670 1250 9590 ( ' Trlcydohexyffin hydroXide, see Cyhexatin ' t. Tridymite, see Silica-Crystalline i Trlethanolamrne (102-71-61 (1993) ~ Trlethylamlne {121-44-8)-Skin (1994) (1) (4.1) (5) (20.7) Trffluorobromomethane [75-153-8) (1900) 1000 6090 Trimellltic anhydride {552-30-7} (1993) C0.04 Trimethyramlne (75-·50-3J (1992} 5 12 15 36 Trlmethyl benzene [25551--13-7} (1987) 25 123 Trlmethyl phosphite {121-45-9J (1986) 2 10 2,4,6-Trinitrophenol, see Plaie acid 2,4,6-Trînitrophenylmethylnîtramine, see Tetryl 2.4,6-Trinitrotoluene (TN1) {118-00-7J-·Skin (1986) 0.5 Triorthoaesyl phosphate [78-30-8] Skin (1986) 0, 1 ' < Triphenyl amine (603-34-9} (1980) 5 ,, Triphenyl phosphate [115-86-6} (1986) 3 ' Tripoli, see Sllica-Crystalline Tungstan 17440-33-71, as W Insoluble compounds (1976) 5 10 }' Soluble compounds (1976) 1 3 r Turpentine [8006-64-21 (1987) 100 5§6 ;:.; Uranium (naturaQ !7440-61 -1) ~ Soluble and insoluble compounds, t asU (1~76) 0.2 06 n-Valeraldehyde 1110-62-3} (1978) 50 176 Vanadium pentoxide ( 1314-62-1], ;.î as V205; respirable dust or fume (1982) 0.05 ,, Vegetab!e oil mists(p} (1972) IO r Viny1 acetate [108~05-4] (1993) 10,A3 35,A3 15,A3 53,A3 è; VinyJ benzene, see Styrena ~: .!": Viny! bromide 1593--60-2) (1980} 5.A2 22.A2 :! Vinyl chloride /75-01-41 {1980) 5,Al 13,Al .. •c )()(VÏÎi Substance Vinyl cyanide, see AêÎ\'lon111~~ ICAS #) 4-Vinyl cyclohexene J100-40-3J (199Z) Viny! cyclohexene dloxlde (106-87-6) Skln ( 1977) VinyUdene chlorlde (75-35- 4) (1984) Vln)lf toluene {25013-15-4) {1981} VM & P Naphtha \8032-32-4} (tQ87) Warlarln f81-81-2J (1987) Welding fumes (NOC(d)) (1977) Wood dust (ce,taln hard woods as beech & oak) (t98t) Soft wood (j98 f) . Xylene \ 1330-20-7; 05-47-6; 106-SS-S: 10p-42-3} (o-,m-,p-isomsrs} (1976} m-Xylene , -diamine \1477-55-0) Skln (f977} Xy&dlne (miXed lsomets) 11300-73-8) SKin (1990) Yttrium \7440-65-6} metal & compounds, asY(1988, Zinc Chlorlde fume l7646-85-7} (1976) Zinc chromates 113530-65-9; t 1103-85--9; 37300-23-5), as Cr (1988) Zinc oxide {1314-13-2} Fume (1970) Oust(19~ Zirconium l7440-67-7} and compounds, as Zr (1976) TWA ppm 0.1,A2 10,A2 5 50 300 fOO 0.5,A2 xxix AboP105 vAWES STEUCEiLING (C) mp/m ppm mp/m 0.4.A2 57,/12. 20 242 1370 0.1 5,82 2.5,A2 0.01,A1 tO(e) 1 5 434 t ·, 5 5 20 100 150 79 483 10 651 C0.1 2 10 10 l TABLE Sa - TYPES AND USES OF PERSONAL PROTECTIVE EQUIPMENT TYPEOFPPE 1. RESPIRA TORY PROTECTION * 1. AIR PURIFYING RESPIRATORS a. Particulate-filter respirator b. Chemical Cartridge Respirator c. Combination of Chemical Cartridge Respirator and Particulate Filter Respirator d. Gas Mask USE$ Exposures from particulate matters such as dusts, mists and metal fumes Exposures from gases and vapours Exposures from both gaseous and particulates matters Exposures from particulates, gases and vapours in higher concentrations. "Can be used only if the atmosphere contain sufficient oxygen to sustain life (I.e. at least 19.5% byvolume. 2. AIR-SUPPLIED RESPIRATORS a. Hose Mask with Blower b. Hose Mask without Blower c. Air-line Respirator "3. SELF CONTAINED RESPIRATORS(SCBA) a. Demand-type self contained apparatus b. Oxygen-generating self-contained apparatus c. Rebreathing-type-self-contained apparatus When continuous supplies of respirable air are needed an~ exposures to concentrations of dust, mist, vapour or gas not immediately dangerous to life or health. Can be used with a maximum hose length of about 50-90m depending on the type of blower and supply valves. The same uses with blower and can be used with a maximum hose length of about 22m. When regulated supplies of respirable air are needed and exposures to concentrations with dust, mist, vapour or gas not immediately dangerous to life or health. Can be used with a maximum hose length ofup to 90m. Ali types of emergencies Confined spaces Mine Rescue Operations " Used to provides respiratory protection in any toxic gases, and oxygen deficiency conditions. These are the equipment of choice for emergency situations. lt can be used at distances greater than 90m from source of fresh air. XXX i j l 1 1 r­ i i > ; l­ i l l i l 1 J TYPE OF PPE 11. EVE AND FACE PROTECTION 1. EYE PROTECTION a. Spectacles•Metal or Plastic Frames with side shields . I?- Plastic Eyeshield with side shields c. Flash Goggl~s with leather side shields d. Smelter's. Goggles with cobalt blue lenses e. Cup type goggles f. Standard Cup-type goggles g. Cover Cyp-type Goggles h. Chippers Models i. Oust and Splash Models j. Welder's and Cutter's Models k. Chemical Goggles 1. Foundryman's Goggles m. Gas-tight Goggles 2. FACE PROTECTION a. Welder's Helmets b. Hand Shields c. Face Shields Ill. HEAD PROTECTION 1 USES Protection from flying objects, glare; and injurious radiation Protection from flying objects Protection against radiant heat and flying hot particles. They are suggested for wear under welding helmets and for furnace work, brazing, babbitting, and other work involving heat and glare. Use by steel smelters and others whose work requires periodic inspection of metal heats. Used when greater protection is required than can be provided by spectacles ~ith side shields. Designed to be worn by individu.ais who do not wear corrective spectacles. Designed to fit over corrective spectacles. Provides protection from front or sides against flying objects. Provide protection against flying objects from the front or sides Provide protection against glare, flying sparks and scale and injurious radiation. Provide protection from entry of liquid splashes and dusts. Provide protection against impact hazards normally encountered in foundries. Provide protection against dusts and mists. Provides protection for the eyes, face, ears, and neck against intense radiant energy Used in some welding vperations or ter observing the wetding process. Provide protection to the face (I.e. the front part of the head, including forehead, eyes, cheeks, nose, mouth and chin) from flying particles and sprays of hazardous liquids and also provide anti-glare protection. 1. PROTECTIVE HAT-Type No. 1 (H?,t, full brim) a. CLASSA (General Service) Protection against impact and flying particles; limited dielectric strength (not exceeding 200 volts) b. CLASS B (Utility Service) Protection against impact and flying particles: high dielectric strength xxxi , ·' j 1 TYPEé>FPPE c. CLASS C (Special Service) d. CLASS D (Fireman Service) 1 USE~ Limited protection against impact; no dielectric strength (particular reference is made to metallic protective hats and caps) Protection against impact; limited dielectric strength (not exceeding 600 vo.lts) 2. PROTECTIVE HAT - Type No. 2 (Cap, brimless, with peak) a. Available in all classes except Class D IV. HEARING PROTECTION 1. EAR PROTEC.TORS a. Plug or insert type b. Cup or muff type V. BODY AND LEG PROTECTION 1. BODY PROTECTION a. Aprons b. Cape Sleeves c. Jackets d. Coats e. Coveralls and Overalls f. Night Hazard Clothing g. Firefighting Suits Use to lower noise level by as much as 10% of the original sound Use to reduce the effects of excessive noise by as muchas 15-20% of the original sound. Protection against heat, hot metal splashes, impact and eut hazards, splashing liquids or radiation hazards. Cover the back, shoulders and arms and extend over the upper ch est. Used to protect the upper part of the body. They cover the shoulders and extends to the hips. Jackets made for flame and heat hazards are suitable for welding, particularly overhead welding, and for furnace or firefighüng work. Other jackets intended for general laboratory or industrial use offer protection against chemical splashes, solvants, acids, alkalis, oils and greases. Coats being knee or ankle length give legs as well as body protection: Coveralls and overalls cover the body except head, hands and feet. They also are made of materials designed to protect against heat, flame or chemical bums. Luminescent clothing is designed to reflect and is used by night lime workers where there is a hazard from moving vehicles. Flame resistant suits are designed to completely protect firemen whil extinguishing tires and during rescue work around tires. xxxii TYPE OF PPE h. Radiation Exposure Suits i. Uquid Hazard Suit VI. ARM AND HAND PROTECTION 1. Gloves and mittens 2. Hand Pads 3. Finger Cots 4. Sleeves VII. FOOT PROTECTION l L. 1. Safety Shoes 2. Congress-Type Shoes 3. Foot Guards 4. Metal Foot Guards 5. Foot and Skin Guards 6. Wooden Soled Sandals 7. Boots USES Coveralls suits, ·made of plastic or paper, protect clothing against contamination from particulate matter. Suits co~sisting o,f îight weight jacket, overall pants, and hood, are used by maintenance men and repairmen when they are working around hazardous liquids. Protection to the fingers, hands, and sometimes ta the wrists and forearms Used to protect the palm of the hand against cuts and abrasions or against burns caused by direct contact with hot abjects or against sparks, flame or heat. Protection to finger tips only and designêd to protect against moisture, acids, alkalis, oil, grease, and solvents or against culs. Where protection to the arms are necessary, sleeves are worn in conjunction with gloves. Made in three lengths: cuff length for wrist and forearm, elbow length and shoulder length. Rubber sleeves are worn by electricians and linemen for protection against live conductors. For general wear, safety shoes should be well constructed with an impact resisting metal toecap. Protection toecap should support a static load of 2,500 pounds or 50 pounds dropped 18 inches. Required fer places whe~e molten meta! may get into shoes. These shoes generally have wooden soles or are attached to wooden soled sandals. Should be capable of withstanding up to 200 pounds dropped 1 foot. Use to protect not only the toes but also the instep. Where there is also a hazard to the skin, a combination foot and skin guard is available. Used as protection against hot walking surfaces as in paving with hot asphalt. Made of rubber with safety toecaps. Used to protect against wet surfaces and slipping hazard. Toecap · should support a static load of 2500 pounds or 50 pounds dropped 18 inches. xxx11i .. .. ~ TABLE Sb- PROTECTIVE CLOTHING MATERIALS (Coats, Overalls, Sleeves, Aprons, Leggings, Capes, Gloves and Hand Pads) M ATEIUAL LEATHER ASBESTOS WOOL TREATED DUCK RUI3BER,RUBBE RIZED FABRICS ~ PROTECTS AGAINST Light Metal Splash Light Impact Actinie Rays Welding Flame Radiant Heat Flame Acid Splash Abrasion Rubbing Splashes flying materials Dirt, Oil Heat Acids excess moisture Corrosive Dusts Skin pcnelranls XXXIV 1 t j OH/IHFORMI NCDCS/011/IH FORM 1 OFFICE OF THE CITY/MUNICIPAL HEAL TH OFFICER REGISTRATION FORM DATE: NAME OF ESTABLISHMENT: ADDRESS: NAMEOF OWNER/MANAGER: ADDRESS: TELEPHONE NOS.: TYPE OF INDUSTRY q,lEDA CLASSIFICATION): NUMBER OF EMPLOYEES: MALE: FEMALE: TOTAL: NUMBER OF SHIFTS: PRODUCT/S: BRIEF DESCRIPTION OF THE PROCESS/OPERATION: I hereby certify that the above-mentioned infonnation is true and correct. Owncr/Manager XXXV s !S. \ NCDCS/OHIIH FORM Il OFFICE OF THE CITY/MUNICIPAL HEALTH OFFICER Clty/Munlclpallty of INSPECTION REPORT FORM COMPANY PROFILE Name of Establishmenl; Type of lndustry Address: Zone: { J lnd'I l Com1 [ l Resi Years of Operation: Classificatio~: ( J S [ ) M [ ) L No. of shifts: [ J 1 [ l 2 [ l 3 Number of Workers: Production Non-Procluctlon Total LEGAL REQUJREMENTS: OOH DOLE• DENR Sanitary Permit HeaHh Certifie.ale (for fOOd estab.) Electrlcat/Mechanical Permits Registration (medical) Environmental/ECC permits LGU - Business PermiVPermit to Operate Others (Specify) ENVIRON MENTAL: Raw mater1als/Chemlcals used: DATE OF VALIDITY [ J Yes {) No [ ] Yes [ l No 1 l Yes [ ]No ( J Yes Il No [ ] Yes l J No [ J Yes ( J No ( ] Yes [] No By Products: Prooesses/Operation No. of Exposed Workers Hazards lnvolved Sanltary Fac111tle1s: TolletBowls Slnks Showers Onnklng Faucet:s Urinais Number Male Female Other Facilities: Restroomsll.ocker Rooms Canteen/MessHan Shifts 1 Male Female Male Female 2 3 End/Final Products: Engineering Conlfol Msasures lnstiMed Sewage System: 1 1 Company ONned l l Publicty operated No Yes Area in sq.m. Approved Personal Prolective Equip ment used: Disposai of Toxic Wastes: Treatment Plant Approved by: EMB-OENR 1 l Yes 1 ] No •-•••• -••• -• ~-u-~•••-•--+--1..• ••••••-•• ,- •-• , ,., •• •----•~➔•• • ,, .,.- •~ ~~•-, .. ~•-"'•••••'-H .. ~•M,;j"W,-r,•->"• ..... ..,.-.r, .... ,,•,--~,•-.... ,,, .......... :..;...,.... .... , ••~-.-.,il,"""";....--,. .- ... ,: ,..;.'0-~-=~•/•"-~'1-'.:.",.,.,<t.AO:l'II •llll,,;TQzwrd -;l~C';"'~~ '" ,. ; ~,..,. .. . ., a ~: Housekeeping; 1. Orderliness - well arranged/no obstructi"'l Synchronized arrangement of machines and working tables 2. Cleanliness • absence of dust and dirt Nowetarea 3. Separate storage area raw materials finished products 4. Maintenance of machines/equipment • maintenance schedule implemented person-in-charge identified HEAL TH AND MEDICAL SERVICES: Health Personnel; Number Full Time Part Time Physician(s) D~ntist{s} Nurse(s) First Aider(s) Medical Records/Files: [ 1 available Health Serviceslexaminations conducted: ) Pre-Employment l Armual/Periodic Examination Routine Laboratory Examinations (e.g. chest x-ray, Blood/urine/stool exams) INSPECTED/PREPARED BY: SANITARY INSPECTOR 1 ) updated Vennln/Rod1:lnt Control Program Documented Yes ! ) No [ ] Yes l 1 No Yes ! ] No ln-House Yes [ J No 1 l Contracted-cut Yes [ J No Yes ( J No Yes [ l No Yes [ ] No Yes I l No / Health Facilities: Available Not Avallable First Aid/Treatment Room Clinic Dental Clinic Ambulanœ/TranSPort Facilities Hospital No. of beds No. ofbeds [ J Company owner · [ ) written contract wlth private hospltal/s [ J not available ) Special Examination (e.g. Lung Function, ECG, cholinesterase audiometric exams) ( l Separation Examination NOTEDBY: Other Health actlvltles: ) Job Orientation/on the Job Training ) IEC/Safety Talning ) Others, speclfy C, CITY/MUNICIPAL HEALTH OFFICER . .. ...... - ......... ------~··,, ,.....,, ...... -ti,,;,s.,ww;;c:s;:ctaaw;;/4,MM~~J". Republic of the Philippines Department of Health Non-Communicable Disease Control Service OCCUPATIONAL HEALTH DIVISION ANNUAL MEDICAL REPORT January • December, f.JCDCS/OH/IH/FORM Ill Name of Establishment: Address: Name of Owner/Manager:. Type of lndustry: Classification (Size): Health and Med!cal Staff: Name of OH Physlcian: Address: Name of OH Dentlsl: Address: Name of OH Nurse: Address: REPORT OF DISEASES: Number of Consultations/Treatments for the following diseases: SKIN Allergy Dermatoses Infection as Folliculitis Abscess/Paronychia Others HEAD Headache Tension Others EYES Error of Refraction BacteriaNiral Conjunctivitis Cataract Others MOUTH AND ENT Gingivitis Herpes Labiales/Nasalis Otitis Media/Externa Deafness Meniere's SyndromeNertigo Rhinitis/Colds Nasal Polyps Sinusitis Tonsillopharyngitis Laryngitis Others MALE xxxviii FEMALE TOTAL NO. OF CASES ··r- .. ~~---- --~ TOTAL NO. MALE FEMALE OF CASES RESPIRATORY Bronchltis Bronchlat Asthma Pneumonla Tuberculosis Pneumoconfosls Others HEART AND BLOOD VESSEL Hypertension Hypotension Angina Pectoris Myocardial lnfarction Vascular Disturbances ln Extremeties due to continuous vibration Others GASTROINTESTINAL Gastroenteritis/Diarrhea t Amoebiasis i ' Gastritis/Hyperacidity f: Appendlcitis ! lnfectious Hepatitis Llver Cirrhosis ~ Hepatic Abscess ; Cancer (Hepatic/Gastric) Ulcer Others GENITO URINARY Urlnary Tract Infection Stones Cancer Others REPRODUCTIVE Dysmenorrhea Infection (Cervicltls) (Vaginitis) Abortion (Spontaneous) (Threatened) Hyperemesis Gravidarum Sexually Transmitted Oiseases Uterine Tumors Cervical Polyp/Cancer Ovarian Cyst/Tumors Hernia (Inguinal) (Femoral) .. Others x~xix NEU~OMUSCULAR/SKELETAUJOINTS Perlpheral Neurltis Tortlcollis Arthrttls Others L YMPHATICS AND CIRCULA TORY Anemla Leukemla Cerebrovascular Accidents LymphadenlUs Lymphoma INFECTIOUS DISEASES Influenza Typhoid/Paratyphoid Fever Choiera Measles Mumps Tetanus Malaria Schistosomiasis Herpes Zoster Chicken Pax German Meas!es Rables Others D!SEASES DUE TO PHYSlCAL ENVIRONMENT DISEASES DUE TO NOISE AND VIBRATION Deafness (Noise-lnduced) White fingers dîsease Musculo-skeleta! Fatigue MALE OISEASES DUE TO TEMPERATURE AND HUM!DITY ABNORMALITIES HOT TEMPERA TURE Heat Stroke Heat Cramps Dehydration Heat Exhaustion Others COLD TEMPERA TURE Chilblain Frostbite Immersion Foot ,. General Hypotht:i,mia Others xi FEMALE TOTAL NO. OF CASES OISEASES DUE TO PRESSURE ABNORMALIT!ES Decompression Sickness Air Embolism Bends Disease Barotrauma Hypoxia Altitude Sickness OISEASES DUE TO RADIATION Cataracts Keratitis Burns Radiation-Related Cancers TOTALNUMBER Noted by: Owner/Manager MALE FEMALE Prepared and Submitted By: Company Physician xli TOTAL NO OF CASES •--···-·•• j NCDCS/OH/IH/FORM IV Republic of the Philippines Department of Health Non-Communicable Disease Control Service OCCUPATIONAL HEALTH DIVISION ANNUAL INOUSTRIAL HYGIENE REPORT For the Year DATE: CITY/MUNICIPALITY: PROVINCE: REGION:, TOTAL NO. OF INDUSTRIAL ESTABLISHMENT Small-Scale (1-50 workers): Total no. of Workers: Male Female Medium Scale (51-199): Total no. of Workers: Male Female Large Scale { 200 and above): Total No. of Workers: Male Female TOTAL NO. OF INDUSTRIAL ESTABLISHMENT INSPECTED Small Scale: Medium Scale: Large Scale: TOTAL NO. OF INDUSTRIAL ESTABLISHMENT ISSUED: SANITARY PERMIT SANITARY OROER Small Scale: Small Scale: Medium Scale: Medium Scale: Large Scale: Large Scale: TOTAL NO. OF ESTABLISHMENT RECOMMENDEO FOR CLOSURE Small Scale: Medium Scale: Large Scale: REPORT OF DISEASES (INDUSTRY-BASED) SKIN Allergy Dermatoses Infection as Folliculitis Abscess/Paronychia Others HEAD Headache Tension Ot11ers EYES Error of RefractioQ BacteriaNiral Conjunctivitis Cataract Others MALE FEMALE xlii TOTAL NO. OF CASES l 1 l • t ' i . i ' l ! 1 1 ! i 1 ! ! l ; 1 ~ . ' f ,;rp"1111,t- ... ~~- TOTAL NO. MALE FEMALE OF CASES MOUTH AND ENT Gingivitis Herpes Labiales/Nasalis Otitis Media/Externa Oeafness Meniere's SyndromeNertigo Rhinitis/Colds Nasal Polyps Sinusitis Tonsillopharyngitis Laryngitis Others RESPIRATORY Bronchitis Bronchial Asthma Pneumonia Tuberculosis Pneumoconiosis Others • HEART AND BLOOD VESSEL Hypertension Hypotension Angina Pectoris Myocardial lnfarction Vascular Disturbances in Extremeties due $ to continuous vibration s Others GASTROINTESTINAL Gastroenteritis/Diarrhea Amoebiasis Gastritis/Hyperacidity Appendicilis lnfectious Hepatilis Liver Cirrhosis Hepatic Abscess Cancer (Hepatic/Gastric) Ulcer Others GENITO URINARY Urinary Tract Infection Il Stones ---- ~ Cancer Others xliii ••~N--•---------• • TOTAL NO. MALE FEMALE OF CASES REPRODUCTIVE Dysmenorrhea Infection (Cervicitis) (Vaginitis) Abortion {Spontaneous) (Threatened) Hyperemesis Gra~içJarum Sexually Transmitted Diseases Uterine Tumors Cervical Polyp/Cancer Ovarien Cyst/Tumors Hernia (Inguinal) (Femoral) Others NEUROMUSCULAR/SKELETAUJOINTS Peripheral Neuritis T orticollis Arlhritis Others L YMPHATICS AND CIRCULATORY Anemia 1 Leukemia Cerebrovascular Accidents 1 Lymphadenitis Lymphoma l INFECTIOUS DISEASES Influenza Typhoid/Paratyphoid Fever ----- ' Choiera • Measles 1 Mumps Tetanus Malaria Schistosomiasis Herpes Zoster Chicken Pox German Meas1es Rabies Others f DISEASES DUE TO PHYSICAL ENVIRONMENT l DISEASES DUE TO NOISE AND VIBRATION ' Deafness (Noise-lnduced) ■ White fingers disease Musculo-skeletal • l •-■■ ,· Fatigue l, ~--- --■----·- xliv ' MALE FEMALE DISEASES DUE TO TEMPERATURE AND HUMIDITY ABNORMALITIES HOT TEMPERATURE Heat Stroke Heal Cramps Oehydration Heat Exhaustion Others COLD TEMPERATURE Chilblain Frostbite Immersion Foot General Hypothermia Others DISEASES DUE TO PRESSURE ABNORMAUTIES Decompression Sickness Air Embolism Bends Disease Barotrauma Hypoxia Altitude Sickness DISEASES DUE TO RADIATION Cataracts Keratitis Burns Radiation-Related Cancers TOTAL NUMBER Prepared and Submitted By: City/Municipal Health Officer xlv TOTAL NO. OF CASES