Document G9db5w1E59e5v5X11ppKkDox
THE SOCIETY OF THE PLASTICS INDUSTRY. INC
250 PARK AVENUE NEW YO*K, NEW YORK IOOI7 Z\Z AU7 2G75
QUESTIONNAIRE ON VINYL CHLORIDE EXPOSURE
Exposure Levels:
1. Odor of vinyl chloride monomer present throughout
much of the day.
From years
/ 7 r- S'
to
*c '
.
2. Odor of VCM present occasionally during the work day.
From years
/ f______ to______ ________________ .
3. Odor of VCM a rare event in any work day. From years AA/^'i- /gv-*1/* 3 4to /''/$& rT
4. Have there been process or processing changes introduced
which have resulted in an increased escape of VCM.
List-years when these occurred.
//t>
.
5. Have there been process or processing changes introduced which have resulted in a reduction in the escape of VCM.
_Li_st_y_ea_rs_w_h_en_t_he_s_e _oc_c_ur_re_d._______ .
6. Do you have environmental measurements prior to 1970? Yes y______ No
Personnel Exposure Data:
1.
Tsf. r , ' 2.
When did the plant start to work with VCM? Give year __
How many employees are working with VCM? Give number J2. ________ .
3. How many employees are still working for you who once worked with VCM but do not do so now? Give number
4. Of the persons identified in 2 and 3 above give the number who have been exposed for the following time intervals.
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More than 1 and up to 10 years 10 and up to 15 years 15 and up to 20 years 20 and up to 25 years 25 years and more
/ 27
6*
5. Of the persons identified in 2 and 3 above give the number falling within each latent period given below and considering only employees with more than one years service. A latent period is the time lapse from first exposure to the present date.
More than 1 and up to 10 years 10 and up to 15 years 15 and up to 20 years 20 and up to 25 years 25 years and more
f 3-7 6
______ / 3 /
Data From Current Examination Programs
1. Give the number of persons who have been examined since
January, 1974.
^________ .
2. Were liver profile studies made?
Yes No
". 7"
~-;y
3. Did the studies include at least bilirubin, SCOT, LDH and
AlVaUrw. phosphatase?
Yes
________ No ___________ .
.4* How many of those examined showed an abnormality in: one test two tests three or more tests ______
5. Have you had any cases of angiosarcoma?
Yes No
\
.6
6. Was this determination made by your own survey?
Yes
No
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7. What per cent of the total exposed population was cover d
in the survey?
.
8. Were retired personnel included?
Yes
7- No.
9. Were persons who had left your employ and gone to
work elsewhere included?
Yes No
v
10. Did you review causes of death of those who died while
still employed by you?
Yes______ y_____ No
.
11. Did your plant participate in the Tabershaw-Cooper
epidemiologic survey?
YesvC
No.
May 3, 1974
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