Form 0920-1202 Nano Survey

Survey of Engineered Nanomaterial Occupational Safety and Health Practices

Att 8_Nano Survey

Pre-call Telephone Script

OMB: 0920-1202

Document [docx]
Download: docx | pdf






Attachment 8

NIOSH Engineered Nanomaterials Survey















































Form Approved

OMB No. 0920-1202

Exp. Date xx/xx/20xx





Thank you in advance for participating in this survey.


The National Institute for Occupational Safety and Health (NIOSH) is sponsoring the survey. The purpose is to learn about how companies in engineered nanomaterials industries are using research findings, guidance documents, and other information developed by NIOSH and how that information is influencing occupational safety and health. NIOSH is part of the Centers for Disease Control and Prevention (CDC), and is not a regulatory agency. Our mission is to eliminate work-related illnesses and injuries through a focused program of research and prevention. RTI International is conducting the survey on behalf of NIOSH. RTI is a private, not-for-profit research organization based in North Carolina.


The information gathered from this survey will be used by NIOSH to enhance our understanding of how our efforts are influencing occupational safety and health across a range of engineered nanomaterial-related businesses.


The survey is voluntary and should take no longer than 20 minutes to complete. The information we collect will be summarized in an internal document. We will not identify you or your [INSERT BASED ON CATEGORY: company/organization] in any documents or reports without your prior approval.


If you have questions about this survey, please do not hesitate to contact the RTI survey manager, Ryan Weber, at [insert toll free number] or our Help Desk at [insert Help Desk email].



Shape1

This survey should be completed by the person in your [company/organization] who is the most knowledgeable about the safety and health programs at this location. This may be the environmental safety and health manager, for example, or a senior manager at this location.


LOCATION: ADD LOCATION



If there is someone else in your [company/organization] who would be a more knowledgeable respondent for this survey, please forward this survey to that individual. If more than one individual is needed to complete the survey, we ask that you work together to provide as much information as possible.












Public reporting burden of this collection of information is estimated to average 20 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to - CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333 ATTN: PRA (0920-1202).

1. Does your [company/organization] develop, manufacture, use, handle, distribute, analyze, or provide services related to engineered nanomaterials?

For the purpose of this survey, the term “engineered nanomaterials” refers to a variety of purposefully engineered materials and structures that have at least one dimension that is in the order of 100 nanometers or less.

If you are not sure if the material is an engineered nanomaterial, you may need to consult with others (e.g., product manager, process engineer, purchasing agent, supplier or review product information (e.g., Safety Data Sheets).

(Check one.)

Yes

No GO TO QUESTION 32, PAGE 11

Don’t Know GO TO QUESTION 32, PAGE 11


2. Please indicate the commercial sector(s) where the engineered nanomaterials or the engineered nanomaterials-enabled products or services that your [company/organization] provides are intended to be used.

(Check all that apply.)

  • Manufacturing the following products, specifically:

Textiles or Apparel

Wood, Paper, and/or Printing Products

Petroleum or Coal Products (e.g., asphalt, petroleum refineries, lubricants, grease)

Chemicals (e.g., petrochemical, dye and pigment, resin, paints, coatings, pesticides, fertilizer)

Pharmaceuticals or Medicine (e.g., nanomaterial enabled medicines or therapeutics)

Toiletry, Soap, or Cleaning Compounds (e.g., lotions, cosmetics, sunscreen, polishing)

Plastics or Rubber Products (e.g., plastic containers, pipes, polymers)

Nonmetallic Mineral Products (e.g., cement, concrete, clays, including carbon nanotubes and graphene)

Metal or Fabricated Metal Products (e.g., nanoscale metals, forging, stamping, metal tools, metal parts)

Manufacturing Machinery (e.g., for agriculture, construction, semiconductors, chemicals, metalworking)

Electronic Products, Electrical, Electro-optical or Electromedical Equipment, and Components (e.g., batteries, semiconductors, integrated circuits, electronic sensors)

Transportation Equipment (e.g., cars, trucks, boats, planes)

Medical Equipment or Supplies (e.g., non-electrical equipment, such as surgical equipment)

Agriculture, Forestry, Fishing, or Hunting (e.g., farming, crop production, animal production)

Mining, Quarrying, or Oil and Gas Extraction

Utilities (e.g., electric power [including solar], natural gas, water and sewage systems)

Professional, Scientific, or Technical Services (e.g., R&D physical, engineering, life sciences, biotechnology)

Waste Management and Remediation Services (e.g., land, site or building remediation)

Other, please specify:

_________________________________________________________________________________

_________________________________________________________________________________



3. Your organization or [company/organization] may have multiple locations (i.e. worksite, building, facility, plant, etc.).


Please respond only about the location or locations for which you have knowledge of safety and health programs. Throughout the survey we refer to these sites as “your location(s).”


What is the total number of individuals (employees and contractors) who work at your location(s)?

(Check one.)

1-10

11-50

51-250

251-500

501-1,000

1,001-5,000

More than 5,000



4. How many individuals have any contact with engineered nanomaterials at your location(s)? Include both employees and contractors with either regular or occasional contact with engineered nanomaterials.

Regular Contact – Include employees that regularly handle or use engineered nanomaterials as a matter of routine during the course of their average work day.

Occasional Contact – Include employees that may have infrequent, short contact with engineered nanomaterials over the course of an average work day (i.e., an employee that moves through a space where engineered nanomaterials are being handled or used such as maintenance or janitorial staff).

(Check one.)

None

1-10

11-50

51-250

251-500

501-1,000

1,001-5,000

More than 5,000

5. Which of the following describes how your [company/organization] handles or relates to engineered nanomaterials at this location(s)?

(Check all that apply.)

Develop engineered nanomaterials

Manufacture engineered nanomaterials

Incorporate engineered nanomaterials into our products

Develop applications or products that use engineered nanomaterials

Repackage/distribute engineered nanomaterials

Conduct laboratory scale-up of engineered nanomaterials

Perform nanomaterials characterization

Provide services using products containing engineered nanomaterials

Conduct site visits to determine exposure to engineered nanomaterials

Produce instruments for manufacturing, characterizing, and detection of engineered nanomaterials

Dispose engineered nanomaterials

Other, please specify:

__________________________________

__________________________________


6. In what physical forms are engineered nanomaterials handled at your location(s)?

(Check all that apply.)

Solid, freely mobile (e.g., dry powder)

Contained in an aerosol

Suspended in a liquid (e.g. water, solvent)

Suspended in a matrix (e.g. polymer, paste)

Solid, embedded, bound, or fixed in a material or product

Other, please specify:

__________________________________

__________________________________


7. On a typical day, what is the approximate quantity of engineered nanomaterials handled at your location(s)?

(Check one.)

Less than a kilogram (2.2 pounds)

More than a kilogram (2.2 pounds)



8. What are the different types of engineered nanomaterials at your location(s)?

(Check all that apply.)

Nanoparticles, specifically:

Silver nanoparticle

Gold nanoparticle

Other metallic nanoparticles, please specify:

__________________________________

__________________________________

Titanium dioxide nanoparticle

Zinc oxide nanoparticles

Other metal-oxide nanoparticles, please specify:

__________________________________

__________________________________

Ceramic nanoparticles, please specify:

__________________________________

__________________________________

Quantum dots (i.e., semiconductor nanoparticles)

Nanotubes, nanofibers, nanorods, or nanowires, specifically:

Single-walled carbon nanotubes

Multi-walled carbon nanotubes

Carbon nanofibers

Boron nitride nanofibers

Semiconductor nanotubes or nanofibers

Semiconductor nanorods or nanowires

Other metallic nanorods or nanowires, please specify:

__________________________________

__________________________________

Nanosheets, specifically:

Graphene

Boron-nitride nanosheets

Other nanosheets, please specify:

__________________________________

__________________________________

Nanofibrils cellulous

Nanocystaline cellulous

Nanoclays

Dendrimer

Polymers

Other, please specify:

__________________________________

__________________________________

Don’t know

9. Some government, non-profit, or for-profit organizations offer site visits or site consultations consisting of teams of experts that evaluate and provide recommendations regarding occupational safety and health practices.

Since 2005 have any of your location(s) hosted such a site visit or site consultation?

(Check one.)

Yes

No GO TO QUESTION 13, PAGE 5

Don’t Know GO TO QUESTION 13, PAGE 5


10. Who conducted the site visit(s) or site consultation(s) at your location(s)?

(Check all that apply.)

CDC/NIOSH

Other government organization

Private company/consultant

Academic institution(s)

Other, please specify:

__________________________________

__________________________________


11. Did the site visit(s) or site consultation(s) include feedback or recommendations for handling engineered nanomaterials?

(Check one.)

Yes

No GO TO QUESTION 13, PAGE 5

Don’t Know GO TO QUESTION 13, PAGE 5


12. Was any of the feedback or recommendations for handling of engineered nanomaterials from the site visit(s) or site consultation(s) implemented?

(Check one.)

Yes, all of them

Yes, some of them

No



13. Which of the following resources have you used to acquire information about how to safely handle engineered nanomaterials?

(Check all that apply.)

Government publications/materials (Check all that apply.)

NIOSH “Approaches to Safe Nanotechnology”

NIOSH “General Safe Practices for Working with Engineered Nanomaterials in Research Laboratories”

NIOSH “Current Strategies for Engineering Controls in Nanomaterial Production and Downstream Handling Processes”

NIOSH “Occupational Exposure to Carbon Nanotubes and Nanofibers”

NIOSH “Occupational Exposure to Titanium Dioxide”

A professional development course or webinar taught by NIOSH instructors

EPA “Control of Nanoscale Materials under the Toxic Substances Control Act”

EPA disposal regulations

OSHA Fact Sheet “Working Safely with Nanomaterials”

NIST “New NIST Reference Material Provides a Silver Lining for NanoEHS Research“, 2015

Federal, state, or local government publications, please specify:

_________________________________________________________________________________

_________________________________________________________________________________

Industry, scientific, or professional meetings, conferences, or tradeshows. Please specify:

_________________________________________________________________________________

_________________________________________________________________________________

Scientific articles, professional or industry publications. Please specify:

_________________________________________________________________________________

_________________________________________________________________________________

International publications (e.g. Safe Work Australia). Please specify:

_________________________________________________________________________________

_________________________________________________________________________________

Websites, blogs, and Internet search engines (e.g. Google, Bing)

Informal discussions with professional contacts or peers

Materials or publications developed by your company

Product manufacturer information (e.g.: Safety Data Sheets (SDS) or Pre-manufacturing Notices (PMN))

Other, please specify:

_________________________________________________________________________________

_________________________________________________________________________________


14. How has the information you acquired from any source about engineered nanomaterials been used?

(Check all that apply.)

Informed safety and health practices

Informed [company/organization] policies for handling of engineered nanomaterials

Incorporated into training materials

Incorporate into product information (e.g., SDS)

Modifications to products

Modifications to processes

Other. Please specify:

_________________________________________________________________________________

_________________________________________________________________________________


15. Does your location(s) implement a safety and health program for your employees?

Safety and health programs may have a variety of names, including Accident Prevention Program, Injury and Illness Prevention Program, Comprehensive Safety and Health Program and, for laboratories, Chemical Hygiene Plan (CHP).

(Check one.)

Yes

No


16. Which of the following safety and health practices are used at your location(s)? For each practice that you identify, is there separate or specific guidance for its application to engineered nanomaterials?

If the safety and health programs vary by location, please report the most typical for the locations for which you are knowledgeable, for example programs at your largest location or the most common programs across locations.


Safety and health practices used at your location(s)?

(Check one.)

IF YES IN COLUMN 1:

Separate or specific guidance for engineered nanomaterials?

(Check one.)


HAZARD IDENTIFICATION AND EVALUATION:

Determination of routes of exposure

Yes

No

Yes

No

Identification of processes or job tasks where workers may be exposed

Yes

No

Yes

No

Evaluation of new processes/procedures for hazards

Yes

No

Yes

No

Review of purchase orders for possible hazardous materials

Yes

No

Yes

No

PROTECTION:

Use of exposure controls (elimination, substitution, engineering, administrative, Personal Protective Equipment [PPE])

Yes

No

Yes

No

Assessment of effectiveness of exposure controls

Yes

No

Yes

No

Assessment of need for PPE

Yes

No

Yes

No

Maintenance of engineering controls (e.g., dust collection systems)

Yes

No

Yes

No

Spill cleanup procedures

Yes

No

Yes

No

Waste management/disposal procedures

Yes

No

Yes

No

SCREENING OR MONITORING:

Medical screening and surveillance

Yes

No

Yes

No

Exposure monitoring

Yes

No

Yes

No

ADMINISTRATIVE OR PROCEDURAL:

Systematic review and update of safe use procedures

Yes

No

Yes

No

Method for reporting hazards, illnesses, and injuries

Yes

No

Yes

No

Development of internal [company/organization] exposure guidelines

Yes

No

Yes

No

OTHER:


Other. Please specify: _________________________________

Yes

No

Yes

No

17. In cases where you do not have specific safety and health practices or guidelines for engineered nano-materials, what surrogate hazards or substances do you use to inform your safety and health practices or guidelines?

(Check all that apply.)

Nuclear hazards

Asbestos

Biohazards

General chemical hazard. Please specify: ___________________________________

Other. Please specify: ___________________________________

None. We do not use other hazards or substance as a model for engineered nanomaterials


18. Which of the following engineering controls are used to reduce or prevent worker exposure to any potential chemical or material hazards at your location(s)? For each engineering control you identify, is that control required when working with engineered nanomaterials?


Used to reduce any potential chemical or material hazard?

(Check one.)

IF YES IN COLUMN 1:

Required when working with engineered nanomaterials?

(Check one.)


Separate HVAC system

Yes

No

Yes

No

Pressure differentials

Yes

No

Yes

No

Designed or separate work areas (e.g., control room)

Yes

No

Yes

No

Closed system piping

Yes

No

Yes

No

Cleanroom

Yes

No

Yes

No

Laboratory fume hood

Yes

No

Yes

No

Laminar low flow ventilated enclosure

Yes

No

Yes

No

Biosafety cabinet (BSC)

Yes

No

Yes

No

Glove box

Yes

No

Yes

No

Local exhaust ventilation (other than fume hood, BSC or glovebox)

Yes

No

Yes

No

High-efficiency particulate air (HEPA) filtration

Yes

No

Yes

No

Ultra-low particulate air (ULPA) filtration

Yes

No

Yes

No

Working with nanomaterial in a slurry or suspension

Yes

No

Yes

No

Other, please specify): __________________________________


Yes

No

Yes

No

19. Which of the following personal protective equipment (PPE) is used by individuals working with engineered nanomaterials at your location(s)?

(Check all that apply.)

No PPE is used

Coveralls or lab coats. Please specify. (Check all that apply)

Woven

Nonwoven

Gloves

Eye/face protection

Shoe covers

Hair bonnets

Respirators. Please specify. (Check all that apply)

Disposable filtering facepiece

Elastomeric half-facepiece respirator

Elastomeric full-facepiece respirator

Powered loose fitting facepiece

Powered tight fitting facepiece

Other type of respirator, please specify:

__________________________________

Other type of PPE. Please specify:

__________________________________

__________________________________

20. Does your workforce receive any informal or formal training on the safe use or handling of engineered nanomaterials?

(Check one.)

Yes

No GO TO QUESTION 23, PAGE 10

Don’t Know GO TO QUESTION 23, PAGE 10


21. How is this training provided?

(Check all that apply.)

Formal training from internal training staff and resources

Informal training from colleagues and peers

External or consultant training resources

Other. Please specify:

__________________________________

__________________________________








22. For this question, employees are categorized by their level of possible contact with engineered nanomaterials.

Regular Contact – Employees regularly handle or use engineered nanomaterials as a matter of routine during the course of their average work day.

Occasional Contact – Employees may have infrequent, short contact with engineered nanomaterials over the course of an average work day (i.e., an employee that moves through a space where engineered nanomaterials are being handled or used such as maintenance or janitorial staff).

No contact –Employees do not have any type of contact with engineered nanomaterials

For each level of employee at your location(s), indicate if they receive training on the following practices regarding the safe use or handling of engineered nanomaterials. Include full-time staff, part-time staff, contractors working onsite, and/or temporary staff.


Employees with.…

Training not provided

Regular Contact

Occasional Contact

No

Contact

Types of engineered nanomaterials and general engineered nanomaterial awareness

Where to locate information about the safety and health practices regarding engineered nanomaterials

Routes of exposure to engineered nanomaterials

Use or maintenance of exposure controls (elimination, substitution, engineering, administrative, PPE) for engineered nanomaterials

Use or maintenance of respirators for engineered nanomaterials

Procedures for spill cleanup, waste management, or disposal procedures of engineered nanomaterials

Method for reporting hazards, illnesses and injuries related to engineered nanomaterials

23. Is worker awareness or knowledge of engineered nanomaterials assessed at your location(s)?

(Check one.)

Yes

No GO TO QUESTION 25

Don’t Know GO TO QUESTION 25


24. How is it assessed?

(Check all that apply.)

Periodic surveys

Random inspections

Regular inspections

Other, please specify:

__________________________________

__________________________________


25. What type of process emission or exposure monitoring is conducted at your location(s)?

(Check all that apply.)

None. Monitoring is not

conducted GO TO QUESTION 27

Filter-based air sampling for mass

Filter-based air sampling for electron microscopy

Direct reading particle counters

Wipe sampling

Dermal sampling

Other, please specify:

__________________________________

__________________________________


26. When is process emission or exposure monitoring conducted?

(Check all that apply.)

Initial process start-up

Changes in process or control(s)

During upset conditions (i.e., response conditions, in response to a spill or similar unanticipated event)

Periodically (e.g., annually)

Other, please specify:

__________________________________

__________________________________


27. Does your [company/organization] produce documents related to engineered nanomaterials?

(Check one.)

Yes

No GO TO QUESTION 29

Don’t Know GO TO QUESTION 29


28. What types of documents related to engineered nanomaterials are produced?

(Check all that apply.)

Journal articles

Scientific publications

Articles for trade magazines

Comments on public policies that are intended to be disseminated (either within or outside of your [company/organization])

Comments or input on NIOSH documents

Comments or input to industry or materials standards

Comments or input to professional, scientific or trade associations

Blogs

Safety Data Sheets

Instructions for how to use your products or guidance for measuring engineered nanomaterials

Information provided to your customers along with your products or services

Information from your [company’s/organization’s] standard operating procedures or practices for the handling or use of engineered nanomaterials

Other, please specify:

__________________________________

__________________________________


29. Does your [company/organization] have an occupational safety and health office, department, or individual?

(Check one.)

Yes

No GO TO QUESTION 31, PAGE 11

Don’t Know GO TO QUESTION 31, PAGE 11


30. How many occupational safety and health (OS&H) professionals are employed at your location(s)?

An OS&H professional is someone who has a degree in OS&H or certification from a nationally recognized accrediting body and who devotes a significant portion of their work time to OS&H responsibilities. Be sure to count yourself if applicable.

Shape2

(Write in the number of OS&H professionals.)

Don’t Know


31. Altogether, how long have you worked with engineered nanomaterials?

(Enter number of years.)

Shape3

Years


32. What is your current position at your [company/organization]?

Please specify:

__________________________________

__________________________________

33. Do you have any certification in occupational safety and health (OS&H)? For example, Certified Industrial Hygienist (CIH), Certified Safety Professional (CSP), or Chemical Hazardous Material Manager (CHHM).

(Check one.)

Yes, please specify:

__________________________________

__________________________________

No


34. Are your responsibilities regarding occupational safety and health your:

(Check one.)

Full-time responsibility

Part-time responsibility

Other duty as assigned (i.e., responsibilities are done with other responsibilities)

None of the above

Other, please specify:

__________________________________

__________________________________




35. Is there any other information on occupational safety and health regarding engineered nanomaterials you wish you add?

(Check one.)

No

Yes, please specify:

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________


Please return the completed survey in the enclosed pre-paid envelope to:


Fulfillment Department

Attn: ____


THANK YOU!

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorBradley, Melissa
File Modified0000-00-00
File Created2021-01-15

© 2024 OMB.report | Privacy Policy