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If asbestos is spilled or leaked, the following steps should be <br />taken: <br />Asbestos dust may be collected by vacuuming with an appropri- <br />ate high -efficiency filtration system or by using Bret methods <br />and placed in an appropriate container. <br />U.S. Environmental Protection Agency, Department of Trans- <br />portation, and/or state and local regulations shall be followed <br />to assure that removal, transport, and disposal are in accord- <br />ance with existing regulations. <br />It trust be stressed that the use of respirators is the least <br />preferred method of controlling worker exposure and should <br />not normally be used as the only means of preventing or <br />minimizing exposure during routine operations. However, <br />there are some exceptions for which respirators may be used <br />to control exposure: when engineering and work practice con-. <br />trols are not technically feasible, when engineering controls <br />are in the process of being installed, or during emergencies and <br />certain maintenance operations including those requiring <br />confined -space entry ('cable 3). <br />In addition to respirator selection, a complete respiratory pro- <br />tection program should be instituted which as a minimum corn <br />plies with the requirements found in the OSHA Safety and <br />Health Standards 29 CFR 1910.134. A respiratory protection <br />program should include as a minimum an evaluation of the <br />worker's ability to perform the work while wearing a respira- <br />tor, the regular training of personnel, fit testing, periodic en- <br />vironmental monitoring, maintenance, inspection, and <br />cleaning. The implementation of an adequate respiratory pro- <br />tection program, including selection of the correct respirators, <br />requires that a knowledgeable person be in charge of the pro- <br />gram and that the program be evaluated regularly. <br />Only respirators that have been approved by the Mine Safety <br />and Health Administration (MSHA, formerly Mining Enforce- <br />ment and Safety Administration) and by NIOSH should be <br />used. Remember! Air -purifying respirators will not pro- <br />tect from oxygen -deficient atmospheres: <br />• <br />• American Conference of Governmental Industrial <br />Hygienists: "Asbestos, Documentation of the Threshold Limit <br />Values and Biological Exposure Indices (5th ed.), Cincinna- <br />ti, 1986. <br />• American Conference of Governmental Industrial <br />Hygienists: TZ.Ys® Threshold Limit Values and Biological Ex- <br />posure <br />rposure Indices for 1987-88, Cincinnati, 1987. <br />• American Lung Association of San Diego and Imperial <br />Counties: "Taking the Occupational History, Annals of In- <br />ternal Medicine, 99:641-651, November 1983. <br />• Clayton, G.D , and Clayton, F.E. (eds.): Toxicology, Vol. IIB <br />of Pony's Industrial Hygiene and Ta dcology (3rd rev. ed.), John <br />Wiley & Sons, Inc., New York, 1981. <br />• Code of Federal Regulations, U. S. Department of Labor, Oc- <br />cupational Safety and Health Administration, 29 CFR <br />1910.1001, OSHA 2206, revised July 1, 1986. <br />• Code of Federal Regulations, U.S. Department of Transpor- <br />tation, 49 CFR 172.101, Transportation 49, revised October 1, <br />1982. <br />• Goldman, R. H., and Peters, 1. M.: "The Occupational and <br />Environmental Health History," Journal of the American Med- <br />ical Association, 246:2831-2836, 1981. <br />• Halperin, W.E., Ratcliffe, J., Frazier, T.M., Wilson, L., <br />Becker. S.P., and Shulte, P.A.: "Medical Screening in the <br />Workplace: Proposed Principles;' Journal of Occupational <br />Medicine, 28(8): 547-552, 1986. <br />• Hankinson, J.L.: "Pulmonary Function Testing in the <br />Screening of Workers: Guidelines for Instrumentation, Per- <br />formance, and Interpretation;' Journal of Occupational Medi- <br />cine, 28(10):1081-1092, 1986. <br />• Hawley, G.G.: The Condensed Chemical Dictionary (10th <br />ed.), Litton Educational Publishing, Inc., New York, 1981. <br />• International Agency for Research on Cancer: IARCMono- <br />gtuphs on the Evaluation of the Carcinogenic Risk of Chemi- <br />cals to Man, Some Inorganic and Organometallic Compounds, <br />Vol. 2, Lyon, France, 1973. <br />• International Agency for Research on Cancer: IARCMono- <br />graphs on the Evaluation of the Carcinogenic Risk of Ctemi <br />cats to Man, Asbestos, Vol. 14, Lyon, France, 1977. <br />• Leidel, N.A., Busch, K.A., and Lynch, J.R.: Occupation- <br />al Exposure Sampling Strategy Manual, U.S. Department of <br />Health, Education, and Welfare, Public Health Service, Center <br />for Disease Control, National Institute for Occupational Safety <br />and Health, DREW (NIOSH) Publication No. 77-173; Cincin- <br />nati, 1977. <br />• Lemen, R.A., Director, Division of Standards Development <br />and Technology Transfer, National Institute for Occupational <br />Safety and Health, U.S. Department of Health and Human <br />Services, Public Health Service, Centers for Disease Control: <br />Congressional Testimony before the Subcommittee on Public <br />Buildings and Grounds, Committee on ftblic Kbrks and Trans- <br />portation, US House of Representatives, March 21, 1984. <br />• Levy, B.S., and Wegman, D. H. (eds.): Occupational Health: <br />Recognizing and Preventing ;%rk-Related Disease, Little, <br />Brown and Company, Boston, 1983. <br />• Mark, H.F, Othmer, D.E. Overberger, C.G., Seaborg, G.T., <br />Grayson, M., and Eckroth, D. (eds.): Kirk-OthmerE.ncyclope- <br />dia of Chemical Technology (3rd ed.), John Wiley & Sons, Inc. , <br />New York, 1978. <br />• National Institute for Occupational Safety and Health, U.S. <br />Department of Health, Education, and Welfare, Public Health <br />Service, Center for Disease Control: Criteria for a Recom- <br />mended Swulard.... Occupational Exposure to Asbestos, <br />HSM Publication No. (NIOSH) 72-10267,1972. <br />• National Institute for Occupational Safety and Health, U.S. <br />Department of Health, Education, and Welfare, Public Health <br />Service, Center for Disease Control: "Current Intelligence <br />Bulletin 5, Asbestos Exposure During Servicing of Motor Ve- <br />hicle Brake and Clutch Assemblies;' Current Intelligence <br />Bulletin Reprints—Bulletins I thru 18, DHEW (NIOSH) Pub- <br />lication No. 78-127, 1978. <br />• National Institute forOccupational Safety and Health, U.S. <br />Department of Health, Education, and Welfare, Public Health <br />Service, Center for Disease Control: Occupational <br />0 4 Asbestos 1988 <br />E <br />