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<strong>Industrial</strong> <strong>Hygiene</strong><br />

<strong>Exposure</strong> <strong>Assessment</strong><br />

“<strong>The</strong> <strong>Good</strong>, <strong>Bad</strong>, <strong>and</strong> the Better?”


<strong>Exposure</strong> <strong>Assessment</strong>s<br />

� An Introduction<br />

� What is <strong>Exposure</strong> <strong>Assessment</strong>?<br />

� Why is <strong>Exposure</strong> <strong>Assessment</strong> Important?<br />

� “One of the most important objectives of an industrial hygiene<br />

program is to accurately assess employees’ occupational<br />

exposure to airborne contaminants, where necessary by<br />

exposure measurements.” - Leidel<br />

� A Common <strong>Industrial</strong> <strong>Hygiene</strong> Encounter


<strong>Exposure</strong> <strong>Assessment</strong><br />

� Do we do a good job of assessing occupational exposures?<br />

� How many follow the AIHA <strong>Exposure</strong> <strong>Assessment</strong> Strategy? Or<br />

know what it is?<br />

� How many follow NIOSH/OSHA guidance? Or know what it is?<br />

� How many make <strong>Exposure</strong> <strong>Assessment</strong> judgments on fewer<br />

than 6 samples on a regular basis?<br />

� How many apply statistics to exposure measurements on a<br />

regular basis? And report the results?


<strong>Exposure</strong> <strong>Assessment</strong><br />

� Do we do a good job of assessing occupational exposures?<br />

� Do you ever use area samples to assess employee exposure?<br />

� Do you always make exposure assessments with quantitative<br />

measurements?<br />

� Have you ever made an exposure assessment judgment with<br />

just one quantitative sample?<br />

� How many sell equipment that performs area samples as a way<br />

to assess employees’ occupational exposure?


Where we Started<br />

� 1977 NIOSH<br />

Document<br />

� Leidel,<br />

Busch, &<br />

Lynch


1977 NIOSH <strong>Exposure</strong> <strong>Assessment</strong> Strategy<br />

� Identify Contaminants<br />

� Materials<br />

� Process<br />

� Observations<br />

� Calculate Potential <strong>Exposure</strong><br />

� Modeling<br />

� Steady State Model<br />

ppm = 403(sp. gv)(pts/hr.)(10 6 )(K) / (Mole Wt.)(CFM)<br />

� K Factor<br />

� Sample Workers<br />

� Which One?


1977 NIOSH Guidance


1977 NIOSH Guidance<br />

� Why Highest Risk Employee (Worst Case Scenario)<br />

� <strong>Exposure</strong> is Variable<br />

� 95 % confident captured highest 10% of <strong>Exposure</strong><br />

� Example of a 20 person SEG<br />

� Need to sample 13 employees


1977 NIOSH Guidance<br />

� What is the overall purpose of the NIOSH guidance?<br />

� OSHA Compliance - 95 %Confidence Interval<br />

� Decision Making<br />

� Violation<br />

� No Violation<br />

� Possible Over <strong>Exposure</strong><br />

� Coefficient of Variation<br />

� Error in method <strong>and</strong> analysis<br />

� Sampling Period effects CVtotal<br />

� Full Period Single least error


1977 NIOSH Guidance<br />

� LCL95% <strong>and</strong> UCL95%<br />

� LCL95% =Mean/PEL -1.645* CVtotal/√n<br />

� UCL95% =Mean/PEL +1.645* CVtotal/√n<br />

� UCL ≤ 1 – No violation<br />

� LCL > 1 – Violation<br />

� LCL ≤ 1 <strong>and</strong> UCL > 1 – Possible Overexposure<br />

� Xylene Example


<strong>Exposure</strong> <strong>Assessment</strong><br />

<strong>The</strong> <strong>Good</strong>


AIHA <strong>Exposure</strong> <strong>Assessment</strong> Strategy<br />

� 3 rd Edition – Published 2006


AIHA <strong>Exposure</strong> <strong>Assessment</strong> Strategy<br />

o <strong>Exposure</strong> <strong>Assessment</strong><br />

Strategy Flow Chart


AIHA <strong>Exposure</strong> <strong>Assessment</strong> Strategy<br />

� Basic Characterization<br />

� Gather Information<br />

� Workplace<br />

� Workforce<br />

� Agents


Example Basic Characterization Spreadsheet<br />

Department<br />

Material Hazard / Agent /<br />

OEL<br />

Department Number Equipment Employee Job Title Task Description Material ID Description Agent Chemical CAS# OEL Units<br />

Adhesives 105 Blender Filters Adhesive Operator Change filter media, bleed <strong>and</strong> flush pumps<br />

Using pneumatic pump to charge 700 liters of<br />

Chemical Cyclohexanone 110-82-7 100 ppm<br />

Adhesives 105 Blender Pumps Adhesive Operator cyclohexanone from drums into reactor Chemical Cyclohexanone 110-82-7 100 ppm<br />

Adhesives 105 Blender General Area Maintenance Employee Viscosensor rebuild welding Chemical Nickel 7440-02-0 1.5 mg/m^3<br />

Adhesives 105 Blender General Area Maintenance Employee Paint area & parts clean up<br />

Charging latex super mix from storage tank (watching<br />

Chemical MEK 78-93-3 200 ppm<br />

Adhesives 105 Blender Tank Adhesive Operator level through open manhole) Chemical Cyclohexanone 110-82-7 200 ppm<br />

Adhesives 105 Blender Tank Adhesive Operator Package final product through filter system Chemical Cyclohexanone 110-82-7 200 ppm<br />

Adhesives 105 General Equipment Maintenance Employee Calibration & repair of viscosity meters Chemical Cyclohexanone 110-82-7 200 ppm<br />

Adhesives 105 Blender Tank Maintenance Employee Reactor equipment maintenance Chemical Cyclohexanone 110-82-7 200 ppm<br />

Charging 20 - 10 kg bags of TiOx into Reactor w/ local<br />

Titamium<br />

Adhesives 105 Blender Tank Adhesive Operator exhaust Chemical Dioxide 13463-67-7 10 mg/m^3<br />

Adhesives 105 Blender Tank Adhesive Operator Collect a 200 ml QC samples (6) through h<strong>and</strong>hole Chemical Cyclohexanone 110-82-7 200 ppm<br />

Adhesives 105 Blender Tank Adhesive Operator Monitoring process at control panel Chemical Cyclohexanone 110-82-7 200 ppm<br />

Adhesives 105 Blender Tank Adhesive Operator Monitoring process at control panel Noise Noise 85 dBA<br />

Adhesives 105 Blender Tank Adhesive Operator Monitoring process at control panel Noise Noise 85 dBA<br />

Adhesives 105 Blender Tank Adhesive Operator Monitoring process at control panel Noise Noise 85 dBA<br />

Chemical<br />

Noise<br />

Physical<br />

Other


Example Basic Characterization Spreadsheet<br />

0 (


AIHA <strong>Exposure</strong> <strong>Assessment</strong> Strategy<br />

� Basic Characterization<br />

� Define Similar <strong>Exposure</strong> Groups (SEGs) by:<br />

� Agent / Contaminant <strong>and</strong>/or a combination of:<br />

� Process<br />

� Task<br />

� Job Classification/Description<br />

� Define by Observation<br />

� Define by Sampling


AIHA <strong>Exposure</strong> <strong>Assessment</strong> Strategy<br />

� <strong>Exposure</strong> <strong>Assessment</strong><br />

� Defining <strong>Exposure</strong> Profile<br />

� Prioritizing


<strong>Exposure</strong> Point Inventories<br />

Mark Betz


AIHA <strong>Exposure</strong> <strong>Assessment</strong> Strategy<br />

� <strong>Exposure</strong> <strong>Assessment</strong><br />

� Defining <strong>Exposure</strong> Profile<br />

� Prioritizing<br />

� Initial <strong>Exposure</strong> Estimates


<strong>The</strong> AIHA Model<br />

<strong>Exposure</strong> Control<br />

Ratings *<br />

Cutoff (%OEL)<br />

1 X 0.95 < 10%<br />

� AIHA <strong>Exposure</strong> Control Ratings for TWA<br />

OELs 2 10% < X0.95 < 50%<br />

� Which<br />

3<br />

control<br />

50%<br />

zone<br />

<<br />

is<br />

X<br />

appropriate?<br />

0.95 < 100%<br />

4 X 0.95 > 100%<br />

Confidence level<br />

High<br />

Medium<br />

Low


AIHA <strong>Exposure</strong> <strong>Assessment</strong> Strategy<br />

� Initial <strong>Exposure</strong> Estimates<br />

� Qualitative <strong>Exposure</strong>s<br />

� Semi-Quantitative <strong>Exposure</strong>s – Modeling<br />

� Quantitative <strong>Exposure</strong> <strong>Assessment</strong>s


AIHA <strong>Exposure</strong> <strong>Assessment</strong> Strategy<br />

� Qualitative <strong>Exposure</strong> <strong>Assessment</strong>s<br />

� Are we good at this?<br />

� Not much better than chance (Logan 2009) & (Valadi 2012)<br />

� Estimates of the 95%tile


AIHA <strong>Exposure</strong> <strong>Assessment</strong> Strategy<br />

� Qualitative <strong>Exposure</strong> <strong>Assessment</strong>s<br />

� How do we do this?<br />

� Results of a recent survey of CIHs


Ranking Qualitative <strong>Exposure</strong> Determinants


16.0<br />

14.0<br />

12.0<br />

10.0<br />

8.0<br />

6.0<br />

4.0<br />

2.0<br />

0.0<br />

Forced Selection Choices<br />

Toxicity Phy/Chm<br />

Prop<br />

Percent of Time <strong>Exposure</strong> Determinant Ranked in Top 5<br />

Time Exp. Quanity LEV How<br />

H<strong>and</strong>led<br />

Wkr Tech PPE Housekpg Maint.<br />

Gas/Vapor<br />

Particulate


Statistical Analysis of the Selections<br />

<strong>Exposure</strong> Determinant Likert Ranking<br />

Differences*<br />

Toxicity<br />

Gas/Vapor Ranked Higher<br />

Z = -3.146, p = .002, r = -<br />

.16<br />

Forced (Top 5)<br />

Selection<br />

Differences**<br />

Quantity H<strong>and</strong>led NSD Gas/Vapor Selected More<br />

Often<br />

McN X 2 =36.6, p


Qualities that Effect Choice – Gas Vapor<br />

Determinant # of Exp.<br />

Assmts.<br />

Toxicity<br />

Χ 2 = 12.68, p = .027<br />

Cramer’s V = .16<br />

Freq. of Qual.<br />

Exp. Assmts.<br />

Χ 2 = 15.37, p = .004<br />

Cramer’s V = .18<br />

Χ 2 = 14.18, p = .007<br />

� Quantity Pertinent Chi Square Findings Cramer’s – Gas V = .17 <strong>and</strong> Vapor<br />

<strong>Assessment</strong>s<br />

Time Exp.<br />

How H<strong>and</strong>led<br />

Phy/Chm Prop<br />

LEV<br />

Χ 2 = 14.85, p = .013<br />

Cramer’s V = .17<br />

Χ 2 = 11.10, p = .05<br />

Cramer’s V = .15<br />

Χ 2 = 20.01, p < .001<br />

Cramer’s V = .21<br />

Pharmaceutical<br />

Industry<br />

Χ2 = 10.30, p = .001<br />

Odds Ratio = 2.95<br />

Χ 2 = 6.33, p = .012<br />

Odds Ratio = 2.05<br />

Χ 2 = 5.77, p = .016<br />

Odds Ratio = 2.04


Qualities that Effect Choice – Particulate<br />

Determinant # of Exp.<br />

Assmts.<br />

Toxicity<br />

Quantity<br />

Χ 2 = 13.33, p = .020<br />

Cramer’s V = .17<br />

Freq. of Qual.<br />

Exp. Assmts.<br />

Χ 2 = 21.49, p


AIHA <strong>Exposure</strong> <strong>Assessment</strong> Strategy<br />

� Semi -Quantitative <strong>Exposure</strong> <strong>Assessment</strong>s<br />

� Modeling<br />

� Physical <strong>and</strong> Chemical Properties<br />

� Simple<br />

� Very Complex


AIHA <strong>Exposure</strong> <strong>Assessment</strong> Strategy<br />

� Quantitative <strong>Exposure</strong> <strong>Assessment</strong>s<br />

� Purpose of Monitoring:<br />

� Baseline<br />

� Compliance<br />

� Diagnostic/Evaluation<br />

� Route of <strong>Exposure</strong>s Accounted for:<br />

� Inhalation<br />

� Dermal<br />

� Ingestion


AIHA <strong>Exposure</strong> <strong>Assessment</strong> Strategy<br />

� Quantitative <strong>Exposure</strong> <strong>Assessment</strong>s<br />

� Number or Measurements<br />

� 6 – Estimate of Means<br />

� 10 – Estimate of Variation


AIHA <strong>Exposure</strong> <strong>Assessment</strong> Strategy<br />

� Quantitative <strong>Exposure</strong> <strong>Assessment</strong>s<br />

� Applying Statistics<br />

� Log Normal Distributions – More on this in the “<strong>Bad</strong>”<br />

� Mean vs. Upper Tail<br />

� 95% confident below 95%tile estimate<br />

� Uncertainty<br />

� Uncertainty in measurement<br />

� Uncertainty in OELS<br />

� Statistics should aid judgment not make the judgment


<strong>Exposure</strong> <strong>Assessment</strong><br />

<strong>The</strong> <strong>Bad</strong>


West Michigan <strong>Industrial</strong><br />

<strong>Hygiene</strong> Society<br />

<strong>Industrial</strong> <strong>Hygiene</strong> <strong>Exposure</strong><br />

<strong>Assessment</strong>s for Small Employers:<br />

How Many Samples?<br />

Tuesday, December 4, 2012<br />

James R. Strobridge, CIH<br />

36


<strong>Exposure</strong> <strong>Assessment</strong>s<br />

<strong>The</strong> <strong>Bad</strong> – “STATISTICS”


<strong>The</strong> <strong>Bad</strong> - Statistics<br />

� What do think of or feel when you hear Statistics?<br />

� Confusion<br />

� Fear<br />

� Huh?<br />

� Confidence?


What is a Log Normal Distribution?


Distributions with a Mean=1, Are they the Same?


Example: Welding fume data -<br />

estimate m <strong>and</strong> s


Example: Welding fume data -<br />

estimate m <strong>and</strong> s<br />

Case xi (mg/m3 ) ( xi-x ) 2<br />

_<br />

1 0.84 0.157344<br />

2 0.98 0.065878<br />

3 0.42 0.666944<br />

4 1.16 0.005878<br />

5 1.36 0.015211<br />

6 2.66 2.025878<br />

Sum = 7.42 2.937133<br />

_<br />

x =<br />

1.24<br />

sd = 0.77


Sample geometric mean (gm) &<br />

geometric st<strong>and</strong>ard deviation (gsd)


Example: Welding fume data -<br />

estimate GM <strong>and</strong> GSD<br />

Case xi (mg/m3 ) yi=ln(xi) (yi-y) 2 _<br />

1 0.84 -0.1744 0.055877<br />

2 0.98 -0.0202 0.006762<br />

3 0.42 -0.8675 0.864025<br />

4 1.16 0.1484 0.007463<br />

5 1.36 0.3075 0.060248<br />

6 2.66 0.9783 0.839600<br />

Sum = 0.3722 1.833976<br />

_<br />

y = 0.0620<br />

gm = 1.06<br />

gsd = 1.83


Example: Welding fume data -<br />

estimate GM <strong>and</strong> GSD


Sample 95 th Percentile <strong>Exposure</strong><br />

� <strong>The</strong> focus is on the upper tail of the<br />

exposure profile.<br />

� <strong>The</strong> sample 95 th percentile can be<br />

considered a “compliance statistic”.<br />

� <strong>The</strong> (usual) goal is to determine which<br />

category the 95 th Percentile most likely falls.<br />

� It is used to assist in reaching a decision<br />

that the exposure profile is<br />

� “Controlled” or “Acceptable”<br />

� “Unacceptable”<br />

� or falls in a “Control Category”


Example<br />

� A sample of six full-shift TWA welding fume<br />

measurements resulted in the following statistics:<br />

� (sample) geometric mean is 1.06 mg/m 3<br />

� (sample) geometric st<strong>and</strong>ard deviation is 1.83<br />

� What is the point estimate (i.e., best estimate) of the<br />

true 95 th percentile?


90 th , 95 th , <strong>and</strong> 99 th Percentiles


95 th Percentile


Alternative upper percentile<br />

formula


Focus on Upper Tail


Upper Confidence Limit – 95%<br />

Confident<br />

� Concept<br />

� Calculate the 95% upper confidence interval for the<br />

95th percentile statistic (upper tolerance limit)<br />

� Application<br />

� 95%UCL can be used to test the following<br />

hypotheses:<br />

� H o: 95th percentile > OEL<br />

� H a: 95th percentile < OEL<br />

� Interpretation<br />

� If the 95%UCL is less than the OEL, then we can<br />

say that we are at least 95% confident that the true<br />

95th percentile is less than the OEL


95%UCL for the 95 th Percentile<br />

� Procedure:<br />

� Calculate the gm <strong>and</strong> gsd<br />

� Using n, read the UCL K-value from the appropriate<br />

table<br />

�g = confidence level, e.g., 0.95<br />

�p = proportion, e.g., 0.95<br />

�n = sample size<br />

� Using gm, gsd, <strong>and</strong> k, calculate the 95%UCL<br />

_<br />

�y = ln( gm )<br />

�s y = ln( gsd )


Statistical Analysis of <strong>Exposure</strong> Data<br />

� <strong>The</strong>re is help to do this automatically with IH-MOD


<strong>Industrial</strong> <strong>Hygiene</strong> Statistics<br />

OEL<br />

0.15<br />

Sample<br />

data<br />

0.06 Descriptive statistics<br />

0.1 Number of samples (n) 15<br />

0.05 Maximum (max) 0.2<br />

0.1 Minimum (min) 0.01<br />

0.01 Range 0.19<br />

0.09 Mean 0.0713<br />

0.04 Median 0.07<br />

0.2 St<strong>and</strong>ard deviation (s) 0.0453<br />

0.04 Geometric mean 0.0584<br />

0.08 Geometric st<strong>and</strong>ard deviation 2.03<br />

0.08 Percent above OEL 6.7%<br />

0.03<br />

0.09 Test for distribution fit<br />

0.03 W-test of log-transformed data 0.932<br />

0.07 Lognormal (α = 0.05) ? Yes<br />

W-test of data 0.870<br />

Normal (α = 0.05) ? No<br />

Lognormal parametric statistics<br />

Estimated Arithmetic Mean - AM est. 0.074<br />

LCL1,95% - L<strong>and</strong>'s "Exact" 0.055<br />

UCL1,95% - L<strong>and</strong>'s "Exact" 0.116<br />

95th Percentile 0.187<br />

UTL95%,95% 0.359<br />

Percent above OEL 9.1%<br />

LCL1,95% %>OEL 2.82<br />

UCL1,95% %>OEL 23.4<br />

Normal parametric statistics<br />

Mean 0.0713<br />

LCL1,95% - t statistics 0.051<br />

UCL1,95% - t statistics 0.092<br />

95th Percentile - Z 0.146<br />

UTL95%,95% 0.188<br />

Percent above OEL 4.1%<br />

C<br />

D<br />

Concentration<br />

0.25<br />

0.2<br />

0.15<br />

0.1<br />

0.05<br />

0<br />

0<br />

14<br />

2 4 6 8 10 12 14<br />

n<br />

16<br />

12<br />

10<br />

8<br />

6<br />

4<br />

2<br />

0<br />

LCL<br />

est. AM<br />

UCL<br />

OEL<br />

Idealized Lognormal Distribution<br />

95%ile<br />

Sequential Data Plot<br />

0 0.05 0.1 0.15 0.2 0.25 0.3 0.35 0.4<br />

Concentration<br />

UTL


Statistical Analysis of <strong>Exposure</strong> Data<br />

� What is the problem with the Upper Tolerance Limit?<br />

� 95% Confidence limit of the 95%tile point estimate


<strong>Exposure</strong> <strong>Assessment</strong><br />

<strong>The</strong> Better?


<strong>Exposure</strong> <strong>Assessment</strong>s – <strong>The</strong><br />

Better?<br />

� How do we make good estimates of exposure with a<br />

small data sets?<br />

� Less than 6 samples<br />

� Statistical Rules of Thumb


R.O.T. for Estimating the 95 th Percentile<br />

1. If n is small (i.e., OEL, then decision = Category 4.<br />

2. Estimate the median <strong>and</strong> use it as a surrogate of<br />

the sample GM:<br />

- Sort the data<br />

- If n is odd the median is the middle value.<br />

- If n is even the median is the average of two<br />

middle values.<br />

3. Multiply the median by 2, 4, <strong>and</strong> 6<br />

- <strong>The</strong> results comprise an approximate low,<br />

middle, <strong>and</strong> high estimate of X 0.95.


<strong>The</strong> AIHA Model<br />

<strong>Exposure</strong> Control<br />

Ratings *<br />

Cutoff (%OEL)<br />

1 < X 0.95 < 10%<br />

� AIHA 2 <strong>Exposure</strong> 10% Control < X Ratings for TWA<br />

0.95 < 50%<br />

OELs<br />

3 50% < X0.95 < 100%<br />

� Which control zone is appropriate?<br />

4 X 0.95 > 100%<br />

Confidence level<br />

High<br />

Medium<br />

Low


Examples (assume OEL=100)<br />

a. X = {5}<br />

b. X = {68}<br />

c. X = {7, 34, 57}<br />

d. X = {1, 1, 2, 5}<br />

e. X = {4, 5, 8, 23}<br />

f. X = {0.3, 1, 2, 3, 4, 22}<br />

g. X = {10, 10, 10, 20, 50, 105}<br />

h. X = {7, 10, 16, 21, 45, 53}<br />

For each dataset, determine the appropriate <strong>Exposure</strong><br />

Category – 1, 2, 3, or 4 – using the above Rule-ofthumb.


R.O.T. for Estimating the 95 th Percentile<br />

� AIHA Moblie App<br />

� IH Digg - “Game” format to make estimates of exposure<br />

� https://itunes.apple.com/us/app/ih-dig/id433823028?mt=8


Control B<strong>and</strong>ing<br />

� <strong>Exposure</strong> <strong>Assessment</strong> Bypassed<br />

� Measurements not needed<br />

� Chemical Agent <strong>and</strong> associated hazards drive controls<br />

� Pharma System<br />

� B<strong>and</strong> 1-5 – based on exposure limits<br />

� COSHH Essentials<br />

� http://www.coshh-essentials.org.uk/help/Introduction6.htm


Bayesian Decision Analysis - BDA<br />

� <strong>The</strong> Promise<br />

<strong>The</strong> Prior<br />

Bayesian<br />

Calc.<br />

<strong>The</strong> Posterior<br />

<strong>The</strong><br />

Likelihood


Bayesian Decision Analysis - BDA<br />

� <strong>The</strong> Reality<br />

� What did we say about IHs ability to estimate 95 %tile with<br />

no measurements?<br />

� Current Recommendations of a Flat Prior<br />

� What does that mean?<br />

� Example IHDataAnalyst


AIHA <strong>Exposure</strong> <strong>Assessment</strong> Strategy<br />

� Other tools from AIHA -EASC<br />

� http://www.aiha.org/INSIDEAIHA/VOLUNTEERGROUPS/EAS<br />

C/Pages/EASCTopics.aspx<br />

� Baysian Decision Analysis Tool<br />

� http://www.oesh.com/

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