Document zxzdBDNy7VjBm8030LGJYde7
INTERDEPARTMENTAL COMMUNICATION
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DATE*
" March 5, 1974
I.TOJ Mr. S. B. Hollingsworth
- location* Wilmington
FROM* j. D, Rauch
LOCATION* Akron
SUBJECT* 0. S. H. A. INSPECTION - JOINT SYSTEM
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. ccs Mr. U. W. Peele - Wilmington
Mr. R. G. Tuttle - Portland
:. Mr. M. 7. Pink - Tigard
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Mr. R. G. Schifferle - Akron
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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. I have included Mr. Pink so he can advise Acme and Chicago if desired.
i
k att.
OSHA HEALTH ANALYSIS SURVEY INTERVIEW
EMPLOYER_____________________________ _______________ OSHA MO.
CSHO__________ DATE
EMPLOYEE ;
(A) (B)
Length of Service ________________ In Present Job _________________
Job Title ______________________________ Address ______________________
Foreman _______________________________ Union ___________ Position
Protective Equipment Utilized: ____________________.
I. RESPIRATORS:
Sanitation Description (Cleaned daily, filter changed, etc.)
Do They Follow A Minimal Program7 (1910.134, Page 22231.) ________________
Does the company follow ANSI Standard Z88.2-1969 to be used to determine proper selection of respirators7 _____________________________________
Is the company Instituting engineering changes to improve ventilation and remove respirator need7 ____________________________________________
II. EYE PROTECTION: Goggles _______________________ Manufacturer _______________________________ Safcts Glasses _________________ Manufacturer ____________________________ Does company provide7 ________
III. HEAD PROTECTION: Helmets ________________________ Manufacturer Bump Capa _____________________ Manufacturer
SYR-IH-1(a)
OSHA HEALTH ANALYSIS SURVEY INTERVIEW
IV. FOOT PROTECTION! Safety Shoes Provided by company
. Manufacturer _ _. '
___
V. HEALTHS
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Does company provide an annual physical? ________________
Company Doctor ________________________ Private ________________
When did employee have last physical
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Chest X-Ray Date
Blood Tests _____________ Date _____________ Did doctor find any possible Job-related health problem? Yes _____ No
If so, what
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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 program?
_____ Why?;c
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 resitlt?
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OSHA HEALTH ANALYSIS SURVEY INTERVIEW
Was an Industrial Hygiana Sampling Survey performed at the employee work site? Date
How many other employees performing a similar Job ________--
VI. SAMPLING SURVEYI NOISE (See Survey form)
VENTILATION (See Survey form)
Air Analysis*
SIS submitted to NIOSH
(Date)
Employee ________________________________-- Location ___________
Pump Used ___________________________ Sampling Rate ____________________
SAMPLING FORi Filter__________________________________ __________ Filter (inorganic)
Filter Paper Weight silica>
Before
After
Sampler Time
On off
CP 0-9
Georgia-Racific
INTERDEPARTMENTAL COMMUNICATION
TOs Mr. H. W. Peele
FROM:- J. D. Rauch
SUBJECT: GYPSUM ASSOCIATION Asbestos Abatement Guideline
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DATE:
March 13, 1974
LOCATION: Wilmington
LOCATION: Akron
I read through the outline you sent to me. It looks like everything it contains matches our understanding of OSHA requirements pretty well.
The only thing I would question is under respirators. The way I read the guideline, as soon as the engineering controls are completed we should no longer use respirators. We intend to use respirators 100% of the time, now and in.the future.
k