The agents/substances can be in different forms or transmitted in various ways such as dusts, gases or fumes that are breathed in, or liquids, gels or powders that come into contact with eyes, mucous membranes or skin and in some instances can be involuntarily ingested. Finally, some agents may be unintentionally injected or transmitted by animal stings, bites or excreta.
Harmful agents/substances can be present in anything from paints and cleaners as well as in water, flour or other dusts, solder fume, air conditioning systems, blood and waste.
Ill health caused by these agents/substances used/generated at work is preventable. Many agents/substances can harm health but, used properly, they almost never do.
What are the hazards?
Some agents/substances can cause asthma or other diseases, including cancer. Many can damage the skin, and some can cause serious long-term damage to the lungs or other organs.
The effect can be immediate, such as dizziness or stinging eyes, or gradual over hours or several days in case of bio contamination for example, or can take many years to develop, such as lung disease. Many of the long-term or chronic effects cannot be cured once they develop.
What should employers do?
Employers should adequately control exposure to agents/substances, both chemical and biological, in the workplace that cause ill health. This means:
- identifying which harmful agents/substances may be present, used or generated, in the workplace;
- deciding how workers might be exposed to them and be harmed;
- looking at what measures they have in place to prevent this harm and deciding whether they are doing enough;
- providing information, instruction and training;
- in appropriate cases, providing health surveillance.
This section explains how employers can carry out a risk assessment and how to decide on control measures.
How to carry out an assessment on agents/substances hazardous to health
This assessment concentrates on the hazards and risks from hazardous agents/substances in the workplace.
Remember that health hazards are not limited to agents/substances labelled as ‘hazardous’. Some harmful agents/substances can be produced by the working process, e.g. wood dust from sanding, silica dust from tile cutting or clinical waste.
Identify the hazards
- Identify which agents/substances are harmful by reading the product labels and safety data sheets as well as taking into account the environment which may be inhabited by biological hazards e.g. pests/bacteria.
- If employers are in doubt they should contact their supplier.
- Include harmful agents/substances produced by the working processes, such as cutting or grinding, or to which workers may be otherwise exposed.
Decide who might be harmed and how
- How might workers be exposed? Think about the route into the body (whether the substance can be breathed in, get onto or through the skin or can even be swallowed) and the effects of exposure by each of these routes.
- Think of how often people work with the agent/substance and for how long.
- Think about anyone else who could be exposed.
- Don’t forget maintenance workers, cleaners, contractors and other visitors or members of the public who could be exposed.
- Also think about people who could be exposed accidentally, e.g. while cleaning, or what happens if controls fail.
Evaluate the risks and decide on precautions
Once employers have carried out an assessment and identified which harmful agents/substances are present, and how workers can be harmed, they need to think about preventing exposure. Following the hierarchy of risk control measures they should consider:
- Do they really need to use a particular agent/substance, or is a safer alternative available?
- Can they change the process to eliminate its use or avoid producing it? If this is not possible, they must put in place adequate control measures to reduce exposure.
All elements of the control measures must be checked and reviewed regularly to make sure they continue to be effective. These checks should be adequate to determine whether improvements are required and will include:
- maintaining plant and equipment – all ventilation equipment should be examined and tested regularly by a competent person (someone who has the necessary skills, knowledge and experience to carry out work safely). This may involve measuring the airflow or the pressures in the system, or air sampling in the workroom. In general, all extraction equipment must be examined and tested in accordance with national legislation;
- making sure systems of work are being followed and revising them if they are not working;
- making sure personal protective equipment is suitable (offering effective protection against the identified hazard), used, properly fitted and (where appropriate) maintained.
- making sure workers are properly vaccinated. Vaccination offers individual and collective protection.
Employers may need specialist advice, particularly for potentially serious risks or processes that are difficult to control, from someone who is competent in that area of work, e.g. an occupational hygienist.
Simple checks to control dust and mist
Fine dust and mist is invisible in normal lighting. It can be made visible with a ‘dust lamp’. Used correctly, a dust lamp is a cheap, powerful tool to help identify where dust problems such as leaks are and whether an extraction system is working effectively.
The dust lamp should be set up to observe forward-scattering of light. Point the lamp to shine through the area where you think the dust cloud is. If possible, lower the background lighting by turning off workshop lights. Lock the lamp into the ‘on’ position and walk around the process, looking back up the beam at a slight angle, through the airborne dust:
- Note the settlement and spread of contamination on surfaces.
- Check the airflow indicator on the extraction system.
- Check for damage and leakage from the process.
- Speak to the operator and encourage reporting of any defects.
- All workplaces need an adequate supply of fresh air.
- This can be natural ventilation, from doors, windows etc. or controlled, where air is supplied and/or removed by a powered fan.
- If you work in an office or shop, natural ventilation will normally be enough to control dusts and vapours from cleaning materials etc.
- Air conditioning systems should be carefully maintained if not they can cause serious respiratory diseases (legionellosis).
- Sometimes planned, powered general ventilation is an integral part of a set of control measures, e.g. the welding of large fabrications in a workshop.
Local exhaust ventilation
- Local exhaust ventilation (LEV), or extraction, is an engineering control solution to reduce exposures to dust, mist, fume, vapour or gas in a workplace.
- A properly designed LEV system will draw dust, fume, gases or vapour through a hood or booth away from the worker.
- An extraction system should be easy for workers to use and enclose the process as much as possible.
- It should effectively capture and contain the harmful agent/substance before it is released into the workers breathing zone / working environment.
- Air should be filtered and discharged to a safe place.
- The system should be robust enough to withstand the process and work environment. It is important to maintain it and undertake tests to ensure it is working effectively.
Simple steps to prevent skin damage
Employers can use the Avoid, Protect, Check approach:
- void direct contact between unprotected hands and agents/substances, products and wet work where this is sensible and practical.
- Protect the skin. Avoiding contact will not always be possible so employers must remind workers to wash any contamination from their skin promptly. Businesses should provide soft cotton or disposable paper towels for drying the skin. Telling workers about the importance of thorough drying after washing. Workers should protect the skin by moisturising as often as possible and particularly at the end of the day – this replaces the natural oils that help keep the skin’s protective barrier working properly.
- Check hands regularly for the first signs of itchy, dry or red skin – when skin problems are spotted early they can be treated, which can stop them from getting too serious.
Remember that while the most exposed areas are the face, hands and feet, all parts of the body, even when covered by clothing, can be at risk from chemical and biological hazards.
Workplace exposure limits
As well as controlling exposure to agents/substances hazardous to health, employers need to be aware that national legal limits may have been set on the amounts of many of the agents/substances that can be present in workplace air. These are known as workplace exposure limits (WELs) and relate to chemical substances.
If the substance is known to cause cancer or asthma (check the label/safety data sheet), employers must control exposure to as far as is reasonably practicable.
Are employer’s controls adequate?
There are various ways of deciding this. A simple way to check is to use figure 2 below adapted from HSE’s guide to the Control of Agents/substances Hazardous to Health (COSHH) Regulations.
For many harmful agents/substances, there is guidance available on good control practice from trade and industry associations and suppliers, as well as others.
Figure 2 An assessment chart for checking whether controls are adequate
Personal protective equipment
Where employers cannot adequately control exposure by other means, they must provide personal protective clothing and equipment, in combination with other control measures.
Employers must not automatically opt for personal protective equipment (PPE) as a control measure. It is not as reliable or effective as other measures.
Information and training
- Workers need to understand the outcome of the employers risk assessment and what this means for them. Employers must tell them what the hazards and risks are, and any workplace exposure limits, and what they need to do to protect themselves.
- Employers must inform workers of the results of any monitoring of exposure and the collective results of health surveillance.
- Employers should use the information contained in safety data sheets and other sources of information to train and inform workers.
- Workers should know what to do if there is an incident, accident (e.g. spillage) or emergency.
- Employers should involve your workers in developing control measures to make sure that they are suitable for the way they carry out the work as well as encouraging them to suggest improvements, and to report anything that they think might be going wrong.
- Employers should train workers in the correct use of controls and personal protective equipment.
- When a contractor comes into the workplace, they also need to know what the risks are and how the business is controlling them. In addition, the employer needs to know if they are bringing hazardous agents/substances onto the premises, and how they will prevent harm to their workers.
- It is helpful to keep basic training records.
Record and review
- Employers will find it useful to keep a record of what they have found out about the risks to health and the appropriate control measures.
- Write down where exposures occur, what the control measures are, and how they will maintain control.
- Keep an eye on things. Changes in equipment, materials or methods may require them to review their earlier decisions.