Wednesday, 06 April 2011 17:53

Gluer

Synonyms: Adhesive worker; bonder; cementer; floor-layer and wall-coverer (construction ind.); gluing worker; adhesives applicator; adhesive joiner; veneer worker (furniture)

Job profile

Definition and/or description

DEF

Glues materials such as paper, cloth, leather, wood, metal, glass, rubber or plastic together, following specified procedures. Applies adhesive to surface or material by brushing, spraying, dipping, rolling, holding material against rotating saturated brush or feeding part between saturated rollers. Presses glued materials together manually, presses material with hand roller or clamps materials in fixture to bond material together and set glue. May perform limited assembly of preglued material. May trim excess material from cemented parts. May wipe surplus adhesive from seams, using cloth or sponge. May visually inspect completed work. May be designated according to article glued as Arrow-point Attacher (toy-sport equip.); Gasket Attacher (machinery mfg.); Nock Applier (toy-sport equip.); Pad Attacher (any industry); Sample Mounter (any industry); or according to gluing method used as Adhesive Sprayer (any industry). May also be designated: Box Coverer, Hand (paper goods); Glue Spreader (furniture); Paper-cone Maker (electron. comp.); Rubber Attacher (toy-sport equip.).

Related and specific occupations

RELOCC

Adhesive applicator; –/joiner; –/sprayer; bonding-machine operator; floor coverer; glue-bone worker; glue-jointer worker; glue-machine operator; glue-mill operator; glue mixer; –/spreader; gluing-machine operator; etc.

Tasks

TASK

Affixing; applying (adhesives); aspirating (solvents); assembling; attaching (pads); binding (books); bonding; brushing; carpeting; carrying; cementing; clamping; cleaning and conditioning; climbing (ladders, scaffolding, etc.); coating; covering; cutting (carpets, wallpaper edges, etc.); dipping; dispensing (glue); driving; disposing (of waste); drying; documenting; feeding (machines); fitting; forming; gluing; handling; heating (glue); holding (tools); injecting (glue); inspecting; installing; insulating; joining (surfaces); kneeling (while carpeting, etc.); laminating; laying (floors); lifting and lowering; loading and unloading; maintaining; manufacturing; mixing (two-part glues, etc.); moulding; mounting; opening (containers, etc.); operating (equipment); ordering (materials); packing and unpacking; pasting; performing; positioning; pouring; preparing; pressing; regulating (spray flow, etc.); repairing; sealing; securing; selecting; setting; smoothing (surfaces); spraying; spreading; squeezing; storing; supervising; taping; testing (glue joints); transporting; trimming; unclogging (nozzles); upholstering; using (tools); washing (equipment, hands, etc.); wearing (personal protective equipment); weighing; wiping.

Primary equipment used

EQUIP

Hand brushes; rollers (hand-held or mechanized); spraying equipment (air pressure or airless; hand-held or automated); hot-melt jet pistols; drop dispensers; squeeze dispensers.

Industries in which this occupation is common

INDS17

Adhesive tapes; air conditioning (manufacturing and installation); aircraft manufacturing and maintenance; appliances assembly; bookbinding; car manufacturing and maintenance; construction (floorlaying and wall covering); corrugated cardboard; disposable diapers; electronics; foam mattresses; footwear; furniture; jewellery; labelling and packaging in miscellaneous industries and services; lamination (paper and cardboard); leathergoods; plumbing (PVC and other plastic pipes); refrigeration; rubber goods; toys manufacturing; upholstering.

Hazards

Accident hazards

ACCHA1

– Injuries during work with mechanized equipment used for the mixing or application of glues (e.g., hair, beard, clothing or fingers entanglement in mechanical mixers or in presses);

– Falls from ladders (particularly in the case of wall coverers);

– Dropping of heavy glue containers on the toes or feet;

– Cuts during opening of glue containers of certain types;

– Bursting of clogged pressure-spraying nozzles, with particular hazard of eye damage, particularly in airless spraying;

– Bursting of pressurized containers;

– Burns and eye damage in the case of work with (particularly spraying of) hot-melt adhesives; burns from heated surfaces (e.g., of dryers or activation heaters).

– Splashing of irritants, allergens and otherwise hazardous fluids (solvents, thinners, liquid glues, strongly alkaline emulsions, etc.) into eyes or on skin, with possible ingestion, during mixing, transport or application of glues;

– Poisoning by phosgene (see note 1);

– Bonding of fingers (see note 2).

– Electric shock or electrocution risk, because of the use of hand-held electric tools (e.g., hot-melt pistols, electric fans, some spraying tools), particularly in work with water-based glues;

– High risk of fires and explosions because of the presence of flammable solvents and other flammable materials (e.g., paper and cardboard in bookbinding, wood and wood dust in furniture making, some flammable foams in insulation gluing, etc.) and the accumulation of solvent vapours, particularly in small and inadequately aerated premises (see Appendix);

– Explosions of hydrogen-air mixtures formed if highly alkaline glues are accidentally or mistakenly allowed to come into contact with aluminium surfaces.

Physical hazards

PHYSIC9

– Exposure to microwave radiation, IR or UV light, if used in the drying of glues;

– High noise levels, particularly in spraying operations.

Chemical hazards

CHEMHA9

– Erythema, skin sensitization, contact and systemic dermatoses as a result of exposure to many solvents and their vapours and to other glue components, particularly to epoxy resins, n-hexane, toluene, vinyl chloride, etc.;

– Contact skin depigmentation (vitiligo) in workers exposed to neoprene glues;

– Blistering of skin in contact with glues containing epichlorohydrin (e.g., epoxy glues);

– Eye irritation by glues or vapours containing epichlorohydrin, chlorinated solvents, toluene or xylene;

– Asphyxia in the case of exposure to high concentrations of n-hexane;

– Irritation of mouth, throat and nasal cavity by toluene, trichloroethylene or xylene;

– Respiratory tract irritation by solvent vapours, particularly n-hexane;

– Carbon monoxide poisoning from overheated hot-melt adhesives;

– Pneumoconioses from exposure to dust or fibres of some inorganic insulating materials being glued;

– Pulmonary oedema as a result of inhalation of vapours of mixed aliphatic solvents and gasoline;

– Pulmonary oedema, chemical pneumonitis and haemorrhages as a result of aspiration of liquid benzene or xylene;

– Gastrointestinal disturbances as a result of the ingestion of minute amounts of various glues, in particular during brushing of vinyl glues;

– Polyneuropathy, in particular by n-hexane;

– Depression of the central nervous system with possible headaches, dizziness, incoordination, stupor and coma as a result of inhalation of acrylonitrile, cyclohexane, toluene, xylene, 1,1,1-trichloroethane and trichloroethylene;

– Risk of spontaneous abortion or damage to the foetus in pregnant women exposed to organohalogen solvents;

– Blood changes and anaemia from exposure to benzene;

– Elevated blood pressure from exposure to dimethylformamide;

– Damage to the liver by dimethylformamide, tetrahydrofuran or vinyl chloride;

– Carcinogenicity. The following glue constituents or solvents have been classified as animal carcinogens (Category A3) by the American Conference of Governmental Industrial Hygienists (ACGIH): acrylamide; chloroform; dinitrotoluene; epichlorohydrin; hexachloroethane; methylene chloride; 2-nitropropane. Acrylonitrile and ethyl acrylate have been classified as suspected human carcinogens (Category A2). Benzene has been classified as a confirmed human carcinogen (Category A1).

Biological hazards

BIOHAZ1

– Exposure to pathogenic micro-organisms which may grow in certain types of glues (e.g., bone or casein glue).

Ergonomic and social factors

ERGO1

– Wrist, hand and arm problems (e.g., tenosynovitis as a result of repetitive motion when glues are applied by brushing or by squeeze-dispensing);

– Tiredness (in particular leg tiredness) in gluers continuously working in a standing position, as in a spraying station;

– Leg cramps and damage to knees in the case of floorlayers (carpet, parquet and strip layers); use of knees to move carpets during carpetlaying may cause bursitis (known in this case as “carpetlayer’s knee”);

– Strains and sprains caused by the lifting of heavy glue containers;

– Exposure to obnoxious smells, particularly from glues containing certain bactericides.

Addendum

Notes

NOTES1

  1. Severe and even fatal poisonings by phosgene have been reported for gluers who smoked while working with glues containing organohalogen solvents. When inhaled through a burning cigarette, such solvents are decomposed and partially converted into phosgene.
  2. A hazard peculiar to gluers is the possible bonding of finger-to-finger, particularly when working with cyanoacrylate and some epoxy glues.
  3. Severe injury may be caused, in particular during airless spray gluing, by high-pressure cutaneous injection of glue into the hands or arms.
  4. “Glue sniffing”, and the related intoxication and neurotoxic effects, are a significant hazard because of the easy access to glues.
  5. The use of benzene as a glue solvent has been banned in many countries.
  6. Eye injuries have been caused by bursting of glue (in particular cyanoacrylate) during hard squeezing of tubes whose opening was clogged by a small amount of hardened glue.
  7. Increased incidences of sinonasal cancer, rectal cancer and multiple sclerosis have been reported for gluers.

 

Appendix

Chemical substances commonly used as glue constituents or solvents:

– Acetone

– Acrylamide polymers

– Acrylonitrile

– Adipic acid

– Aliphatic amines

– Benzene

n-Butyl acetate

n-Butyl acrylate

– Butylated hydroxytoluene

p-tert-Butylphenol

– Chloroacetamide

– Chlorobenzene

– Collagen

– Colophony (rosin)

– Cyclohexane

– Cyclohexanone

– Diaminodiphenylmethane

– Dibutyl maleinate

o-Dichlorobenzene

– 1,1-Dichloroethane

– Dichloromethane (methylene chloride)

– Dichloropropane

– 2,2-Dimethylbutane

– Epoxy resins

– Ethanol

– Ethyl acetate

– Ethyl butyl ketone

– Ethylcyanoacrylate

– Ethylvinyl acrylate

– Formaldehyde

n-heptane

n-hexane

– 2-Hydroxypropyl methacrylate

– Isobutyl alcohol

– Isophoronediamine

– Isopropyl acetate

– Isopropyl alcohol

– Kerosene

– Maleic anhydride

– Methanol

– Methyl butyl ketone

– Methylene chloride

– Methyl chloroform (1,1,1-trichloroethane)

– Methyl cyanoacrylate

– Methyl ethyl ketone

– Methyl isobutyl ketone

– Methyl methacrylate

– Methyl pentanes

– Naphtha solvent

– Naphtha VM&P

– Natural latex

– Neoprene

– Nitrobenzene

– 2-Nitropropane

– Pentachlorophenol

– Pentane

– Perchloroethylene

– Phenol-formaldehyde resins

– Polyamide resins

– Polyester resins

– Polyimide resins

– Polyoxyalkene glycols

– Polyurethane resins

– Polyvinyl acetate

– Polyvinyl alcohol

– Polyvinyl chloride

– Stoddard’s solvent

– Styrene acrylate

– Tetrachloroethylene (perchloethylene)

– Tetrahydrofuran

– Toluene

– Toluene diisocyanate

– 1,1,1-Trichloroethane

– Trichloroethylene

– Vinyl acetate

– Xylene

 

Back

Wednesday, 06 April 2011 17:49

Glazier

Synonyms: Glass installer; glass setter; glass-worker

Job profile

Definition and/or description

DEF14

Installs glass (including mirrors, stained and other specially treated glass) in openings (windows, doors, show- cases, frames, etc.) and on surfaces (walls, ceilings, screens, tabletops, etc.). May cut, tint, decorate or otherwise treat glass before setting. If occupied in construction and designated Glazier (construction): installs glass in windows, skylights, store fronts and display cases or on surfaces, such as building fronts, interior walls, ceilings and tabletops. Marks outline or pattern on glass and cuts glass, using glasscutter. Breaks off excess glass by hand or with notched tool. Fastens glass panels into wood sash with glazier’s points and spreads and smooths putty around edge of panes with knife to seal joints. Installs mirrors or structural glass on building fronts, walls, ceilings or tables, using mastic, screws or decorative moulding. Bolts metal hinges, handles, locks and other hardware to prefabricated glass doors. Sets glass doors into frame and fits hinges. May install metal window and door frames into which glass panels are to be fitted. May press plastic adhesive film to glass or spray glass with tinting solution to prevent light glare. May install stained glass windows. May assemble and install metal-framed glass enclosures for showers and be designated Shower-enclosure Installer (construction). May be designated according to type of glass installed as Glazier, Structural Glass (construction); Plate-glass Installer (construction) (DOT).

Related and specific occupations

RELOCC1

Glazier, glass installer or glass setter designated according to industry (glazier (construction); glazier, metal furniture (furniture); refrigerator glazier (svc. ind. mach.); glass installer (automotive ser.); glass installer (woodworking)) or to a type of material used (mirror installer (construction); glazier, stained glass (glass products)). Also: edger, hand (glass mfg.; glass products); edger, touch-up (glass products); framer (glass products; wood prod., n.e.c.); frame repairer (glass products); glass cutter (any industry); glass decorator (glass mfg.; glass products); glass etcher (glass mfg.; glass products); glass finisher (glass products); glass sander, belt (glass products); glass tinter (glass products) (DOT).

Tasks

TASK

Adjusting; aligning; applying; assembling; bolting; boring; breaking-off; calculating; checking; cleaning; coating; colouring; connecting; covering; cutting; decorating; determining; drilling; driving; edging; estimating; etching; fastening; filing; finishing; fitting; framing; glazing; gluing; hammering; handling; installing; inserting; joining; laying; lifting; loading and unloading; marking; measuring; moving; operating (equipment); pencil-edging; placing; polishing; positioning; preparing; pressing; preventing; puttying; reinforcing; repairing; replacing; removing; sanding; screwing; scribing; sealing; selecting; setting; shaping; sketching; smoothing; soldering; spraying; spreading; staining; tacking; tapping; tinting; touching up; transporting; weatherproofing; wiping.

Hazards

Accident hazards

ACCHA1

– Injuries, especially severe cuts to hands and feet and crushing of toes, caused by glass sheets and their sharp edges during cutting, moving, setting, and other handling operations;

– Cuts and stabs caused by working tools, such as chisels, glass-cutters, knives, etc.;

– Falls from heights while setting glass in windows, on walls and ceilings, etc., resulting in heavy traumas and sometimes death;

– Risk of being crushed under the weight of collapsed heavy glass sheet or pile of glass sheets;

– Slips, trips and falls on level surfaces, especially on wet, slippery and greasy floors, while moving glass sheets;

– Eye and skin injuries from glass splinters;

– Acute poisoning and/or chemical burns as a result of using strong reactives (e.g., hydrofluoric acid) for etching glass and similar purposes;

– Fire risk due to use of inflammables;

– Electric shocks caused by contact with defective electromechanical equipment.

Physical hazards

PHYSIC1

– Exposure of skin and eyes to ultraviolet radiation while working under direct solar rays;

– Cold or heat stress (resulting in effects ranging from temperature discomfort to frostbite or heatstroke, respectively) while working outdoors;

– Health effects (e.g., rheumatic, problems of airways, etc.) due to drafts, prolonged standing on concrete floors, etc.

Chemical hazards

CHEMHA16

– Chronic poisoning and/or skin diseases as a result of exposure to splinters of glass, containing lead, arsenic and other toxic elements;

– Chronic poisoning and/or dermatologic conditions (e.g., dermatitis) caused by putties, sealants, adhesives, solvents (e.g., when removing glass from its frame), cleansers, etc.;

– Chronic toxicological effects of exposure to fumes of strong reactives (e.g., hydrofluoric acid).

Biological hazards

BIOHAZ1

Biological hazards may be encountered by glaziers working in an environment where they are potentially exposed to micro-organisms, allergenic plants, hair, fur, etc.

Ergonomic and social factors

ERGO

– Acute musculoskeletal injuries caused by physical overexertion and awkward posture while carrying and otherwise handling bulky glass sheets;

– Cumulative trauma disorders, including carpal tunnel syndrome, caused by long-time repetitive work involving primarily hand, arm, and finger movements;

– Tiredness and general ill feeling;

– Psychological stress resulting from the fear of falling from heights, or fear of failure while cutting, handling and setting expensive glass sheets, etc.

 

Back

Wednesday, 06 April 2011 17:44

Gardener

Synonyms: Garden caretaker; greenskeeper; groundskeeper; horticulturist; landscape specialist; park worker

Job profile

Definition and/or description

DEF8

Makes, or works in, a garden. Maintains grounds of public, private, industrial or commercial property, performing any combination of the following tasks: conditions soil by digging, turning, ploughing, fertilizing, etc; plants grass, flowers, shrubs and trees; waters lawn, flowers and shrubs; cuts lawns; trims and edges around walks, flower beds and walls; prunes shrubs and trees; sprays lawn, shrubs and trees with insecticides, herbicides and fertilizers; cleans and disinfects or sterilizes gardening tools and equipment; formulates and prepares pesticide, herbicide, fertilizer, soil additive or other solutions or mixtures; removes damaged leaves, branches or twigs; rakes and bags leaves; cleans grounds and removes litter; carts away or burns litter, leaves, paper, etc; shovels snow from walks and driveways; may sharpen gardening tools; may make minor repairs of equipment; may repair and/or paint fences, walls, gates and walks; may clean drainage ditches and culverts; may measure moisture level in soil.

Tasks

TASK

Bagging (leaves); bailing; budding; burning; carting; cleaning; clipping; conditioning (soil); cropping; culling; cutting; detasselling; digging; disinfecting; draining; drying; dusting; edging; fertilizing; formulating; fumigating; gathering; grading (terrain); grafting; harrowing; harvesting; hoeing; husking; irrigating; maintaining; making; measuring (moisture, etc.); mending; mowing; mulching; painting; performing (tasks); picking; planting; plowing; potting; preparing (mixtures, etc.); propagating; pruning; raking; reaping; repairing; removing; sawing; sharpening; shearing; shelling; shovelling; sorting; sowing; spading; spiking; spraying; spreading; sterilizing; stringing; thinning; threshing; tilling; transplanting; trimming; turning (soil); watering; weeding; winnowing.

Primary equipment used

EQUIP18

Lawn mower (manual or power-operated); clippers; weed cutters; edging tools; shears; ploughs; pruners; saws; spades; sprayers; sprinklers; spreaders; rakes; brooms; spiked sticks; shovels; trowels; knives; cultivators; hoses and watering cans; forks and aerator forks; thatchers; carts; tractors with various appendages; water sensor gauges.

Hazards

Accident hazards

ACCHA1

– Falls from heights (e.g., ladders, platforms or roofs), slips and falls on level ground (on mud or on wet soil or grass) or trips and falls on uneven soils or over various gardening implements, causing bruises, concussion, cuts or bone breakage;

– Overturning with, or falls from, tractors and other field vehicles or towed platforms;

– Clothing, hair or beard entanglement between moving parts of electrical or engine-driven machinery;

– Accidents with gardening tools (cutters, clippers, shears, rakes, hoes, etc.) as a result of tool slippage, inattention, breakage, stepping or falling on tools, etc., causing stabs, scratches, pinches, contusions, wounds, amputation of fingers, etc.;

– Ejection of flying particles (sand, stones, wood pieces, rubber or nylon cord, etc.) during work with power-driven mowers, saws, etc., causing injury to the eyes, contusions, etc.;

– Stabs from thorny plants;

– Snake, scorpion, bee, wasp, rodent, insect and dog bites or stings, causing wounds, pain, swelling, local or general poisoning, etc.;

– Electrocution or electric shock from contact with exposed live wires (e.g., overhead power lines when transporting metal piping) or during work with faultily insulated electrical equipment;

– Spillage of acids (e.g., nitric acid used for disinfecting tools) or other corrosive chemicals on the skin or clothing, or into eyes, causing chemical burns, rashes, severe eye injuries, etc.;

– Acute poisoning by accidental ingestion or inhalation of pesticides or other toxic agricultural chemicals.

Physical hazards

PHYSIC1

– Excessive noise levels from mechanized equipment (mowers, saws, etc.), causing damage to the eardrum with possible loss of hearing;

– Overexposure to sunlight causing sunburn, heatstroke, skin melanomas, etc.;

– Exposure to harsh weather (cold, rain, snow, wind) causing frostbite, colds (with possible complications if work is continued under such conditions), etc.

Chemical hazards

CHEMHA15

– Dermatitis and other skin ailments as a result of prolonged contact with agrochemicals or solvents or by systemic effects due to inhalation of chemicals;

– Chronic poisoning as a result of prolonged inhalation, ingestion or absorption through the skin of agricultural chemicals containing heavy metals, (e.g., cadmium, mercury, lead and arsenic), organophosphorous compounds, amines, etc.;

– Increased damage to skin presensitized by chemical exposures through exposure to sunlight (cytophotochemical effects).

Biological hazards

BIOHAZ1

– Contact with allergenic plants, flowers, weeds, etc. (e.g., Ficus benjamina, various cacti, etc.) causing dermatoses, asthma, etc.;

– Inhalation of allergenic dust, pollen, oils, vapours, etc., of plant origin, causing hay fever, asthma, etc.;

– Contact of open wounds with manure, parasites, bird and animal excretions, insects, etc, causing local or general infections including tetanus, anthrax, etc.;

– Zoonotic diseases (e.g., spotted fever, Q-fever);

– Leptospirosis as a result of penetration of leptospirae through broken skin;

– Fungal diseases, caused by fungi present in the soil or on plant leaves (e.g., allergic aspergillosis, histoplasmosis (a pulmonary infection), etc.);

– Parasitic diseases caused by tick, chigger and mite bites (e.g., straw itch) or by larvae penetrating through broken skin (e.g., hookworm disease, ascariasis). In some cases, the infections may develop into neurotoxic effects and paralysis.

Ergonomic and social factors

ERGO

Repetitive hand motions, incorrect postures (e.g., when planting flowers), lifting and carrying of heavy loads, etc., may cause low back pain, upper and lower limb ailments and other musculoskeletal problems.

Addendum

Notes

NOTES

  1. This occupation is commonly encountered in municipal services and on public, industrial, commercial or private grounds.
  2. According to published reports, as a result of exposure to various agrochemicals, gardeners may be at increased risk of carcinogenic and mutagenic effects; pregnant female gardeners may be at increased risk of spontaneous abortions and fœtotoxic or teratogenic effects.
  3. Chemicals to which a gardener may be exposed include a great variety of agricultural chemicals and formulations, including insecticides (organophosphorous, organochlorine, carba- mates, pyridyl, arsenicals, etc.), rodenticides, fungicides, liquid and gas fumigants (e.g., dibromoethane, methyl bromide), herbicides, fertilizers, etc.; fuels and lubricating oils; acids, cleaning and sterilizing compounds, solvents (particularly kerosene in pesticide formulations), etc.

 

References

International Labour Organization (ILO). 1979. Guide to Health and Hygiene in Agricultural Work. Geneva: ILO.

Worksafe Australia. 1995. Agriculture and Services to Agriculture Industries. Occupational Health and Safety Performance Overviews. Selected Industries, Issue No. 9. Canberra: Government of Australia.

 

Back

Wednesday, 06 April 2011 17:39

Electrical Appliance Repairer

Synonyms: Appliance-service representative; small-appliance repairer

Job profile

Definition and/or description

DEF

Repairs electrical appliances, such as toasters, cookers, percolators, lamps and irons, using hand-tools and electrical testing instruments. Examines appliances for mechanical defects and disassembles appliances. Tests wiring for broken or short circuits, using voltmeters, ohmmeters and other circuit testers. Replaces defective wiring and parts, such as toaster elements and percolator coils, using hand-tools, soldering irons and spot-welding equipment. May compute charges for labour and materials. May assist Electrical-appliance Servicer (any industry) in repairing such appliances as refrigerators and stoves (DOT).

Related and specific occupations

RELOCC

Appliance repairer (and occupations according to specific appliances, e.g., food-mixer repairer; heating-element repairer; toaster-element repairer; vacuum-cleaner repairer; etc.); assembler (household appliances); electrical-appliance preparer (and occupations according to specific appliances, e.g., coffee-maker preparer; electric-refrigerator preparer; washing-machine preparer; etc.); electrical-appliance servicer (and occupations according to specific appliances); fixer; household-appliance installer; maintenance man; mender; repairman; serviceman; troubleshooter; uncrater.

Tasks

TASK

Adjusting; advising (customers); aligning; applying; assembling, disassembling and reassembling; assisting; bending; bolting; boring; brazing; calculating (costs, wiring parameters, etc.); calibrating; checking; cleaning; computing (charges, etc.); connecting; cutting; demonstrating (appliances in operation); determining (repair requirements); drilling; driving; earthing; estimating (costs); examining (appliances); fastening; filing; fitting; fixing; gluing; hammering; handling; identifying (defects); installing; inserting; insulating; joining; keeping (records); lifting; loading and unloading; locating (shorts and grounds, etc.); lubricating; maintaining (stock of parts); marking; measuring (dimensions, electric parameters); mending; mounting; moving (heavy appliances); observing (appliance in operation, instrument readings); operating (appliances, equipment); painting; placing; polishing; preparing; recording (details of repair); repairing; replacing; removing; screwing and unscrewing; sealing; selecting; servicing; setting; soldering; splicing (cables); stripping (wires); testing; touching up (paint defects); tracing (electrical circuits); transporting; troubleshooting; uncrating; using (tools, skills, etc.); washing; welding; wiring; wrapping (wires with tape).

Hazards

Accident hazards

ACCHA1

– Cuts and stabs caused by working tools, sharp edges of parts of appliances under repair, etc.;

– Slips, trips and falls on level surfaces, especially on wet, slippery and greasy floors, while moving heavy appliances;

– Falls from height while installing or repairing outdoor units of “split” air conditioners, ceiling fans, etc.;

– Mechanical injuries caused by exposed rotating parts of appliances under repair (e.g., ventilators);

– Acute poisoning and/or chemical burns as a result of using solvents, adhesives and other chemicals;

– Fire risk due to use of inflammables;

– Burns caused by contact with hot elements of appliances under repair (e.g., irons), molten metals (while soldering) or as a result of sudden release of vapours from appliances under repair (e.g., from coffee-makers);

– Electric shocks caused by contact with live wires;

– Risk of road accidents while driving to/from customer premises.

Physical hazards

PHYSIC5

– Exposure to microwave radiation while repairing microwave ovens;

– Increased exposure to radiation.

Chemical hazards

CHEMHA

– Chronic toxicological effects associated with welding and soldering operations;

– Chronic poisoning as a result of exposure to fluorocarbons, methyl chloride and other substances used in refrigerators, air conditioners, etc.

Biological hazards

BIOHAZ5

Biological hazards may be encountered while repairing appliances that were used by sick persons (e.g., hair dryers, electrical tooth brushes, electrical shavers, etc.), or were operated in a contaminated atmosphere (e.g., vacuum cleaners).

Ergonomic and social factors

ERGO

– Acute musculoskeletal injuries caused by physical overexertion and awkward posture while moving and installing heavy appliances;

– Cumulative trauma disorders, including carpal tunnel syndrome, caused by long-time repetitive work involving primarily hand, arm and finger movements (in appliance repairers engaged in repair work on assembly lines or in repetitive workbench operations);

– Tiredness and general ill feeling;

– Visual discomfort and eye strain as a result of viewing small parts of appliances under poor illumination conditions (e.g., inside an appliance);

– Psychological stress as a result of working under time pressure and dealing with dissatisfied customers.

Addendum

Note

NOTES16

1. Conflicting opinions exist as to whether very-low and extremely-low frequency electromagnetic radiation is hazardous.

 

Back

Wednesday, 06 April 2011 17:35

Chauffeur

Synonyms: Private chauffeur; chauffeur, private motor-car; also used as an alternate title to “bus driver” (DOT); also: limousine driver; managerial driver; pool-car driver

Job profile

Definition and/or description

DEF3

Drives automobile to transport office personnel and visitors to commercial or industrial establishments. Performs miscellaneous errands, such as carrying mail to and from post office. May make overnight drives and extended trips requiring irregular hours. May be required to have a chauffeur’s licence. May clean vehicles and make minor repairs or adjustments (DOT).

Related and specific occupations

RELOCC

Bus driver; taxi (cab) driver; truck driver; lorry and van driver; etc.

Tasks

TASK14

Adjusting; arranging; assisting; carrying; changing; checking; cleaning; collecting; communicating; commuting; directing; driving; documenting; handling; inspecting; lifting; loading and unloading; locating; maintaining; mending; operating; organizing; performing; placing; pulling and pushing; regulating; repairing; reporting; servicing; transporting.

Hazards

Accident hazards

ACCHA1

– Increased risk of road accidents as a result of overnight drives and extended trips during irregular hours;

– Slips, trips and falls while carrying luggage and packages;

– Injuries as a result of accomplishing various functions (e.g., field repair work, tyre change, etc.) of a vehicle driver (see also truck driver; bus driver, etc.).

Physical hazards

PHYSIC17

May be exposed to physical hazards when working under some specific conditions (e.g., to radiation when transporting mail containing radioisotopes, etc.).

Chemical hazards

CHEMHA13

May develop mild dermatitis due to use of cleansers and detergents.

Biological hazards

BIOHAZ5

Potential exposure to infectious diseases when transporting sick passengers.

Ergonomic and social factors

ERGO5

– Low back pain and pains in the joints (of legs and hands/arms) due to extended driving, sometimes over bumpy roads;

– Psychological stress and job dissatisfaction as a result of performing a subordinate role and of a need to cater for various, sometimes unexpected, demands of passengers;

– In case of fulfilling an additional duty of a bodyguard, various hazards typical for this function;

– Visual discomfort and eye problems caused by inadequate illumination and eyestrain (especially when driving at dark time on interurban roads).

 

Back

Wednesday, 06 April 2011 17:23

Boiler Operator

Synonyms: Boiler attendant; boiler-room worker; boiler water treater; firer; steam-boiler operator; steam generator operator; steam power plant operator; steam-supply operator

Job profile

Definition and/or description

DEF6

Operates fuel-fired boilers to generate steam for supply to industrial processes, buildings, etc. Lights gas, oil or solid-fuel fed boilers using torch; regulates flow of fuel and water into the boiler. Observes control panel and regulates temperature, pressure, draft and other operation parameters. Observes boiler and auxiliary units to detect malfunctions and make repairs. Changes burners, pipes and fittings. Tests and treats boiler feed water, using special chemicals, ion-exchange columns, etc. Activates pumps or pressure flow to remove fly ash from hoppers, contaminated water from boiler system, and flush slurry into ash grinder. Assists boiler maintenance crews in maintenance and repair work.

Tasks

TASK

Activating (pumps); adjusting; assembling and disassembling; charging; checking; cleaning (valves, fuel tanks); detecting (malfunctions); filling; firing; fixing; flushing (slurry); installing; lighting; loading and unloading (fuel); maintaining (insulation, etc.); measuring; monitoring, operating; regenerating (ion exchanger resins); regulating (flow, temperature); removing (ash, wastes); repairing; sealing (leaks); screwing; stoking; testing (feed water); treating (feed water); wrenching.

Industries in which this occupation is common

INDS18

Manufacturing plants and services which require steam for operation, e.g., chemical industry; plastics industry; electrical power plants; steam laundries; hospitals; food industries; shipping; desalination plants; etc.

Hazards

Accident hazards

ACCHA1

– Slips and falls on level surfaces, particularly on floors made slippery by water, fuel, oils, etc.;

– Mechanical accidents when operating pulverizer and stoker in coal-fired boilers;

– Bursting of boilers (because of overheating and overpressure, failure of structural components due to metal fatigue, etc.) with possible fires; injury by the explosion wave, by flying fragments, flames, steam, etc.;

– Fires and explosions of fuel (particularly from fuel leaks); rags soaked with fuel; explosions of gas-air mixtures within the boiler;

– Soot fires;

– Burns from hot surfaces, hot water and escaping steam;

– Electrocution or electric shocks;

– Asphyxia due to breathing oxygen- depleted air;

– Poisoning by carbon monoxide or by other combustion products in the air, particularly in the case of faulty ventilation or inadequate air supply to the burners (acute carbon monoxide poisoning may cause headaches, dizziness, nausea, unconsciousness, coma and death);

– Splashes of hydrazine and its derivatives on the skin may cause penetrating burns and severe dermatitis;

– Splashes into the eyes of chemicals used in the regeneration of ion exchange columns, in derusting and descaling; particularly, splashes of hydrazine and its derivatives may cause permanent corneal lesions.

Physical hazards

PHYSIC4

Excessive noise levels (as high as 94 dBA).

Chemical hazards

CHEMHA9

– Pneumoconioses from exposure to vanadium-containing dust and to asbestos from the insulation, particularly during maintenance and repair work, and from exposure to respirable fly ash;

– Dermatoses from exposure to fuels and to corrosion inhibitors (various organic or metallo-organic compounds) and other water additives;

– Irritation of eyes, respiratory tract and skin as a result of exposure to hydrazine and its derivatives, used as additives to boiler water; severe exposure may cause temporary blindness;

– Irritation of the upper respiratory tract and coughing, as a result of inhalation of sulfur dioxide, particularly when burning high-sulfur fuels;

– Exposure to water-treating chemicals and formulations, particularly corrosion inhibitors and oxygen scavengers such as hydrazine; ion-exchange-resin regeneration chemicals, including acids and bases; cleaning, derusting and descaling products and solvents; carbon monoxide; carbon dioxide; nitrogen oxides; sulfur dioxide; dusts containing refractory oxides and vanadium oxide.

Biological hazards

BIOHAZ3

Development of fungi and growth of bacteriae in the boiler room due to the elevated temperature and humidity.

Ergonomic and social factors

ERGO3

– Heat stress;

– General tiredness as a result of physical work in a noisy, warm and humid environment.

Addendum

Notes

NOTES

  1. According to published reports, boiler attendants may be at increased risk of breast or nasopharyngeal cancer; exposure of boiler operators to hydrazine and its derivatives may cause damage to the lung, liver and kidneys.
  2. Special hazards are encountered when wastes are used as the fuel; the boiler operator may be exposed to a wide variety of hazardous chemicals present in the waste or formed during its burning (e.g., furans, dioxide derivatives, metal fumes, mineral fibres, etc.). Also, the operator may be exposed to bites or stings from parasites, insects and even small animals (e.g., snakes, scorpions) present in the wastes and to bacterial infections.
  3. As boiler rooms are frequently located in basements, a radon exposure hazard may exist in some regions.

 

References

American National Standards Institute (ANSI). 1987. Gas-fired Low-pressure Steam and Hot Water Boilers. ANSI Standard Z21.13-87. New York: ANSI.

Parsons, RA (ed.). 1988. Boilers. In ASHRAE Handbook: Equipment. Atlanta, GA: American Society of Heating, Refrigerating and Air-conditioning Engineers.

 

Back

Wednesday, 06 April 2011 17:14

Automobile Mechanic

Synonyms: Automotive machinist; garage mechanic; motor-vehicle mechanic

Job profile

Definition and/or description

DEF1

Repairs, services and overhauls automobiles and assimilated motor vehicles; examines vehicle to ascertain nature, extent and location of defects; plans work, using charts and technical manuals; dismantles engine, transmission, differential or other parts requiring attention; repairs or replaces parts such as pistons, rods, gears, valves, bearings, breaker points or gaskets and accessories such as spark plugs; relines and adjusts brakes, solders leaks in radiator, rebushes steering mechanism and carries out other repairs; tunes motor by adjusting ignition, carburettor, valves and timing mechanism; tests repaired vehicles in workshop or on road. May rebuild parts using lathes, shapers, welding equipment and hand tools. May do electrical and body repairs and spray painting. May specialize in repairing a particular type of engine, such as diesel automobile engines, and be designated accordingly (ISCO).

Related and specific occupations

RELOCC14

Similar occupations designated according to a speciality: bus mechanic; diesel- engine mechanic; motor- truck mechanic; engine-repair mechanic; motor or bus repairer; differential repairer; compressor mechanic; engine-head repairer, etc., or according to a title: garage supervisor; bus inspection mechanic; transmission mechanic; brake repairer; diesel-mechanic helper, etc. (DOT).

Tasks

TASK5

Abrading; adjusting; aligning; assembling and disassembling; bolting; bonding; boring; brazing; brushing; burning; calibrating; cementing; chipping; clamping; cleaning; cutting; diagnosing; dipping; disassembling; dis- mantling; drilling; driving; examining; fabricating; fastening; filing; filling; finishing; fitting; flame-cutting; forging; grinding; gluing; hammering; heating; insert- ing; inspecting; installing; laminating; lifting; lubricating; machining; maintaining; measuring (with instruments); melting; mending; milling; overhauling; painting; piercing; planning; positioning; pressing; pulling; pumping; pushing; raising; reboring; rebushing; recharging; reconditioning; relining; removing; repairing; replacing; riveting; rewiring; rubbing (compounds); sanding; scraping; servicing; setting; soldering; spraying; squeezing; stapling; tapping; testing; threading; tightening; tuning; verifying (dimensions); welding.

Hazards

Accident hazards

ACCHA1

– Injuries during work with mechanized equipment, such as lathes, drills, boring and honing machines, discs, shapers and various cutting and hand tools (e.g. cutters, wrenches, screwdrivers, chisels, sledgehammers, etc.);

– Injuries resulting from collapse, setting or slipping of jacking, lifting or hoisting equipment and falling vehicles;

– Stabs and cuts caused by knives, sharp objects, hand tools, banging on metal pieces, loose bolts, etc. during dismantling, repair and assembly operations;

– Slips, trips and falls from ladders, stairs, elevated platforms, etc. and falls into inspection pits (especially when carrying loads);

– Falls on level surfaces, especially on wet, slippery or greasy floors;

– Crushing of toes as a result of heavy objects falling on feet;

– Burns and scorches as a result of contact with hot surfaces, exhaust pipes or hot-melt chemicals; sudden release of hot water and steam from steam lines, radiator and cooling system pipes; soldering, brazing and welding operations, etc.;

– Eye injury from splinters and flying objects during grinding, machining, abrading, polishing, boring and similar operations or while operating compressed-air equipment for drum and brake cleaning and similar operations;

– Bursting of compressed-air lines or containers; accidental injection of material/compressed air either through the skin or body orifices;

– Bursting of tyres;

– Accidents due to poorly installed and inappropriately maintained steam and water pressure cleaners;

– Injuries caused by rolling-road/brakes testing equipment;

– Electrocution as a result of defects, short circuits or incorrect use of electromechanical equipment, or contact with live wires (e.g., electric shocks from portable power tools);

– Fires and explosions of flammable and explosive substances (e.g., liquid petroleum gas, gasoline, solvents, oils etc.), accumulating as a result of spills, leaks, neglect, etc., or by ignition of hydrogen released from batteries, or by flames originating from flame cutting and welding operations, etc;

– Carbon monoxide poisoning of inspection-pit workers;

– Road accidents during testing and driving of repaired vehicles.

Physical hazards

PHYSIC11

– Excessive noise (greater than 90 dBA), especially in car body work;

– Exposure to direct and reflected ultraviolet and infrared radiation;

– Exposure to microwave and radiofrequency radiation, especially in such activities as heat-sealing of panels and upholstery, drying of trim base panels etc.;

– Exposure to low temperatures and winds, especially in open-shed garages, resulting in colds (the use of improvised heating may also cause fire and carbon monoxide poisoning);

– Exposure to x rays and radioisotopes in automobile manufacturing/non-destructive testing;

– Development of vibration white finger (VWF) as a result of vibrating power-driven tools.

Chemical hazards

CHEMHA

– Chronic poisoning as a result of exposure to a wide range of industrial chemicals, including heavy metals (e.g., brake fluids, degreasers, detergents, lubricants, metal cleaners, paint removers, thinners etc.) (see Appendix);

– Skin diseases and conditions (various types of dermatitis, skin sensitization, eczema, oil acne, etc.) caused by various chemicals (e.g., adhesives, asbestos, antifreeze and brake fluids, epoxy resins, gasoline, oils, nickel, colophony, etc.);

– Eye irritation, dizziness, nausea, breathing problems, headaches, etc., caused by contact with chemical irritants, dusts, fumes, antiknock agents (such as methylpentadienyl manganese tricarbonyl (MMT)), ketone solvents (such as methyl isobutyl ketone (MIK)), etc.;

– Asbestosis and mesothelioma caused by asbestos dust from brake-drum cleaning and processing operation;

– Lead poisoning;

– Haematological changes as a result of exposure to solvents, such as benzene and its homologues, toluene, xylene, etc.;

– Increased risk of cancer due to inhalation of diesel exhaust fumes or contact with certain heavy metals and their compounds, asbestos, benzene, etc.;

– Increased risk of organic brain damage due to inhalation of diesel exhaust fumes;

– Acute eye and mucous membrane irritation, headaches, breathing difficulties, chest tightness, etc., caused by inhalation of nitrogen oxides (NOx) and respirable particulates;

– Increased risk of abortion or damage to fœtus or embryo in pregnant women exposed to organo-halogen solvents;

– Gastrointestinal disturbances as a result of accidental or chronic ingestion of adhesives;

– Nuisance due to bad smells when working with certain solvent-based adhesives;

– Splashes of corrosive and reactive chemicals that may cause eye and skin injuries, etc.

Biological hazards

BIOHAZ4

Infections as a result of micro-organism contamination and growth in certain adhesives.

Ergonomic and social factors

ERGO

– Acute musculoskeletal injuries (intervertebral disk rupture, tendon rupture, hernia, etc.) caused by physical overexertion and incorrect combination of weight and posture during lifting and moving of heavy loads;

– Cumulative trauma disorders, including carpal tunnel syndrome, caused by long-time repetitive work;

– Tiredness and general ill feeling;

– Danger of being attacked by individuals (including dissatisfied customers) in work places open to the public;

– Psychological stress when working under time pressure.

Addendum

References

Health and Safety Executive (HSE). 1991. Health and Safety in Tyre and Exhaust Fitting Premises. HS (G) 62. London: HSE Books.

—. 1991. Health and Safety in Motor Vehicle Repair. HS (G) 67. London: HSE Books.

Appendix

NOTES17

Principal substances to which automobile mechanics may be exposed:

– Abrasive dusts

– Acrolein

– Adhesives

– Alkalis

– Antifreeze fluids

– Asbestos

– Benzene

– Bisphenol A

– Brake fluids

– Butanol

– Butyl acetate

– Carbon monoxide

– Chlorinated hydrocarbons (e.g., solvents)

– Colophony (rosin)

– Cutting fluids

– Degreasers

– Diacetone alcohol

– Dichromates

– Dioxane

– Detergents (synthetic)

– Epoxy resins

– Ethyl acetate

– Ethylene glycol

– Flame retardants

– Gasoline and additives

– Glass fibres

– Graphite

– Greases

– Hydraulic fluids

– Hydroquinone

– Isocyanates

– Isopropanol

– Kerosene

– Lead and its compounds

– Lubricants

– Metal cleaners

– Methanol

– Methyl isobutyl ketone

– Molybdenum disulphide

– Nickel

– Nitrogen oxides

– Oils (including used oils)

– Oxalic acid

– Paint removers

– Paint thinners (e.g., turpentine)

– Phthalic anhydride

– Plastics

– Polyester resins

– Rubber antioxidants and accelerators

– Soldering fluxes

– Solvents (different types)

– Tetraethyl lead

– Thimerosol

– Tricarbonyl

– Toluene

– White spirit

– Xylene

 

Back

Wednesday, 06 April 2011 17:08

Animal Handler

Synonyms: Animal attendant; animal breeder; animal caretaker; animal husbandry worker; animal keeper; animal laboratory worker; animal propagator; animal raiser; farmworker, animal; farmworker, livestock; etc.

Job profile

Definition and/or description

DEF1

Performs any combination of following duties to attend animals, such as mice, canaries, guinea pigs, mink, dogs and monkeys, on farms and in facilities, such as kennels, pounds, hospitals and laboratories. Feeds and waters animals according to schedules. Cleans and disinfects cages, pens and yards and sterilizes laboratory equipment and surgical instruments. Examines animals for signs of illness and treats them according to instructions. Transfers animals between quarters. Adjusts controls to regulate temperature and humidity of animals’ quarters. Records information according to instructions, such as genealogy, diet, weight, medications, food intake and licence number. Anaesthetizes, inoculates, shaves, bathes, clips and grooms animals. Repairs cages, pens or fenced yards. May kill and skin animals, such as fox and rabbit, and pack pelts in crates. May be designated according to place worked such as Dog-Pound Attendant (government ser.); Farmworker, Fur (agriculture); Helper, Animal Laboratory (pharmaceut.); Kennel Attendant (agriculture); Pet Shop Attendant (retail trade); Veterinary-hospital Attendant (medical ser.) (DOT).

Related and specific occupations

RELOCC

Abattoir worker; butcher; farmer/cattle; farmworker, skilled/cattle (also: farmworker, skilled/dairy; –/domestic fur-bearing animals; –/fish; –/mixed animal husbandry; –/non-domesticated fur-bearing animals; –/pigs; –/poultry; –/sheep); veterinarian, etc. (ISCO)); animal herder; animal shelter supervisor; apiarist; artificial inseminator; beekeeper; cattleman; cowboy; fur farmer; herder; lamber; livestock farmer; livestock rancher; livestock yard attendant; milker; pelter; poultry farmer/ breeder; shepherd; stable attendant; stock raiser; supervisor, kennel; etc. (DOT and ISCO); animal propagation worker (RHAJ); animal hairdresser; gaucho; groom; stableman; zoo attendant/worker; etc.

Tasks

TASK

Adjusting (controls); administering; anaesthetizing; applying (medications); apportioning; assisting (veterinarian); attaching; attending; bagging; bailing; bathing; bedding; binding; branding; breaking (horse); breeding; bridling; brushing; building (fences, sheds, etc.); bundling; butchering; buying and selling; caging; calculating; candling; caponizing; caring; carrying; castrating; catching; changing; clamping; cleaning; clipping; collecting (fees, donations, etc.); combing; conditioning; confining; constructing; corraling; crating; cultivating; culturing; curing (meat); debeaking; dehorning; delivering; demonstrating (animals to customers, viewers, etc.); dipping (utensils); disinfecting; distributing; docking; domesticating (animals); drenching; dressing; driving; documenting; enclosing; engaging; erecting; examining (animals); exercising; exhibiting (for commercial, educational or entertainment purposes); exterminating; farming; fattening; feeding; filling; flushing; foddering; folding; formulating; fumigating; gathering; goading; grazing; greasing; grinding; grooming; growing; guarding; guiding; handling; harnessing; harvesting; hatching; hauling; helping; herding; hiring; hitching (animals); identifying; incubating; informing; injecting; inoculating; inseminating; inspecting; investigating; isolating; keeping; killing; labelling; lashing; littering; loading and unloading; lubricating; maintaining; managing; marking; marketing; measuring; medicating; milking; milting; mixing; mounting and dismounting; moving; netting; notching; notifying; nurturing; observing; oiling; opening; operating; ordering; pacifying; packing; painting; performing; placing; planting; pouring; preparing; preserving; pricking; producing; propagating (animals); pumping; punching (cattle); purchasing; quarantining; racking; raising; ranching; rearing; recording; regulating; removing; renting; repairing; replenishing; reporting; restraining; riding; rounding up; saddling; scattering; scraping; segregating; selecting; separating; sexing (poultry); sharpening; shaving; shipping; shearing; shoeing; shovelling; showing (animals to customers, viewers, etc.); skinning; slaughtering; snipping; sorting; sowing; spawning; spraying; spurring; sterilizing; stocking; storing; stripping; supervising; tagging; taming; tattooing; tendering; tending; training (police and army dogs for drugs and explosives sniffing); transferring; transporting; treating; trimming; tying; using; vaccinating; walking (dogs); washing; watering; weighing; whipping; wrangling; yoking.

Hazards

Accident hazards

ACCHA1

– Slips, trips and falls (on slippery surfaces, stairs, etc.); colliding with scattered objects, etc.;

– Cuts and pricks caused by sharp objects, broken glass and syringes;

– Injuries caused by swinging doors;

– Bites, goring and/or being attacked by domestic or wild animals;

– Kicks, bites, scratches and stings caused by laboratory animals (primates, dogs, cats, goats, rabbits, guinea pigs, rats, mice, hamsters and other rodents, snakes, wasps, etc.), domestic animals, fur animals, honeybees, zoo animals and other animals kept for their educational, commercial, entertainment, game, sports or other value, or for research purposes;

– Falls from horses and other riding animals;

– Road accidents while transporting animals;

– Accidental injury caused by firearms while hunting animals (for zoos, etc.);

– Fire hazard at animal-waste rendering plants;

– Fires and explosions caused by inflammables and explosives;

– Eye injury caused by metallic splinters (e.g., in farriers while horseshoeing, or while branding);

– Burns from hot metal objects (e.g., in farriers while horseshoeing);

– Electric shocks caused by defective or incorrectly operated electric and electromechanical equipment;

– Explosions of animal-food dust-air mixtures.

Physical hazards

PHYSHA

– Exposure to ionizing radiation emitted by veterinary x-ray equipment and by laboratory animals investigated or treated with radioisotopes;

– Exposure of skin and eyes to ultraviolet radiation used for sterilization and other purposes in laboratories and animal quarters;

– Exposure to excessive noise, heat stress and hand-arm mechanical shocks and vibrations during forging and related operations (in farriers);

– Cold or heat stress (resulting in effects ranging from temperature discomfort to frostbite or heat stroke, respectively) and exposure to frequent abrupt temperature changes (when entering or leaving climate-controlled rooms) in animal handlers working mostly or partly outdoors under severe climatic conditions;

– Health problems (e.g., rheumatic, etc.) due to conditions in animal quarters such as high humidity, concrete floors, etc.

Chemical hazards

CHEMHA

– Intoxication due to contact with chemicals, such as pesticides (especially insecticides, germicides and herbicides), solvents, strong acids and alkalis, detergents, etc.;

– Dermatoses due to contact with chemicals, such as pesticides, solvents, detergents, deodorants, animal medications, etc.;

– Allergies due to contact with formaldehyde and other synthetic or natural allergenic substances;

– Health hazards caused by inhaling formaldehyde vapours;

– Health hazards caused by exposure to metallic, solvent and other fumes during forging, shoeing and other hoof-care operations (especially in farriers);

– Systemic and gastrointestinal effects caused by exposure to cytotoxic agents (especially in laboratory animal handlers);

– Exposure to various carcinogenic, mutagenic and teratogenic agents (especially in laboratory animal handlers);

– Mercury poisoning (in fur-processing workers).

Biological hazards

BIOHAZ1

– Infection due to contact with sick or pathogen- carrying animals or due to exposure to airborne pathogens, resulting in development of communicable diseases (zoonoses), including: anthrax, blastomycosis, brucellosis (undulant fever), B-virus (simian B disease), cat-scratch fever, echinococcosis (hydatidosis), encephalitis, enteritis (zoonotically acquired), erysipeloid, glanders, hookworm diseases, leptospirosis, Orf virus disease, ornithosis, pasteurellosis, plague, pseudocowpox, psittacosis, pyogenic infections, Q-fever, rabies, rat-bite fever, rift-valley fever, ringworm diseases, salmonellosis, swineherd’s disease, tapeworm diseases, toxoplasmosis, tuberculosis (bovine), tularaemia, typhus fever, etc., as well as other diseases related to protozoan parasites, rickettsia and chlamydia, viral and fungal infections, etc.;

– Laboratory-animal allergies (LAA) (including: occupational asthma, allergic alveolitis, bronchitis, pneumonitis, rhinitis, skin rashes, etc.) and diseases of the airways caused by inhalation of animal-food dust containing various micro-organisms and their spores, animal hair (causing furrier’s lung), bird-droppings residues (causing pigeon- breeder’s lung), etc.;

– Pulmonary dysfunctions in animal confinement workers caused by various agents, including hydrogen sulphide toxicity, bronchitis, non-allergic asthma, organic-dust toxic syndrome (ODTS), mucous membrane irritation, and by bioaerosols and endotoxins;

– Dust- and endotoxin-related respiratory effects in animal-feed workers and in fur-farm workers;

– Exposure to carcinogenic afflatoxins (causing primary liver cancer) of animal-feed workers;

– Cancer hazards due to carcinogens present in pesticides, animal medicines, etc.;

– Acute health effects caused by various flea-control products used by animal handlers;

– Increased risk of laboratory-acquired haemorrhagic fever with renal syndrome (HFRS) caused by infected laboratory rats;

– Occupational eczemas and contact dermatitis;

– Increased risk of developing chronic lymphatic leukaemia (CLL) and non-Hodgkin’s lymphoma (NHL) in animal breeders;

– Various septic infections;

– Development of the mad-cow syndrome (viral) disease.

Ergonomic and social factors

ERGO

– Musculoskeletal problems (particularly of back and knees) in animal handlers engaged in lengthy horse-riding and/or leaning on their knees (especially on concrete floors) during work (e.g., in farriers);

– Job dissatisfaction related to the working environment (dirt, smells, etc.) and to the mainly physical character of work;

– Exposure to attacks by cattle robbers, valuable-pet thieves, etc.;

– Exposure to protest, and possibly violence, by animals’ rights groups;

– Danger of developing drugs addiction facilitated by easy availability of animal medications.

Addendum

References

Benenson, AS (ed.). 1990. Control of Communicable Diseases in Man, 15th edition. Washington, DC: American Public Health Association.

Worksafe Australia. 1995. Agriculture and Services to Agriculture Industries. Occupational Health and Safety Performance Overviews. Selected Industries, Issue No. 9. Canberra: Government of Australia.

World Health Organization (WHO). 1979. Parasitic Zoonoses. Report of a WHO Expert Committee with the Participation of FAO. Technical Report Series No. 637. Geneva: WHO.

 

Back

Wednesday, 06 April 2011 16:56

Ambulance Driver (Medical Services)

Synonyms: Ambulance driver (government services); Red Cross (or similar organization) ambulance driver

Job profile

Definition and/or description

DEF

Drives ambulance to transport sick, injured or convalescent persons. Places patients on stretcher and loads stretcher into ambulance, usually with help of ambulance attendant (medical services). Takes sick or injured persons to hospital, or convalescent to destination, using knowledge and skill to avoid sudden motions detrimental to patients. Changes soiled linen on stretcher. Administers first aid as needed. May shackle violent patients. May report facts concerning accident or emergency to hospital personnel or law enforcement officials (DOT). Also: a person who drives a medical emergency vehicle, ambulance or hospital services (civil or military) vehicle; may assist in delivering babies inside the ambulance.

Related and specific occupations

RELOCC

Ambulance attendant; ambulance-team/nursing aid; funeral car/hearse driver/ chauffeur; hospital/clinic driver; medical services driver; military ambulance driver; motor-vehicle driver (medical services); police ambulance driver; private ambulance driver.

Tasks

TASK

Administering (medicines, oxygen, etc.); assisting; carrying; changing; cleaning; communicating; driving; documenting; handling; honking; lifting; loading; locating; logging; maintaining; mending; operating; placing; pulling and pushing; repairing; reporting; restraining; reviving; servicing; shackling; stretching; transporting; warning; writing.

Hazards

Accident hazards

ACCHA1

– Increased risk of road accidents due to high driving speeds under emergency conditions (including crossing intersections during red traffic light, driving on sidewalks and steep slopes while trying to reach destination through traffic jams);

– Slips, trips and falls (on stairs or on the level) while carrying stretchers and loads or assisting patients;

– Injuries as a result of carrying out various functions (field repair tasks, tyre changes, etc.) of a vehicle driver (see truck driver, chauffeur, etc.);

– Sudden release of compressed gases (e.g., oxygen or anaesthetic gases) inside the ambulance.

Physical hazards

PHYSIC1

– Exposure to high noise levels from the emergency horn;

– Exposure to radioactive isotopes (in some countries where ambulance are used for the transport of radioisotopes to hospitals).

Chemical hazards

CHEMHA

– Exposure to anaesthetic gases administered to patients inside the ambulance;

– Dermatitis caused by excessive use of rinsing, cleaning and disinfecting agents.

Biological hazards

BIOHAZ1

– Exposure to contagious diseases from patients;

– Potential exposure to body fluids of patients (e.g., blood from wounds).

Ergonomic and social factors

ERGO

– Back pains and other musculoskeletal problems resulting from overexertion and wrong postures during lifting and otherwise moving of patients, driving over bumpy roads, repairing vehicles on road, etc.;

– Psychological stress due to dangerous driving under time pressure, contact with accident victims, terminal patients and dead bodies, unusual working schedules, prolonged states of alertness, etc.

Addendum

References

International Occupational Safety and Health Information Centre (CIS). 1995. International Safety Datasheets on Occupations. Steering Committee meeting, 9-10 March. Geneva: ILO.

 

Back

Background

At present, there is no handbook, manual or other single source which contains the essential data on the various occupational hazards which exist in specific occupations. The variety of the occupations is so great that not even experienced specialists—safety engineers, industrial hygienists, industrial physicians, consultants and researchers—can be familiar with all the hazards existing in each specific occupation. Therefore, occupational safety and health (OSH) experts must search information in the very extensive relevant professional literature and databases and, sometimes, have to scan scores of technical documents. Such searches are complicated, tedious, time-consuming and require access to specialized information sources. Usually, they are beyond the ability and resources of an OSH field worker (industrial hygienist, safety officer, inspector, occupational physician, sanitarian or instructor), and much beyond the possibilities of a non-professional (plant manager, safety committee member or employees’ representative). As a result, quite frequently an OSH worker comes to the workplace without adequate preliminary technical preparation.

This was realized many years ago. An early attempt to create a practical list of hazards according to occupations was undertaken by A.D. Brandt in his 1946 book Industrial Health Engineering. Brandt presented a compilation of about 1,300 various occupations with the relevant occupational hazards in each occupation. The total number of hazards listed was roughly 150, most of them chemical hazards. Since Brandt’s pioneering effort, no systematic work was carried out on the subject, except for a few partial lists related to limited aspects of occupational hazards. However, there were some other efforts in this field, such as the 1964 book Accident Research: Methods and Approaches, by W. Haddon, E.A. Suchman and D. Klein, which attempted to classify the various types of accidents; a “table of health hazards listed by occupation”, which appeared in the 1973 book Work Is Dangerous to Your Health, by J.M. Stellman and S.M. Daum; a set of partial lists of “potential occupational exposures” published in 1977 in the comprehensive National Institute for Occupational Safety and Health (NIOSH) monograph Occupational Diseases: A Guide to their Recognition; and a list of about 1,000 various potential health hazards that might exist in about 2,000 different occupations, which was compiled in 1973 by the School of Medicine of Tel-Aviv University.

All of the projects mentioned above suffer from a number of shortcomings: they are not up-to-date; the lists are only partial and refer to specific aspects rather than to the entire OSH field; and they deal mostly with the chronic occupational hygiene aspect, neglecting largely the safety and acute aspects of the problem. Moreover, none of those lists is in a concise, practical form, such as a pocket-size and easy-to-use manual, or separate single cards that could be used directly in the field.

A compilation of 100 “hazard cards”, in Hebrew, was recently prepared for the Israeli Ministry of Health and deals with the various hazards to which this ministry’s employees (mostly hospital staff and field workers) are exposed. In preparing this compilation, different United Nations and International Labour Organization (ILO) documents related to the classification of occupations and economic activities were used, as were various documents issued by the Commission of the European Communities (CEC) within the framework of its International Programme on Chemical Safety.

The experience gained during the above work gave rise to the idea of starting a project of International Safety Datasheets on Occupations that has been subsequently endorsed by the ILO’s International Occupational Safety and Health Information Centre (CIS) and is currently in progress. For this chapter of the Encyclopaedia, a number of such datasheets has been selected, in order to demonstrate a systematic approach that would be widely applicable and not confined to any specific professional domain. From this point of view, the selection was based on two main criteria: broad diversity of selected occupations with regard to the types of activities involved and their relative risk and the “cross-boundary” character of each occupation, i.e. its presence in many fields of economy.

Methodological Aspects

A consistent conceptual and procedural framework has been elaborated and used in the preparation of the datasheets. It is organized around a checklist, or matrix, serving as a guideline for a systematic and comprehensive analysis of the hazards existing in a given occupation. While helping to reveal and evaluate different hazards that may be present in the occupation, this checklist has an additional function of serving as a template, according to which a hazard datasheet is actually compiled (see table 1).

The use of such a standard and well-itemized template provides a uniform datasheet structure, assuring quick familiarization and easy orientation by a user. Another important consideration is the use of standard phrases and expressions across the whole range of occupations, the advantage being an instant recognition of similar hazards present in different occupations.

The checklist (template), together with a set of standard phrases and key-words, will serve in the future as a basis for developing a Guide for Compilers of Hazard Datasheets, with a purpose similar to that of the Compiler’s Guide for the Preparation of International Chemical Safety Cards (a joint project of the CEC, the ILO, the World Health Organization (WHO) and the United Nations Environment Programme (UNEP)).

The datasheet structure contains the following sections, according to the template:

    • Name of occupation: the title taken either from the Dictionary of Occupational Titles (DOT) or from the International Standard Classification of Occupations (ISCO)
    • Synonyms: taken from DOT and/or other sources, typically an English-language thesaurus
    • Definition and/or description: mostly quoted or adapted from DOT or ISCO. Some definitions quoted from DOT contain abbreviated designations of different industries, according to the “Industry Index” (DOT, Vol. 2). “Professional and kindred occupations” (“Occupations requiring extensive study or experience in professions, technical services, sciences, art, and related types of work”) are designated “Profess. & kin.”; occupations that are “not elsewhere classified” are designated “n.e.c.”; most of the other abbreviations are self-explanatory.
    • Related and specific occupations: compiled on the basis of DOT, ISCO, discussions with experts and personal knowledge
    • Tasks: compiled from various sources, including the Revised Handbook for Analyzing Jobs (RHAJ), DOT, ISCO, suggestions by experts, etc., and arranged alphabetically
    • Primary equipment used and Industries where this occupation is common: The lists of tools, machines and industries were compiled on the basis of discussions with field workers and experts, as well as information found in various technical job descriptions; personal expert knowledge was also extensively used.
    • Hazards: The lists of hazards of various types were compiled following thorough examination of numerous information resources, including: previous lists of occupational hazards compiled by various researchers; job descriptions of DOT and ISCO; technical documents issued by national OSH organizations, such as INRS (France), HSE (United Kingdom), NIOSH (US), IIOSH (Israel), etc.; professional literature, including the ILO Encyclopaedia of Occupational Health and Safety; computerized databases (e.g., CISDOC, NIOSHTIC, HSELINE and TOXLINE); interviews with field workers and OSH professionals, as well as personal knowledge and expert evaluation.
    • Notes: any additional important and relevant information not included elsewhere, such as information on synergistic effects and warnings about some high-risk situations
    • Appendices: auxiliary and supplementary data, such as lists of substances used in a given occupation, etc.

                     

                    Following its compilation, each hazard datasheet was subjected to peer reviewing and comments by at least two competent specialists.

                     


                     

                    Table 1. Checklist (template)

                    NAME OF OCCUPATION

                    Synonyms

                    Job profile

                    Definition and/or description

                    DEF1

                    Related and specific occupations

                    RELOCC

                    Tasks

                    TASK

                    Primary equipment used

                    EQUIP

                    Industries in which this occupation is common

                    INDS

                    Hazards

                    Accident hazards

                    ACCHA1

                    Mechanical and general

                    – Machinery accidents

                    – Transport accidents

                    – Falls of persons (e.g., slips, trips on the level, from heights, from a moving vehicle, etc.)

                    – Falls of heavy objects, materials, wall collapses, etc.

                    – Stabs, cuts, amputations

                    – Striking against or struck by objects (bone fracture, bruises)

                    – Stepping on objects

                    – Being caught in or between objects, including crushing and tearing accidents

                    – Pressure vessels, vacuum vessels (bursting, mechanical explosions or implosions)

                    – Burns and scalds (by hot or cold fluids or surfaces)

                    – Penetration of foreign particles into eyes

                    – Swallowing of bulky or sharp-edged non-poisonous solids

                    – Drowning

                    – Acute injuries caused by animals (e.g., bites, scratches, kicks, squeezing and trampling, stings, rammings, etc.)

                    – Overexertion or overstrenuous movements

                    Chemical accidents

                    – All acute injuries and effects related to accidental release, spillage, inhalation, swallowing of, or contact with, chemical agents (except fire or explosions)

                    Electrical accidents

                    – All injuries and effects related to electric current and static electricity

                    Fires and chemical explosions
                    Radiation accidents

                    – Injuries involving accidental exposure to high doses of ionizing and non-ionizing radiation, including laser beams and strong light, UV, etc.

                    Physical hazards

                    PHYSIC1

                    – Ionizing radiation (including, e.g., x rays, alpha-, beta- and gamma radiation, neutron and particle beams, radon, etc.)

                    – Non-ionizing radiation (including the whole spectrum of electromagnetic non-ionizing radiation, e.g., visible light, UV and IR, laser beams, RF, MW, etc.); electric and magnetic fields

                    – Vibration (affecting whole body; vibration-related hazards affecting specific organs appear under “Ergonomic and social factors”)

                    – Noise (including also ultra- and infrasound)

                    – Exposure to weather, extreme heat or cold, reduced or increased barometric pressure (including heat stroke, sun stroke, heat stress, cold stress, frostbite, etc.)

                    Chemical hazards*

                    CHEMHA

                    * Hazards related to non-accidental exposure to chemicals

                    Direct/immediate effects:

                    – Irritation of mucous membranes, eyes and respiratory system

                    – Effects on the nervous system (headaches, reduced alertness, intoxication, etc.)

                    – Gastrointestinal disturbances

                    – Skin effects (itching, erythema, blistering, etc.)

                    – Effects of “routine” exposure on ultrasensitive persons; effect of combination of “routine” factors, e.g., non-accidental formation of phosgene when smoking in presence of organochlorine compounds

                    – Asphyxia

                    Delayed, chronic or long-term effects:

                    – Chronic systemic poisoning

                    – Other systemic effects (e.g., hematopoietic, on the gastro-intestinal, urogenital nervous systems, etc.)

                    – Skin effects (dermatoses, skin sensitization and allergies, etc.)

                    – Eye effects (cataracts, impaired vision, corrosive damage, etc.)

                    – Inhalation effects (lung oedema, chemical pneumonitis, pneumoconiosis, asthmatic reactions, etc.)

                    – Ingestion effects (sore throat, abdominal pain and/or cramps, diarrhoea, nausea, vomiting, reduced consciousness, coma, etc.)

                    – Chemical allergies not included above

                    – Effects on reproductive system, pregnancy (spontaneous abortion, embryo- and foetotoxicity), birth defects

                    – Carcinogenesis and mutagenesis

                    Biological hazards

                    BIOHAZ1

                    – Microorganisms and their toxic products

                    – Poisonous and allergenic plants

                    – Exposure to animals which can lead to diseases and allergies (from hair, furs, etc.)

                    Ergonomic and social factors

                    ERGO

                    Hazards related to working postures, man-machine interactions, lifting, mental or physical stress, nuisance and discomfort (e.g., sick building syndrome, poor illumination, air pollution from sources not related to workplace, human relations, violence, biorhythms, bad smells, vibration affecting specific body organ, e.g., carpal tunnel syndrome, etc.)

                    Addendum

                    Notes

                    NOTES

                    – Special alerts

                    – Statistical data (e.g., “increased risk of ...”; “excess mortality...”, etc.)

                    – Synergistic effects

                    – Special circumstances or combinations of factors

                    – Any important relevant information not included elsewhere

                    References

                    Appendixes

                    List of chemicals, etc.

                     

                    Back

                    Page 25 of 122

                    " DISCLAIMER: The ILO does not take responsibility for content presented on this web portal that is presented in any language other than English, which is the language used for the initial production and peer-review of original content. Certain statistics have not been updated since the production of the 4th edition of the Encyclopaedia (1998)."

                    Contents

                    Health Care Facilities and Services References

                    Abdo, R and H Chriske. 1990. HAV-Infektionsrisiken im Krankenhaus, Altenheim und Kindertagesstätten. In Arbeitsmedizin im Gesundheitsdienst, Band 5, edited by F Hofmann and U Stössel. Stuttgart: Gentner Verlag.

                    Acton, W. 1848. On the advantages of caouchoue and gutta-percha in protecting the skin against the contagion of animal poisons. Lancet 12:588.

                    Ahlin, J. 1992. Interdisciplinary case studies in offices in Sweden. In Corporate Space and Architecture. Vol. 2. Paris: Ministére de l’équipment et du logement.

                    Akinori, H and O Hiroshi. 1985. Analysis of fatigue and health conditions among hospital nurses. J Science of Labour 61:517-578.

                    Allmeers, H, B Kirchner, H Huber, Z Chen, JW Walter, and X Baur. 1996. The latency period between exposure and the symptoms in allergy to natural latex: Suggestions for prevention. Dtsh Med Wochenschr 121 (25/26):823-828.

                    Alter, MJ. 1986. Susceptibility to varicella zoster virus among adults at high risk for exposure. Infec Contr Hosp Epid 7:448-451.

                    —. 1993. The detection, transmission, and outcome of hepatitis C infection. Infect Agents Dis 2:155-166.

                    Alter, MJ, HS Margolis, K Krawczynski, FN Judson, A Mares, WJ Alexander, PY Hu, JK Miller, MA Gerber, and RE Sampliner. 1992. The natural history of community-acquired hepatitis C in the United States. New Engl J Med 327:1899-1905.

                    American Conference of Governmental Industrial Hygienists (ACGIH). 1991. Documentation of the Threshold Limit Values and Biological Exposure Indices, 6th edition. Cincinnati, OH: ACGIH.

                    —. 1994. TLVs: Threshold Limit Values and Biological Exposure Indices for 1994-1995. Cincinnati, OH: ACGIH.

                    American Hospital Association (AHA). 1992. Implementing Safer Needle Practice. Chicago, IL: AHA.

                    American Institute of Architects. 1984. Determining Hospital Space Requirements. Washington, DC: American Institute of Architects Press.

                    American Institute of Architects Committee on Architecture for Health. 1987. Guidelines for Construction and Equipment of Hospital and Medical Facilities. Washington, DC: American Institute of Acrchitects Press.

                    American Society of Heating, Refrigerating and Air-conditioning Engineers (ASHRAE). 1987. Health facilities. In ASHRAE Handbook: Heating, Ventilating and Air-conditioning Systems and Applications. Atlanta, GA: ASHRAE.

                    Anon. 1996. New drugs for HIV infection. Medical Letter of Drugs and Therapeutics 38:37.

                    Axelsson, G, R Rylander, and I Molin. 1989. Outcome of pregnancy in relation to irregular and inconvenient work schedules. Brit J Ind Med 46:393-398.

                    Beatty, J SK Ahern, and R Katz. 1977. Sleep deprivation and the vigilance of anesthesiologists during simulated surgery. In Vigilance, edited by RR Mackie. New York: Plenum Press.

                    Beck-Friis, B, P Strang, and PO Sjöden. 1991. Work stress and job satisfaction in hospital-based home care. Journal of Palliative Care 7(3):15-21.

                    Benenson, AS (ed.). 1990. Control of Communicable Disease in Man, 15th edition. Washington, DC: American Public Health Association.

                    Bertold, H, F Hofmann, M Michaelis, D Neumann-Haefelin, G Steinert, and J Wölfle. 1994. Hepatitis C—Risiko für Beschäftigte im Gesundheitsdienst? In Arbeitsmedizin im Gesundheitsdienst, Band 7, edited by F Hofmann, G Reschauer, and U Stössel. Stuttgart: Gentner Verlag.

                    Bertram, DA. 1988. Characteristics of shifts and second-year resident performance in an emergency department. NY State J Med 88:10-14.

                    Berufsgenossenschaft für Gesundheitsdienst und Wohlfahrtspflege (BGW). 1994. Geschäftsbericht.

                    Bissel, L and R Jones. 1975. Disabled doctors ignored by peers. Presented at the American Medical Association Conference on the Imparied Physician, 11 April, San Francisco, CA.

                    Bitker, TE. 1976. Reaching out to the depressed physician. JAMA 236(15):1713-1716.

                    Blanchard, M, MM Cantel, M Faivre, J Girot, JP Ramette, D Thely, and M Estryn-Béhar. 1992. Incidence des rythmes biologiques sur le travail de nuit. In Ergonomie à l’hôpital, edited by M Estryn-Béhar, C Gadbois, and M Pottier. Toulouse: Edition Octares.

                    Blanpain, C and M Estryn-Béhar. 1990. Measures d’ambiance physique dans dix services hospitaliers. Performances 45:18-33.

                    Blaycock, B. 1995. Latex allergies: Overview, prevention and implications for nursing care. Ostomy Wound Manage 41(5):10-12,14-15.

                    Blazer, MJ, FJ Hickman, JJ Farmer, and DJ Brenner. 1980. Salmonella typhi: The laboratory as a reservoir of infection. Journal of Infectious Diseases 142:934-938.

                    Blow, RJ and MIV Jayson. 1988. Back pain. In Fitness for Work: The Medical Approach, edited by FC Edwards, RL McCallum, and PJ Taylor. Oxford: Oxford University Press.

                    Boehm, G and E Bollinger. 1990. Significance of environmental factors on the tolerated enteral feeding volumes for patients in neonatal intensive care units. Kinderarzliche Praxis 58(6):275-279.

                    Bongers, P, RD Winter, MAJ Kompier, and VV Hildebrandt. 1992. Psychosocial Factors at Work and Musculoskeletal Diseases. Review of the literature. Leiden, Netherlands: TNO.

                    Bouhnik, C, M Estryn-Béhar, B Kapitaniak, M Rocher, and P Pereau. 1989. Le roulage dans les établissements de soins. Document pour le médecin du travail. INRS 39:243-252.

                    Boulard, R. 1993. Les indices de santé mentale du personnel infirmier: l’impact de la charge de travail, de l’autonomie et du soutien social. In La psychologie du travail à l’aube du XXI° siècle. Actes du 7° Congrès de psychologie du travail de langue française. Issy-les-Moulineaux: Editions EAP.

                    Breakwell, GM. 1989. Facing Physical Violence. London: British Psychological Society.

                    Bruce, DL and MJ Bach. 1976. Effects of Trace Concentrations of Anesthetic Gases on Behavioral Performance of Operating Room Personnel. DHEW (NIOSH) Publication No. 76-169. Cincinnati, OH: NIOSH.

                    Bruce, DL, KA Eide, HW Linde, and JE Eckenhoff. 1968. Causes of death among anesthesiologists: A 20 years survey. Anesthesiology 29:565-569.

                    Bruce, DL, KA Eide, NJ Smith, F Seltzer, and MH Dykes. 1974. A prospective survey of anesthesiologists’ mortality, 1967-1974. Anesthesiology 41:71-74.

                    Burhill, D, DA Enarson, EA Allen, and S Grzybowski. 1985. Tuberculosis in female nurses in British Columbia. Can Med Assoc J 132:137.

                    Burke, FJ, MA Wilson, and JF McCord. 1995. Allergy to latex gloves in clinical practice: Case reports. Quintessence Int 26(12):859-863.

                    Buring, JE, CH Hennekens, SL Mayrent, B Rosner, ER Greenberg, and T Colton. 1985. Health experiences of operating room personnel. Anesthesiology 62: 325-330.

                    Burton, R. 1990. St. Mary’s Hospital, Isle of Wight: A suitable background for caring. Brit Med J 301:1423-1425.

                    Büssing, A. 1993. Stress and burnout in nursing: Studies in different work structures and work schedules. In Occupational Health for Health Care Workers, edited by M Hagberg, F Hofmann, U Stössel, and G Westlander. Landsberg/Lech: Ecomed Verlag.

                    Cabal, C, D Faucon, H Delbart, F Cabal, and G Malot. 1986. Construction d’une blanchisserie industrielle aux CHU de Saint-Etienne. Arch Mal Prof 48(5):393-394.

                    Callan, JR, RT Kelly, ML Quinn, JW Gwynne, RA Moore, FA Muckler, J Kasumovic, WM Saunders, RP Lepage, E Chin, I Schoenfeld, and DI Serig. 1995. Human Factors Evaluation of Remote Afterloading Brachytherapy. NUREG/CR-6125. Vol. 1. Washington, DC: Nuclear Regulatory Commission

                    Cammock, R. 1981. Primary Health Care Buildings: Briefing and Design Guide for Architects and Their Clients. London: Architectural Press.

                    Cardo, D, P Srivastava, C Ciesielski, R Marcus, P McKibben, D Culver, and D Bell. 1995. Case-control study of HIV seroconversion in health care workers after percutaneous exposure to HIV-infected blood (abstract). Infect Control Hosp Epidemiol 16 suppl:20.

                    Carillo, T, C Blanco, J Quiralte, R Castillo, M Cuevas, and F Rodriguez de Castro. 1995. Prevalence of latex allergy among greenhouse workers. J Allergy Clin Immunol 96(5/1):699-701.

                    Catananti, C and A Cambieri. 1990. Igiene e Tecnica Ospedaliera (Hospital Hygiene and Organization). Roma: II Pensiero Scientifico Editore.

                    Catananti, C, G Damiani, G Capelli, and G Manara. 1993. Building design and selection of materials and furnishings in the hospital: A review of international guidelines. In Indoor Air ’93, Proceedings of the 6th International Conference on Indoor Air Quality and Climate 2:641-646.

                    Catananti, C, G Capelli, G Damiani, M Volpe, and GC Vanini. 1994. Multiple criteria evaluation in planning selection of materials for health care facilities. Preliminary identification of criteria and variables. In Healthy Buildings ’94, Proceedings of the 3rd International Conference 1:103-108.

                    Cats-Baril, WL and JW Frymoyer. 1991. The economics of spinal disorders. In The Adult Spine, edited by JW Frymoyer. New York: Raven Press.

                    Centers for Disease Control (CDC). 1982. Acquired immunodeficiency syndrome (AIDS): Precautions for clinical laboratory staffs. Morb Mortal Weekly Rep 31:577-580.

                    —. 1983. Acquired immunodeficiency syndrome (AIDS): Precautions for health-care workers and allied professionals. Morb Mortal Weekly Rep 32:450-451.

                    —. 1987a. Human immunodeficiency virus infection in health-care workers exposed to blood of infected patients. Morb Mortal Weekly Rep 36:285-289.

                    —. 1987b. Recommendations for prevention of HIV transmission in health-care settings. Morb Mortal Weekly Rep 36 suppl 2:3S-18S.

                    —. 1988a. Universal precautions for prevention of transmission of human immunodeficiency virus, hepatitis B virus, and other bloodborne pathogens in health-care settings. Morb Mortal Weekly Rep 37:377-382,387-388.

                    —. 1988b. Guidelines for prevention of transmission of human immunodeficiency virus and hepatitis B virus to health-care and public-safety workers. Morb Mortal Weekly Rep 37 suppl 6:1-37.

                    —. 1989. Guidelines for prevention of transmission of human immunodeficiency virus and hepatitis B virus to health-care and public-safety workers. Morb Mortal Weekly Rep 38 suppl 6.

                    —. 1990. Public Health Service statement on management of occupational exposure to human immunodeficiency virus, including considerations regarding post-exposure use. Morb Mortal Weekly Rep 39 (No. RR-1).

                    —. 1991a. Hepatitis B virus: A comprehensive strategy for eliminating transmission in the United States through universal childhood vaccination: Recommendations of the Immunization Practices Advisory Committee (ACIP). Morb Mortal Weekly Rep 40 (No. RR-13).

                    —. 1991b. Recommendations for preventing transmission of human immunodeficiency virus and hepatitis B virus to patients during exposure-prone invasive procedures. Morb Mortal Weekly Rep 40 (No. RR-8).

                    —. 1993a. Recommended infection-control practices in dentistry. Morb Mortal Weekly Rep 42 (No. RR-8):1-12.

                    —. 1993b. Biosafety in Microbial and Biomedical Laboratories, 3rd edition. DHHS (CDC) Publication No. 93-8395. Atlanta, GA: CDC.

                    —. 1994a. HIV/AIDS Surveillance Report. Vol. 5(4). Atlanta, GA: CDC.

                    —. 1994b. HIV/AIDS Prevention Newsletter. Vol. 5(4). Atlanta, GA: CDC.

                    —. 1994c. Human immunodeficiency virus in household settings—United States. Morb Mortal Weekly Rep 43:347-356.

                    —. 1994d. HIV/AIDS Surveillance Report. Vol. 6(1). Atlanta, GA: CDC.

                    —. 1994e. Guidelines for preventing the transmission of Mycobacterium tuberculosis in health-care facilities. Morb Mortal Weekly Rep 43 (No. RR-13):5-50.

                    —. 1995. Case-control study of HIV seroconversion in health-care workers after percutaneous exposure to HIV-infected blood—France, United Kingdom, and United States. Morb Mortal Weekly Rep 44:929-933.

                    —. 1996a. HIV/AIDS Surveillance Report. Vol 8(2). Atlanta, GA: CDC.

                    —. 1996b. Update: Provisional Public Health Service recommendations for chemoprophylaxis after occupational exposure to HIV. Morb Mortal Weekly Rep 45:468-472.

                    Charney, W (ed.). 1994. Essentials of Modern Hospital Safety. Boca Raton, FL: Lewis Publishers.

                    Chou, T, D Weil, and P Arnmow. 1986. Prevalence of measles antibodies in hospital personnel. Infec Contr Hosp Epid 7:309-311.

                    Chriske, H and A Rossa. 1991. Hepatitis-C-Infektionsgefährdung des medizinischen Personals. In Arbeitsmedizin im Gesundheitsdienst, Band 5, edited by F Hofmann and U Stössel. Stuttgart: Gentner Verlag.

                    Clark, DC, E Salazar-Gruesco, P Grabler, J Fawcett. 1984. Predictors of depression during the first 6 months of internship. Am J Psychiatry 141:1095-1098.

                    Clemens, R, F Hofmann, H Berthold, and G Steinert. 1992. Prävalenz von Hepatitis, A, B und C bei Bewohern einer Einrichtung für geistig Behinderte. Sozialpädiatrie 14:357-364.

                    Cohen, EN. 1980. Anasthetic Exposure in the Workplace. Littleton, MA: PSG Publishing Co.

                    Cohen, EN, JW Bellville, and BW Brown, Jr. 1971. Anesthesia, pregnancy and miscarriage: A study of operating room nurses and anesthetists. Anesthesiology 35:343-347.

                    —. 1974. Occupational disease among operating room personnel: A national study. Anesthesiology 41:321-340.

                    —. 1975. A survey of anethestic health hazards among dentists. J Am Dent Assoc 90:1291-1296.

                    Commission of the European Communities. 1990. Recommendation of the Commission February 21, 1990, about Protection of People against Exposure to Radon in Indoor Environments. 90/143/Euratom (Italian Translation).

                    Cooper, JB. 1984. Toward prevention of anesthesic mishaps. International Anesthesiology Clinics 22:167-183.

                    Cooper, JB, RS Newbower, and RJ Kitz. 1984. An analysis of major errors and equipment failures in anesthesia management: Considerations for prevention and detection. Anesthesiology 60(1):34-42.

                    Costa, G, R Trinco, and G Schallenberg. 1992. Problems of thermal comfort in an operating room equipped with laminar air flow system In Ergonomie à l’hôpital (Hospital Ergonomics), edited by M Estryn-Béhar M, C Gadbois, and M Pottier. International Symposium Paris 1991. Toulouse: Editions Octares.

                    Cristofari, M-F, M Estryn-Béhar, M Kaminski, and E Peigné. 1989. Le travail des femmes à l’hôpital. Informations Hospitalières 22/23:48-62.

                    Council of the European Communities. 1988. Directive December 21, 1988, to Draw Near the Laws of Member Countries about Building Products. 89/106/EEC (Italian translation).

                    de Chambost, M. 1994. Alarmes sonnantes, soignantes trébuchantes. Objectif soins 26:63-68.

                    de Keyser, V and AS Nyssen. 1993. Les erreurs humaines en anesthésies. Le Travail humain 56(2/3):243-266.

                    Decree of the President of Ministers Council. 1986. Directive to the Regions about Private Health Care Facilities Requirements. 27 June.

                    Dehlin, O, S Berg, GBS Andersson, and G Grimby. 1981. Effect of physical training and ergonomic counselling on the psychosocial perception of work and on the subjective assesment of low-back insuffuciency. Scand J Rehab 13:1-9.

                    Delaporte, MF, M Estryn-Béhar, G Brucker, E Peigne, and A Pelletier. 1990. Pathologie dermatologique et exercice professionnel en milieu hospitalier. Arch Mal Prof 51(2):83-88.

                    Denisco, RA, JN Drummond, and JS Gravenstein. 1987. The effect of fatigue on the performance of a simulated anesthetic monitoring task. J Clin Monit 3:22-24.

                    Devienne, A, D Léger, M Paillard, A Dômont. 1995. Troubles du sommeil et de la vigilance chez des généralistes de garde en région parisienne. Arch Mal Prof 56(5):407-409.

                    Donovan, R, PA Kurzman, and C Rotman. 1993. Improving the lives of home care workers: A partnership of social work and labor. Soc Work 38(5):579-585..

                    Edling, C. 1980. Anesthetic gases as an occupational hazard. A review. Scand J Work Environ Health 6:85-93.

                    Ehrengut, W and T Klett. 1981. Rötelnimmunstatus von Schwesternschülerinnen in Hamberger Krankenhäusern im Jahre 1979. Monatsschrift Kinderheilkdunde 129:464-466.

                    Elias, J, D Wylie, A Yassi, and N Tran. 1993. Eliminating worker exposure to ethylene oxide from hospital sterilizers: An evaluation of cost and effectiveness of an isolation system. Appl Occup Environ Hyg 8(8):687-692.

                    Engels, J, TH Senden, and K Hertog. 1993. Working postures of nurses in nursing homes. In Occupational Health for Health Care Workers, edited by M Hagberg, F Hofmann, U Stössel, and G Westlander. Landsberg/Lech: Ecomed Verlag.

                    Englade J, E Badet and G Becque. 1994. Vigilance et qualité de sommeil des soignants de nuit. Revue de l’infirmière 17:37-48.

                    Ernst, E and V Fialka. 1994. Idiopathic low back pain: Present impact, future directions. European Journal of Physical Medicine and Rehabilitation 4:69-72.

                    Escribà Agüir, V. 1992. Nurses’ attitudes towards shiftwork and quality of life, Scand J Soc Med 20(2):115-118.

                    Escribà Agüir V, S Pérez, F Bolumar, and F Lert. 1992. Retentissement des horaires de travail sur le sommeil des infirmiers. In Ergonomie à l’hôpital (Hospital Ergonomics), edited by M Estryn-Béhar, C Gadbois, and M Pottier. International Symposium Paris 1991. Toulouse: Editions Octares.

                    Estryn-Béhar, M. 1990. Les groupes de parole: Une stratégie d’amélioration des relations avec les malades. Le concours médical 112(8):713-717.

                    —. 1991. Guide des risques professionnels du personnel des services de soins. Paris: Editions Lamarre.

                    Estryn-Béhar, M and N Bonnet. 1992. Le travail de nuit à l’hôpital. Quelques constats à mieux prendre en compte. Arch Mal Prof 54(8):709-719.

                    Estryn-Béhar, M and F Fonchain. 1986. Les troubles du sommeil du personnel hospitalier effectuant un travail de nuit en continu. Arch Mal Prof 47(3):167-172;47(4):241.

                    Estryn-Béhar, M and JP Fouillot. 1990a. Etude de la charge physique du personnel soignant, Documents pour le médecin du travail. INRS: 27-33.

                    —. 1990b. Etude de la charge mentale et approche de la charge psychique du personnel soignant. Analyse du travail des infirmières et aides-soignantes dans 10 services de soins. Documents pour le médecin du travail INRS 42:131-144.

                    Estryn-Béhar, M and C Hakim-Serfaty. 1990. Organisation de l’espace hospitalier. Techn hosp 542:55-63.

                    Estryn-Béhar, M and G Milanini. 1992. Concevoir les espaces de travail en services de soins. Technique Hospitalière 557:23-27.

                    Estryn-Béhar, M and H Poinsignon. 1989. Travailler à l’hopital. Paris: Berger Levrault.

                    Estryn-Béhar, M, C Gadbois, and E Vaichere. 1978. Effets du travail de nuit en équipes fixes sur une population féminine. Résultats d’une enquête dans le secteur hospitalier. Arch Mal Prof 39(9):531-535.

                    Estryn-Béhar, M, C Gadbois, E Peigné, A Masson, and V Le Gall. 1989b. Impact of nightshifts on male and female hospital staff, in Shiftwork: Health and Performance, edited by G Costa, G Cesana, K Kogi, and A Wedderburn. Proceedings of the International Symposium on Night and Shift Work. Frankfurt: Peter Lang.

                    Estryn-Béhar, M, M Kaminski, and E Peigné. 1990. Strenuous working conditions and musculoskeletal disorders among female hospital workers. Int Arch Occup Environ Health 62:47-57.

                    Estryn-Béhar, M, M Kaminski, M Franc, S Fermand, and F Gerstle F. 1978. Grossesse er conditions de travail en milieu hospitalier. Revue franç gynec 73(10) 625-631.

                    Estryn-Béhar, M, M Kaminski, E Peigné, N Bonnet, E Vaichère, C Gozlan, S Azoulay, and M Giorgi. 1990. Stress at work and mental health status. Br J Ind Med 47:20-28.

                    Estryn-Béhar, M, B Kapitaniak, MC Paoli, E Peigné, and A Masson. 1992. Aptitude for physical exercise in a population of female hospital workers. Int Arch Occup Environ Health 64:131-139.

                    Estryn Béhar, M, G Milanini, T Bitot, M Baudet, and MC Rostaing. 1994. La sectorisation des soins: Une organisation, un espace. Gestion hospitalière 338:552-569.

                    Estryn-Béhar, M, G Milanini, MM Cantel, P Poirier, P Abriou, and the ICU’s study group. 1995a. Interest of participative ergonomic methodology to improve an intensive care unit. In Occupational Health for Health Care Workers, 2nd edition, edited by M Hagberg, F Hofmann, U Stössel, and G Westlander. Landsberg/Lech: Ecomed Verlag.

                    —. 1995b. Participative ergonomic methodology for the new fitting out of a cardiologic intensive care unit. In Occupational Health for Health Care Workers, 2nd edition, edited by M Hagberg, F Hofmann, U Stössel, and G Westlander. Landsberg/Lech: Ecomed Verlag.

                    Estryn-Béhar, M, E Peigné, A Masson, C Girier-Desportes, JJ Guay, D Saurel, JC Pichenot, and J Cavaré. 1989a. Les femmes travaillant à l’hôpital aux différents horaires, qui sont-elles? Que décrivent-elles comme conditions de travail? Que souhaitent-elles? Arch Mal Prof 50(6):622-628.

                    Falk, SA and NF Woods. 1973. Hospital noise-levels and potential health hazards, New England J Med 289:774-781.

                    Fanger, PO. 1973. Assessment of man’s thermal comfort in practice. Br J Ind Med 30:313-324.

                    —. 1992. Sensory characterization of air quality and pollution sources. In Chemical, Microbiological, Health and Comfort Aspects of Indoor Air Quality—State of the Art in SBS, edited by H Knoppel and P Wolkoff. Dordrecht, NL: Kluwer Academic Publishers.

                    Favrot-Laurens. 1992. Advanced technologies and work organization of hospital teams. In Ergonomie à l’hôpital (Hospital Ergonomics), edited by M Estryn-Béhar, C Gadbois, and M Pottier. International Symposium Paris 1991. Toulouse: Editions Octares.

                    —. 1992. Sensory characterization of air quality and pollution sources. In Chemical, Microbiological, Health and Comfort Aspects of Indoor Air Quality—State of the Art in Sick Building Syndrome, edited by H Koppel and P Wolkoff. Brussels and Luxembourg: EEC.

                    Ferstandig, LL. 1978. Trace concentrations of anesthetic gases: A critical review of their disease potential. Anesth Analg 57:328-345.

                    Finley, GA and AJ Cohen. 1991. Percieved urgency and the anaesthetist: Responses to common operating room monitor alarms. Can J Anaesth 38(8):958-964

                    Ford, CV and DK Wentz. 1984. The internship year: A study of sleep, mood states, and psychophysiologic parameters. South Med J 77:1435-1442.

                    Friedman, RC, DS Kornfeld, and TJ Bigger. 1971. Psychological problems associated with sleep deprivation in interns. Journal of Medical Education 48:436-441.

                    Friele, RD and JJ Knibbe. 1993. Monitoring the barriers with the use of patient lifts in home care as perceived by nursing personnel. In Occupational Health for Health Care Workers, edited by M Hagberg, F Hofmann, U Stössel, and G Westlander. LandsbergLech: Ecomed Verlag.

                    Gadbois, CH. 1981. Aides-soignantes et infirmières de nuit. In Conditions de travail et vie quotidienne. Montrougs: Agence Nationale pour l’Amélioration des Conditions de Travail.

                    Gadbois, C, P Bourgeois, MM Goeh-Akue-Gad, J Guillaume, and MA Urbain. 1992. Contraintes temporelles et structure de l’espace dans le processus de travail des équipes de soins. In Ergonomie à l’hôpital (Hospital Ergonomics), edited by M Estryn-Béhar, C Gadbois, and M Pottier. International Symposium Paris 1991. Toulouse: Editions Octares.

                    Games, WP, and W Tatton-Braen. 1987. Hospitals Design and Development. London: Architectural Press.

                    Gardner, ER and RC Hall. 1981. The professional stress syndrome. Psychosomatics 22:672-680.

                    Gaube, J, H Feucht, R Laufs, D Polywka, E Fingscheidt, and HE Müller. 1993. Hepatitis A, B und C als desmoterische Infecktionen. Gessundheitwesen und Desinfextion 55:246-249.

                    Gerberding, JL. N.d. Open trial of Zidovudine Postexposure-chemoprophylaxis in Health Care Workers with Occupational Exposures to Human Immunodeficiency Virus. Skript SFGH.

                    —. 1995. Management of occupational exposures to blood-borne viruses. New Engl J Med 332:444-451.

                    Ginesta, J. 1989. Gases anestésicos. In Riesgos del Trabajo del Personal Sanitario, edited by JJ Gestal. Madrid: Editorial Interamericana McGraw-Hill.

                    Gold, DR, S Rogacz, N Bock, TD Tosteson, TM Baum, FE Speizer, and CA Czeiler. 1992. Rotating shift work, sleep and accidents related to sleepiness in hospital nurses. Am J Public Health 82(7):1011-1014.

                    Goldman, LI, MT McDonough, and GP Rosemond. 1972. Stresses affecting surgical performance and learning: Correlation of heart rate, electrocardiogram, and operation simultaneously recorded on videotapes. J Surg Res 12:83-86.

                    Graham, C, C Hawkins, and W Blau. 1983. Innovative social work practice in health care: Stress management. In Social Work in a Turbulent World, edited by M Dinerman. Washington, DC: National Association of Social Workers.

                    Green, A. 1992. How nurses can ensure the sounds patients hear have a positive rather than negative effect upon recovery and quality of life. Intensive & Critical Care Nursing Journal 8(4):245-248.

                    Griffin, WV. 1995. Social worker and agency safety. In Encyclopaedia of Social Work, 19th edition. Washington, DC: National Association of Social Workers.

                    Grob, PJ. 1987. Cluster of hepatitis B transmission by a physician. Lancet 339:1218-1220.

                    Guardino, X and MG Rosell. 1985. Exposicion laboral a gases anestésicos. In Notas Técnicas de Prevención. No. 141. Barcelona: INSHT.

                    —. 1992. Exposure at work to anesthetic gases. A controlled risk? Janus 12:8-10.

                    —. 1995. Exposure monitoring to anesthetic gases. In Occupational Health for Health Care Workers, edited by M Hagburg, F Hoffmann, U Stössel, and G Westlander. Solna: National Institute of Occupational Health.

                    Hagberg, M, F Hofmann, U Stössel, and G Westlander (eds.). 1993. Occupational Health for Health Care Workers. Landsberg/Lech: Ecomed Verlag.

                    Hagberg, M, F Hofmann, U Stössel, and G Westlander (eds.). 1995. Occupational Health for Health Care Workers. Singapore: International Commission on Occupational Health.

                    Haigh, R. 1992. The application of ergonomics to the design of workplace in health care buildings in the U.K. In Ergonomie à l’hôpital (Hospital Ergonomics), edited by M Estryn-Béhar, C Gadbois, and M Pottier. International Symposium Paris 1991. Toulouse: Editions Octares.

                    Halm, MA and MA Alpen, 1993. The impact of technology on patient and families. Nursing Clinics of North America 28(2):443-457.

                    Harber, P, L Pena, and P Hsu. 1994. Personal history, training, and worksite as predictors of back pain of nurses. Am J Ind Med 25:519-526.

                    Hasselhorn, HM. 1994. Antiretrovirale prophylaxe nach kontakt mit HIV-jontaminierten. In Flüssigkeiten in Infektiologie, edited by F Hofmann. Landsberg/Lech: Ecomed Verlag.

                    Hasselhorn, HM and E Seidler.1993. Terminal care in Sweden—New aspects of the professional care of dying. In Occupational Health for Health Care Workers, edited by M Hagberg, F Hofmann, U Stössel U, and G Westlander. Landsberg/Lech: Ecomed Verlag.

                    Heptonstall, J, K Porter, and N Gill. 1993. Occupational Transmission of HIV: Summary of Published Reports. London: Communicable Disease Surveillance Centre AIDS Centre.

                    Hesse, A, Lacher A, HU Koch, J Kublosch, V Ghane, and KF Peters. 1996. Update on the latex allergy topic. Hauzarzt 47(11):817-824.

                    Ho, DD, T Moudgil, and M Alam. 1989. Quantitation of human immunodeficiency virus type 1 in the blood of infected persons. New Engl J Med 321:1621-1625.

                    Hodge, B and JF Thompson. 1990. Noise pollution in the operating theatre. Lancet 335:891-894.

                    Hofmann, F and H Berthold. 1989. Zur Hepatitis-B-Gefährdung des Krankenhauspersonals-Möglichkeiten der prae-und postexpositionellen Prophylaxe. Medizinische Welt 40:1294-1301.

                    Hofmann, F and U Stössel. 1995. Environmental health in the health care professions: Biological, physical, psychic, and social health hazards. Reviews on Environmental Health 11:41-55.

                    Hofmann, F, H Berthold, and G Wehrle. 1992. Immunity to hepatitis A in hospital personnel. Eur J Clin Microbiol Infect Dis 11(12):1195.

                    Hofmann, F, U Stössel, and J Klima. 1994. Low back pain in nurses (I). European Journal of Physical and Medical Rehabilitation 4:94-99.

                    Hofmann, F, B Sydow, and M Michaelis. 1994a. Mumps—berufliche Gefährdung und Aspekte der epidemiologischen Entwicklung. Gessundheitwesen und Desinfextion 56:453-455.

                    —. 1994b. Zur epidemiologischen Bedeutung der Varizellen. Gessundheitwesen und Desinfextion 56:599-601.

                    Hofmann, F, G Wehrle, K Berthold, and D Köster. 1992. Hepatitis A as an occupational hazard. Vaccine 10 suppl 1:82-84.

                    Hofmann, F, U Stössel, M Michaelis, and A Siegel. 1993. Tuberculosis—Occupational risk for health care workers? In Occupational Health for Health Care Workers, edited by M Hagberg. Landsberg/Lech: Ecomed Verlag.

                    Hofmann, F, M Michaelis, A Siegel, and U Stössel. 1994. Wirbelsäulenerkrankungen im Pflegeberuf. Medizinische Grundlagen und Prävention. Landsberg/Lech: Ecomed Verlag.

                    Hofmann, F, M Michaelis, M Nübling, and FW Tiller. 1995. European Hepatitis—A Study. Publikation in Vorereitung.

                    Hofmann, H and C Kunz. 1990. Low risk of health care workers for infection with hepatitis-C virus. Infection 18:286-288.

                    Holbrook, TL, K Grazier, JL Kelsey, and RN Stauffer. 1984. The Frequency of Occurrence, Impact, and Cost of Selected Musculoskeletal Conditions in the United States. Park Ridge, Il: American Academy of Orthopedic Surgeons.

                    Hollinger, FB. 1990. Hepatitis B virus. In Virology, edited by BN Fiedles and DM Knipe. New York: Raven Press.

                    Hopps, J and P Collins. 1995. Social work profession overview. In Encyclopedia of Social Work, 19th edition. Washington, DC: National Association of Social Workers.

                    Hubacova, L, I Borsky, and F Strelka. 1992. Work physiology problems of nurses working in inpatients departments. In Ergonomie à l’hôpital (Hospital Ergonomics), edited by M Estryn-Béhar, C Gadbois, and M Pottier. International Symposium Paris 1991. Toulouse: Editions Octares.

                    Hunt, LW, AF Fransway, CE Reed, LK Miller, RT Jones, MC Swanson, and JW Yunginger. 1995. An epidemic of occupational allergy to latex involving health care workers. J Occup Environ Med 37(10):1204-1209.

                    Jacobson, SF and HK MacGrath. 1983. Nurses under Stress. New York: John Wiley & Sons.

                    Jacques, CHM, MS Lynch and JS Samkoff. 1990. The effects of sleep loss on cognitive performance of resident physicians. J Fam Pract 30:223-229.

                    Jagger, J, EH Hunt, J Brand-Elnagger, and RD Pearson. 1988. Rates of needle-stick injury caused by various devices in a university hospital. New Engl J Med 319:284-288.

                    Johnson, JA, RM Buchan, and J S Reif. 1987. Effect of waste anesthetic gas and vapor exposure on reproductive outcome in veterinary personnel. Am Ind Hyg Assoc J 48(1):62-66.

                    Jonasson, G, JO Holm, and J Leegard. Rubber allergy: An increasing health problem? Tuidsskr Nor Laegeforen 113(11):1366-1367.

                    Kandolin, I. 1993. Burnout of female and male nurses in shiftwork. Ergonomics 36(1/3):141-147.

                    Kaplan, RM and RA Deyo. 1988. Back pain in health care workers. In Back Pain in Workers, edited by RA Deyo. Philadelphia, PA: Hanley & Belfus.

                    Katz, R. 1983. Causes of death among nurses. Occup Med 45:760-762.

                    Kempe, P, M Sauter and I Lindner. 1992. Special characteristics of nurses for the aged who made use of a training program aimed to reduce burn-out symptoms and first results on treatment outcome. In Ergonomie à l’hôpital (Hospital Ergonomics), edited by M Estryn-Béhar, C Gadbois, and M Pottier. International Symposium Paris 1991. Toulouse: Editions Octares.

                    Kerr, JH. 1985. Warning devices. Br J Anaesth 57:696-708.

                    Kestin, IG, RB Miller, and CJ Lockhart. 1988. Auditory alarms during anesthesia monitoring. Anesthesiology 69(1):106-109.

                    Kinloch-de-los, S, BJ Hirschel, B Hoen, DA Cooper, B Tindall, A Carr, H Sauret, N Clumeck, A Lazzarin, and E Mathiesen. 1995. A controlled trial of Zidovudine in primary human immunodeficiency virus infection. New Engl J Med 333:408-413.

                    Kivimäki, M and K Lindström. 1995. The crucial role of the head nurse in a hospital ward. In Occupational Health for Health Care Workers, edited by M Hagberg, F Hofmann, U Stössel, and G Westlander. Landsberg/Lech: Ecomed Verlag.

                    Klaber Moffet, JA, SM Chase, I Portek, and JR Ennis. 1986. A controlled study to evaluate the efectiveness of the back pain school in the relief of chronic low back pain. Spine 11:120-122.

                    Kleczkowski, BM, C Montoya-Aguilar, and NO Nilsson. 1985. Approaches to Planning and Design of Health Care Facilities in Developing Areas. Vol. 5. Geneva: WHO.

                    Klein, BR and AJ Platt. 1989. Health Care Facility Planning and Construction. New York: Van Nostrand Reinhold.

                    Kelin, R, K Freemann, P Taylor, C Stevens. 1991. Occupational risk for hepatits C virus infection among New York City dentists. Lancet 338:1539-1542.

                    Kraus, H. 1970. Clinical Treatment of Back and Neck Pain. New York: McGraw-Hill.

                    Kujala, VM and KE Reilula. 1995. Glove-induced dermal and respiratory symptoms among health care workers in one Finnish hospital. Am J Ind Med 28(1):89-98.

                    Kurumatani, N, S Koda, S Nakagiri, K Sakai, Y Saito, H Aoyama, M Dejima, and T Moriyama. 1994. The effects of frequently rotating shiftwork on sleep and the family life of hospital nurses. Ergonomics 37:995-1007.

                    Lagerlöf, E and E Broberg. 1989. Occupational injuries and diseases. In Occupational Hazards in the Health Professions, edited by DK Brune and C Edling. Boca Raton, FL: CRC Press.

                    Lahaye, D, P Jacques, G Moens, and B Viaene. 1993. The registration of medical data obtained by preventive medical examinations on health care workers. In Occupational Health for Health Care Workers, edited by M Hagberg, F Hofmann, F, U Stössel and G Westlander. Landsberg/Lech: Ecomed Verlag.

                    Lampher, BP, CC Linneman, CG Cannon, MM DeRonde, L Pendy, and LM Kerley. 1994. Hepatitis C virus infection in health care workers: Risk of exposure and infection. Infect Control Hosp Epidemiol 15:745-750.

                    Landau, C, S Hall, SA Wartman, and MB Macko. 1986. Stress in social and family relationships during medical residency. Journal of Medical Education 61:654-660.

                    Landau, K. 1992. Psycho-physical strain and the burn-out phenomen amongst health care professionals. In Ergonomie à l’hôpital (Hospital Ergonomics), edited by M Estryn-Béhar, C Gadbois, and M Pottier. International Symposium Paris 1991. Toulouse: Editions Octares.

                    Landewe, MBM and HT Schröer. 1993. Development of a new, integrated patient transfer training program—Primary prevention of low back pain. In Occupational Health for Health Care Workers, editeb by M Hagberg, F Hofmann, U Stössel, and G Westlander. Landsberg/Lech: Ecomed Verlag.

                    Lange, M. 1931. Die Muskelhärten (Myogelosen). Munich: JF Lehman Verlag.

                    Lange, W and KN Masihi. 1986. Durchseuchung mit Hepatitis-A- und B-Virus bei medizinischem Personal. Bundesgesundheitsol 29;183-87.

                    Lee, KA. 1992. Self-reported sleep disturbances in employed women. Sleep15(6):493-498.

                    Lempereur, JJ. 1992. Prévention des dorso-lombalgies. Influence du vêtement de travail sur le comportement gestuel. Spécifications ergonomiques. Cah Kinésither 156,:4.

                    Leppanen, RA and MA Olkinuora. 1987. Psychological stress experienced by health care personnel. Scand J Work Environ Health 13:1-8.

                    Lert, F, MJ Marne, and A Gueguen. 1993. Evolution des conditions de travail des infirmières des hôpitaux publics de 1980 à 1990. Revue de l’Epidémiologie et de santé publique 41:16-29.

                    Leslie, PJ, JA Williams, C McKenna, G Smith and RC Heading. 1990. Hours, volume, and type of work of preregistration house officers. Brit Med J 300:1038-1041.

                    Lettau, LA, HJ Alfred, RH Glew, HA Fields, MJ Alter, R Meyer, SC Hadler, and JE Maynard. 1986. Nosocomial transmission of delta hepatitis. Ann Intern Med 104:631-635.

                    Levin, H. 1992. Healthy buildings—Where do we stand, where do we go? In Chemical, Microbiological, Health and Comfort Aspects of Indoor Air Quality: State of the Art in Sick Building Syndrome, edited by H Knoppel and P Wolkoff. Brussels and Luxembourg: EEC.

                    Lewittes, LR and VW Marshall. 1989. Fatigue and concerns about quality of care among Ontario interns and residents. Can Med Assoc J 140:21-24.

                    Lewy, R. 1990. Employees at Risk: Protection and Health of Health Care Workers. New York: Van Nostrand Reinhold.

                    Lindström, A and M Zachrisson. 1973. Ryggbesvär och arbetssoförmaga Ryyggskolan. Ett Försok till mer rationeli fysikalist terapi. Socialmet T 7:419-422.

                    Lippert. 1971. Travel in nursing units. Human Factors 13(3):269-282.

                    Ljungberg, AS, A Kilbom, and MH Goran. 1989. Occupational lifting by nursing aides and warehouse workers. Ergonomics 32:59-78.

                    Llewelyn-Davies, R and J Wecks. 1979. In-patient areas. In Approaches to Planning and Design of Health Care Facilities in Developing Areas, edited by BM Kleczkowski and R Piboleau. Geneva: WHO.

                    Loeb, RG, BR Jones, KH Behrman, and RJ Leonard. 1990. Anesthetists cannot identify audible alarms. Anesthesiology 73(3A):538.

                    Lotas, MJ. 1992. Effects of light and sound in the neonatal intensive care unit environment on the low-birth-weight infant. NAACOGS Clinical Issues in Perinatal & Womens Health Nursing 3(1):34-44.

                    Lurie, HE, B Rank, C Parenti, T Wooley, and W Snoke. 1989. How do house officers spend their nights? A time study of internal medicine house staff on call. New Engl J Med 320:1673-1677.

                    Luttman, A, M Jäger, J Sökeland, and W Laurig. 1996. Electromyographical study on surgeons in urology II. Determination of muscular fatigue. Ergonomics 39(2):298-313.

                    Makino, S. 1995. Health problems in health care workers in Japan. In Occupational Health for Health Care Workers, edited by M Hagberg, F Hofmann, U Stössel, and G Westlander. Landsbeg/Lech: Ecomed Verlag.

                    Malchaire, JB. 1992. Analysis of the work load of nurses. In Ergonomie à l’hôpital (Hospital Ergonomics), edited by M Estryn-Béhar, C Gadbois, and M Pottier. International Symposium Paris 1991. Toulouse: Editions Octares.

                    Manuaba, A. 1992. Social-cultural approach is a must in designing hospital in developing countries, Indonesia as a case study. In Ergonomie à l’hôpital (Hospital Ergonomics), edited by M Estryn-Béhar, C Gadbois, and M Pottier. International Symposium Paris 1991. Toulouse: Editions Octares.

                    Maruna, H. 1990. Zur Hepatitis-B-Durchseuchung in den Berufen des Gesundheits und Fürsorgewesens der Republik Österreichs, Arbeitsmed. Präventivmed. Sozialmed 25:71-75.

                    Matsuda, A. 1992. Ergonomics approach to nursing care in Japan. In Ergonomie à l’hôpital (Hospital Ergonomics), edited by M Estryn-Béhar, C Gadbois, and M Pottier. International Symposium Paris 1991. Toulouse: Editions Octares.

                    McCall, T. 1988. The impact of long working hours on resident physicians. New Engl J Med 318(12):775-778.

                    McCloy, E. 1994. Hepatitis and the EEC Directive. Presented at the 2nd International Conference on Occupational Health for Health Care Workers, Stockholm.

                    McCormick, RD, MG Meuch, IG Irunk, and DG Maki. 1991. Epidemiology for hospital sharp injuries: A 14-year prospective study in the pre-AIDS and AIDS era. Am J Med 3B:3015-3075.

                    McCue, JD. 1982. The effects of stresses on physicians and their medical practice. New Engl J Med 306:458-463.

                    McIntyre, JWR. 1985. Ergonomics: Anaesthetists’ use of auditory alarms in the operating room. Int J Clin Monit Comput 2:47-55

                    McKinney, PW, MM Horowitz, and RJ Baxtiola. 1989. Susceptibility of hospital-based health care personnel to varicella zoster virus infection. Am J Infect Control 18:26-30.

                    Melleby, A. 1988. Exercise program for a healthy back. In Diagnosis and Treatment of Muscle Pain. Chicago, IL: Quintessence Books.

                    Meyer,TJ, SE Eveloff, MS Bauer, WA Schwartz, NS Hill, and PR Millman. 1994. Adverse environmental conditions in the respiratory and medical intensive care unit settings. Chest 105:1211-1216.

                    Miller, E, J Vurdien, and P Farrington. 1993. Shift age in chickenpox. Lancet 1:341.

                    Miller, JM. 1982. William Stewart Halsted and the use of the surgical rubber glove. Surgery 92:541-543.

                    Mitsui, T, K Iwano, K Maskuko, C Yanazaki, H Okamoto, F Tsuda, T Tanaka, and S Mishiros. 1992. Hepatitis C virus infection in medical personnel after needlestick accidents. Hepatology 16:1109-1114.

                    Modig, B. 1992. Hospital ergonomics in a biopsychosocial perspective. In Ergonomie à l’hôpital (Hospital Ergonomics), edited by M Estryn-Béhar, C Gadbois, and M Pottier. International Symposium Paris 1991. Toulouse: Editions Octares.

                    Momtahan, K, R Hétu, and B Tansley. 1993. Audibility and identification of auditory alarms in the operating room and intensive care unit. Ergonomics 36(10):1159-1176.

                    Momtahan, KL and BW Tansley. 1989. An ergonomic analysis of the auditory alarm signals in the operating room and recovery room. Presented at the Annual Meeting of the Canadian Acoustical Association, 18 October, Halifax, NS.

                    Montoliu, MA, V Gonzalez, B Rodriguez, JF Quintana, and L Palenciano.1992. Conditions de travail dans la blanchisserie centrale des grands hôpitaux de Madrid. In Ergonomie à l’hôpital (Hospital Ergonomics), edited by M Estryn-Béhar, C Gadbois, and M Pottier. International Symposium Paris 1991. Toulouse: Editions Octares.

                    Moore, RM, YM Davis, and RG Kaczmarek. 1993. An overview of occupational hazards among veterinarians, with particular reference to pregnant women. Am J Ind Hyg Assoc 54(3):113-120.

                    Morel, O. 1994. Les agents des services hospitaliers. Vécu et santé au travail. Arch mal prof 54(7):499-508.

                    Nachemson, AL and GBJ Anderson. 1982. Classification of low back pain. Scand J Work Environ Health 8:134-136.

                    National Health Service (NHS). 1991a. Design Guide. The Design of Community Hospitals. London: Her Majesty’s Stationery Office.

                    —. 1991b. Health Building Note 46: General Medical Practice Premises for the Provision of Primary Health Care Service. London: Her Majesty’s Stationery Office.

                    National Institute for Occupational Safety and Health (NIOSH). 1975. Development and Evaluation of Methods for the Elimination of Waste Anesthetic Gases and Vapors in Hospitals. DHEW (NIOSH) Publication No. 75-137. Cincinnati, OH: NIOSH.

                    —. 1997a. Control of Occupational Exposure to N2O in the Dentral Operatory. DHEW (NIOSH) Publication No. 77-171. Cincinnati, OH: NIOSH.

                    —. 1977b. Criteria for a Recommended Standard: Occupational Exposure to Waste Anesthetic Gases and Vapors. DHEW (NIOSH) Publication No. 77-1409. Cincinnati, OH: NIOSH.

                    —. 1988. Guidelines for Protecting the Safety and Health of Health Care Workers. DHHS (NIOSH) Publication No. 88-119. Cincinnati, OH: NIOSH.

                    —. 1994. NIOSH Alert: Request for Assistance in Controlling Exposures to Nitrous Oxide during Anesthetic Administration. DHHS (NIOSH) Publication No. 94-100. Cincinnati, OH: NIOSH.

                    Niu, MT, DS Stein, and SM Schnittmann. 1993. Primary human immunodeficiency virus type 1 infection: Review of pathogenesis and early treatment interventions in human and animal retrovirus infections. J Infect Dis 168:1490-1501.

                    Noweir, MH and MS al-Jiffry. 1991. Study of noise pollution in Jeddah hospitals. Journal of the Egyptian Public Health Association 66 (3/4):291-303.

                    Nyman, I and A Knutsson. 1995. Psychosocial wellbeing and sleep quality in hospital night and day workers. In Occuaptional Health for Health Care Workers, edited by M Hagberg, F Hofmann, U Stössel, and G Westlander. Landsberg/Lech: Ecomed Verlag.

                    Objectif Prévention No spécial. 1994. Le lève personne sur rail au plafond: Outil de travail indispensable. Objectif Prévention 17(2):13-39.

                    O’Carroll, TM. 1986. Survey of alarms in an intensive therapy unit. Anaesthesia 41:742-744.

                    Occupational Safety and Health Administration (OSHA). 1991. Occupational Exposure to Bloodborne Pathogens: Final Rule. 29 CFR Part 1910.1030. Washington, DC: OSHA.

                    Oëler, JM. 1993. Developmental care of low birth weight infants. Nursing Clinics of North America 28(2):289-301.

                    Öhling, P and B Estlund. 1995. Working technique for health care workers. In Occupational Health for Health Care Workers, edited by M Hagberg, F Hofmann, U Stössel, and G Westlander G. Landsberg/Lech: Ecomed Verlag.

                    Ollagnier, E and Lamarche MJ. 1993. Une intervention ergonomique dans un hôpital suisse: Impact sur la santé de l’organisation du personnel et des patients. In Ergonomie et santé, edited by D Ramaciotti and A Bousquet. Actes du XXVIIIe congrès de la SELF. Geneva: SELF.

                    Ott, C, M Estryn-Béhar, C Blanpain, A Astier, and G Hazebroucq. 1991. Conditionnement du médicament et erreurs de médication. J Pharm Clin 10:61-66.

                    Patkin, M. 1992. Hospital architecture: An ergonomic debacle. In Ergonomie à l’hôpital (Hospital Ergonomics), edited by M Estryn-Béhar, C Gadbois, and M Pottier. International Symposium Paris 1991. Toulouse: Editions Octares.

                    Payer, L. 1988. Medicine and Culture: The Variety of Treatment in the United States, England, West Germany and France. New York: H. Holt.

                    Payne, R and J Firth-Cozens (eds.). 1987. Stress in Health Professions. New York: John Wiley & Sons.

                    —. 1995. Determination of dinitrogen oxide (N2O) in urine as control to anesthetic exposure. In Occupational Health for Health Care Workers, edited by M Hagberg, F Hoffmann, U Stössel, and G Westlander. Solna: National Institute of Occupational Health.

                    Pelikan, JM. 1993. Improving occupational health for health care workers within the health promoting hospital: Experiences from the Vienna WHO model project “health and hospital”. In Occupational Health for Health Care Workers, edited by M Hagberg, F Hofmann, U Stössel, and G Westlander. Landsberg/Lech: Ecomed Verlag.

                    Pérez, L, R De Andrés, K. Fitch, and R Najera. 1994. Seroconversiones a VIH tras Sanitarios en Europa. Presented at the 2nd Reunión Nacional sobre el SIDA Cáceres.

                    Philip, RN, KRT Reinhard, and DB Lackman. 1959. Observations on a mumps epidemic in a “virgin” population. Am J Hyg 69:91-111.

                    Pottier, M. 1992. Ergonomie à l’hôpital-hospital ergonomics. In Ergonomie à l’hôpital (Hospital Ergonomics), edited by M Estryn-Béhar, C Gadbois, and M Pottier. International Symposium Paris 1991. Toulouse: Editions Octares.

                    Poulton, EC, GM Hunt, A Carpenter, and RS Edwards. 1978. The performance of junior hospital doctors following reduced sleep and long hours of work. Ergonomics 21:279-295.

                    Pöyhönen, T and M Jokinen. 1980. Stress and Other Occupational Health Problems Affecting Hospital Nurses. Vantaa, Finland: Tutkimuksia.

                    Raffray, M. 1994. Etude de la charge physique des AS par mesure de la fréquence cardiaque. Objectif soins 26:55-58.

                    Ramaciotti, D, S Blaire, A Bousquet, E Conne, V Gonik, E Ollagnier, C Zummermann, and L Zoganas. 1990. Processus de régulation des contraintes économiques physiologiques et sociales pour différents groupes de travail en horaires irréguliers et de nuit. Le travail humain 53(3):193-212.

                    Reuben, DB. 1985. Depressive symptoms in medical house officers: Effects of level of training and work rotation. Arch Intern Med 145:286-288.

                    Reznick, RK and JR Folse. 1987. Effect of sleep deprivation on the performance of surgical residents. Am J Surg 154:520-52.

                    Rhoads, JM.1977. Overwork. JAMA 237:2615-2618.

                    Rodary, C and A Gauvain-Piquard 1993. Stress et épuisement professionnel. Objectif soins 16:26-34.

                    Roquelaure, Y, A Pottier, and M Pottier. 1992. Approche ergonomique comparative de deux enregistreurs electroencéphalographiques. In Ergonomie à l’hôpital (Hospital Ergonomics), edited by M Estryn-Béhar, C Gadbois, and M Pottier. International Symposium Paris 1991. Toulouse: Editions Octares.

                    Rosell, MG, P Luna, and X Guardino. 1989. Evaluacion y Control de Contaminantes QuPmicos en Hospitales. Technical Document No. 57. Barcelona: INSHT.

                    Rubin, R, P Orris, SL Lau, DO Hryhorczuk, S Furner, and R Letz. 1991. Neurobehavioral effects of the on-call experience in housestaff physicians. J Occup Med 33:13-18.

                    Saint-Arnaud, L, S Gingras, R Boulard., M Vezina and H Lee-Gosselin. 1992. Les symptômes psychologiques en milieu hospitalier. In Ergonomie à l’hôpital (Hospital Ergonomics), edited by M Estryn-Béhar, C Gadbois, and M Pottier. International Symposium Paris 1991. Toulouse: Editions Octares.

                    Samkoff, JS, CHM Jacques. 1991. A review of studies concerning effects of sleep deprivation and fatigue on residents’ performance. Acad Med 66:687-693.

                    Sartori, M, G La Terra, M Aglietta, A Manzin, C Navino, and G Verzetti. 1993. Transmission of hepatitis C via blood splash into conjunctiva. Scand J Infect Dis 25:270-271.

                    Saurel, D. 1993. CHSCT Central, Enquete “Rachialgies” Résultats. Paris: Assistance Publique-Höpitaux de Paris, Direction du personnel et des relations sociales.

                    Saurel-Cubizolles, MJ, M Hay, and M Estryn-Béhar. 1994. Work in operating rooms and pregnancy outcome among nurses. Int Arch Occup Environ Health 66:235-241.

                    Saurel-Cubizolles, MJ, MKaminski, J Llhado-Arkhipoff, C Du Mazaubrum, M Estryn-Behar, C Berthier, M Mouchet, and C Kelfa. 1985. Pregnancy and its outcome among hospital personnel according to occupation and working condition. Journal of Epidemiology and Community Health 39:129-134.

                    Schröer, CAP, L De Witte, and H Philipsen. 1993. Effects of shift work on quality of sleep, health complaints and medical consumption of female nurses. In Occupational Health for Health Care Workers, edited by M Hagberg, F Hofmann, U Stössel, and G Westlander. Landsberg/Lech: Ecomed Verlag.

                    Senevirane, SR, De A and DN Fernando. 1994. Influence of work on pregnancy outcome. Int J Gynecol Obstet VOL: 35-40.

                    Shapiro, ET, H Pinsker and JH Shale. 1975. The mentally ill physician as practitioner. JAMA 232(7):725-727.

                    Shapiro, RA and T Berland. 1972. Noise in the operating room. New Engl J Med 287(24):1236-1238.

                    Shindo, E. 1992. The present condition of nursing ergonomics in Japan. In Ergonomie à l’hôpital (Hospital Ergonomics), edited by M Estryn-Béhar, C Gadbois, and M Pottier. International Symposium Paris 1991. Toulouse: Editions Octares.

                    Siegel, A, M Michaelis, F Hofmann, U Stössel, and W Peinecke. 1993. Use and acceptance of lifting aids in hospitals and geriatric homes. In Occupational Health for Health Care Workers, edited by M Hagberg, F Hofmann, U Stössel, and G Westlander. Landsberg/Lech: Ecomed Verlag.

                    Smith, MJ, MJ Colligan, IJ Frocki, and DL Tasto. 1979. Occupational injury rates among nurses as a function of shift schedule. Journal of Safety Research 11(4):181-187.

                    Smith-Coggins, R, MR Rosekind, S Hurd, and KR Buccino. 1994. Relationship of day versus night sleep to physician performance and mood. Ann Emerg Med 24:928-934.

                    Snook, SH. 1988a. Approaches to the control of back pain in industry. In Back Pain in Workers, edited by RA Deyo. Philadelphia: Hanley & Belfus.

                    —. 1988b. The costs of back pain in industry. In Back Pain in Workers, edited by RA Deyo. Philadelphia: Hanley & Belfus.

                    South, MA, JL Sever, and L Teratogen. 1985. Update: The congenital rubella syndrome. Teratology 31:297-392.

                    Spence, AA. 1987. Environmental pollution by inhalation anaesthetics. Br J Anaesth 59:96-103.

                    Stellman, JM. 1976. Women’s Work, Women’s Health: Myths and Realities. New York: Pantheon.

                    Steppacher, RC and JS Mausner. 1974. Suicide in male and female physicians. JAMA 228(3):323-328.

                    Sterling, DA. 1994. Overview of health and safety in the health care environment. In Essentials of Modern Hospital Safety, edited by W Charney. Boca Raton, FL: Lewis Publishers.

                    Stoklov, M, P Trouiller, P Stieglitz, Y Lamalle, F Vincent, A Perdrix, C Marka, R de Gaudemaris, JM Mallion, and J Faure. 1983. L’exposition aux gaz anethésiques: Risques et prévention. Sem Hôs 58(29/39):2081-2087.

                    Storer, JS, HH Floyd, WL Gill, CW Giusti, and H Ginsberg. 1989. Effects of sleep deprivation on cognitive ability and skills of pediatrics residents. Acad Med 64:29-32.

                    Stubbs, DA, PW Buckle, and PM Hudson. 1983. Back pain in the nursing profession; I Epidemiology and pilot methodology. Ergonomics 26:755-765.

                    Sundström-Frisk C and M Hellström.1995. The risk of making treatment errors, an occupational stressor. In Occupational Health for Health Care Workers, edited by M Hagberg, F Hofmann, U Stössel, and G Westlander. Landsberg/Lech: Ecomed Verlag.

                    Swann-D’Emilia, B, JCH Chu, and J Daywalt. 1990. Misadministration of prescribed radiation dose. Medical Dosimetry 15:185-191.

                    Sydow, B and F Hofmann. 1994. Unpublished results.

                    Tannenbaum, TN and RJ Goldberg. 1985. Exposure to anaesthetic gases and reproductive outcome: A review of epidemiologic literature. J Occup Med 27:659-671.

                    Teyssier-Cotte, C, M Rocher, and P Mereau. 1987. Les lits dans les établissements de soins. Documents pour le médecin du travail. INRS 29:27-34.

                    Theorell, T. 1989. The psychosocial working environment. In Occupational Hazards in the Health Professions, edited by DK Brune and C Edling. Boca Raton, FL: CRC Press.

                    Theorell T. 1993. On the psychosocial environment in care. In Occupational Health for Health Care Workers, edited by M Hagberg, F Hofmann, U Stössel, and G Westlander. Landsberg/Lech : Ecomed Verlag.

                    Tintori, R and M Estryn-Béhar. 1994. Communication: Où, quand, comment? Critères ergonomiques pour améliorer la communication dans les services de soins. Gestions Hospitalières 338:553-561.

                    Tintori, R, M Estryn-Behar, J De Fremont, T Besse, P Jacquenot, A Le Vot, and B Kapitaniak. 1994. Evaluation des lits à hauteur variable. Une démarche de recherche en soins infirmiers. Gestions Hospitalières 332:31-37.

                    Tokars, JI, R Marcus, DH Culver, CA Schable, PS McKibben, CL Bandea, and DM Bell. 1993. Surveillance of HIV infection and zidovudine use among health care workers after occupational exposure to HIV-infected blood. Ann Intern Med 118:913-919.

                    Toomingas, A. 1993. The health situation among Swedish health care workers. In Occupational Health for Health Care Workers, edited by M Hagberg, F Hofmann, U Stössel, and G Westlander. Landsberg/Lech: Ecomed Verlag.

                    Topf, M. 1992. Effects of personal control over hospital noise on sleep. Research in Nursing & Health 15(1):19-28.

                    Tornquist, A and P Ullmark. 1992. Corporate Space and Architecture, Actors and Procedures. Paris: Ministère de l’équipement du logement et des transports.

                    Townsend, M. 1994. Just a glove? Br J Theatre Nurs 4(5):7,9-10.

                    Tran, N, J Elias, T Rosenber, D Wylie, D Gaborieau, and A Yassi. 1994. Evaluation of waste anesthetic gases, monitoring strategies and corelations between nitrous oxide levels and health symptoms. Am Ind Hyg Assoc J 55(1):36-42.

                    Turner, AG, CH King, and G Craddock. 1975. Measuring and reducing noise. Noise profile of hospital shows that even “quiet” areas are too noisy. Hospital JAHA 49:85-89.

                    US Preventive Services Task Force. 1989. Guide to Clinical Preventive Services: An Assessment of the Effectiveness of 169 interventions. Baltimore: Williams & Wilkins.

                    Vaillant, GE, NC Sorbowale, and C McArthur. 1972. Some psychologic vulnerabilities of physicians. New Engl J Med 287:372-375.

                    Vaisman, AI. 1967. Working conditions in surgery and their effects on the health of anesthesiologists. Eskp Khir Anesteziol 12:44-49.

                    Valentino, M, MA Pizzichini, F Monaco, and M Governa. 1994. Latex-induced asthma in four healthcare workers in a regional hospital. Occup Med (Oxf) 44(3):161-164.

                    Valko, RJ and PJ Clayton. 1975. Depression in the internships. Dis Nerv Syst 36:26-29.

                    Van Damme, P and GA Tormanns. 1993. European risk model. In Proceedings of the European Conference on Hepatitis B as an Occupatioonal Hazard. 10-12.

                    Van Damme, P, R Vranckx, A Safary, FE Andre, and A Mehevs. 1989. Protective efficacy of a recombinant deoxyribonucleic acid hepatitis B vaccine in institutionalized mentally handicapped clients. Am J Med 87(3A):265-295.

                    Van der Star, A and M Voogd. 1992. User participation in the design and evaluation of a new model hospital bed. In Ergonomie à l’hôpital (Hospital Ergonomics), edited by M Estryn-Béhar, C Gadbois, and M Pottier. International Symposium Paris 1991. Toulouse: Editions Octares.

                    Van Deursen, CGL, CAM Mul, PGW Smulders and CR De Winter. 1993. Health and working situation of day nurses compared with a matched group of nurses on rotating shift work. In Occupational Health for Health Care Workers, edited by M Hagberg, F Hofmann, U Stössel, and G Westlander. Landsberg/Lech: Ecomed Verlag.

                    Van Hogdalem, H. 1990. Design guidelines for architects and users. In Building for People in Hospitals, Workers and Consumers. Luxembourg: European Foundation for the Improvement of Living and Working Conditions.

                    Van Wagoner, R and N Maguire. 1977. A study of hearing loss among employees in a large urban hospital. Canadian Journal of Public Health 68:511-512.

                    Verhaegen, P, R Cober, DE Smedt, J Dirkx, J Kerstens, D Ryvers, and P Van Daele. 1987. The adaptation of night nurses to different work schedules. Ergonomics 30(9):1301-1309.

                    Villeneuve, J. 1992. Une demarche d’ergonomie participative dans le secteur hôspitalier. In Ergonomie à l’hôpital (Hospital ergonomics), edited by M Estryn-Béhar, C Gadbois, and M Pottier. International Symposium Paris 1991. Toulouse: Editions Octares.

                    —. 1994. PARC: Des fondations solides pour un projet de rénovation ou de construction Objectif prévention (Montreal) 17(5):14-16.

                    Wade, JG and WC Stevens. 1981. Isoflurane: An ansaesthetic for the eighties? Anesth Analg 60(9):666-682.

                    Wahlen, L. 1992. Noise in the intensive care setting. Canadian Critical Care Nursing Journal, 8/9(4/1):9-10.

                    Walz, T, G Askerooth, and M Lynch. 1983. The new upside-down welfare state. In Social Work in a Turbulent World, edited by M Dinerman. Washington, DC: National Association of Social Workers.

                    Wands, SE and A Yassi. 1993. Modernization of a laundry processing plant: Is it really an improvement? Appl Ergon 24(6):387-396.

                    Weido, AJ and TC Sim. 1995. The burgeoning problem of latex sensitivity. Surgical gloves are only the beginning. Postgrad Med 98(3):173-174,179-182,184.

                    Wiesel, SW, HL Feffer, and RH Rothmann. 1985. Industrial Low Back Pain. Charlottesville,VA: Michie.

                    Wigaeus Hjelm, E, M Hagberg, and S Hellstrom. 1993. Prevention of musculoskeletal disorders in nursing aides by physical training. In Occupational Health for Health Care Workers, edited by M Hagberg, F Hofmann, U Stössel, and G Westlander. Landsberg/Lech: Ecomed Verlag.

                    Wigand, R and Y Grenner. 1988. Personaluntersuchungen auf Immunität gegen Masern, Varizellen und Röteln, Saarländ. Ärztebl 41:479-480.

                    Wilkinson, RT, PD Tyler and CA Varey. 1975. Duty hours of young hospital doctors: Effects on the quality of work. J Occup Psychol 48:219-229.

                    Willet, KM. 1991. Noise-induced hearing loss in orthopaedic staff. J Bone Joint Surg 73:113-115.

                    Williams, M and JD Murphy. 1991. Noise in critical care units: A quality assurance approach. Journal of Nursing Care Quality 6(1):53-59.

                    World Health Organization (WHO). 1990. Guidelines on AIDS and First Aid in the Workplace. WHO AIDS Series No. 7. Geneva: WHO.

                    —. 1991. Biosafety Guidelines for Diagnostic and Research Laboratories Working with HIV. WHO AIDS Series No. 9. Geneva: WHO.

                    —. 1995. Weekly Epidemiological Report (13 January).

                    Wugofski, L. 1995. Occupational accident in health care workers—Epidemiology and prevention. In Occupational Health for Health Care Workers, edited by M Hagberg, F Hofmann, U Stössel, and G Westlander. Singapore: International Commission on Occupational Health.

                    Yassi, A. 1994. Assault and abuse of health care workers in a large teaching hospital. Can Med Assoc J 151(9):1273-1279.

                    Yassi, A and M McGill. 1991. Determinants of blood and body fluid exposure in a large teaching hospital: Hazards of the intermittent intravenous procedure. American Journal of Infection Control 19(3):129-135.

                    —. 1995. Efficacy and cost-effectiveness of a needleless intravenous access system. American Journal of Infection Control 22(2):57-64.

                    Yassi, A, J Gaborieau, J Elias, and D Willie. 1992. Identification and control of hazardous noise levels in a hospital complex. In Ergonomie à l’hôpital (Hospital Ergonomics), edited by M Estryn-Béhar, C Gadbois, and M Pottier. International Symposium Paris 1991. Toulouse: Editions Octares.

                    Yassi, A, D Gaborieau, I Gi