Document wg6MYYgEd2oG1gnypbw16pke3

GPO-9 INTERDEPARTMENTAL COMMUNICATION TO: Mr. E. B. Hollingsworth FROM: J. D. Rauch SUBJECT: 0. S. H. A. INSPECTION - JOINT SYSTEM cc: Mr. H. W. Feele - Wilmington Mr. R. G. Tuttle - Portland Mr. M. F. Fink - Tigard Mr. R. G. Schifferle - Akron DATE: March 5, 1974 location: Wilmington LOCATION: Akron On February 20, 1974, we had another OSHA inspection regarding asbestos fiber air content. The results of this testing have not been provided at this time. However, while the inspector was here he interviewed the hourly employees in the Joint System Department. During these interviews he inadvertenly left a set of interview forms behind. We do not know if this is an official O.S.H.A. form, but it may give our other operations some idea of the type interview they can expect. 1 have Included Mr. Fink so he can advise Acme and Chicago if desired. k att. J. D. R. SGP 0007416 OSHA HEALTH ANALYSIS SURVEY INTERVIEW EMPLOYEROSHA NO. CSHO DATE EMPLOYEE (A) Length of Service ____________________________ (B) In Present Job _____________________________ Job Ti :le _________________________ Address __________________ Foreman ___________________________ Union ____________ Position Protective Equipment Utilized: ___________________________________ I. RESPIRATORS: Sanitation Description (Cleaned daily, filter changed, etc.) Do They Follow A Minimal Program? (1910.134, Page 22231.) ______________ Does the company follow ANSI Standard Z88.2-1969 to be used to determine proper selection of respirators? _____________________________________ Is the company instituting engineering changes to improve ventilation and remove respirator need? ________________________________________________ II. EYE PROTECTION; Goggles_____ Manufacturer ______________________________________________________ Safe tv Glasses ________________ Manufacturer ______________________ Does company provide? _________ III. HEAD PROTECTION: Helmets _______________________ Manufacturer Bump Caps ___________________ Manufacturer SYR-IH-1(a) SGP 0007417 OSHA HEALTH ANALYSIS SURVEY INTERVIEW IV. FOOT PROTECTION! Safety Shoes . Manufacturer _______________ Provided by company ____________________________________ V. HEALTH: Does company provide an annual physical? Company Doctor Private When did employee have last physical ________________________ Chest X-Ray Date Blood Tests Date ______________ Did doctor find any possible job-related health problem? Yes ___ No If so, what ____________________________________________ __________________ When did you have last illness Serious Have you ever had an extreme tightness across your chest? Yes _____ No Have you ever had a dermatitis problem? Yes _______ No _________ Where did the most recent rash develop? _______________________ What do you believe caused the dermatitis? Have you ever been off work with severe dermatitis? How long? Do you believe the company has an adequate employee health protection progran ______ Why? _ Have you ever experienced difficulty in obtaining PPE to be supplied by the company? Have you ever filed a union grievance because of this difficulty? What was the result? ______________________________________ SGP 0007418 OSHA HEALTH ANALYSIS SURVEY INTERVIEW Was an Industrial Hygiene Sampling Survey performed at the employee work site? Date ______________________ How many other employees performing a similar job ___________ VI. SAMPLING SURVEY: NOISE __________________ (See Survey form) VENTILATION (See Survey form) Air Analysis: SIS submitted to NIOSH (Date) Employee ________________________________ Location ___________ Pump Used _________________________ Sampling Rate ________________ SAMPLING FOR: Filter _____________________________________ Filter (Inorganic) Filter Paper Weight Silica>__________ Before After Sampler Time On Off SGP 0007419