Document 3JkEbLdreJed5pe0wpDKOoN60

FILE NAME: Westinghouse Pennsylvania Archives (WHPA) DATE: 1971 DOC#: WHPA008 DOCUMENT DESCRIPTION: Inspection at Elevator Component Plant with Occupation/Hazard Forms - Asbestos Hazard Documented Westinghouse Elevator 1971 Inspection at elevator component plant with Occupation/Hazard forms. Asbestos dust hazard documented for insulation worker. Text describes cutting of asbestos sheets in the building with workers wearing respirators. In "near future" operation to be moved to isolated area with local exhaust system. CO M M O NW EALTH O P PEN N SYLVAN IA DEPARTM ENT OP HEALTH O CCU PA TIO N A L HEALTH P EN N SYLV A N IA O C C U P A T IO N A L H EA LTH IN SP EC TIO N (NSN) 1 lA M lS M M iN I -N A M l. ADWUSS. IP COM \ v rs y 7 y 7 ^ A 'a ( 'S / r t t y <*t h a t . e * # / ? , r .'+ rs 'Z / ' w r 7 PERSON INT[RVIEWED--NAME. I l l l t , I I L NO y A / T - T JT , po /? a y * A 7 7 ,^ < 5 *-< 7 ItG A l OW N*-NAMt. AOMfSS / 7 S* & -- 0 , 5 ' ' *- !/> > SCMTY iu n irviso , V f / f M 'V / X ' -5* A x < 'V y C'~ ' ? ~ j ' / / /C, 4 -A - M CARD 3. CODE / / STATE f 3. CODE 7. ( !) ORIGINAI INSPECTION - STATE & NSN 8. Whol it your Chief Produci Of Service? (2) Origfnol Intpection NSN (3) Reinipection T '' s 9. SIZE CODE? (Boted on Totol l-iumber of Employ**) (1) 1-3 (2) 4-7 (3) 8 19 (4) 20-49 (5) 50-99 (6) 100-249 (7) 250-499 (8) 500-999 COMPANY . NUMBER q JO n 5" / 10. HOW MANY SHIFTS DO YOU HAVE? 11. HOW MANY PEOPIE ARE ON THIS PLANT'S PAYROLL AT THE PRESENT TIME? 12. OF THIS NUMBER. HOW MANY ARE NORMALLY IN THE WORK AREA AS OPPOSED TO THE OFFICE OR OUTSIDE AREA? ' 13. OF THOSE IN THE WORK AREA WHAT APPROXIMATE PERCENTAGE IS MALE? 14. DOES THIS PLANT DO FEDERAL CONTRACT WORK? (1) Yet. Prim* Confrocfor, (3) No. (2) Y*t, Subcontrocfor, (4) Don' Know. y / 7> a / ? 27-31 * <7 15. A. DOES YOUR COMPANY EMPLOY AN INDUSTRIAL HYGIENIST? (2) Y*t. ol Corporot* Hq., (3) Y*t. Contullont. (4) No. Hit Nom#, Addreit and Telephone Numberi 8. ESTIMATE THE AVERAGE NiinUiMifBirEnR Or\Fr INDUSTrRIAL HYGIENE M.. A..N.-HOURS .. I Z. . THAT ARE DEVOTED TO YOUR PARTICULAR PLANT PER WEEK. i i n o VCM u a v f a n r.eMNT WITH A PHYSICIAN TQ GIVE YOUR EMPLOYEES EMERGE OR OTHER MEDICAL CARE? (1) Y*t. Full Tim*, ( ? ) Y*t. Pori Tim* (3) Ye Hit Norn*. Addre ond Zip Code: C B. ESTIMATE THE AVERAGE NUMBER OF PHYSICIAN MAN HOURS THAT AREtiEVOTED TO YOUR PLANT PER WEEK. . - &T Z Z \ > T * J l 17. A. DO YOU HAVE A REGISTERED NURSE IN YOUR FACILITY AT A RE< (!) Yet. R N . (3) Yet. Both (2) Yet. L P.N.. (4) No. B ESTIMATE THE AVERAGE NUMBER OF NURSING AUN HOURS THAT ARE DEVOTED TO YOUR PARTICULAR PLANT PER WEEK. CENTRAL OFFICE COPY IH A OO YOU MAVf AN fM PlO Yff ttS P O N S l( FOt DIVINO FIRST AIO WMf N NO DOCTOR OR NURSI IS W S IN T t (1)Yes, (?) No, (3) No AppUoHe ft D C IS Hf MAVf ANY FORMAL FOIST-AIO TtAINWG? (1) Y n . Red Cron (3) Yes, Other (5) Don't Kno* . (7) Yet. Anned W t MW< (4) No (6) Not Applicable V19. A. WHCN YOU HlRf A NfW I m PIQ Y! I . DO YOU tfCORO INFORMATION . FROM HtM. AftOUT MIS MfALTH. ON SOME RfCUlAR FORM? * (1) Yet. AJI Employees, (?) Yet. Some Employees. (3) No. ft BIFOftf YOU MIRI A N fW EMPLOYEE. DO YOU REQUIRE HIM TO TAKE A MEDICAI EXAMINATION? (I) Y n . AR Employees. (7) Yet. Som# Fmployen. (3) No 70 A. DO YOU PROVIDC PERIODIC MEDtCAl EXAMINATIONS FOR YOUR EMPLOYEES IN HAZARDOUS JOBS? ( I ) Yet. Adequote, (7) Yet, Inodeqvote, (3) No, ft DO YOU PROVIDE PERKXJIC AUDIOMETRIC EXAMINATIONS FOR YOUR EMPIOYCES TMAT ARE EXPOSED TO NOISE? (1) Y n . Adequote (?) Y n . Inodeqvote. (3) No, C. DO YOU PROVIDE PERIOOIC PtOOO AND URINE EXAMINATIONS FOR YOUR EMPLOYEES WHERE APPROPRIATE? ( I ) Y n . Adequate. (?) Y n . Inodequote. (3) P D. DO YOU PROVIDE PERIODIC PHYSIOLOGICAL FUNCTION TESTS (Enduing Avdogroms) WHERE APPROPRIATE? * ( I ) Y n . Adeqvote. (?) Y n , Inodeqvote, E. DO YOU PROVIDE PERIODIC CHEST X-RAYS WHERE APPROPRIATE? (1) Y n , Adeqvote, (7) Y n , Inodeqvote, (t (4) Noi Applicoble (4) Not AppScoble (4) Not Applicoble (4) Not Applicoble (4) Not ApplicobJe 71. DO YOU HAVE AN IMMUNIZATION PROGRAM? (l)Y n . (?) No. 7?. ARE YOUR EMPlOYEE ABSENTEEISM RECORDS A. (1) Not Kept, (?) Kept, without Showing Nature of Absence, (4) Kept, Showing Noture of Sickness ; V' ' B. WHAT IS YOUR AVERAGE ABSENTEE RATE? (Doyj/Y.or/impJoyw) ' (Don't Know Coded os 99) '(3 ) Kept, Showing Nature of Absence, 'i f.* - ' \ , -. * , . ' ' ` . ; ' 23. DOES YOUR COMPANY HAVE A FORMAL SAFETY PROGRAM? ( I ) Yes, (2) No. 24. IS YOUR WORKMEN'S COMPENSATION INSURANCE CARRIED WITH AN INSURANCE COMPANY OR ARE YOU SEIF INSURED? (1) Insuronce Company (Nome) `__________ (2) Self Insured, (3) Slot# Insuronce Fund, (4) None. OF M A^eoS' 26. HAVE YOU HAD ANY OCCUPATIONAL DISEASE IN YOUR PLANT IN THE LAST YEAR? (1) Yet, Dermotitis (3) Yet, Combination (5) Don't Know. - ' (2) Yet, Other (4) No 27. HOW MANY YEARS HAS THIS TYPE OF WORK BEEN CONDUCTED IN THESE FACILITIES?; ( 1 ) 0-5 (3)11-20 (5)31-50 (2 )6-10 (4)21-30 (6) Greater Than or Equal to 5) 28. HOW MANY HOURS DOES IT TAKE TO INSPECT THIS PLANT? 29. HOW OFTEN (In Yeors) SHOULD THIS PLANT BE ROUTINELY INSPECTED? CENTRAL OFFICE COPY P I'.fO o . 30 THIS MANI HAS A HCAltH C0n0<TK*S) WHICH WAMANTI INVISTGATON. (7) W*m 0*0 U m . (3) Noi Worrm4 33 A Ai RECIRCULATION ARTICLE I U C AATCIE 436. 0 CONFINED SPACE ENTRY. E. REGION COOC. (1) Th , Comp Approvai (7) To*. Cr*dAorol Approval ( I ) Y n . Comp Approval (7) Yt, Conditional Approval ( 1) Ym. Regnlrd (2) Yt. PoriioRy Rgnr*d (3) Yv No Approved M) No (3) Yt. Not Rgr$r*d (4) No 34. TOTAL AT RISK: (from Pori II) REMARKSt INSPECTED BY: CENTRAL OFFICE COPY CO M M O N W EA LTH O F PEN N SYLVA N IA D EPARTM EN T O F HEALTH O C CU PA TIO N A L H EALTH P E N N S Y L V A N IA O C C U P A T IO N A L H E A L T H IN S P E C T IO N IN SN ) P A R T li OCCUPATION DESCRIPTION TWO/Tl. OECSCT.. (P.O.)* TAOTTR. IESKST. HAZARD COMPANY NUMBER 3 a o / ST/ HCAOZADRED 24-27 TOTAL THI PAGE 77 P \ d / / 3f? ~ l1 -- COMPLETE SURVEY PARTIAL SURVEY TOTAL AT RISK 'y f f s x r - ___ ___ ,x -- "1 1------r~ -- 1-- CENTRAL OFFICE COPY CO N TIN UED N EXT PA G E C O M MDOENPWAERATLMTEHN TO FO FPEHNENASLYTLHVANIA O C CU P A TIO N A L HEALTH P E N N S Y L V A N I A O C C U P A T I O N A L H E A L T H I N S P E C T I O N ( N S N ) P A R T II CARD CODE DESCRIPTION ? fi ? fi Y MA Kr / f i'A V < r F - HAZARD li/ jr J / M G z, COMPANY NUMBER HCAOZADRED 24-27 fi * A -- fi / *1/ --1---- 1_Z &AA 11_ f i fi / \A l fi fi fi fi a r ~ 3 & rC fi> a 1 " 1 . M K ('S/V /r-r TOTAL THIS 1 - COMPLETE SURVEY 2 PARTIAL SURVEY M /SJT. TOTAL AT RISK CENTRAL OFFICE COPY CON TIN UED NEXT PA G E CO M MDOENPWAERATLMTEHN TO FO FPEHNENASLYTLHVANIA O C C U P A TIO N A L H EALTH DESCRIPTION P E N N S Y L V A N I A O C C U P A T I O N A L H E A L T H I N S P E C T I O N ( N S N ) P A R T II TAOTTR. IESSKT. HAZARD COMPANY NUMBER HCAOZADRED 24-27 o o / 5" / -- r- r 't. nr A , TOTAL THIS 1 - COMPLETE SURVEY 2 - PARTIAL SURVEY TOTAL AT RISK CENTRAL OFFICE COPY CO N TIN UED NEXT PAGE