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职业暴露评估:一种建议的采样方法。

Evaluation of occupational exposures: a proposed sampling method.

作者信息

Brunn I O, Campbell J S, Hutzel R L

出版信息

Am Ind Hyg Assoc J. 1986 Apr;47(4):229-35. doi: 10.1080/15298668691389676.

DOI:10.1080/15298668691389676
PMID:3706151
Abstract

Occupational exposures to potentially hazardous agents may vary considerably because of worker mobility, or workplace contaminant levels that fluctuate within or between-days. In addition, individual susceptibility to adverse health effects varies among identically exposed workers. Therefore, accounting for these variables can be difficult during assessment of worker exposure for occupational health and OSHA compliance purposes. This is particularly true when there is varied and repeated exposure from day to day. A cost-effective monitoring strategy for evaluating repeated employee exposure and potential health risk that considers the foregoing exposure variables is desirable. The method this article proposes uses a well-planned sampling strategy featuring 4-hr, rather than the traditional 7 or 8-hr sampling durations. Use of 4-hr samples has been found to improve monitoring efficiency without significantly reducing sampling precision or accuracy. Statistical protocols applied during the sampling procedure and subsequent data analysis also combine to minimize the frequency and duration of samples required to reach a decision regarding the significance of a worker's exposure. The development of an Acceptable Risk Level (ARL) is another important element of the proposed method. An ARL is a variable based on risk assessment and risk management principles, which have been established by the employer for each contaminant. The ARL is dependent on the contaminant's toxicity and the time pattern and spacing of successive exposures. Ultimately, an ARL can be developed by an employer for the productive allocation of health and safety dollars to ensure worker protection.

摘要

由于工人的流动性,或者工作场所污染物水平在一天之内或不同日期之间波动,职业接触潜在危险物质的情况可能有很大差异。此外,在相同接触条件下的工人中,个体对健康不良影响的易感性也各不相同。因此,在为职业健康和遵守职业安全与健康管理局(OSHA)规定而评估工人接触情况时,考虑这些变量可能会很困难。当每天都存在不同且重复的接触时,情况尤其如此。需要一种经济高效的监测策略,用于评估员工的重复接触情况和潜在健康风险,同时要考虑到上述接触变量。本文提出的方法采用了精心规划的采样策略,采样时长为4小时,而非传统的7或8小时。已发现使用4小时的样本可提高监测效率,同时不会显著降低采样精度或准确性。在采样过程和后续数据分析中应用的统计方案,也共同将做出关于工人接触情况重要性决策所需的样本频率和时长降至最低。制定可接受风险水平(ARL)是所提方法的另一个重要要素。ARL是一个基于风险评估和风险管理原则的变量,由雇主针对每种污染物确定。ARL取决于污染物的毒性以及连续接触的时间模式和间隔。最终,雇主可以制定ARL,以便有效地分配健康和安全资金,确保对工人的保护。

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