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In association with

Preventing Asbestos Exposure Risks #2019GAAW #NTTLasbestos Welcome

Craig Foyle Chair and Immediate Past President Institution of Occupational Safety and Health (IOSH) “Mitigating the Asbestos Disaster: Policy, Prevention, and Advocacy in the 21st Century”

Linda Reinstein, Co-Founder/President Asbestos Disease Awareness Organization (ADAO))

@Linda_ADAO

20,000

Compared to rice and @Linda_ADAO @Linda_ADAO @Linda_ADAO Mes-o-the-li-o-ma

CAN’T PRONOUNCE IT. CAN’T CURE IT. @Linda_ADAO Mining and Manufacturing

@Linda_ADAO Wave One Workers

@Linda_ADAO Wave Two Legacy Contamination

@Linda_ADAO Wave Three 31 Million Metric Tons

Asbestos Consumption 1900 - 2018 @Linda_ADAO 1989: EPA Bans Asbestos

1991: Ban Overturned After Industry Sues

@Linda_ADAO U.S. Asbestos Consumption

1906 First case of asbestos-related disease 1929 Workers begin suing 1964 Dr. 1973 Record high 803,000 MT 1989 EPA Bans Asbestos 1991 Ban Overruled

@Linda_ADAO Manufacturer Sector Analysis 1996 - 100 2018 90

80 Other

70 Chloralkali

Coating and Compounds 60

Packing 50 Gasket

40 Friction

Roof 30

20

10

0 Data Source: USGS

@Linda_ADAO Asbestos in Schools Report

@Linda_ADAO NIOSH: “ in the study had a rate of two times greater than the rate in the U.S. population as a whole.”

@Linda_ADAO Asbestos: Legal and Lethal

2000, 2007, 2015, and 2018 @Linda_ADAO @Linda_ADAO Source: IJERPH | Global Asbestos Disaster Current and future costs of newly diagnosed cases in (2011)

Lung Mesothelioma Avg. cost per case $980K $1.1 million TOTAL COST $1.9 billion $480 million

4% 4% 2% Healthcare & administrative 11% Caregiving & out-of-pocket 66% 27% 61% 25% Output & productivity Health-related quality of life

Dr. Paul Demers Source: “Assessing the Burden of in Canada” Study @Linda_ADAO @Linda_ADAO Asbestos Mine Production

Russia

Kazakhstan

China

Brazil

0 100,000 200,000 300,000 400,000 500,000 600,000 700,000 800,000 2018 2017

@Linda_ADAO Prevention & Policy

@Linda_ADAO @Linda_ADAO Raise Your Voice Campaign

@Linda_ADAO U.S. Surgeon General Jerome Adams Issues the 2019 Asbestos Awareness Week Warning

@Linda_ADAO @Linda_ADAO #2019ADAO

@Linda_ADAO Together, we make change happen.

@Linda_ADAO THE ASSOCIATION FOR PROFESSIONALS IN THE ASBESTOS INDUSTRY

www.iamfaam.org | Raising standards, reducing risks Assessing and preventing asbestos exposure risks: principles that apply worldwide

ASBESTOS EXPOSURE Jonathan Ford FAAM Board

[email protected] www.iamfaam.org | Raising standards, reducing risks Contents

1. The asbestos exposure issue in Britain and globally

2. What types of scenarios can lead to asbestos exposure?

3. What is the ‘Duty to manage’ asbestos? How does this apply worldwide?

4. How do we protect people?

5. What do employees need to do if they accidentally damage asbestos-containing materials?

6. How should contaminated clothing be disposed of?

7. How should asbestos be removed and by whom?

8. BOHS’s FAAM and Breathe Freely initiatives

www.iamfaam.org | Raising standards, reducing risks Asbestos Exposure

UK Worldwide

• Largest single industrial killer in the • Currently about 125 million people in UK & Ireland the world are exposed to asbestos at the workplace. • Over 5,500 deaths in the UK in 2015

• 1 in 150 West European men in their • In 2004, asbestos-related cancer, 50s will die of mesothelioma mesothelioma and from • 40% of these will have worked in occupational exposures resulted in construction or related industries 107,000 deaths and 1,523,000 Disability Adjusted Life Years (DALYs). • In the last 25 years, 178 teachers have died from mesothelioma • In addition, several thousands of • Ongoing epidemiological studies to deaths can be attributed to other trace link between past exposures asbestos-related diseases, as well as and asbestos-related diseases to nonoccupational exposures to asbestos. www.iamfaam.org | Raising standards, reducing risks Asbestos History in Britain

1967 • Peak of UK asbestos imports

1970 • Voluntary ban on import of Crocidolite

1980 • Voluntary ban on import of Amosite

• Asbestos (Prohibitions) Regulations 1985 • Ban on import of Crocidolite & Amosite and use of sprays, lagging & AIB

• Asbestos (Prohibitions) Regulations 1992 • Initial ban on some products, such as and mastics

• Asbestos (Prohibitions) (Amendment) Regulations 1999 • Final ban on all asbestos, including cement products

• ACMs in equipment and machinery transferred between buildings? Post-1999 • Surplus ACMs introduced to “clean” buildings?

www.iamfaam.org | Raising standards, reducing risks European Legislation

Amosite & Directive Date Chrysotile Crocidolite other

83/478/EEC 1983 Standard "a" labels required Standard "a" labels required Banned with 3 exceptions

85/610/EEC 1985 Restrictions Restrictions

Restricted to 14 categories of 91/659/EEC 1991 All amphibole banned products

Banned by latest of 1999/77/EC 1999 01/01/05

Management of existing All work on asbestos No new uses material materials strictly controlled

www.iamfaam.org | Raising standards, reducing risks Worldwide

Worldwide Issue About 125 million people in the world are exposed to asbestos at the workplace

Approximately half of the deaths from occupational cancer are estimated to be caused by asbestos

Asbestos still in use (with or without restrictions) in many countries

www.iamfaam.org | Raising standards, reducing risks Exposure Scenarios

Accidental damage to or disturbance of asbestos containing materials (ACMs)

• Poor or missing Asbestos Management Plan • Poor or missing survey reports • Site operations vs known ACMs • Intrusive asbestos survey before refurbishments

Failure to repair or remove poor- condition ACMs Suspended ceiling (2004) installed into spray coating to concrete soffit

• Poor or missing Asbestos Management Plan • Lack of Prioritisation & Remediation Plan

Uncontrolled working on ACMs

• Without NLW/NNLW/LW training or license • Read the asbestos register before work www.iamfaam.org | Raising standards, reducing risks AIB offcuts in service riser within tower block CAR2012 Regulation 4 Duty to Manage

•Confirm what you already know about the ACMs on your premises, and review how you are currently managing them (see 1 paragraphs 39–41). •Prevent work on your premises that may disturb the fabric of the building until measures to control the risk have been 2 implemented (see paragraphs 42–46). •Carry out an initial inspection for damage and disturbance of materials and take immediate action to control these (see 3 paragraphs 47–55). 4 •Develop a strategy for compliance (see paragraph 56 –74).

•Carry out a of your ACMs to set priorities for 5 management (see paragraphs 75–77). 6 •Develop a long-term management plan (see paragraphs 78–84)

•Monitor and review the management plan (see paragraphs 85– HSG227: A comprehensive guide to managing asbestos in premises 7 90) www.iamfaam.org | Raising standards, reducing risks Duty to Manage outside of the UK

Source: WHO Global Plan of Action on Workers’ Health (2008-2017): Baseline for Implementation

• Although many countries have prohibited or restricted asbestos use, relatively few have a “Duty to Manage” the ACMs which are already in place in buildings

• No “Duty to Manage” under the current EC Directives, although many countries have developed their own (e.g. the UK)

www.iamfaam.org | Raising standards, reducing risks Preventing Exposure

Recognition of Risk Education

• Accepting the significance of • Attitudes risk • Awareness/avoidance • Over-riding economic • Training for safe working arguments • Vested interests

Legislation Alternatives

• Controls • Economic • Management • Suitable performance • Enforcement • Sustainable • Penalties

www.iamfaam.org | Raising standards, reducing risks PRE-WORK ASSESSMENT

Is the asbestos register Yes Does the register show any BEFORE YOU START available for inspection? asbestos materials in or near the WORK work area? No No

No Yes Ask the Client/ Employer for the section of the asbestos register which An inspection of the work area Does the proposed work make must be carried out before relates to the area in No contact with the material OR could beginning work with findings which you propose to dust from the material be released confirmed in writing. Liaise accidentally? work. with Client

Yes

CONFIRM YOUR DECISIONS WITH THE CLIENT / EMPLOYER STOP WORK & REFER TO BEFORE STARTING WORK CLIENT/ EMPLOYER

If you suspect any asbestos during your work avoid it or stop immediately and refer to your employer or client www.iamfaam.org | Raising standards, reducing risks Emergency Response Plan

Immediately stop any activities which may disturb the ACM

Assess and decontaminate individuals

Identify extent of area contamination and report up the chain •e.g. site supervisor  your project manager  client contacts

Isolate access to the ACM

Follow the chart in HSG210 A0 or do a risk assessment to decide who must do the work – advise the client whether they need a licensed contractor www.iamfaam.org | Raising standards, reducing risks Contaminated Clothing

• Contaminated clothing must be treated as potentially

• Double-bagged with correct warning labels

• Retain until analysis results received?

• Dispose of as Hazardous Waste if appropriate

• Never take contaminated clothing or materials home Double-bag all suspected contaminated waste

www.iamfaam.org | Raising standards, reducing risks Is it Licensed Work?

Flowcharts from HSG210: Asbestos Essentials (Sheet A0)

www.iamfaam.org | Raising standards, reducing risks What Type of Non-Licensed Work?

Non-Licensed Work Notifiable non-licensed work Notify the work to the enforcing authority, keep a record of the job and ensure all workers have had

a medical examination Flowcharts from HSG210: Asbestos (from April 2015) Essentials (Sheet A0)

www.iamfaam.org | Raising standards, reducing risks Asbestos Removal

• Prevent or reduce the spread of asbestos using control measures

• Enclosures for higher-risk work

Cement debris adjacent to farm buildings • Specialist trained staff

• Notification required?

• HSE License required?

• Post-works verification – 4 Stage Clearance for LW – Independent sign-off for NNLW? Analyst directing a licenced removal operative during 4-stage clearance – Self-verification for NLW www.iamfaam.org | Raising standards, reducing risks Faculty of Asbestos Assessment & Management

FAAM’S vision is to: • Pursue excellence for all those who practise in the asbestos assessment and management profession • Establish, develop and maintain standards of competence in asbestos assessment and management practice for those who are members of FAAM • Act as the guardian of professional standards and ethics in the profession of asbestos assessment and management

FAAM’s vision will be achieved by: • Operating a professional membership scheme • Administering and governing examinations in asbestos and related subjects

www.iamfaam.org | Raising standards, reducing risks Membership Grades

TFAAM – Technician Level

• 1x related asbestos qualification (BOHS or RSPH)

AFAAM – Associate Level

• 3x BOHS asbestos qualifications or • 1x P405 or P407

LFAAM – Licentiate Level

• BOHS CCP/CoCA

MFAAM – Member Level

• BOHS CCP/CoCA plus 5 years professional level experience

www.iamfaam.org | Raising standards, reducing risks Breathe Freely

Breathe Freely is a BOHS initiative, aimed at reducing occupational lung disease in the UK, which causes significant debilitating ill-health and an estimated 13,000 deaths per year.

• Recognising the health in the workplace Financial Benefit • Understanding the real risks these Employee pose to workers’ health Reputation Relations • Controlling their exposures to them Social Responsibility

www.iamfaam.org | Raising standards, reducing risks THE ASSOCIATION FOR PROFESSIONALS IN THE ASBESTOS INDUSTRY

www.iamfaam.org | Raising standards, reducing risks The No Time to Lose Asbestos campaign: how we can all make a difference

Craig Foyle Immediate Past President Institution of Occupational Safety and Health (IOSH) About the Institution of Occupational Safety and Health (IOSH) www.iosh.com • 47,000 members in 130 countries • Networks worldwide and across industry sectors • 180,000 delegates trained each year in over 70 countries • We provide free tools and resources for businesses • Research with impact informs evidence-based practice • Campaigning on occupational cancer • Influencer of government and business • A thought leader on safety and health issues and solutions No Time to Lose: campaign on occupational cancer Occupational cancer Global estimate

At least 742,000 people die every year from a work-related cancer – more than one death every minute on average

Source: ILO, Ministries of and Singapore, WSH Institute Singapore, Finnish Institute of Occupational Health (FIOH), ICOH and EU-OSHA The No Time to Lose campaign aims to:

- raise awareness of a significant health issue facing employees

- offer businesses free practical, original materials to help them deliver effective prevention programmes

- secure commitments from organisations to improve preventative measures The four phases Free practical materials www.notimetolose.org.uk Highlights from the whole campaign so far No Time to Lose asbestos launched in April 2018

Free practical materials All available from www.notimetolose.org.uk Free practical materials in different languages www.notimetolose.org.uk/morelanguages Duty to Manage Asbestos flowchart Step one Step two There’s ‘No Time to Lose’ – get involved today Support the campaign – join over 330 organisations Pledge to take action – join more than 120 leading businesses

1. Assess the risks 2. Develop and deliver a prevention strategy 3. Brief managers 4. Engage employees 5. Demand the same standards from their supply chain 6. Report progress Supporters and pledge signatories raising awareness of asbestos-related cancer No Time to Lose Asbestos highlights IOSH supports Global Asbestos Awareness Week 2019 www.notimetolose.org.uk/gaaw2019

We are encouraging everyone to get involved in GAAW 2019 by: - Downloading free resources - Sharing on social media - Highlighting the week in their newsletter

Thank you for joining our webinar on ‘Preventing Asbestos Exposure Risks’! No Time to Lose website – www.notimetolose.org.uk

- Download and share resources www.notimetolose.org.uk/free- resources

- Show your support www.notimetolose.org.uk/get- involved/support-the-campaign

- Pledge to tackle risks www.notimetolose.org.uk/get- involved/pledge-take-action

- Share on social media https://twitter.com/_NTTL @_NTTL Hashtag: #NTTLasbestos Participant poll

Craig Foyle Chair Questions and answers

Craig Foyle, IOSH Linda Reinstein, ADAO Jonathan Ford, BOHS Closing remarks

Craig Foyle Chair In association with

Thank you for your support www.notimetolose.org.uk/gaaw2019

#2019GAAW #NTTLasbestos