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Exposure Monitoring and Medical Surveillance

Where exposure monitoring reveals an exposure level routinely above the action level (or in the absence of an action level, the PEL) for an OSHA regulated substance for which there are exposure monitoring and medical surveillance requirements, medical surveillance must be established for the affected worker(s) as prescribed by the particular standard. In some instances, may be necessary to perform personnel exposure monitoring when administrative controls, engineering controls, and PPE may not be sufficient for adequate protection from exposure to a hazardous chemical.    This can occur when chemical exposure levels approach or exceed OSHA’s Permissible Exposure Limit (PEL) and/or ACGIH’s Threshold Limit Value (TLV).  This is usually indicated when engineering controls, such as a chemical fume hood, cannot be used for procedures.    

If any research  lab is working with one of the federally regulated substances listed below, please contact labsafety@uky.edu so exposure monitoring, ventilation, and any other regulatory requirements, and/or other concerns can be documented and addressed.  

 

Arsenic 

Asbestos 

Asphalt fumes 

Benzene 

Beryllium 

1-Bromopropane 

1,3-Butadiene 

Cadmium 

Chromium 

Diacetyl 

Diesel exhaust 

Ethylene oxide 

Formaldehyde 

Hexavalent chromium 

Hydrogen sulfide 

Isocyanates 

Lead 

Mercury 

Metals, toxic 

Metalworking fluids 

Methylene chloride 

Silica, crystalline 

Solvents 

Synthetic mineral fibers 

Toluene 

Chemical Spill Response

Major spills of stock solution: 

Leave the area and notify others not to enter. Report the spill to the UK Environmental Quality Management Department (EQMD)at (859) 323-6280 (M-F 8am-5pm) or after hours by dialing 911 from any on-campus phone or by contacting the UK Police at (859) 257-UKPD (8573).  

 

Minor spills of manageable amount:  

If necessary, contact EQMD for guidance. Consult manufacturer’s SDS for instructions and compatibilities for your chemical. Keep aware of any materials such as paper towels or water that could be incompatible with the spilled chemical. 

Chemical Splash to the Eyes or Skin

Immediate flushing with water is a critical step to response of a chemical splash to eyes or skin. In general, chemical splashes require at least 15 minutes of flushing before a victim can proceed to emergency medical treatment. Knowing the location and how to properly use safety equipment such as eye washes and safety showers is the first step in emergency preparedness. 

 

Using an Eyewash 

  1. Flush with tepid water or eye solution from the inside edges of the eyes to the outside; this will help to avoid washing the chemicals back into the eyes or into an unaffected eye. 
  1. Water or eye solution should NOT be directly aimed onto the eyeball but aimed at the base of the nose. 
  1. Flush eyes and eyelids with water or eye solution for a minimum of 15 minutes. “Roll” eyes around to ensure full rinsing. 
  1. Immediately seek medical attention. 

 

Using a Safety Shower 

  1. Stand directly under the shower head. 
  1. Pull handle to activate shower. 
  1. Wash with tepid water for a minimum of 15 minutes. 
  1. To turn off the shower push the handle up. 

Chemical Specific First Aid

Work environments with specific potential health hazards with known recommended immediate first aid beyond what is available in most first aid kits, shall be equipped with any known, and accessible immediate first-aid treatment needed for dermal exposures and lab personnel trained (with documentation maintained in the lab specific CHP) on its applicable use and location. 

 

 Two common examples of these types of chemical-specific first aid treatments are :  

  • Calcium gluconate gel for treatment of dermal exposure to Hydrofluoric acid.  
  • A 50% solution of PEG-300/400 for treatment of dermal exposure to phenol.   

 

If the laboratory stores and/or utilizes a hazardous chemical with a known dermal first aid product: 

  1. The product shall be mentioned on a documented lab SOP for the procedures with the chemical. 
  1. The product shall be made available and  maintained in a lab first aid kit in a location known to all lab personnel, regularly checked, and replaced when expired. 
  1. Lab personnel shall be trained on location and proper use of chemical first aid.  This training shall be documented and maintained in the lab specific CHP.  

Clothing Fire and Severe Thermal Burns

Thermal burns from a clothing fire or large splash of hot material can be life threatening  

if they are deep, extensive, or located on critical areas of the body. Severe burns of the  

hands, feet, face, and genital areas are considered critical. To extinguish a clothing fire: 

  1. Stop the person on fire from running! Have the person cover their face with their hands if possible. 
  1. Drop the person to the floor. Standing will allow flames to spread upward to eyes and nose. 
  1. Roll the person to snuff out the flames. 
  1. Cool the person. Remove smoldering clothing. Use cold water or ice packs to cool burns and minimize injury. 
  1. Get medical assistance immediately.