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Standards Advisory Committee

Submitted by
Dr. Maura J. Sheehan, C.I.H
Chairperson
7/15/99

TABLE OF CONTENTS

Topics
Chapter One Introduction and Scope
  1.1 General Information
1.2 Committee Organization
  1.2.1 Speakers & Presentations
  1.2.2 Formation of the Committee
  1.2.3 Advisory Committee Charter
    1.2.3.1 Official Designation
    1.2.3.2 Objective & Scope
    1.2.3.3 Period of Time
    1.2.3.4 Agency Official
    1.2.3.5 Agency
    1.2.3.6 Committee Duties
    1.2.3.7 Membership
    1.2.3.8 Operating Costs
    1.2.3.9 Meetings
    1.2.3.10 Termination Date
    1.2.3.11 Filing Date
  1.2.4 Deliberations of the Committee
  1.2.5 Organization of the Committee & Final Report
  1.2.6 What is Expected of the Committee
1.3 Scope of the MWF Issue
  1.3.1 Speakers & Presentations
  1.3.2 Review of Available Information
    1.3.2.1 Experiences and Resources Related to the Scope of the Machining Processes
    1.3.2.2 Experiences and Resources Related to the Scope of MWFs
    1.3.2.3 Experiences and Resources Related to the Scope of Workplaces
    1.3.2.4 The Scope of the Stakeholders
    1.3.2.5 The NIOSH Criteria Document
    1.3.2.6 Additional Resources
1.4 Concerns and Limitations
  1.4.1 Size of Business
  1.4.2 Variability of Environments and Fluids
1.5 Linkage of Discussions to OSHA Action
1.6 Committee Decisions and Rationale
  
Chapter Two - Deliberations Related to Actions OSHA Should Take: Health Effects Issues
  2.1 General Information
2.2 Dermatitis
  2.2.1 Speakers and Presentations
  2.2.2 Background Information
  2.2.3 Experiences and Resources
    2.2.3.1 Presentations & Related Discussions
    2.2.3.2 NIOSH Criteria Document
    2.2.3.3 Other Resources
  2.2.4 Concerns and Limitations
    2.2.4.1 Size of Business
    2.2.4.2 Atopy
    2.2.4.3 Other Issues
  2.2.5 Linkage of Discussions to OSHA Action
  2.2.6 Committee Decisions and Rationale
2.3 Acute and Chronic Respiratory Effects
  2.3.1 Speakers and Presentations
  2.3.2 Background Information
  2.3.3 Experiences and Resources Related to Asthma and Airway Effects
    2.3.3.1 Overview
    2.3.3.2 Researchers' Reports of Their Own Studies
    2.3.3.3 Speakers' Analyses of Studies
    2.3.3.4 NIOSH Criteria Document
    2.3.3.5 Other Resources Related to Asthma
  2.3.4 Hypersensitivity Pneumonitis
    2.3.4.1 Overview
    2.3.4.2 Experiences & Resources Related to HP and MWFs
    2.3.4.3 NIOSH Criteria Document
    2.3.4.4 Additional Resources Related to HP
  2.3.5 Other Non-Malignant Respiratory Effects
    2.3.5.1 Overview
    2.3.5.2 Speakers' Reports & Analyses of Studies
    2.3.5.3 NIOSH Criteria Document
    2.3.5.4 Other Resources
  2.3.6 Concerns and Limitations
    2.3.6.1 Size of Business
    2.3.6.2 Smoking
    2.3.6.3 Healthy Worker Effect
    2.3.6.4 Respiratory Disease Diagnosis
    2.3.6.5 Symptoms vs. Disease
    2.3.6.6 Peak Exposures
    2.3.6.7 Other Limitations of Studies
  2.3.7 Linkage of Discussions to OSHA Action
  2.3.8 Committee Decisions and Rationale
2.4 Cancer
  2.4.1 Speakers
  2.4.2 Background Information
  2.4.3 Review of Studies
    2.4.3.1 Presentations
    2.4.3.2 NIOSH Criteria Document
    2.4.3.3 Additional Resources about Cancer
  2.4.4 Concerns and Limitations
    2.4.4.1 Size of Business
    2.4.4.2 Other Issues
  2.4.5 Linkage of Discussion to OSHA Action
  2.4.6 Committee Decisions and Rationale
  
Chapter Three - Deliberations Related to Actions OSHA Should Take: Technological Feasibility Issues
  3.1 General Information
3.2 Speakers and Presentations
3.3 Background Information
  3.3.1 Components of a Systems Management Program
  3.3.2 Enclosure Technology for MWFs
  3.3.3 Other MWFs Controls
3.4 Review of Available Information
  3.4.1 Experiences and Resources Related to Fluid Management Technology
  3.4.2 NIOSH Criteria Document
  3.4.3 Additional Experiences for Systems Management
  3.4.4 Research and Experiences Related to Enclosure Technology
    3.4.4.1 Speakers' Comments
    3.4.4.2 NIOSH Small Business Study Results
    3.4.4.3 Machine Tool Industry Representatives' Comments
  3.4.5 NIOSH Criteria Document
  3.4.6 Additional Resources Related to Enclosure Technology
  3.4.7 Research and Experiences Related to Other Controls
3.5 Concerns and Limitations
  3.5.1 Size of Business
  3.5.2 Determining the Effectiveness of Systems or Fluid Management
  3.5.3 Other Concerns about Systems Management
  3.5.4 Problems with Full Enclosures
  3.5.5 Problems with Retrofit Enclosures
  3.5.6 Other Concerns about Enclosures
  3.5.7 Recirculation
  3.5.8 Vapor Production
  3.5.9 Other Concerns about Ventilation
  3.5.10 Limitations of Studies
  3.5.11 Time and Resource Factors
  3.5.12 Trends in Machining
  3.5.13 Other Concerns
3.6 Linkage of Discussions to OSHA Action
  3.6.1 Systems Management
  3.6.2 Enclosures/Other Controls
3.7 Committee Decisions and Rationale
  
Chapter Four - Deliberations Related to Actions OSHA Should Take: Economic Feasibility Issues
  4.1 General Information
4.2 Speakers and Presentations
4.3 Background Information
4.4 Review of Available Information
  4.4.1 Experiences and Resources Related to Costs
    4.4.1.1 Employee Job Transfer Costs
    4.4.1.2 Costs to Provide Enclosures and Ventilation
    4.4.1.3 Capacity and Concerns of the Machine Tool and Enclosure Industry
    4.4.1.4 Mist Collector Costs
    4.4.1.5 Medical Surveillance Costs
    4.4.1.6 Exposure Assessment Costs
    4.4.1.7 Other Costs
    4.4.1.8 Estimates of Total Costs
  4.4.2 Experiences and Resources Related to Offset Costs
  4.4.3 Other Resources Related to Costs
4.5 Concerns and Limitations
  4.5.1 Size of Business
  4.5.2 Time Factors
4.6 Linkage of Discussions to OSHA Action
4.7 Committee Decisions and Rationale
  
Chapter Five - Deliberations Related to Actions OSHA Should Take: Recommended OSHA Actions
  5.1 General Information
5.2 Speakers and Presentations
5.3 Background Information
5.4 Review of Available Information
  5.4.1 What OSHA Needs from the MWFSAC
  5.4.2 Non-Regulatory Approaches
    5.4.2.1 Governmental Non-Regulatory Actions
    5.4.2.2 Consensus Standards and other Non- governmental Voluntary Action
  5.4.3 Regulatory Approaches
  5.4.4 Risk Assessment
5.5 Concerns and Limitations
  5.5.1 Size of Business
  5.5.2 The Americans with Disabilities Act (ADA)
  5.5.3 Other Issues
5.6 Linkage of Discussions to OSHA Action
5.7 Committee Decisions and Rationale
  
Chapter Six - Best Practices for Working with MWFs: Systems Management
  6.1 General Information
6.2 Speakers and Presentations
6.3 Background Information
6.4 Review of Available Information
  6.4.1 Experiences and Resources Related to Systems Management
  6.4.2 Additional Resources
6.5 Concerns and Limitations
  6.5.1 Size of Business
  6.5.2 Assessment and Accountability
  6.5.3 Is the ORC Document Enough for Systems Management?
  6.5.4 Health Issues Related to Systems Management
  6.5.5 Other Issues Needed in a Systems Management Program Document
6.6 Linkage of Discussions to OSHA Action
6.7 Committee Decisions and Rationale
  Best Practices Systems Management
  
Chapter Seven - Best Practices for Working with MWFs: Exposure Assessment
  7.1 General Information
  7.2 Speakers and Presentations
  7.3 Background Information
  7.4 Review of Available Information
    7.4.1 Experiences and Resources Related to Qualitative Exposure Assessment
    7.4.2 Experiences and Resources Related to Quantitative Exposure Assessment
      7.4.2.1 Concepts in Quantitative Exposure Assessment for MWF Environments
      7.4.2.2 "Total" Particulate Sampling and Analysis
      7.4.2.3 Extractable Methods of Analysis
      7.4.2.4 Size Selective Sampling
      7.4.2.5 Use of Direct Reading Instruments
      7.4.2.6 Endotoxin Measurement
      7.4.2.7 Other Quantitative Assessment Methods
    7.4.3 Measurements Done in Different Studies
    7.4.4 NIOSH Criteria Document
  7.5 Concerns and Limitations
    7.5.1 Size of Business
    7.5.2 Sampling Problems
    7.5.3 Background Values
    7.5.4 Appropriate Metric for the Health Effects
    7.5.5 Other Issues
  7.6 Linkage of Discussions to OSHA Action
  7.7 Committee Decisions and Rationale
    7.7.1 Method of Analysis
    7.7.2 Size Selective Sampling
    7.7.3 Action Limit
    7.7.4 Short Term Exposure Limit
    7.7.5 Statistical Compliance
    7.7.6 Exception from Initial Monitoring
Best Practices: Monitoring and Analysis of MWF Exposure
Best Practices: Qualitative Assessment Checklist
  
Chapter Eight - Best Practices for Working with MWFs: Medical Monitoring & Surveillance
  8.1 General Information
  8.2 Speakers and Presentations
  8.3 Background Information
  8.4 Review of Available Information
    8.4.1 NIOSH Criteria Document
    8.4.2 Discussions Related to Components of a Medical Surveillance Program for MWFs
    8.4.3 Development of a Medical Monitoring and Surveillance Document
    8.4.4 Passive Medical Surveillance
    8.4.5 Other Sources of Information
  8.5 Concerns and Limitations
    8.5.1 Size of Business
    8.5.2 Effectiveness and Validity of Test Methods
    8.5.3 Triggers
    8.5.4 Training
    8.5.5 Use of Data
    8.5.6 Separating MWF Related Symptoms or Disease from Background Levels
    8.5.7 Other Issues
  8.6 Linkage of Discussions to OSHA Action
  8.7 Committee Decisions and Rationale
Best Practices for Medical Monitoring and Surveillance for Non-Malignant Respiratory and Skin Disorders
  
Chapter Nine - Best Practices for Working with MWFs: Training and Information Outreach
  9.1 General Information
  9.2 Speakers and Presentations
  9.3 Background Information
  9.4 Review of Available Information
    9.4.1 Experiences and Resources Related to the Need for Training and Information Outreach
    9.4.2 Existing, Developing and Needed Programs
      9.4.2.1 ORC
      9.4.2.2 ILMA Product Stewardship
      9.4.2.3 Medical Professionals
      9.4.2.4 Industrial Hygienists and Safety Professionals
      9.4.2.5 Courses and Websites
      9.4.2.6 Labor/Industry Cooperative Efforts
      9.4.2.7 Other Programs and Ideas
    9.4.3 Material Safety Data Sheets
    9.4.4 What Should Be Included in Training
  9.5 Concerns and Limitations
    9.5.1 Size of Business
    9.5.2 Other Issues
  9.6 Linkage of Discussions to OSHA Action
  9.7 Committee Decisions and Rationale 
  Best Practices for Training
 
References