Document Lp6EkN4KjjdODgr4xYm4r6Gxd

Daniel M. Jaffe, M.D. tob'Twj - (* %_ 2-c]J1`f -yen 01 Sen It)MG S4i tu,^-e> ' ^ B1501 Alcoa Building ALCOA Pittsburgh 752484 0188 Industrial Hygiene CORPORATE HEALTH SERVICES Occupational Medicine Economics Environmental Health Lab Employee Assistance Program H:\DMJ\BELDAINFDMJ - /- 752484 0189 CORPORATE HEALTH SERVICES ISSUES HIGHLIGHTS COMMENTS Health and Safety Audits: poor to fair findings in 10 key areas (Attachment A) not all plants audited (14 out of 50) Health Product Safety Concerns few formal audits non-U.S. issues Proposed Minimum Standards for Occupational Health no formal audits variable levels of compliance (company/regulatory issues) implementation issues liability issues (.e.g, noise) Legislative/Regulatory Issues no formal process for addressing compliance exception TSCA Epidemiology Concerns Kidney Cancer Study smelter issues High Incidence of Sprains/Strains, Disabling Injuries 40-50% most plants No Formal Process for Total Disability Management Concerns About Potential Adverse Health Effects Related to Aluminum Data Management, Development, and Integration audit protocols/process being revisited 15 audits planned for 1994 FDA audits to be conducted this year Health Issues Task Force proposed legislative/regulatory process completion of Kidney Cancer Study ergonomic initiatives developing process health clearinghouse documents Aluminum Association efforts reeingineering via PeopleView process H:'DNO\BELDAINFX)MJ -1 ' 752484 0190 fA^c^6V^~A\ YGIENE A Ubrr F/NDmGS .1390/1993. '- -- Select Summary Statistics on 53 Audits -- ' 1e Rsnk* 1 =Strongest 58=Weakest 16 Feedback on sampling results Grade j # of <jPoint<^ Excellents -Average5 4 2.43 20 Access to sampling equipment 7 2.37 28 Health hazard controls 33 Radiation safety 1 2.26 1 2.22 1 36 Asbestos management 1 2.20 39 Hearing conservatfon 1 2.15 43 Medical protocols utilization 3 2.14 46 Exposure assessment 2 2.12 49 Hazardous materials control 0 1.98 56 Respiratory protection 0 1.65 Grade point average value where Poor = 1 Fair = 2 Good = 3 Excellent = 4 X:\FINDINGSJD -3 ~ 752484 0191 CORPORATE HEALTH SERVICES A. BUSINESS UNITS USE OF OUR GROUP'S EXPERTISE Aerospace ANL Extrusion/Tube Foil Forged Products Closures Packaging Machinery RPD Primary Metals W/R/B Industrial Hygiene M L M H M M-H M M-H H M Occupational Medicine M M M->H M M M H Ergonomics H L M H L H L->M Environmental Health Lab M VL L->M M M L L--M Employee Assistance Program H VL M M H L L M->H H M L H L->M H H M VL = Very Low, L= Low, M = Medium, H = High M M H H;NDMABELDAINFXMJ 752484 0192 CORPORATE HEALTH SERVICES COMMON SERVICES INDUSTRIAL HYGIENE/OCCUPATIONAL MEDICINE I. Legislative/Regulatory Compliance Identification of Issues/Interpretation of Regulations Legislative/Regulatory Process Development Clean Air Act Lead Standard Noise Standard OSHA Reform OSHA Chromium TSCA (Toxic Substances Control Act) European Economic Community Directives Oil Mist Standard Fibers (EPA) Asbestos - EPA Hazardous Communication FDA Regulations Toxics in Packaging Risk Assessment Drug/Alcohol Testing Family Medical Leave Act Americans With Disabilities Act Community Right-to-Know Bloodbome Pathogens Training TSCA (Toxic Substances Control Act) Lead Polychlorinated Biphenyls Noise Hazard Communication Networking Legislative/Regulatory Tracking Systems (ALIS) Hz'DMJvBELDAINF.DMJ 3 752484 0193 CORPORATE HEALTH SERVICES COMMON SERVICES INDUSTRIAL HYGIENE/OCCUPATIONAL MEDICINE IL Broad Consultation/Support Assist With Company/Regulatory Compliance Medical Surveillance Assessment of and Management of Individuals With Disabilities Expatriate Medical Issues Medical Treatment Training Health Standards (Implementation) Exposure Assessment Technology Transfer Fibers Data Management Exposure Assessment Noise Management PeopleView Support Health Standards Implementation Hazardous Materials Management FDA Emerging Issues Scrap and Radioactivity IIL Health Audits IV. Development of Standards/Best Practice/Guidance for Compliance International Health Standards New Existing: Lead RCF Asbestos Management Engineering Standards (e.g,, Laser, Asbestos, Radioactivity) Noise, etc. V. Health Product Safety Compliance MSDS/Product Labeling for all Commercial Products/Intemal Waste Products Toxics in Packaging (e.g,, Metal Alloy Composition) H:\DMJNBELDAINFDMJ 752484 0194 CORPORATE HEALTH SERVICES COMMON SERVICES INDUSTRIAL HYGIENE/OCCUPATIONAL MEDICINE VL Aluminum/Health Clearinghouse Documents (Alzheimer's Disease, Potroom Asthma, PCBs, Alumina) Issue Tracking and Prioritization (Alzheimer's, Potroom Palsy, Cognitive Function) Research (Metabolic Pathways) Industry Association Interface (Aluminum Association, IPAT) VH. Epidemiology Issue Tracking and Prioritization(Cancer, OtherDisease Studies) Research Kidney Cancer ? Tripartite Toxic Substances Control Act Reviewsof Disease Ousters COMMON SERVICES ENVIRONMENTAL HEALTH LABORATORY L Legislative/Regulatory Compliance Identification of Issues/Interpretation of Regulations Sampling Analytical Methodologies Oil Mist Chrome Refractory Ceramic Fibers Sulfuric Acid Mist IL Broad Consultation/Support Assist With Compliance Sampling pnH Analysis Data Management Laboratory Information Management System IV. Development of Standards/Best Practice/Guidance for Compliance Plant Sampling Methodologies Manual V. Health Product Safety Compliance Provide Information/Data for Material Safety Data Sheets/U.S. Department of Transportation Product Analysis Welding Fume Studies Silica - Development of Sampling Methodology H:'OMJ\BELDAINFDMJ 7- - 752484 0195 CORPORATE HEALTH SERVICES COMMON SERVICES EMPLOYEE ASSISTANCE PROGRAM I. Legislative/Regulatory Compliance Identification of Issues/Interpretation of Regulations EAP Legislative Initiatives IL Broad Consultation/Support Assist Plants With Compliance Managed Care Areas . Technical Assistance (EAP Start-Ups, Reviews, Training) ra. Health Audits Most Domestic Locations rv. Development of Standards/Best Practice/Guidance for Compliance EAP Standards COMMON SERVICES ERGONOMICS L Legislative/Regulatory Compliance Identification of Issues/Interpretation of Regulations OSHA Ergonomics Standard n. Broad Consultation/Support Manager Awareness Ergonomic Team Training Engineering Training Technical Consultation Needs Assessments IV. Development of Standards/Best Practice/Guidance for Compliance Ergonomic Planning and Implementation Guide Engineering Design Guidelines VDT Training Ht'DMJSBELDAINFDMJ -f - 752484 0196 CORPORATE HEALTH SERVICES L B. IMPEDIMENTS Awareness/Knowledge of Health Issues 2. A. B. INTENSITY OF INFORMATION EXCHANGE generally high all levels (more variability with Employee Assistance Program/Ergonomics/Environmental Health Lab) - tprhniral bulletins standards plant visits regulatory interpretation training Health Issues Task Force audits health and safety conference managed care (EAP) health clearinghouse documents periodic customer needs assessments OPPORTUNITIES FOR IMPROVEMENT wider access of audit findings management awareness of issues training enhanced networking opportunities It'DMJ\BELDAINFDMJ - 7' 752484 0197 CORPORATE HEALTH SERVICES 3. A. SUCCESSFUL BUSINESS UNIT/GROUP EXPERIENCES Health Issues Task Force PCB Team Refractory Ceramic Team Safety/Health Audit Process TSCA Lead Team Hazardous Materials Control Committee/MSDS/Product Labeling Packaging/Coneg (U.S. and Europe) EAP Start-ups/Reviews/Training B. IMPROVEMENT OPPORTUNITIES FeopleView Legislative/Regulatory Compliance EHS Assessments; Acquisitions/Divestitures Disability Management Cost Effective Implementation of Health Standards Risk Assessment Management Epidemiology 4. BENCHMARK Health Standards Hygenius TSCA Compliance Process EAP Standards EHL Lab 5. OTHER ISSUES No NFIs for Health limited Distribution of Audit Results Inadequate Vertical and Horizontal Integration Business Unit Accountability for Health Issues HTOMJNBELDAINFDMJ /6 - 752484 0198 CORPORATE HEALTH SERVICES AEROSPACE Use of Our Expertise: Norpar Toxicity Benchmark: "Excellent" Audit on "Access to IH Sampling Equipment" and "Exposure Assessment" Hr'DMJSBELDAINF.DMJ 752484 0199 CORPORATE HEALTH SERVICES ____________________________________________________ ANL Use of Our Expertise: Kofem Acquisition Hr'OMJVBELDAINFDMJ 752484 0200 CORPORATE HEALTH SERVICES EXTRUSION/TUBE Benchmark: Lafayette: First to Screen Scrap for Radioactivity H^MJSBELDAINFDMJ 752484 0201 CORPORATE HEALTH SERVICES ___________________________________________________ FOIL________________________________ Use of Our Expertise: Highly Active Health-Product-Safety Lab Analysis of Stack Emissions for Compliance With State Regulations (Lebanon) Compensable Hearing Loss Benchmark: Reduced Overexertion Injuries Due to Successful Ergonomics (Davenport) H'DMJNBELDAINF.DMJ 752484 0202 CORPORATE HEALTH SERVICES Use of Our Expertise: FORGED PRODUCTS Developed Lab Methods for Analysis of Lube Emissions From Presses H:\DMJ\BELDAINF.DMJ 752484 0203 CORPORATE HEALTH SERVICES Use of Our Expertise: CLOSURES Highly Active Health Product Safety Use of Teams: Noise Control Engineering Team Hf'OMJ'BELDAINFDMJ 752484 0204 CORPORATE HEALTH SERVICES Use of Our Expertise: PACKAGING MACHINERY FDA Compliance Issues Benchmark: "Excellent" Audit on "Hearing Conservation" tt'DMABELDAINFDMJ 752484 0205 CORPORATE HEALTH SERVICES Use of Our Expertise: RPD Highly Active Health Product Safety Clean Air Act Chlorinated Hydrocarbon Issues Trace Metals in Packaging Issues Implementing Programs on Scrap and Radioactivity Benchmark: Excellent Use of Quality Teams to Resolve Health Issues (e.g,, Trace Metals and Clean Air) H:\DMJ\BELDAINF.DMJ 752484 0206 CORPORATE HEALTH SERVICES Use of Our Expertise: PRIMARY METALS Management of EMF Issues Support of Sampling Methods Unique to Smelting (i.e. S02 + HF) Compliance With EPA Clean Air Act (e.g,, Risk Assessments, etc.) Smelter Health Issues (e.g. Potroom Asthma) Various Respirator Issues Benchmark: "Excellent" Audit on "Feedback on IH sampling results", "access to IH sampling equipment" H:NDMJ^BELDAINFDMJ 752484 0207 CORPORATE HEALTH SERVICES W/R/B Use of Our Expertise: PCB Issue Benchmark: "Excellent" Audit on "Exposure Assessment", "Access to IH Sampling Equipment" K'DMJNBELDAINFDMJ 752484 0208