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10  CFR 850 Chronic Beryllium Disease Prevention Program 10  CFR 850 Chronic Beryllium Disease Prevention Program

10 CFR 850 Chronic Beryllium Disease Prevention Program - PowerPoint Presentation

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10 CFR 850 Chronic Beryllium Disease Prevention Program - PPT Presentation

Jacqueline D Rogers Bill McArthur Overview of 10 CFR 850 Final Rule Promulgated December 8 1999 8501 Scope Establish a comprehensive Chronic Beryllium Disease Prevention Program CBDPP ID: 912487

beryllium 850 cfr continued 850 beryllium continued cfr worker medical removal nopr benefits µg workers exposure level job doe

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Slide1

10 CFR 850Chronic Beryllium Disease Prevention Program

Jacqueline D. Rogers

Bill McArthur

Slide2

Overview of 10 CFR 850Final Rule Promulgated - December 8, 1999

§ 850.1

Scope

Establish a comprehensive Chronic Beryllium Disease Prevention Program (CBDPP) Integrated into existing worker safety and health program10 CFR 851, Worker Safety and Health Program

2

Slide3

Overview of 10 CFR 850 (Continued)

§ 850.2

Applicability

Applies to DOE Federal and Contractor EmployersDoes not apply to:Beryllium articlesDOE Laboratories - 29 CFR 1450, Occupational Exposure to Hazardous Chemicals in LaboratoriesLaboratory scale use of hazardous chemicals

3

Slide4

Overview of 10 CFR 850 (Continued)

§ 850.3

Definitions

Beryllium-associated worker – Current worker who is or was exposed or potentially exposed to airborne Be at a DOE facility, including:Beryllium workerCurrent worker whose work history shows that he/she may have been exposed to airborne Be at a DOE facility

Current worker who exhibits signs and symptoms of Be exposure

Current worker who is receiving medical removal protection

benefits

Beryllium worker

– Current worker

who is regularly employed in a Be activity

4

Slide5

Overview of 10 CFR 850 (Continued)

§ 850.11 Chronic Beryllium Disease Prevention Program

requirements

Written CBDPP approved by DOEUpdate: Significant change or addition to the CBDPP, or change in contractor§ 850.13 Compliance

Full compliance - January 7, 2002

5

Slide6

Overview of 10 CFR 850 (Continued)

§ 850.22

Permissible exposure

limitAdopts the Occupational Safety and Health Administration (OSHA) permissible exposure limit (PEL) for beryllium:29 CFR 1910.1000, Table Z-22 µg/mg3

OSHA - promulgate a more stringent

beryllium

standard

10 CFR 850 - automatically

adopts

OSHA’s new PEL6

Slide7

Overview of 10 CFR 850 (Continued)

§ 850.23

Action level

0.2 µg/mg3 (Calculated as an 8-hour time weighted average exposure)Triggers additional protective measures:Periodic monitoring [850.24]Exposure reduction and minimization (850.25)

Regulated areas (850.26)

Hygiene facilities and practices (850.27)

Respiratory protection (850.28)

Protective clothing and equipment (850.29)

Warning signs (850.38

)7

Slide8

Overview of 10 CFR 850 (Continued)

§ 850.30

Housekeeping

Surfaces contaminated with Be dust and wasteRemovable contamination level 3 µg/100 cm2 during non-operational periods§ 850.31 Release criteriaPublic: Be-contaminated

equipment and other items

to the public:

0.2

µg/100

cm

2Another beryllium facility: 3 µg/100 cm

2

8

Slide9

Overview of 10 CFR 850 (Continued)§ 850.34 Medical

surveillance

Voluntarily: Beryllium and Beryllium-associated workers

§ 850.35 Medical removalTemporary or Permanent removal: Beryllium-associated workersMedical removal protection benefitsTemporary removal – 1 year Permanent removal – 2 years

9

Slide10

Why Amend 10 CFR 850?14 Years - Implementation experience

New

scientific information

identifiedDOE data – Beryllium RegistryLessons learned Increase number of workersBeryllium Sensitization or Chronic Beryllium DiseaseProvide implementation relief to DOE Beryllium Sites

Releasing Be-contaminated equipment and real property

Housekeeping

Training for

Beryllium-associated workers

Background levels of Beryllium

10

Slide11

Why Amend 10 CFR 850 (Continued)

Clarification of certain provisions

not fully developed Medical removalMedical removal benefitsOffice of the General Counsel - InterpretationsIncreased number of requests for information not covered by the current Rule

11

Slide12

Notice Of Proposed Rulemaking (NOPR) for 10 CFR 850Office

of Management and Budget approved - January 25,

2016

Secretary of Energy approved – May 16, 2016Federal Register - 90 day comment periodFour Public Hearings: Richland, WA: June 28 - 30, 2016

Oak

Ridge,

TN: July 12 - 14, 2015

Las

Vegas,

NV: July 27 - 28, 2016, and Washington, DC: August 11, 2016

12

Slide13

NOPR for 10 CFR 850 (Continued)§ 850.2 Applicability

Applies to DOE Federal and Contractor

Employers

Site Occupational Medical Directors (SOMD) responsible for providing the overall direction and operation of the employer’s beryllium medical surveillance program13

Slide14

NOPR for 10 CFR 850 (Continued)§ 850.3 Definitions Beryllium-associated worker

:

removed beryllium worker

A current worker, who was exposed or potentially exposed to airborne concentrations of beryllium at a DOE site, including a worker:(1) Whose work history shows that the worker may have been exposed to airborne concentrations of beryllium at a DOE site;(2) Who exhibits signs or symptoms of beryllium exposure; or(3) Who is receiving medical removal benefits under this part.

14

Slide15

NOPR for 10 CFR 850 (Continued)§ 850.3 Definitions (Continued)Beryllium worker

:

A

current worker who is exposed or potentially exposed to levels of airborne beryllium at or above the action level in the course of the worker’s employment in a DOE beryllium activity.

15

Slide16

NOPR for 10 CFR 850 (Continued)§ 850.22

Permissible exposure limit

Adopts

OSHA PEL: 2.0 µg/m3

Automatically adopts OSHA more stringent PEL

when promulgated

§ 850.23 Action level

Lower: 0.05 µg/m

3

(calculated

as an 8-hour time weighted average

exposure)

16

Slide17

NOPR for 10 CFR 850 (Continued)§ 850.24 Exposure monitoringP

ortable laboratories

-

Field or portable laboratories that are accredited in an AIHA-LAP, LLC or equivalent quality assurance program that addresses field or portable laboratory analyses of beryllium samples17

Slide18

NOPR for 10 CFR 850 (Continued)§ 850.31 Release and transfer

Beryllium-contaminated

equipment or

areas released without labeling if they do not contain beryllium in inaccessible locations or embedded in hard-to-remove substances, provided specified contamination levels are not exceeded.Releasing equipment, items or areas that contain sources of beryllium in normally inaccessible locations or embedded in hard-to-remove substances.

Releasing

equipment, items or areas with removable beryllium above 0.2 µg/100 cm

2

or that have beryllium in material on the surface at levels above the natural level in soil at the point of release

.

18

Slide19

NOPR for 10 CFR 850 (Continued)§ 850.34

Medical surveillance

Baseline medical evaluations

Beryllium-associated workers: Voluntary

Annual notification - right to participant

Beryllium workers:

Mandatory

Periodic

medical evaluations

Beryllium workers – Mandatory yearly

Beryllium-associated workers: 3 years

Beryllium or Beryllium-associated workers

Showing

signs and symptoms if the SOMD determines that an evaluation is warranted

19

Slide20

NOPR for 10 CFR 850 (Continued)§ 850.34

Medical

surveillance (Continued)

Beryllium emergencies evaluationsTo any worker who may have been exposed to beryllium because of a beryllium emergencyExit medical evaluations

If a baseline or periodic evaluation has not been performed within the previous six months

Beryllium and Beryllium-associated

workers -

at the time of the worker’s separation from employment

20

Slide21

NOPR for 10 CFR 850 (Continued)§

850.35

Medical Restriction

Medical restrictions must be conducted in accordance with 10 CFR part 851, Appendix A, § 8(h).The occupational medicine provider (i.e., SOMD) must place an individual under medical restrictions when health evaluations indicate that the worker should perform certain job tasks. The occupational medicine provider must notify the worker and contractor management when employee work restrictions are imposed or removed.Employers

not required to provide removal benefits to restricted

workers

21

Slide22

NOPR for 10 CFR 850 (Continued)§

850.36

Medical removal and benefits

Medical removal - Mandatory for beryllium workersSOMD recommends removal where beryllium exposures

are

at

or above the action level

Temporary

Permanent

22

Slide23

NOPR for 10 CFR 850 (Continued)§

850.36

Medical removal and

benefits (Continued)Temporary removalPending the outcome of the medical evaluations Pending the outcome of the multiple physician review process, or alternate review

process

If the beryllium worker is showing signs or symptoms of BeS or CBD and the SOMD believes that further exposure to beryllium at or above the action level may be harmful to the worker’s

health

23

Slide24

NOPR for 10 CFR 850 (Continued)§

850.36 Medical removal and benefits (Continued

)

Permanent removalIf the SOMD makes a final medical determination that the worker should be permanently removedBased on a diagnosis of BeS or CBD as defined in §

850.3

24

Slide25

NOPR for 10 CFR 850 (Continued)§

850.36 Medical removal and benefits (Continued)

After

final medical determination, SOMD must recommend:Return the temporarily removed beryllium worker to his previous job status, identifying any steps to be taken to protect the worker’s health including any necessary work restrictionPermanently remove the beryllium worker

SOMD is not required to recommend temporary removal before recommending permanent removal

25

Slide26

NOPR for 10 CFR 850 (Continued)§

850.36 Medical removal and benefits (Continued

)

Medical removal benefitsTemporary removal benefits A comparable job becomes available, and the worker is placed in that job;

SOMD determines that the worker is not beryllium sensitized and does not have CBD and medical removal is

ended;

Worker

is permanently medically removed from the

job;

Term of the removal period has

expired

(Up to one year for each removal)

Temporary

medical removal

cannot

be included in

permanent

medical removal benefits period

26

Slide27

NOPR for 10 CFR 850 (Continued)§

850.36 Medical removal and benefits (Continued)

Medical removal

benefits (Continued)Permanent removal benefitsTransfer the beryllium worker to a comparable jobWhere beryllium exposures are below the action level, and For which the worker is qualified or can be trained within one year

If the beryllium worker cannot be transferred to a comparable

job

Maintain

the beryllium worker’s total normal earnings as if the worker had not been permanently removed for a period of up to

two years

27

Slide28

NOPR for 10 CFR 850 (Continued)§

850.36 Medical removal and benefits (Continued)

Additional Conditions of Temporary or Permanent Removal

BenefitsContinue removal benefits throughout the term of the removal period, regardless of changes in the worker’s job (e.g., worker is laid off, or the worker’s contract ends before the removal period ends) or because the worker cannot be transferred into a comparable job because the worker is too sick to work28

Slide29

NOPR for 10 CFR 850 (Continued)§

850.36 Medical removal and benefits (Continued)

Additional

Conditions of Temporary or Permanent Removal Benefits (Continued)Temporary removal - Employer not required to continue the workers benefits beyond the one-year periodPermanent removal - Employer not required to continue the worker benefits beyond the two-year period

Worker may also apply for compensation through the Energy Employee Occupational Illness Compensation Program, for any additional benefits

29

Slide30

NOPR for 10 CFR 850 (Continued)§ 850.37 Medical consentEmployers must ensure:

Beryllium

workers understand that testing is mandatory to transfer into or remain in a job involving beryllium activities at or above the action

levelIf a beryllium worker decides not to consent to the testingRemoved from the beryllium activity and will not receive any

medical

removal benefits

30

Slide31

NOPR for 10 CFR 850 (Continued)§ 850.38 Training and Counseling

Beryllium-associated workers -

General awareness training

Beryllium hazards and controlsBenefits of medical evaluations for diagnosing BeS and CBD§ 850.39 Warning Signs and LabelsAffix warning

labels

-

equipment or items that contain sources of beryllium in normally inaccessible locations or embedded in hard-to-remove

substances

31

Slide32

NOPR for 10 CFR 850 (Continued)Appendix A

Beryllium

Worker Chronic Beryllium Disease Prevention Program Consent Form (Mandatory)

Appendix B: Beryllium-Associated Worker Chronic Beryllium Disease Prevention Program Consent Form (Mandatory) 32

Slide33

NOPR for 10 CFR 850 (Continued)Preamble: Request for information and comments

Surface action level

:

1.5 µg/100 cm2 Beryllium restricted areas

:

surface

levels of beryllium are at or above a surface action level of 1.5 µg/100

cm

2Action

level

:

Lowered from 0.2

µg/m

3

to 0.05 µg/m

3

Different forms of beryllium

Health

effects

Use at DOE Beryllium Sites

33

Slide34

NOPR for 10 CFR 850 (Continued)Request for information and comments (Continued)

Medical

screening for individuals conditionally hired for beryllium

work : an individual who has been offered a job as a beryllium worker (either a new hire or a current worker being transferred into a new job as a beryllium worker), but such offer would be subject to the outcome of a medical

evaluation

Medical evaluation

Consent Form

34

Slide35

NOPR for 10 CFR 850 (Continued)Request for information and comments (Continued)

Mandatory

medical evaluations and

removalsBeryllium workersSite Occupational Medicine Director’s written medical opinion

Includes

any diagnosis of the worker’s condition related to exposure to

beryllium

Economic Assessment

:

Per-site cost data

35

Slide36

10 CFR 850 Information10 CFR 850 Websitehttp://

www.energy.gov/ehss/chronic-beryllium-disease-prevention-program-10-cfr-850

Advance copy – 10 CFR 850 NOPR & Economic Assessment

Interpretations - Office of General Counsel Response to technical inquiresSafety and Health Regulatory and Policy Response Linehttp://www.energy.gov/ehss/safety-and-health-regulatory-and-policy-response-line

36

Slide37

ContactsOffice of Worker Safety and Health Policy

Bill McArthur, Director

301-903-9674 or

Bill.mcarthur@hq.doe.govJacqueline Rogers, Industrial Hygienist202-586-4714 or Jackie.rogers@hq.doe.gov37

Slide38

Questions

38