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Ing. Stefano BIONDINI Tuscany Region Department of Health and Social Policy

Protection of workers from risk related to the exposure to asbestos: the Tuscany experience. Ing. Stefano BIONDINI Tuscany Region Department of Health and Social Policy Occupational Healt and Safety office. Bucharest, 20-21 October 2005.

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Ing. Stefano BIONDINI Tuscany Region Department of Health and Social Policy

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  1. Protection of workers from risk related to the exposure to asbestos: the Tuscany experience. Ing. Stefano BIONDINI Tuscany Region Department of Health and Social Policy Occupational Healt and Safety office Bucharest, 20-21 October 2005

  2. Protection of workers from risk related to the exposure to asbestos: the Tuscany experience. We will speak about…. Asbestos: some data National and regional laws Recent action of Tuscany Region The work plan in reclaimation and decontamination activity Workers’ training Future developments

  3. Introduction Before beginning… Tuscany Region: 3.400.000 inhabitant, 23.000 Km2 land area, chief town Florence. Responsible Authority: Local Health Authority. There are 12 Local Health Authorityin regional territory. Nowadays the only active exposed workers to asbestos in Italy are reclaim-removal operators. Infact from 1993 national laws prohibites use of asbestos. Reclaim is intended as remove or restrict or encapsulate material containing asbestos. Bucharest 20, 21 October 2005

  4. Asbestos: some data

  5. Asbestos: some data Companies for type of job working in Tuscany, year 2002; Number of total companies 104; number of total workers 664 (20% coming outside region). Bucharest 20, 21 October 2005

  6. Asbestos: some data Cement-Asbestos (compact matrix) removal: tons removed in Tuscany from 1995 to 2002; estimated 1÷2 million of tons Total 94.615 t Total 85.165 t Total 9.450 t Bucharest 20, 21 October 2005

  7. Asbestos: some data Centro Operativo Regionale - Operative Regional Center By resolution n.1252/2003 of Regional Government CORis defined (Centro Operativo Regionale – Operative Regional Center) care of CSPO (Centro per lo Studio e la Prevenzione Oncologica – Oncological Prevention and Study Centre). Even Regional Mesotelioma Archive is formally created. Bucharest 20, 21 October 2005

  8. Asbestos: some data Number of Mesotelioma of some Italian Regions recorded by Re.Na.M (ISPESL); varius range [1993-2000]. Bucharest 20, 21 October 2005

  9. Asbestos: some data Mesotelioma cases occurred in Tuscany Region from 1994 to 2004 Bucharest 20, 21 October 2005

  10. Asbestos: some data Mesotelioma in percentage by producing activity 1988-2000; Total 443 Bucharest 20, 21 October 2005

  11. National Laws: • Law D.Lgs. 277/1991 • Law 257/1992 • Decree D.P.R. 8 August 1994 • Decree D.M. 6 September 1994 • Resolution 30 March 2003

  12. National laws Decree D.Lgs. 277/1991 Itdescribes subjects inherent asbestos and other phisical agent (noise and solid lead), by risk assessment but doesn’t define condition about production and importation. It grants European directive 80/1107, 82/605, 83/477, 86/188, 88/642, 91/382. It defines in an easy and sharp way the removal planning introducing, by art. 34 (article 12 of 83/477) “Demolition and removal work of asbestos” the work plan tool. Bucharest 20, 21 October 2005

  13. National laws Law 257/1992 Since March 1993 the law orders to stop quarrying, importation, manufacturing and trading of asbestos in all kind of products (art. 1 83/477) • The law imposes to set up a document describing direct or indirect use of asbestos; the report must contain: • types and quantity of asbestos • Work’s Method • Risk assessment for safety of workers Bucharest 20, 21 October 2005

  14. National laws Law 257/1992 • Thelawestablishes the order of technical disposition which will conduct to make regional laws: • Decree DPR 8 August 1994 (Training, Regional Plan) • Decree D.M. 6 September 1994 (laws and methodologies in Buildings activities) • DecreeD.M. 26 October 1995 (laws and methodologies for railways ) • D.M. 20 August 1999 (Reclamation through special procedures) Bucharest 20, 21 October 2005

  15. National laws Resolution 30 March 2003 Resolution defines qualification and criteria that company must have to enrolling in the register of companies which reclaim asbestos and material containing asbestos. To reclaim asbestos, a companies must be enrolled in the register (National Reclaim Register). • Some qualification to have access to the register • Trained Technical manager • Suitable working tools • Economic grants Bucharest 20, 21 October 2005

  16. The asbestos regional plan: • Resolution 102 8 April 1997 • The primary objective • The “suitable plan” and collect of asbestos

  17. The asbestos regional plan Resolution 8 April 1997 The Council Resolution n. 102/97 of Tuscany Council approves the enviromental and protection plan for reclaiming, decontamination and disposing of material containing asbestos. • The above mentionedPlan deals with various subjects, for istance: • The first census of companies which have used asbestos; • Training of public officers of Responsible Authorities (USL and ARPAT), • Regional mesotelioma archive Bucharest 20, 21 October 2005

  18. The asbestos regional plan Resolution 8 April 1997 • The main parts which compose the plan are: • Primary objectives. • Technical protocols. • Suitable plans. • Guideline to local authority to manage removal and collection. Bucharest 20, 21 October 2005

  19. The asbestos regional plan Primary Objectives Census of green stones quarrying sites; situation at 2001 (21): Bucharest 20, 21 October 2005

  20. The asbestos regional plan Primary Objectives • Check of enviromental conditions and safety on worksite: some objective which have been achieved. • Risk assessment on ferry-boat: Regional archive of ships which have asbestos on board. • Information to civil people on risk connected to use of material containing asbestos • Buildings and other structures where there is friable asbestos: information to companies which perform reclaim and building administrator. Bucharest 20, 21 October 2005

  21. The asbestos regional plan Primary Objectives • Inside the plan were defined the following technical protocols: • Cement asbestos removal and manipulation. • Processing of asbestos or material containing this one. • Management of reclaim yard for friable asbestos. • Manipulation of material containing asbestos inside car workshop (brake). • Maintenance work during navigation on material containing asbestos. Bucharest 20, 21 October 2005

  22. Recent actions of Tuscany Region • Active prevention on removal and decontamination work • Health surveillance • Information to population

  23. Recent action of Tuscany Region Active prevention on removal and decontamination work The Regional Government to safeguard workers from risk related to the exposure of asbestos, both friable and compact structure, has provided to make new professional patterns, used by accredited Regional Training Agency, for technical and removal workers that reclaim asbestos. Decree n. 3831 29 July 2002 Aspecific tecnhical laboratory financed by Tuscany Government in order to be more effective during relevation of asbestos fibres in emergency condition (Harbour activity). Decree n. 7195 del 19 novembre 2004 Bucharest 20, 21 October 2005

  24. Recent action of Tuscany Region Health surveillance • Government resolution n. 692 on 26 June 2002 approve the Guideline on health surveillance of workers who were exposed to occupational cangerogenics. The guideline deal with: • Action and health path • Public subjects which are involved in the surveillance system • Action protocol for workers who were exposed Bucharest 20, 21 October 2005

  25. Recent action of Tuscany Region Information to population Workers and citizen safeguarding need information activities. For this reason Regional Government activated, by specific act, some information campaigns that refer to the subject above. Information campaign also involved companies’s owners. Bucharest 20, 21 October 2005

  26. The work plan in reclamation and decontamination activity • Who What Where • Inside work plan

  27. The work plan of reclamation and decontamination activity Who, what, where The work plan report must be drawed up as referred by article 34 277/1991, before starting dismantle works regarding material containg asbestos. The work plan must be write by reclaim-decontamination company. • The primary objective of the work plan is: • Safeguard of workers • Enviromental protection from asbestos fibre or dust. The work plan report must be sent to regional responsible authority, the Local Health Authority. This Authority could issue some indication inherent the work. Bucharest 20, 21 October 2005

  28. The work plan of reclamation and decontamination activity Who, what, where (courtesy Dr. Pristerà) Bucharest 20, 21 October 2005

  29. The work plan of reclamation and decontamination activity Inside work plan • The work plan should contain: • Displacement methods of material containing asbestos before demolition action • Workers must have personal protection devices in order to protect himself/herself • Methods must be defined in order to protect and decontaminate workers • Specifics protection device if limits values are exeeded (0,2 asbestos mix, 0,6 Chrysotile only cm3) Bucharest 20, 21 October 2005

  30. The work plan of reclamation and decontamination activity Inside work plan (courtesy Dr. Pristerà) Cement-Asbestos Iron Beam Reinforced Concrete Bucharest 20, 21 October 2005

  31. The work plan of reclamation and decontamination activity Inside work plan • The report must be transmitted before the beginning of the work to the responsible autority contains: • General Information: purchaser, kind of work and estimated duration. • Work subject: building scheme, yard layout. • Operativeprocedure : dismantle and displacement of material containing asbestos. • Risk assessment: fall from high place, training, information. • Waste disposal: Temporary waste storage. Bucharest 20, 21 October 2005

  32. The work plan of reclamation and decontamination activity

  33. The work plan of reclamation and decontamination activity

  34. Worker’s training • Training course content • The Tuscany training system

  35. Workers’s training Training course content • The Law 257/1992 and Decree DPR 8 August 1994defined reclaim and decontamination as high specialized activities. The Tuscany Government, according the above law define two kind of training course: • Removal workers (at least 30 hour) • Technical workers (at least 50 hour) • The course must deal with: • Health risks • Sampling methods of asbestos fibre • Individual protection device Bucharest 20, 21 October 2005

  36. Workers’s training The Tuscany training system The training course could be made in all accredited Regional Training Agencyon the regional territory (actually about 1000). This Agency are found on the web site of Tuscany Region: www.regione.toscana.it Bucharest 20, 21 October 2005

  37. Future develpment • Manage the outcome of asbestos from regional territory; • Improve and test continuously health surveillance guideline to help persons who were exposed. • Take a census of asbestos inside Tuscany Region (in progress) to know, where is the asbestos and estimates closely its quantity. Bucharest 20, 21 October 2005

  38. Address Thank you for your kind attention! Settore Prevenzione eSicurezza Direzione Generale Diritto alla Salute e Politiche di Solidarietà Regione Toscana • stefano.biondini@regione.toscana.it •  055.4383360 055.4383058 • Via Taddeo Alderotti 26/N 50139 Firenze

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