Professional Documents
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Modules 1 and 2 Occupational Safety and Hygiene
Modules 1 and 2 Occupational Safety and Hygiene
1. JOB SECURITY
In order to address the concept of Occupational Safety, we will first work on its meaning within the
framework of subordinate activities and then, in the same sense, we will evaluate what are the causes
that can affect Safety, addressing external and internal factors. or subjective aspects of the people who
attend a job service, also verifying the attitude of the employer and fundamentally the behavior of the
employee.
Concept: Safety at Work is the set of knowledge, techniques and non-medical actions aimed at
eliminating or at least reducing the risks of material damage and personal injury.
Occupational Safety action must be eminently preventive, to detect and analyze the root causes of the
risk and seek its elimination or reduction.
The intervention of this preventive discipline focuses on risk factors related to safety conditions:
Occupational Safety action must be eminently preventive, to detect and analyze the root causes of the
risk and seek its elimination or reduction through measures, standards, designs and other safety
mechanisms.
Security techniques are divided into two fields of action depending on the objective pursued.
On the one hand we will analyze the analytical techniques, whose purpose is the detection and
evaluation of risks, and on the other the operational techniques, which deal with the elimination or
reduction of the risk once it is known.
3. OPERATIONAL TECHNIQUES
Operational Techniques affect the elimination or reduction of accident rates through preventive or
protective actions once the risk is known. We distinguish two areas of action: the technical aspects and
the human aspects.
Technical aspects :
• Correction Techniques: They are applied when the risk cannot be completely eliminated
at the source.
o Preventive maintenance.
o Safety signage.
Human aspects :
o Personnel selection.
or Information.
or Training.
o Security practices.
o Security campaigns.
o Group action.
or Incentives.
Security analytical techniques deal with the detection and evaluation of risks and operational
techniques deal with the elimination or reduction of the risk once known.
In safety there is a "status quo" that generates a circle of opinion and judgment that does not change
and that does not favor the development of accident prevention but, on the contrary, slows it down,
preventing changes and improvements.
In many societies around the world, the approach and concepts used in accident prevention require
urgent rethinking. It is common to identify an erroneous treatment of this issue; generally there is a
mistaken idea that it should be treated and managed from an engineering perspective; serious mistake,
because if a problem is generated almost 100% by human error, it obviously must be treated from a
humanistic perspective.
Since we are not alone in life, the organization cannot pretend that what happens outside does not
affect it in the pursuit of its objectives; It is necessary to scrutinize what surrounds us and the
circumstances in which we operate so that, by recognizing those that can influence the development of
the organization in some way, we learn to use them to our own benefit .
Each man's beliefs direct his behaviors and behaviors, reinforcing his ideas, no matter how absurd they
may be; Therefore, negative beliefs are harmful. This situation is clearly reflected in the expressions:
“in the transportation business, because it is a risky business, there always have to be accidents”, “that
driver had an accident due to bad luck”, “with the experience I have I will never have an accident”. ",
"there are many accidents due to the fault of the maintenance person", "by taking it to its destination
we are doing the passenger a favor", "Training will reduce accidents" or "more sanctions and more
control will reduce deaths on the slopes", etc Some circulate in people's thoughts, and others are
generalized beliefs widespread in organizations.
Regarding accidents, many believe they see danger on the outside of people when in fact, safety is not
on the outside.
Security is a feeling. It is an emotion, it is a human feeling that only exists because it has a mother who
originates it: Prevention.
Up to this point it is worth asking: should we do prevention or should we do security? What is the
aspect that we should privilege in this issue?
Security cannot arise in the same way that something material does. Being an emotion, being a
Undoubtedly, if the object of protection and care is the worker, as a first measure it is necessary to
know what his possible reactions may be, his beliefs, his thoughts, attitudes, since his internal and
external behavior form the mechanisms of his belief and convictions, engines that guide their actions.
That is why talking about safety at work requires us to have a first knowledge of the living resource that
intervenes in the entire production process together with the materials and the environment.
The individual's reactions must be examined, under normal circumstances and in the event of
emergencies that may occur. Any change in our environment can bring with it a series of opportunities
or threats, which must be recognized immediately once these changes occur, so that the members of
the organization can act proactively in the face of the new circumstances that arise.
Normally, opportunities are already there when we discover them, or when they hit us, but the
important thing is to find them before, when we discover that they are an essential part of the
organization's objectives. For this reason, it is necessary to be permanently alert to the circumstances
in which we operate and be very clear, at all times, about our objectives.
When analyzing our environment, we ask ourselves: What opportunities does our current work have?
Do you know who is an expert on the topic you are interested in and can surely help you? Are there
threats that may occur? Is it possible to anticipate before they happen?
Although the opportunities that arise are normally more frequent than the real threats that exist, it is
necessary to exercise very strict control over the latter, in order to minimize their effects on the
fulfillment of the objectives.
To achieve this, being attentive to changes in the environment allows us to discover the threats around
us, which allows the organization to act on the circumstances that cause them before they affect it.
tasks or functions to be performed, but especially their subjective attitude that translates into behavior
must be considered, and their responsibility, compliance with security measures and preventive
vocation in carrying out their activity must be measured.
Skills: Skills refer to the capabilities and potential that people have to process information and obtain
specific results or products with said information. Applicants must possess at least the following skills:
• Ability to learn. It refers to the ability to acquire and assimilate new knowledge and skills and
use them in work practice.
• They easily grasp and assimilate concepts and information.
• They carry out some type of study regularly.
• They have a permanent attitude of learning and an investigative spirit.
YHLIN,
• Attitudes. It is the willingness to act, feel and/or think about a particular reality. Applicants
must possess at least the following attitudes:
• Enthusiasm. It is the energy and willingness one has to carry out a particular task. It is the
inspiration that leads to achieving what you want. People who have this attitude are
characterized because:
• Positivism and optimism. It is the set of thoughts that are related to confidence in the
success of a job, an idea or a task. People who have this attitude are characterized
because:
• They always see the favorable aspect of situations.
• They face all situations with realism and do not give up easily.
• Persistence. It is tenacity, the permanent insistence to achieve a purpose and stop until you
achieve it. People who have this attitude are characterized because:
• They insist, persist and do not give up until they achieve what they set out to do.
• They are highly motivated by internal aspects.
• Flexibility. It is the willingness to change focus or way of conceiving reality, looking for a
better way of doing things. People who have this attitude are characterized because:
• They are not rigid in their way of thinking or acting.
• They clearly identify when it is necessary to change and do so.
Although it is true that the completed statement is not exhaustive, it is part of the compendium of
behavioral formats that, if not present, should be taught and worked on in every work organization, to
improve the basis on which the safety process will have to be taught throughout. its breadth.
Occupational Risks: Is there risk in the work environment? Unfortunately the answer is positive and
the examples confirm it.
It is evident that work and health are closely related, since work is an activity that the individual
develops to satisfy his or her needs, with the aim of enjoying a dignified life; Also thanks to work we
can develop both physically and intellectually.
Along with this positive influence of work on health, there is another, negative one, the possibility of
losing health due to the poor conditions in which work is carried out, which can cause damage to our
physical, mental and social well-being (work accidents). , diseases).
Therefore, we could say that risks are those situations that can break the physical, psychological and
social balance of workers. The Occupational Risk Prevention Law defines the term occupational risk as
follows:
• Occupational risk : “Possibility of a worker suffering certain damage derived from work.
The rating of its severity will depend on the probability that the damage will occur and its
severity.” I
There is another concept usually related to risk prevention and which is frequently confused as it
resembles the concept of risk. It is the term danger.
Occupational risk is the possibility that a worker suffers certain damage derived from work. The
rating of its severity will depend on the probability of the damage occurring and its severity.
RISK FACTOR'S
If we understand that risk is the possibility that the worker suffers a certain damage derived from
work, the risk factor will be the element or set of variables that are
I Law 31/1995, of November 8, 1995, which approves the Occupational Risk Prevention Law (BOE number 269, of November 10, 1995)
To facilitate the study of these risk factors, they have been classified into 5 groups, without implying
any hierarchy or priority:
o Security conditions.
o Physical work environment.
o Chemical and biological contaminants.
o Work load.
either Work organization.
• Security conditions.
This group includes those material conditions that may give rise to accidents at work. We are talking,
as mentioned in the previous reading, of factors derived from:
They are factors of the natural environment present in the work environment, which appear in the same
way or modified by the production process and have a negative impact on health.
• Pollutants.
They are foreign agents to the human organism capable of producing health alterations. They are
divided into:
• Workload.
o Physical load : physical efforts of all kinds (load management, work postures, repetitive
movements). It can be static or dynamic.
o Mental load : level of psychological demand of the task (work rhythms, monotony, lack of
autonomy, responsibility).
• Organizational factors.
They are those related to the organization and business structure. They can have consequences on a
physical level but, above all, they affect mental and social well-being. We refer to variables such as the
day, schedule, management style, communication, participation and decision making, interpersonal
relationships, etc.
Risk factors are never presented in isolation. In the work environment, many of these factors interact,
that is, several risk factors are present at the same time, so that their harmful effects are enhanced. In
this way, when an alteration occurs in the health of workers, it cannot be attributed to a single cause,
but rather it will be a set of different factors present in the work environment that cause this loss of
health.
There is no more unacceptable risk than that which is not known, therefore, the first step that must be
taken to guarantee the safety and health of all workers against the risks derived from work, is the
identification and assessment of the different factors. of risk present in the workplace, in order to adopt
the necessary measures to prevent said risks.
The different nature of the risk factors means that their analysis cannot be carried out by a single
professional. In order to intervene against these risk factors and adopt the necessary preventive
measures, the joint and programmed action of professionals belonging to different disciplines is
required.
• Safety at work.
• Industrial hygiene.
• Work Medicine.
• Psychosociology.
• Ergonomics.
The first step that must be taken to guarantee the safety and health of all workers against risks derived
from work is the identification and assessment of the different risk factors present in the workplace, in
order to adopt the necessary measures to prevent such risks.
• The legal concept of "Occupational Disease" is not realistic, since it does not cover all
occupational diseases that affect the worker's health.
Working conditions.
Work activity can also cause undesirable effects on the health of workers, either due to the loss or
absence of it (since the precariousness of the labor market and unemployment can represent a
significant problem for health, with individual, family or social) or by the conditions in which the work is
carried out (accidents, illnesses and health damage derived from the work environment).
Risks to the health of workers are not something natural or inevitable, but are normally a consequence
precisely of inadequate working conditions. Working conditions are any characteristic that may have a
significant influence on the generation of risks to the safety and health of the worker. These working
conditions are not the only possible ones, but are the product of certain forms of business organization,
labor relations and socioeconomic options.
• The general characteristics of the premises, facilities, equipment, products and other tools
existing in the work center.
• The nature of the physical, chemical and biological agents present in the work environment and
their corresponding intensities, concentrations or levels of presence.
• The procedures for the use of the agents mentioned above that influence the generation of
risks.
• All those characteristics of the job, including those related to its organization and management,
that influence the magnitude of the risks to which a worker is exposed.
Faced with this situation, the prevention of occupational risks is proposed as the set of measures
adopted or planned in all phases of the company's activity in order to eliminate or reduce the risks
derived from work.
Working conditions are any characteristic that may have a significant influence on the generation of
risks to the safety and health of the worker.
Although the ways of understanding work have varied throughout history, as we know it today, work
has two fundamental characteristics: technology and organization.
• technification : we refer to the invention and use of machines, tools and work equipment that
facilitate the performance of different tasks of transforming nature.
• organization : it is the planning of work activity. By coordinating the tasks carried out by
different workers, a better result is achieved with less effort.
When the effects of modernization are not adequately controlled and the work organization system
does not function correctly, risks may arise for the safety and health of workers. Therefore, it is
necessary to promote initiatives aimed at achieving work with a degree of technology that frees us as
much as possible from the risks that threaten our health, and at the same time, ensure that work is
organized in a manner consistent with personal needs. and social aspects of individuals in general and
workers in particular.
Starting from the definition of working condition and its connection with the name of “characteristic”, we
can find:
• General characteristics of the premises, facilities, equipment, products and other tools existing
in the work center.
• The nature of physical, chemical and biological agents present in the work environment and
their concentrations.
• The procedures for the use of the agents mentioned above that influence the generation of the
aforementioned risks.
• All other characteristics of the job, including those related to its organization and arrangement,
that influence the risks to which the worker is exposed.
Responsibility of subjects in risk prevention : There is no doubt that prevention must be a shared
responsibility. Rights and duties arise.
PARTICULAR OBLIGATIONS
• Protection of workers especially sensitive to certain risks.
The employer must specifically guarantee the protection of those workers who, due to their personal
characteristics or known biological status, including those who have
The employer will specifically guarantee the protection of those workers who, due to their personal
characteristics or known biological status, including those who have a recognized physical, mental or
sensory disability, are especially sensitive to the risks derived from work.
• Maternity protection.
The employer must determine, through risk assessment, those agents, procedures or working
conditions that may negatively influence the health of workers who are pregnant or recently giving birth,
or the health of the fetus.
If a risk to safety and health or a possible impact on pregnancy or breastfeeding is detected, the
employer must take all necessary measures to avoid exposing the worker to said risk. This makes you
a RESPONSIBLE employer.
• Protection of minors.
The employer must carry out an evaluation of the specific risks to guarantee the safety and health of
workers under eighteen years of age, prior to hiring them or before any modification of working
conditions, taking into account the specific risks of the job. work and the lack of maturity and
experience of young people.
Our legal system establishes direct objective liability of the employer in the case of an accident suffered
by a minor while at work.
The employer must guarantee that these workers enjoy the same level of health and safety protection
as other workers.
The employer must inform these workers, prior to hiring, of the risks inherent to their work and the
necessary level of qualification, the requirement for special medical controls and the preventive
measures adopted against the risks. They must also receive specific training on the risks of their job.
In this way, workers must, in accordance with their training and the instructions received by the
employer, comply with the following obligations:
• Ensure your health and safety and that of other people who may be affected by your work activity.
• Properly use any element or means with which your activity is carried out.
• Do not put it out of operation and use the safety devices correctly.
• Immediately report risk situations.
• Contribute to the fulfillment of the obligations imposed by the competent authority.
• Cooperate with the employer so that he can guarantee safe working conditions.
Each worker must ensure, according to their possibilities and by complying with the prevention
measures adopted in each case, for their own safety and health at work and for that of other people
who may be affected by their professional activity.
The World Health Organization defines health as: “a state of complete physical, mental and social
well-being” and adds: “and not merely the absence of disease or infirmity.”
" Occupational health has the purpose of promoting and maintaining the highest level of physical,
mental and social well-being of workers of all professions, preventing any damage to their health
due to working conditions, protecting them in their employment against health risks and place and
maintain the worker in a job that suits his psychological and physiological abilities. In short, adapt
work to man and each man to his work."II
IIInternational Labor Organization (ILO) and the World Health Organization (WHO) Health is a right
enshrined by the Constitution, in its article 14 bis when it refers to: “decent working conditions”,
understanding such dignity in work SAFE , based on the conception of “decent”. Likewise, article 19
of the Constitution tells us that "harm should not be caused to others", consequently generating the
obligation to appeal to all the resources and programs that guarantee the greatest safety within the
framework of preserving the health of the worker.
At work, health must be protected by the employer, who, as part of the contract, is obliged to
guarantee it and on whom administrative, criminal, civil, labor and Social Security responsibility
falls.
Work and health:
Work and health are interrelated. Through work we seek to satisfy a series of needs, from survival
to professional, personal and social development. However, in this process we can see our health
affected if the work is not carried out under the appropriate conditions.
The world of work, like the society in which it develops, is in a process of permanent change. The
work processes, the technical means used, the way of organizing it, are not the same as a few
years ago; Work patterns have changed and will likely continue to change.
Work Valuation: Work allows us to seek the satisfaction of a series of needs, from those related to
survival to those that have to do with professional, personal and social development. Technological
advances have increased our quality of life, reducing old risks.
To ensure that all this is done with the greatest possible guarantees, in our country there is the
“HYGIENE AND SAFETY LAW” No. 19587, which has received reforms, updates, integrated
through its text, the regulatory decree and the ANNEXES, that with advanced technical precision,
establish the security postulates that must be respected and fulfilled in the different work processes
and activities, as will be studied later.
This activity of transforming nature in its various formats determines the necessary intervention of
THE MAN, who performs subordinate work in exchange for a salary that allows him to live (we are
talking about paid and food work). Through technology, efforts are reduced and strength is
increased. Through organization, work is more efficient and the functions of each worker are
clearer.
Health is a fundamental human right and achieving the highest possible level of health is a social
objective, therefore, also a union objective, with unions being responsible for monitoring so that the
ideal state of health is not harmed.
Why is it important to take care of the worker's health? The first answer is undoubtedly: because it
is not fair that the provision of an activity harms the state of health of any person, especially when it
is possible to prevent this circumstance.
But in addition to the first reason, there is another one of purely economic content for the employer
and that is that taking care of the health of their employees generates savings, not only in the
production rate, but also due to the fact of the increase in COSTS that they imply. the
Its objective is the promotion, prevention and protection of workers' health, developing the following
basic functions:
• Promotion: they act to improve the working conditions and health levels of workers.
• Preventive: they study the control of risk factors.
• Protective: they deal with protective measures against risk factors.
• Care or curative: they deal with the treatment of the pathologies detected.
• Ergonomic: they intervene in the adaptation of work to man.
As one of the disciplines of Health Sciences, occupational medicine is a medical specialty that
addresses health disorders produced in the workplace. Develop the following activities for
preventive purposes:
o Knowledge of the risks derived from working conditions and their effects on health.
o Evaluation of individual and collective health status.
o Early detection of health disorders.
o Proposal and subsequent control of preventive programs.
• Health education: In order to modify risk behaviors, informing and training workers to get
involved in prevention.
• Increase workers' resistance: This practice can be useful to reduce the appearance of some
diseases, through vaccination programs (infectious diseases) and physical maintenance
programs (musculoskeletal diseases).
Preventive techniques in Industrial Hygiene focus their field of action on the worker's relationship
with the work environment. In this area, it is about determining the different polluting agents that
may be present:
Chemicals , which can be present in the form of smoke, vapor, gas, mist, dust or aerosol.
Physical , which come from different forms of energy and can be: noise, vibrations,
temperature or radiation.
Industrial Hygiene focuses its field of action on the worker's relationship with the different
contaminating agents, chemical, physical and biological, present in the work environment.
The methodology of action in Industrial Hygiene contemplates the following phases or stages:
Assessment (the results obtained will be compared with the assessment criteria established.
Legal criteria or internationally accepted references are used in this process).
Adoption of the appropriate corrective measures and the corresponding controls on the risk
factors detected, in order to further their eradication.
* CHEMICAL CONTAMINANTS.
Identification of the contaminant.
For the identification of any chemical product, correct labeling and packaging is essential to inform
about the product we are using. Likewise, we must know the industrial process, the different
operations that comprise it and the physical-chemical characteristics of the process.
Once we know the substances existing in the environment, we need data on their toxicity,
characteristics, physical-chemical properties, etc., for which we will use legal references or studies
from research entities of recognized prestige.
Measurement.
During the work day, a single sample or successive samples will be collected, taking into account
work processes, production cycles, and worker mobility.
Evaluation criteria.
o Legal : they correspond to the legislation in force in our country on specific products (lead,
asbestos, vinyl chloride).
o TLV's (Threshold Limit Value): these are criteria set annually by the American Association of
Hygienists (ACGIH). The TLV values are the expression of the concentration levels of
contaminants in the air and have been calculated for substances whose absorption route is
respiratory, although in certain contaminants the importance of the dermal route is
recognized. They are reference values and should be used as a guide, since they do not
establish a boundary that clearly defines the limit between safe and dangerous working
conditions.
o BEI's (Biological Exposure Indices): are biological assessment criteria, also set by the
ACGIH. They serve as a complement to the TLV's and give an idea of the dose actually
absorbed by the body, since control is carried out on the biological fluids of exposed
workers (blood, urine analysis).
Control measures.
When we have detected the danger of a contaminant, control measures will be introduced, based
on the possibility of avoiding or reducing the risk, at each of these three moments:
In focus , measures aimed at reducing the generation of risk (for example: product substitution,
process modification, localized extraction.
In the middle , measures aimed at reducing the spread of the risk (for example: cleaning,
dilution ventilation, increasing the distance between the source and the receiver).
At the recipient , measures aimed at reducing the effects of the risk on exposed workers (for
example: information and training, staff rotation, means of personal protection).
For the identification of any chemical product, correct labeling and packaging is essential to inform
about the product we are using.
* BIOLOGICAL CONTAMINANTS.
Measurement.
Methods for measuring biological contaminants vary depending on their nature (living organisms or
derived from animals or plants) and the environment in which they can be found.
that contaminant in the work environment (raw materials, water, air, soil, work
equipment).
Assessment.
In the case of biological contaminants, a problem arises, since there are no assessment criteria or
limit values that are sufficiently reliable, due to the characteristics of these agents (they are live
microorganisms or parts of animals or plants, they can become resistant to treatments). and they
reproduce, and each worker's immune system reacts differently to them).
For some substances such as paper fiber (cellulose), wood dust or vegetable oil mists there are
TLV values. In those agents for which there are no reference values, toxicological and
epidemiological information * will have to be requested from the health authorities.
Control measures.
In focus: sanitary control, selection and design of equipment and establishment of appropriate
work methods, replacement of the agent with a more harmless one, modification or
enclosure of dangerous processes (biological safety cabinets).
In the diffusion medium: cleaning and disinfection, ventilation systems, control of transmitters
(insects, rodents).
At the receiver: information and training on risks, personal protective equipment, etc.
The methodology of action in Industrial Hygiene contemplates the following phases: detection of
contaminants, measurement, assessment and adoption of corrective measures
* PHYSICAL ENVIRONMENT .
A) Noise
It is the most common physical contaminant in any workplace. Its effects depend on several factors
such as:
Sound pressure level: it is the amount of energy associated with noise. It is measured in
decibels.
Characteristics of the subject (age, sex, physical condition) and the workplace.
Assessment.
There are no absolutely precise criteria in this regard, since the characteristics of each worker
mean that a clear separation cannot be established between noise levels that cause health damage
and those that are harmless. The Hygiene and Safety Law establishes what measures must be
adopted when the noise level exceeds certain values (from 80 dB A equivalent daily level, 140 dB A
peak level).
Control measures.
At the source: design of equipment, machines and work means, modification of processes,
enclosure, new location of noisy machines, among others.
In the middle: acoustic barriers, absorption screens, absorbent coatings on ceilings and walls,
increasing the distance between the noise and the worker, among others.
At the receiver: information, training, organizational measures, job rotation, hearing protection
equipment, among others.
Physical pollutants are different forms of energy that can be present in the work environment and
cause damage to health.
B) Vibrations.
Depending on the part of the body they affect, vibrations are divided into:
Partial vibrations (from 8 to 1000 Hz): they affect different parts of the body, the best known are
hand-arm vibrations.
The instrument used to make the measurements is the accelerometer. To obtain reliable data from
the measurements, they must be repeated several times and the following factors must be taken
into account:
Source reduction: replacement of machines and tools, selection of the vehicle or machine for
the terrain or task to be used, leveling the terrain, preventive maintenance, among others.
At the receiver: inform and train the worker, reduction of exposure time, personal protective
equipment (anti-vibration gloves), among others.
C) Thermo-hygrometric conditions
ID.
Environmental conditions:
Air temperature.
Airspeed.
Air humidity.
o Physical activity:
• Heavy
• Light.
Type of dress.
The most widely used measurement system is the WBGT (Wet Bulb Globe Temperature) index,
which simultaneously takes into account the four environmental variables (dry air temperature, air
velocity, humidity and wall and floor temperature). objects).
The assessment of the risk of thermal stress takes into account two variables: thermal
aggressiveness of the environment (WBGT index) and physical activity of the individual. Thus,
there are, for example, TLV values to measure thermal stress by assessing WGBT temperatures,
physical activity and acclimatization of the worker and the clothing he or she uses.
WHITNEY
Control measures.
About the source: isolation of heat and cold sources, process modification.
Regarding the thermal environment: improve general or localized ventilation, among others.
Regarding the individual: reduction in workload, reduction in exposure time, adequate food and
drink regimen, personal protection, among others.
Ionizing : with high energy power and ability to ionize matter (X-rays, g-rays, a particles, b
particles and neutrons).
Non-ionizing : they do not have enough energy to cause ionization (visible, ultraviolet, infrared
radiation, lasers, microwaves, radio frequencies).
There are various types of measuring instruments. In the case of ionizing radiation, for example, the
human body is not capable of detecting its presence directly through the senses, which is why
different detectors are used to report the radiation existing in an area (Geiger-Muller counters) or
the amount absorbed by a person or object (dosimeters).
• Assessment.
There are specific regulations that establish limits on the maximum doses that a worker can receive
in a certain period of time (RD 53/92: Regulation on health protection against ionizing radiation. We
can also find TLV values to assess the effects of non-ionizing radiation (ultraviolet, visible and
infrared radiation, laser).
• Control measures.
About the focus: adequate design of facilities, equipment maintenance, safety signage, among
others.
About the environment: enclosure and shielding of processes, delimitation of restricted access
areas, among others.
About the worker: information and training, limitation of exposure time, personal protective
equipment, among others.
• When necessary:
In the case of multiple risks that require the simultaneous use of several personal protective
equipment, these must be compatible with each other and maintain their effectiveness in relation to
the corresponding risk or risks.
The determination of the characteristics of personal protective equipment must be reviewed based
on the modifications that occur in any of the circumstances and conditions that motivated its
selection. PERSONAL PROTECTIVE EQUIPMENT is intended, in principle, for individual use. If
circumstances require the use of equipment by several people, the employer must take the
necessary measures so that this does not cause any health or hygiene problems for the different
users.
Personal protective equipment must be used when there are risks to the safety or health of
workers, which could not be avoided or sufficiently limited by technical means of collective
protection or by work organization measures, methods or procedures.
Personal protective equipment is any equipment intended to be worn or held by the worker to
protect him from one or more risks that may threaten his safety or health, as well as any
complement or accessory intended for this purpose.
• Regular work clothing and uniforms that are not specifically intended to protect the health or
physical integrity of the worker.
• The teams of the relief and rescue services.
• Personal protective equipment for the military, police and people in law enforcement
services.
• Personal protective equipment for road transport.
• The sports equipment.
• Self-defense or deterrence material.
• Portable devices for the detection and signaling of risks and nuisance factors.
Personal protective equipment must provide effective protection against the risks that motivate its
use, without posing or causing additional risks or unnecessary inconvenience.
Personal protective equipment must be used when there are risks to the safety or health of workers
that cannot be avoided or sufficiently limited by technical means of collective protection or by work
organization measures, methods or procedures.
In relation to the individual protection of workers, the employer has the following general
obligations :
• Determine the jobs in which individual protection must be used and specify, for each of them,
the risk or risks against which protection must be offered, the parts of the body to be
protected and the type of equipment or equipment. individual protection that must be used.
To choose personal protective equipment, the employer must carry out the following actions:
o Analyze and evaluate existing risks that cannot be avoided or sufficiently limited by other
means.
o Define the characteristics that personal protective equipment must meet to guarantee its
function, taking into account the nature and magnitude of the risks from which it must
protect, as well as the additional risk factors that the personal protective equipment itself
may constitute. Its use.
o Compare the characteristics of the personal protective equipment existing on the market with
those defined in the previous paragraph.
o Choose the most appropriate personal protective equipment , keeping information
about each piece of equipment available in the company or work center.
The employer must inform workers, prior to using the equipment, of the risks against which it
protects them, as well as the activities or occasions in which it should be used. Likewise, you must
provide precise instructions on the correct way to use and maintain them.
It must also guarantee training , organizing training sessions for the use of personal protective
equipment, especially when the simultaneous use of several personal protective equipment is
required that, due to its special complexity, is necessary.
Provide workers with the personal protective equipment they must use free of charge, replacing it if
it occurs under any of the circumstances and conditions that motivated their choice.
Personal protective equipment is intended, in principle, for personal use. If circumstances require
the use of equipment by several people, the employer must take the necessary measures so that
this does not cause any health or hygiene problems for the different users.
ADVANTAGES OF PPE
.
• They generally provide a barrier between a certain risk and the person.
• They reduce the severity of the consequences of the accident.
• They improve the protection of the worker's physical integrity.
• Easy to select.
• Easy to implement.
• Wide variety of types available on the market.
DISADVANTAGES OF PPE
PPE CLASSIFICATIONS
• HEAD PROTECTION
• EAR PROTECTION
SAFETY HELMET
• Protects the head against risks of:
- Hits.
– Impacts of animated objects.
– Splashes of hot or chemically aggressive substances.
– Electrical risks.
REQUIREMENTS FOR A GOOD SAFETY HELMET
• Great impact resistance.
• Damping capacity.
• Heat and electricity insulator.
• Resistance to compression and penetration.
HOMEWORK:
• Ensure the use of equipment . The conditions under which protective equipment must be
used, in particular with regard to the time for which it must be worn, will be determined
based on:
Individual protection measures must be carried out in accordance with the manufacturer's
instructions.
Immediately inform your direct line manager of any defect, anomaly or damage seen in the
personal protective equipment used that, in your opinion, may lead to a loss of its protective
effectiveness.
The external hygiene and safety service includes the following tasks:
Plant audits highlighting the needs to provide a high level of safety and at the same time comply
with current legislation.
Written reports of the aforementioned audits, giving the necessary indications to solve the
problem detected.
Training and education actions for company personnel in everything related to hygiene and
safety . Exhibitions, projection of video material, group work by staff, solving case studies.
Delivery of the basic safety manual for incoming personnel and induction talks.
Implementation of the PROMEHSEG (Program for the Improvement of Hygiene and Safety)
to achieve a better level of hygiene and safety , with the main objective of reducing the
accident rate.
Personal interviews, when an accident occurs in order to determine the possible causes that
caused it and make corrections.
Analysis of risks by job to determine the need to use different personal protection elements.
Legal support to the company in the event of possible lawsuits due to accidents arising from the
activity.
Law 19,587 and its regulatory decrees 351/79 and 1338/96 establish that every establishment must
have an occupational medicine service and a hygiene and safety service at work. The Law intends
that medical services be provided on a preventive basis, without prejudice to the fact that they can
attend to emergencies.
The company can decide whether to have a doctor in its establishment or hire it externally.
The art. 7 of Decree 1338/96 establishes the number of medical hours (within the establishment)
that companies that have more than 150 workers must provide (there are different scales) and the
auxiliary personnel for emergencies that companies that have more than 200 workers must provide.
.
In addition, the company must maintain a health file, containing the results of pre-occupational and
periodic medical examinations.
If a worker reports that he or she is sick, the company can decide whether to exercise its right to
medical supervision or not. If you do not do it, you must follow the advice of the doctor chosen by
the worker. What happens if both doctors give different opinions? It will be necessary to analyze
how different they are and evaluate the risk of the claim made by the worker.
The company may decide to validate only its medical control and if the worker considers himself
dismissed, the judge will determine whether or not he had valid reasons, previously analyzing the
case with the designated medical expert.
Work Accident : injuries suffered by the worker during the time and in the workplace.
Occupational Disease: slow and gradual deterioration of the worker's health, produced by chronic
exposure to adverse situations, in the environment or in the way of work.
• The International Labor Organization tells us that degenerative diseases derived from
habitual exposure to chemical agents are more important and frequent than work accidents
and estimates that of the 2 million occupational deaths that occur each year in the world,
440,000 They occur as a result of workers' exposure to chemical agents.
• In our country the problem is aggravated by the lack of information, knowledge and control
of workers exposed to chemical agents in their work. They are also not diagnosed and
therefore are not reported.
• There are 29 million chemicals in the world. Registered: 100,000, of these companies use
about 30,000 despite the fact that 20,000 of them do not have complete and systematic
toxicological tests.
• Of the chemical substances whose effect is known, 350 are carcinogenic and 3,000 are
declared allergens.
The following numbers of work-related deaths occur annually in the world: (More than 1,500,000)
Cancer 610,000
In our country and according to the Superintendency of Occupational Risks (SRT), out of a total of
6,000,749 covered workers, 9,641 occupational diseases were reported, which implies a 1.6%
incidence rate.
The reality is that we cannot think that we have the healthiest workers in the world.
The Superintendency of Occupational Risks has recently expressed its concern about the “serious
concealment” of occupational diseases at all levels. This responsibility includes employers who do
not report them due to ignorance of their work nature or for other reasons, and also Occupational
Risk Insurers (ART) that do not comply with their obligation to detect the risks to which workers are
exposed and, consequently, carry out periodic health examinations, a valid tool for the early
detection of pathologies.
Also from the SRT The point is made about doctors and their responsibility, whether they work for
an ART, company, government or medical center, since ultimately they are the ones who care for
the worker, make a diagnosis and must know if that disease is directly linked to the risks to which
the patient is exposed at work or not.
When we talk about Exposure to Risk Agents , we mention that the Occupational Risk Law
required medical examinations for:
- Preserve the worker, in the event of a lack of psychophysical fitness for work or damage suffered
by exposure to risk agents.
This, continuously monitoring the working conditions and environment and monitoring the
health status of workers through medical examinations.
Their purpose is to determine the attitude of the applicant according to their psychophysical
conditions for the performance of the activities that will be required of them. It should be noted that
in no case can these exams be used as a discriminatory element for employment. Its completion
is mandatory , and must be carried out prior to the start of the employment relationship. It is the
responsibility of the employer.
2. Periodic Exams
Their objective is the early detection of conditions caused by risk agents to which the worker is
exposed during their work, in order to prevent the development of occupational diseases. Carrying
out these exams is mandatory in all cases in which there is exposure to risk agents and they
have minimum frequencies and contents.
They have, where pertinent, the objectives indicated for the entrance and exit exams. It is
mandatory to carry out examinations prior to the transfer of activity, whenever said change
implies the beginning of possible exposure to one or more risk agents, not related to the
tasks previously carried out . Carrying out the exam will, in this case, be the responsibility of the
employer. For its part, when the change of tasks leads to the cessation of possible exposure to
risk agents, the exam will be optional.
Their purpose is to detect pathologies that may occur during the absence . They are optional
and can only be carried out prior to the worker's resumption of activities.
Their purpose will be to check the state of health against the risk elements to which the worker
would have been exposed at the time of dismissal. These examinations will allow the timely
treatment of occupational diseases as well as the detection of possible disabling
consequences.
They are optional and will be carried out between ten (10) days before and thirty (30) days after the
termination of the employment relationship.
Carrying out these exams will be the responsibility of the ART, without prejudice to the fact that the
Insurer may agree with the employer to carry them out. For this reason, the ART requests the
employer to send a form called “ Payroll of Personnel Exposed to Risk Agents”, which is
mandatory to submit in accordance with current legislation, with the frequency of submission being
annual and in cases of high turnover. of exposed personnel, quarterly or semiannually.
It should be noted that any temporary modification to said form (initiation or cessation of exposure
due to a change of job, job registrations and leave, etc.) must be reliably communicated by note or
by a new form to the ART.
An important concept is that of Personnel Exposed to Risk Agents . It is important to know what
exposure involves contact continuously and repeatedly over time; Our legislation speaks of “
continuous exposure, repeatedly day after day, eight hours a day, forty-eight hours a week.”
Personal development
The Performance Management model is considered the fundamental element for cultural
transformation; It involves moving from the simple evaluation of management (individual
performance) to a comprehensive process composed of four stages: Planning, Mentoring, Review
and Recognition, all of them sharing a common element which is Dialogue.
This allows for awareness of the value in this case of Security, in a progressive format without
pressure but with appreciation of its importance.
This shows that all Safety Performance Management plans must be worked on, covering all levels
of the company, from the management levels down to the entire structure.
It is important to use all current computer programs to obtain complete and safe
dissemination of content and preventions regarding health and safety at work (OSH).
Training
In order to accompany the professional development of the company's workforce, there are internal
and external training activities. An example:
A notable event was the training carried out via e-learning on the Code of Conduct and Values, for
all hierarchical levels.
Training
One of the fundamental aspects addressed in the training program refers to the Administration
System (Safety, Health and Environmental Protection).
Safety Performance IV
During 2007 we managed to keep the Accident Frequency Index low, both for our own personnel and for contractor companies.
This decrease indicates that we continue along the line of continuous improvement towards our goal of "zero accidents."
IV Link address:
http://www.ypf.com/ar_es/todo_sobre_ypf/responsibilidad_social_empresaria/
calidad_seguro_y_medio_a mbiente/security_y_medio_ambiente/security/desempeno_en_seguro/
Despite the efforts made, a total of 3 fatal accidents occurred among the personnel of contracting
companies.
Starting in 2007, a Safety Master Plan was developed at the CIE (Ensenada Industrial Complex),
with different actions, framed within a three-year cultural change program.
The program presents an activity linked to changing the way Safe Behavior Observations
information is processed.
Supported by the development of a computer application to record these observations, the different
people responsible for the organizational structure of the Complex were assigned to monitor the
deviations associated with its management.
This methodology promoted the integration of safety management with operations, in line with the
Safety, Health and Environment policy.
As a result of the program, significant reductions (25%) in unsafe acts on work fronts are achieved
compared to what was measured at the beginning of 2007.
Promote the “Doing Things Well” Program in order to implement a project for all contractor
personnel, Western Regional supervisors and union delegates, who
• Shock Plan: Work Observations, Work Permits, Awareness and Leadership, Contingency
Plan.
For this evaluation, the model of the YPF company has been taken, which has a strong Safety and
Performance Management program.
Year 2007: Work Observation Seminars (447 people), Sustainability (440 people), Awareness and
Leadership Workshop (12 people).
Year 2008 (1st semester): 8 Work Observation Seminars (64 people), Sustainability (180 people), 8
Work Permit Workshops (64 people), 27 Awareness and Leadership Workshops (300 people).
At YPF we created a Regional Emergency Response Standard to establish the basic guidelines that
allow us to optimize the response to external emergencies, facilitating the use of available
resources. This standard includes emergencies that occur with substances produced or
manufactured by YPF or with dangerous inputs with responsibility for YPF established by purchase
method, during road, rail or pipeline transportation and/or those external emergencies that occur in
the vicinity of our units. selling.
The Regional Coordinators are the link between the different operational support units and the one
acting during an emergency and constitute an element of assistance for the resolution of
emergencies, assigning available resources in a certain area, according to the needs that arise.
To find a better optimization of response to an emergency, we divide the country's territory into
eight regions, each with a Regional Coordinator.
Additionally, we believe it is necessary to train carriers on preventive safety procedures and those
applicable in case of emergencies.
But there are also many things that have been designed to protect the worker only. For example, we
have a pair of glasses or a face shield. They will not stop a thief, prevent a fire or machinery from
breaking down. This facial protection has been designed for one function only, to prevent any
material from splashing on the worker's face, causing injuries that can lead to blindness.
They have been designed to protect workers, but no one can protect them if they do not want to
protect themselves. There is nothing automatic about personal protection.
The user must be aware of the value of protecting both the eyes and other parts of the body and,
consequently, use the equipment provided for this purpose.
A helmet will protect the head and safety shoes will protect the feet, but only if worn.
When you ask workers to wear personal protective equipment, you're not asking them to do the
company a favor, you're asking them to do themselves a favor.
Workers may say that the company also benefits and it is true, but what the company is trying to do
is what is best for everyone, taking into account the well-being of the workers first.
The efforts of any company will be null if the workers do not do something on their part to prevent
an accident from leaving them blind, paralyzed or even killing them.
Experience has taught them the kind of personal equipment that is necessary to use in the different
Management cannot use personal protective equipment for the worker. Nor can you stand next to
each of the workers at every moment, telling them "use it."
Sometimes it may seem ridiculous to take the time to put on protective equipment when the task at
hand will only take a few seconds.
For example, grinding work that is too short to put on glasses. But think about him for a moment.
How long does it take for a bit of metal or grinding wheel dust to jump up and enter the eye? It only
takes a fraction of a second and can happen in a job that takes ten seconds or all day.
Not wearing protective eyewear in all jobs that require it is as risky as an office cashier going out to
lunch for a half-hour period and not closing the register, considering the chances of someone
coming in and breaking in. carry the money in such a short period are very few. In reality, not
wearing protective glasses is much riskier than leaving the box open. The worst thing that can
happen to the cashier is that his money is stolen and as a result he is fired from work, but he will still
have his eyes to see; while if the worker does not put on protective glasses, it may be that his vision
is stolen.
Therefore, it is important to wear the protective equipment required by the job and wear it whenever
the task is being performed. You must keep the door of the safe closed against accidents that can
happen at any time.
Manual Operation
Physical differences discourage the implementation of safe lifting limits applicable to all workers.
Height and weight do not necessarily express lifting ability. Certain short, thin people can lift heavier
weights than tall, stocky ones.
There are profound variations regarding the weight limits that the worker must lift in respective
operations.
If the worker has to lift a heavy or bulky object to take it to another place, the place where the object
is located and the path on which it is to be transported must first be inspected, making sure that
there is no obstacle or spilled material that could cause
You must make sure that the free spaces are sufficient.
You must then examine the object to decide how to handle it and avoid sharp edges, splinters or
any other element that could harm it. You may need to tip the object over before attempting to lift it
off the ground.
If the object is wet or greasy, you must dry or clean it so that it does not slip.
Most sprains, dislocations or low back pain occur when lifting or lowering objects manually.
It is of great importance that those who do this work train in the proper techniques to reduce injuries.
For this purpose, the correct application of six basic factors is essential:
They should be separated, one next to the object to be lifted and the other behind it. Feet
comfortably open give greater stability, the back foot is placed in a position of driving force to carry
out the lift.
2. Straight back
In the kinetic method, the back is frequently inclined, especially when lifting objects from the ground,
but the inclination must be from the hips, maintaining normal curvatures.
When lifting and carrying weights, the arms should be close to the body and whenever possible in a
straight position, since bending the elbows and raising the shoulders imposes unnecessary
muscular effort on the forearms and chest.
4. Correct grip
An insecure grip may be due to the weight falling on the fingertips, causing exaggerated pressure
on them and straining certain muscles and tendons of the arm.
Greasy surfaces often prevent a secure grip; These surfaces should be cleaned first, whenever
possible.
5. Chin tucked
The chin is tucked in so that the neck and head follow the straight line of the back and keep the
spine straight and firm.
The chin tucked posture must be adopted immediately before the lift and must be maintained
throughout the movement.
With the correct position of the feet and with the flexion and extension of the legs, the weight of the
body can be used effectively to pull or push objects and to initiate a forward movement as if placing
an object on a shelf.
When lifting the object from the ground, the impulse given by the back foot, combined with the
extension of the legs, will cause the body to move forward and upward, putting itself in imbalance
for an instant, which is immediately corrected.
PROTECTIVE ELEMENTS
This section of the reading contains a detail of all the elements called PERSONAL
PROTECTION ELEMENTS (PPE) determined by the hygiene and safety law and international
standards for use in tasks, in such a way that they prevent risk, damage or injury to the
worker.
It must be clear that the sole provision of PPE does not imply total safety, but rather an
entire safety performance management program must be harmonized with it.
SECURITY GLASSES
SAFETY GOGGLES
FACIAL PROTECTORS
WELDING MASKS
SKULL PROTECTION
AUDITIVE PROTECTORS
- FOLDING STRETCHER
- MANUAL RESUSCITATOR
- LARGE HANGING FIRST AID KIT MEASUREMENTS: 300X140X400 (WITHOUT CONTENTS)
- MEDIUM HANGING FIRST AID KIT (WITH SHELF AND CLOSURE WITH CONTENTS)
- 1ST AID KIT TYPE SHEET SUITCASE MEASUREMENTS: 265X150X80
AUTONOMOUS TEAMS
WORKWEAR
FIREPROOF CLOTHING
- FIREPROOF PANTS
- FIREPROOF SHIRT
- FIREPROOF ROMELOUGH
- PREVIOUS IDEM IN NOMEX III * CONSULT
ALUMINIZED CLOTHING
- ALUMINIZED PANTS
- ALUMINIZED JACKET
- ALUMINIZED SUIT
WORKWEAR
WATERPROOF CLOTHING
- SHOE COVER
- COPING
- COAT
- AMBO
- MASK
APRONS
WHITE CLOTHES
WARM CLOTHING
PRINTS
- POCKET GRILLE
- BACK GRILLE
- POCKET PRINT
- BACK PRINT
Temporary disability
• Great disability
WORK OR BY THE FACT OF IT, INCLUDING IN THE CONCEPT WHAT IS OCCURRED ON THE
JOURNEY FROM WORK TO AND BACK TO HOME AND VICE VERSE.”
• Professional illness: “that contracted as a result of work carried out as an employee in the
activities that are specified in the table approved by the provisions and development of this law
and that are caused by the action of the elements or substance that in "This table is indicated for
each occupational disease."
Unlike an accident, it is a slow, progressive evolutionary process, which must recognize as a risk
factor, an element or derived process with a cause-effect link to the work environment, a
disability and that it is a direct consequence of the risk factor; added to the time of exposure to
the risk factor.
OTHER CONCEPTS:
• Personal protective equipment: any instrument worn or held by the worker to protect him or
her from the risk of suffering an accident (for example, headgear, hearing protection, etc.)
• Safety and hygiene at work: it is an expression synonymous with prevention of occupational
risks. Used very frequently before the Prevention Law of 1995.
• Occupational health: in general it is used as a synonym for prevention of occupational risks.
Specifically, it refers to the health aspects of occupational risk prevention.
There are several organizational forms of prevention in the company depending on its
size and the activity it carries out; The entrepreneur can:
• personally assume preventive tasks,
• designate one or more workers to carry them out,
• establish its own prevention service or
• have an external prevention service.
If the employer personally assumes preventive tasks, a series of requirements must be
met:
• That it complies with the Law on Hygiene and Safety at Work and the processes it imposes.
Law 19587, decrees and annexes.
• Respect the provisions of the Occupational Risk Law, law 24557.
• You must usually be in the workplace.
• Must be properly trained.
• You must meet with specialized advisors such as: a) The Hygiene and Safety Engineer and b)
The Occupational Doctor.
c. Prevention plan
To implement a Prevention Plan in the company, the first thing to do is identify the possible
occupational risks that we may have in our company. To do this, what we can do is:
• Identify hazards: what can go wrong?
• Determine who could be injured and how seriously, including workers, contractors, and the
general public.
3. Accident statistics
The collection of information on accidents that actually occur is one of the work tools available to
the person responsible for the company.
Studies and surveys on accidents are periodically published ( www.mtas.es ) in which, among other
elements, the situations that led to the accident occurring are described. As can be assumed, this
information allows us to identify those risk elements that are most present and, therefore, facilitates
the work of trying to neutralize them.
There are several benchmarks that can be taken into consideration:
• Frequency: Indicates the number of accidents that have occurred in a given work period. This
index allows us to know the “quantity” of accidents.
• Severity: The severity of the accident rate is calculated taking as reference the work days lost
due to the accidents that occurred.
• Average duration: Indicates the average sick leave time caused by each accident.
Furthermore, the employer has the obligation to prepare and keep at the disposal of the Labor
Authority the following documentation related to preventive activities:
• List of accidents and occupational diseases that have caused the worker a work disability
of more than one day of work. Through this record, analyzes and studies can be carried out to
determine the most important factors of the accident rate existing in the company.
• The accident record must contain data on: the form of the accident, the material agent, the
nature of the injury and its location.
http://www.microsoft.com/spain/empresas/guia_prevencion/evitar_accidentes.mspx
Rapid action in the event of an accident can save a person's life or prevent possible injuries from
worsening.
By MEDICAL EMERGENCY we understand that situation in which the lack of medical assistance
will cause the death of the injured party in very few minutes.
The brain is the most delicate organ available to the human being.
The lack of oxygen will cause, in a short time, irreversible injuries, resulting in death within 8 - 10
minutes.
Therefore, any cardiorespiratory arrest (failure of cardiac and respiratory functions, with the
consequent inability to deliver oxygenated blood to the cells) is a situation of maximum emergency
since the patient's life will depend on the immediate treatment.
If the patient is unconscious and not breathing, his or her airways must be opened:
a. Remove possible foreign bodies from the mouth (loose teeth, chewing gum...)
b. Open airways (perform HYPEREXTENSION OF THE NECK).
If after having carried out operations a) and b) you still do not breathe, the following sequence of
operations will be carried out:
1. Tighten your forehead and hyperextend your neck WELL (forehead-chin maneuver).
2. Turn your hand away from your forehead and pinch your nose.
3. Place our lips around the patient's mouth, completely sealing their mouth with ours. START
MOUTH-MOUTH with 2 quick insufflations (fig. 4). There are other artificial ventilation techniques
such as MOUTH-NOSE (fig. 4a) or the MOUTH-STOMA (fig. 4b), depending on the problems
suffered by the injured party, such as people who have no teeth or people who have had
laryngectomies. However, the objective is to breathe air into the lungs and in order not to
complicate the Didactic Unit we will always talk about MOUTH-MOUTH (without forgetting the other
options).
4. Once the air has been insufflated, cardiac function must be checked through the CAROTID
PULSE. Once the above is done, there are two possibilities:
a. THERE IS A PULSE, BUT HE IS NOT BREATHING: Continue with MOUTH-MOUTH artificial
respiration and periodically check the existence of the PULSE (every minute or every 12
insufflations). In respiratory arrest the rate of insufflations is slow, 12 per minute and then check the
pulse.
b. NO PULSE: START EXTERNAL CARDIAC MASSAGE.
It is necessary to perform it when the patient is unconscious, not breathing and has no pulse; Figure
5 indicates the position that the rescuer must adopt and the location of the chest compression point.
The sequence of operations to perform cardiac massage is as follows:
a. Place the patient on a hard surface.
b. Locate the lower third of the sternum and place the heel of our hand on it, two or three fingers
above the final tip of the sternum (xiphoid process). The other hand will be supported in the same
way on the one that contacts the chest.
c. It is very important not to put pressure on this process as this could cause significant internal
damage. With our fingers stretched and arms perpendicular to the point of contact with the sternum
(Fig. 6), we will exert direct compression on the thorax, causing it to depress about 4 or 5 cm. and
at a compression/relaxation rate = 1/1. It is important that the fingers do not touch the chest, in
order to avoid rib fractures.
d. Cardiac massage will always be accompanied by mouth-to-mouth breathing. Basic Life Support
will be provided with the following rhythm:
All of these maneuvers are applicable to adults. Those used in infants and children vary depending
on the age or physical constitution of the child.
First aid
Primary evaluation and basic life support (Part 03)
Editor: José Luis Moliné Marco ATS
NATIONAL CENTER FOR WORKING CONDITIONS
The procedure to follow is the same as in adults, according to algorithm No. 1, but with the following
variations (see table No. 2):
2. Insufflations are done using the mouth-mouth and nose method (fig. 7).
3. The air insufflated must be what fits in the rescuer's mouth, not in his lungs.
4. The pulse is checked in the brachial artery, under the biceps muscle of the arm (fig. 7a).
5. If you are not breathing but you do have a pulse, the rate of breaths per minute is 20 (1
every three seconds).
6. The point of cardiac compression is in the middle of the sternum, a finger width below
the line that joins the two nipples (intermammillary).
7. Cardiac massage is performed with only two fingers of one hand and with enough force
to depress the sternum approximately 1.5 cm.
Children
2. Insufflations are done using the mouth-mouth and nose or mouth-mouth method,
depending on the size of the child.
3. The air insufflated must be sufficient to elevate the chest of the injured person.
4. The pulse is checked in the brachial artery (under the biceps muscle of the arm) or in
the carotid artery, depending on the size of the child.
5. If you are not breathing but you do have a pulse, the rate of breaths per minute is 20 (1
every three seconds).
6. The point of cardiac compression is in the middle of the sternum, a finger width below
the line that joins the two nipples (intermammillary).
8. The Basic Life Support rhythm with ONE lifeguard is 5 compressions per 1 insufflation
or 15 compressions per 2 insufflations, depending on the size of the child and depending on
the movement of the lifeguard to perform the technique.
If the lifeguard can do the cardiac and mouth-to-mouth massage without moving, the 5 x 1
is used, but if they have to move towards the child's mouth, the 15 x 2 is used.
If when performing artificial ventilation you find that no air is entering, it is because:
1. The opening of the airways (hyperextension of the neck) is insufficient, placing the neck more
upward.
2. The injured person's nose has not been pinched.
3. Your mouth has not sealed well with that of the injured party.
4. You have blown in too much air and the stomach has dilated, in this case vomiting will occur.
If after carrying out these checks there is still no air entering, it means that there is a foreign body in
the respiratory tract, quickly apply the Heimlich Maneuver for an unconscious person (see algorithm
no. 1 of NTP-467 of 1997). Cardiac massage may be ineffective if:
1. The compression point is inadequate.
2. The rescuer's fingers touch the chest of the injured person.
3. The heel of the rescuer's hand separates from the chest of the injured person with each
compression.
4. The lifeguard's arms are not perpendicular to the support point.
5. The compression force is insufficient to cause the artificial pulse. You can check if a
second person verifies the existence of a pulse while performing the cardiac massage.
In a smaller percentage of emergency care with hazardous materials, the use of decontamination
processes with three and up to 18 contamination reduction stations is implemented.
Decontamination priorities:
For the installation of decontamination reduction corridors, it is necessary that the corresponding
level of communication and authority be established between the Commander or CIE officer and
the Decontamination Coordinator. This allows establishing the site to locate and install the corridor,
depending on the emergency management conditions.
It also allows establishing the type, properties and risks of the product handled in the emergency,
the level of contamination risk acquired by the personnel and the technical protections, the level of
personal protection assigned to the intervention area, all of this to determine the degree, and
numbers of stations required for proper installation of the corridor(s) and designation of necessary
personnel.
These gradual reduction decontamination corridors are the only guarantee to separate remains of
products and/or chemical reactions that have been impregnated on people, penetration suits and/or
emergency control equipment. Every product has a general and specific decontamination
procedure assigned, which allows the decontamination processes to be managed according to the
chemical concentration variables of the product at the time of the emergency.
The basic equipment for corridors must be placed on the ground in the warm area, such as marked
plastic routes, mechanical or pressure cleaning utensils, containers containing soapy solutions or
buffers, specific inertizers or diluents as the case may be, use of containment containers for the
recovery of waste from the washing and rinsing process, decontamination and final disposal of
residual chemical waste from the area (remediation) according to the procedures indicated by the
company's environmental technical support staff.
In some cases we have heard about the way some chemical injuries have been handled (good or
bad) during hazardous materials emergencies.
However, if we do not take the corresponding measures according to the case, the contamination
problems of the hot area will be transferred to the safety zone, to the medical and/or support
personnel, to the ambulances and their equipment, to the medical care centers. industrial and
finally to community and/or private assistance centers.
Any affected person classified by the corresponding search pattern as chemically injured must be
rescued, stabilized and extricated by hazmat intervention operations personnel, decontaminated in
a reduction corridor by trained and trained hazmat personnel, and finally sent to a medical
specialist. company hazmat for initial evaluation and relevant basic treatment.
DECONTAMINATION METHODS
In decontamination processes we can classify them into two large groups: physical methods and
chemical methods.
As physical methods we can establish the mechanism of Absorption, Washing, Brushing and
Scrubbing, Vacuuming, Isolation and Disposal.
The purpose of decontamination methods is to carry out prevention through work practices to
minimize exposure and contact with a contaminant agent.
The Decontamination process sequence as a minimum requirement can be translated into several
stages: location and recovery of used equipment, complete washing and rinsing, removal of gloves,
rotation of breathing air cylinders, removal of protective suits, removal of self-contained equipment
and finally general body hygiene.
In a decontamination process, it is necessary to establish certain rules or parameters that allow the
contamination reduction and/or decontamination procedure to be developed within the time
established by the planning and within the greatest possible safety according to the
Decontamination Equipment
The minimum equipment required for a decontamination process depending on the nature and
complexity of the event and the number attended can vary from minimal protective equipment such
as disposable chemical suits for cleaning sanitation areas with mechanical air purifiers to fully
encapsulated line suits. of supplied air in hot areas with highly dangerous products.
The note that constitutes this reading, constitutes a real evolution in the way of facing risks
at work, with direct influence on the processes in relation to personnel and a new vision of
improvement of human resources, which should be interesting to assimilate for your general
application. I recommend your reading.
By Mario A. Canale
Buenos Aires, June 15, 2001
1. INTRODUCTION
a. Behavioral Risk Management , which I have translated as Human Behavior Risk
Management, is a concept currently in force particularly in the Anglo-Saxon world, which explains
something in some way already known by all Human Resources specialists: The behavior of the
people who make up a company. organization impacts its performance and results.
b. This concept ends up destroying the old idea that personal problems should stay at home and
that work problems should stay in the company. Today more than ever we know that the human
person is one and indivisible and that the problems and satisfactions of the work area influence the
personal and family area, and vice versa.
2. RISK FACTOR'S
Risk factors can be individual and organizational.
a. Individual risk factors:
They are those behaviors of employees and leaders of a company that potentially generate direct
or indirect losses for the company.
3. RISK MANAGEMENT
Managing risks means taking actions to i) reduce internal risk factors in the company and ii) provide
personnel with benefits and services that help them adequately manage individual risk factors.
a. Reduction of organizational risk factors
Many companies have made considerable progress in this aspect: Implementation of personnel
selection and training policies, security standards and compliance audits, clear and adequate
communication policies, training in participatory leadership styles, creation of self-managed teams,
and other measures that tend to create safer and more satisfactory conditions.
b. Provision of services and benefits to staff
Today there are services that companies provide to their employees, which aim to avoid some of
these risks. We can cite some medical or healthy living promotion programs that decisively reduce
absenteeism rates, programs for learning communication and teamwork skills, in order to improve
interpersonal ties and improve the performance of work groups, courses about Stress
Management, etc.
Behavioral Risk Management is a concept that allows these services, which until now have been
taken in isolation, to be brought together within a unifying concept that will allow evaluating the
emotional recovery from the event, and a prompt emotional recovery from it, thus avoiding or
minimizing the impact on work productivity.
ANNEX II
Corresponding to article 60 of the Regulations approved by Decree No. 351/79
(Annex replaced by art. 3rd of Resolution No. 295/2003 of the Ministry of Labor, Employment and
Social Security BO 21/11/2003)
CHAPTER 8
THERMAL STRESS (Thermal load)
cold stress
Cold stress limit values (TLVs) are intended to protect workers from the most serious effects of both
cold stress (hypothermia) and cold injuries, and to describe cold working conditions below of which it
is believed that almost all workers can be repeatedly exposed without adverse health effects. The
goal of the limit values is to prevent the internal body temperature from falling below 36°C (96.8°F)
and to prevent cold injuries to the extremities of the body. Core body temperature is the temperature
determined by rectal temperature measurements with conventional methods. For a single occasional
exposure to a cold environment, a drop in internal temperature should be allowed to 35°C (95°F)
only. In addition to provisions for total body protection, the aim of the limit values is to protect all
parts of the body, and in particular the hands, feet and head, from cold injuries.
Among workers, fatal cold exposures have almost always been the result of accidental exposures,
including those cases in which they cannot escape low ambient temperatures or immersion in low-
temperature water. The single most important life-threatening aspect of hypothermia is the drop in
internal body temperature. Table 1 indicates the clinical symptoms presented by victims of
hypothermia. Workers must be protected from exposure to cold so that the internal temperature does
not drop below 36° C (96.8° F). Lower body temperatures are very likely to result in reduced mental
activity, a reduced ability to make rational decisions, or loss of consciousness, with the threat of fatal
consequences.
Feeling pain in the extremities can be the first symptom or danger warning of cold stress. During
exposure to cold, shivering occurs the most when body temperature has dropped to 35°C (95°F),
which should be taken as a danger sign for workers, and exposure to cold should be terminated
immediately. of all workers when it is evident that they begin to shiver. Useful physical or mental
work is limited when you shiver severely. When prolonged exposure to cold air or immersion in cold
water at temperatures well above freezing can lead to dangerous hypothermia, the entire body must
be protected.
1. Workers must be provided with dry insulating clothing suitable to maintain body temperature
above 36°C (96.8°F) if work is performed at ambient temperatures.
These values should not be used for watertight suits or garments that are impermeable or highly
resistant to water vapor or moving air in factories.
TGBH: Globe Wet Bulb Temperature Temperature Index
Thermal stress is the net heat load to which a worker may be exposed as a result of the combined
contributions of job energy expenditure, environmental factors (i.e. air temperature, humidity, air
movement and radiant heat exchange) and clothing requirements.
Medium or moderate heat stress may cause discomfort and may adversely affect work performance
and safety, but is not harmful to health. As heat stress approaches the limits of human tolerance, the
risk of heat-related disorders increases.
Thermal stress is the global physiological response resulting from thermal stress. Physiological
adjustments are dedicated to dissipating excess heat from the body.
Acclimatization is the gradual physiological adaptation that improves the individual's ability to tolerate
thermal stress.
The decision-making process should be initiated if there are reports or discomfort due to heat stress
or when professional judgment indicates it.
Section 1: Clothing. Ideally, the circulation of cold, dry air over the surface of the skin enhances the
removal of heat by evaporation and convection. Evaporation of sweat from the skin is generally the
predominant heat removal mechanism.
Vapor- and air-impermeable and thermally insulating clothing, as well as airtight, multi-layer fabric
suits, strongly restrict heat removal. Impeded by clothing's removal of heat, metabolic heat can be a
thermal stress threat even when environmental conditions are considered cold.
Figure 1 implies a decision about clothing and how it can affect heat loss.
The heat exposure assessment based on the TGBH index was developed for a traditional work
uniform with a long-sleeved shirt and pants.
TABLE 2 - Selection criteria for exposure to thermal stress (TGBH values in Cº)
Acclimated Without acclimatizing
Work
Requirements Very Very
Light Moderate Heavy Light Moderate Heavy
heavy heavy
Grades:
• See table 3
• The TGBH values are expressed in ºC and represent the thresholds close to the upper limit of the
energy expenditure category.
• If the environments in the work and rest areas are different, the weighted average hourly time must be
calculated and used. This should also be used when there is variation in work demands between hours.
• The tabulated values are applied in relation to the "work regime - rest" section, assimilating 8 hours of
work per day on 5 days a week with conventional breaks.
• Criterion values are not given for continuous work and for work with up to 25% rest in one hour, because
the physiological stress associated with "very heavy" work for less accustomed workers is independent of
the TGBH index. No selection criteria are recommended and a detailed analysis and/or physiological
control must be performed.
Link address:
http://www.cta.org.ar/base/IMG/pdf/LEY_DE_HIGIENE_Y_SEGURIDAD_EN_EL_TRABAJO_19587 .pdf