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Severe Respiratory Illness











           1     What is the name of the      2    What are its specific objectives related to the Priority Unwanted
                 critical control for Severe
                                                   Event (PUE)?
                 Respiratory Illness?
          Respiratory Protection Program     Worker exposures monitoring, use of PPE and medical surveillance avoid development of
                                             severe respiratory illness


           3     What are the critical        4     What are the activities      5     What can be sampled from
                                                    within the management
                 control performance
                                                                                       the set of activities for
                 requirements to meet the           systems that support               verification, providing a
                 objectives?                        having the critical control        clear image of the critical
                                                    able to do what is required?       control status?
          An annual industrial hygiene plan   Annual review and execution of the   Workers interviews in dusty work
          identifies workers or group of workers   industrial hygiene plan      areas regarding controls, training and
          potentially exposed to silica and cement                              monitoring in their work area
          dust sources

          Industrial hygiene monitoring is   Qualitative and quantitative assessments   Site industrial hygiene data contained
          performed for identified workers (as   are used to budget for the annual   in reports or databases to verify that
          individuals or groups) to determine the   monitoring campaign         all potentially exposed workers have
          severity of exposure to silica and cement                             been assessed for exposure to silica and
          dust                                                                  cement dust

          Exposed workers are included in an   Medical surveillance planning    Records of workers identified as exposed
          annual respiratory protection program   Training and fit testing plan  to respiratory hazards demonstrate that
          which includes hazard training, correct                               they are:
          use of adequate PPE (e.g. fit testing) and   PPE use and fit testing plan   1) trained and fit tested
          medical surveillance
                                                                                 2)  supplied with PPE that is appropriate
                                                                                  for the respiratory hazard
                                                                                 3)  regularly assessed by medical
                                                                                  surveillance activities


           6     What is the target performance for critical    7    What is the critical control performance
                                                                     trigger for shutdown, critical control review or
                 control?
                                                                     investigation?
          Worker exposures to silica and portland cement dust are   A case of severe respiratory illness is identified on site
          measured, the correct PPE is used, and medical surveillance
          activities are being performed. Worker exposures are kept below
          limits for silica (0.025 mg/m ) and/or portland cement (1.0 mg/m ) 3
                              3





















          Creation date: 01/2022 • The latest and only controlled version of this document is available on the HSE intranet.
          © 2022 Holcim - For internal use only
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