Missouri Army National Guard Occupational Health & Industrial Hygiene Program Charity Summers, RN, BSN, Occupational Health Nurse Beki Birdsong, Industrial Hygiene Technician

OCCUPATIONAL HEALTH & INDUSTRIAL HYGIENE PURPOSE: To monitor the health and wellness of Missouri Army National Guard federal technicians and conduct surveys of their work environments to identify potential health hazards.

LAWS & REGULATIONS PL 91-596 Occupational Health Act of 1970 Exec Order 12196 26 Feb 1980 - Federal Agency Compliance CFR29 Pt1960.9 Outlines Supervisor Responsibilities CFR29 Pt1960.10 Outlines Employee Responsibilities and Rights DoD Dir. 6055.1 26 Oct 84 Implements DoD Occ. Safety & Health Program CFR29 Pt 1910 OSHA Federal Standards Army Regulations AR 385-10 1-4(o)

What does the Occupational Health Office do for federal technicians? Hearing Conservation Vision Protection Respiratory Protection Hazard Communication Industrial Hygiene Medical Surveillance OWCP/Case Management Ergonomics Training/Education Counseling Reproductive Surveillance Workplace Evaluations Health Promotion/Wellness Program Evaluation Blood-borne Pathogens Budget/Resource Management Record Keeping Personal Protective Equipment OSHA/Regulatory Compliance Confined Space Design Review CPR/AED training And more Violence in the Workplace; Illness/Absence Monitoring; Epidemiology; Hazard Abatement; Hazard Assessment Hearing Conservation - preserve the hearing of all our soldiers. Big part is education, when, where, how, what type of hearing protection. Units requests fitting of hearing protection. Recruiting number of individuals who I retest or test because of hearing loss. Respiratory Protection Program - Make sure our soldiers do not have a false sense of security. Corrosive material - gas mask Class 2 kit? Hazard Communication Program - Will talk more about Medical Surveillance - largest program element, most time consuming and costly. Interfaces with all other programs. On the m-day side soldiers working with radioactive commodities like MC1 need have baseline and period screening. OWCP/Case Management - LOD - Medical questions on different diagnosis. Unfortunately, if a soldier is injured we can not put them on light duty after AT. Ergonomics - new program mandated January 98 - Chapter in WIARNG 385-10 Fitting the workplace to the individual - not just the office setting PPE - knowing what, when how and where PPE should be worn. Especially Ear Plugs MACU

INDUSTRIAL HYGIENE ELEMENTS Workplace Evaluations Hearing Conservation Vision Protection Respiratory Protection Hazard Communication Budget/Resource Management OWCP/Case Management Ergonomics Training/Education Counseling Hazard Abatement Program Evaluation Record Keeping Personal Protective Equipment OSHA/Regulatory Compliance Confined Space Design Review Inspections/Surveys Epidemiology

Medical Surveillance Purpose: Risk-based medical screening or examination for Wage Grade Federal Technician personnel. Focus: early detection of occupational diseases or illnesses that may be associated with work tasks or workplace exposures of a physical, chemical, biological, or radiological nature. Types of surveillance: Baseline, Job transfer, Annual, Termination or Retirement. FY19 annual exams and screenings will be conducted by a mobile health service contractor. Note: The supervisor and the employee will be contacted by a 3rd party vendor, QTC Management for medical exam scheduling.

Medical Surveillance References DoD 6066.06 M 29 CFR 1910 AR 11-34 DA PAM 40-11 DA PAM 40-173 DA PAM 40-501 DA PAM 40-506

Hearing Conservation Program Elements Annual exam Noise hazard identification Engineering controls (i.e. Noise dampening material) Hearing protection (PPE) Monitoring audiometry Annual exam Health education Enforcement Supervisors and Safety

Hearing references DA PAM 40-501 DA PAM 40-11 AR 40-5 AR 385-10 29 CRF 1910.95 DODI 6055.12 ANSI Standard S1.4A DOD 6055.05M

Vision Conservation Occupational Vision: Screening & Performance Eye Safety Worksite Evaluation Engineering & Administrative Controls Identify the need for Personal Protective Equipment (PPE) Training & Education

Vision Conservation References ABSU Z87.1/Z358.1-1900/Z136.1 AR 40-5 AR 40-63 DA PAM 40-11 29 CFR 1910

Respiratory Protection Review Job Duties & evaluate NEED for Respirator Placement/Issue: Based on Industrial Hygiene (IH) surveys + potential health hazard. Discontinue use if not warranted & remove from Medical Surveillance Program. Respirator fit testing is managed by the Occupational Health Office (OHO) Respirators are not provided by the OHO.

Respiratory Protection References DOD 6055.05M AR 40-5 AR 11-34 DA PAM 40-11 TB MED 502 29 CFR 1910.134

Ergonomics Occupational Health Office can not purchase Workplace Analysis All Federal Technicians Hazard Prevention & Control Education & Training Main Intervention Occupational Health Office can not purchase Ergonomic equipment.

Ergonomics References DA PAM 40-21 DODI 6055.1 AR 40-5

Case Management Collaborate with the Human Resource Office Injury Compensation Program Assistant Federal Employees Compensation Act Council: Monthly or Quarterly Meetings Assist with management of cases, resolution, and work place accommodations. Collaboration with Office of Worker’s Compensation Plan/Human Resources Officer/Injury Compensation Program Administrator

Case Management References DOD 6055.05M 29 CFR 1910/1001/1926.1101 AR 200-1 AR 420-1 AR 420-70 TB MED 513 40 CFR 61 Clean Air Act of 1970 (Public Law 91-604) Asbestos Hazard Emergency Response Act of 1986 40 CFR 763

Workplace Epidemiology Occupational Illnesses & Injuries Identify, Assess & Document trends (absence monitoring) Injury Prevention & Control Educate & mitigate Worksite Evaluations OH/IH/Safety: conduct annual site visits Hazards, PPE, Health Risk Assessment

Workplace Epidemiology References DA PAM 40-11, Chapter 6 AR 40-5, Para 5-11 AR 385-10 NGR 385-10

Personal Protective Equipment (PPE) Safety and Industrial Hygiene Designate areas requiring the use of PPE. Ensure that all PPE is used as required, stored and maintained properly. Occupational Health Evaluate the workers’ ability to safely wear PPE (respirator fit testing).

Personal Protective Equipment References DA PAM 40-11 29 CFR 1910.132 DODI 6055-1

Hazard Communication Written Program SDS’s Training Labeling PURPOSE: ensure that information about hazards is transmitted to employees by means of hazard communication programs, labels, SDS’s, and employee training. Written Program SDS’s Training Labeling

Hazard Communication References 29 CFR 1910.1200/.120/.1450/.1030 ANSI Z400.1-2003 AR 40-5 DA PAM 40-11 PL 91-596 DODI 6050-05M DODI 6055.1 TB MED 502 AR 385-10

Automated External Defibrillator (AED) & Cardiopulmonary Resuscitation (CPR) Occupational Health Nurse (OHN) maintains overall program management for AEDs in Facilities and Shops . Accountability & maintenance records Training Deputy State Surgeon maintains program management for AEDs in armories/support M-Day and AGR personnel. This also applies to BLS training for M-Day and AGR personnel. AEDs are now considered facility/shop pieces of equipment. Basic Life Support (CPR & AED) training is provided by the OHN.

What Occupational Health Does Not Do Do Not: Purchase first aid or blood borne pathogen kits or supplies Do Not: Purchase Personal Protective Equipment PPE (respirators, prescription safety glasses, etc…) Do Not: Purchase AED pads or batteries Do Not: Purchase ergonomic equipment (stand up desks, keyboards, mobility ball/chair) Do Not: Provide direct support to AGR, M-Day or State employees The Occupational Health Nurse will collaborate with other offices to ensure health hazard(s) identification is shared to assist with mitigation efforts.

New Hire Paper work Typed, not hand written. Have all shop/facility information available for the employee. Unit UIC Unit address Supervisors name and contact info, etc… Occupational Health Questionnaire LEGIBLY & COMPLETELY! Employees military e-mail address and good phone number.

QUESTIONS?