Evaluation of Occupational Hazards in Foundries
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Transcript of Evaluation of Occupational Hazards in Foundries
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The Journal of the Egyptian Public Health Association (JEPHAss.), Vol.80 No.3& 4, 2005
Correspondence to:Adel M. Zakaria,Occupational Health Department,High Institute of Public HealthAlexandria UniversityE-mail: [email protected]
Evaluation of Occupational Hazards in Foundries
Adel M. Zakaria* Kamal H. Noweir*
Gamal El-Maghrabi**
* Occupational Health Department, High Institute of Public Health,
Alexandria University.
** Occupational Safety and Health Department, Ministry of Labor, Behira.
ABSTRACT
The working environment of foundries is hazardous and characterizedby multiple simultaneous chemical, physical and mechanical hazardsexposure, which would lead to injuries of foundry workers. The aim of thepresent work is to evaluate occupational hazards in four foundries, two inAlexandria: El Nasr and Ramsis, and two in Behira: Misr Spinning andWeaving and Misr Rayon companies. Levels of total and respirable dust, freesilica % in total dust and lead concentration in total and respirable dust;NO2, SO2 and CO concentrations; noise and heat stress levels have beendetermined in the present work.
Occupational injuries data were analyzed in a three years period from
1998 to 2000. The results of the present work revealed;1. The levels of total dust and respirable dust exceeded the threshold limit
values at knockout and cleaning operations at El Nasr Company.2. Free silica percentage exceeded permissible levels in all operations
except pouring in El Nasr Company.3. CO levels in Misr Spinning and Weaving Company were higher than
threshold levels.4. Noise levels in knockout and cleaning operations at the four companies
were exceeding the threshold limit values.5. Heat stress levels in melting and pouring operations in El Nasr and in
pouring operation in Ramsis Company were higher than the maximumpermissible levels.
6. The age group 31-40 years has recorded the highest average incidencerate of injuries of age groups (P
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7. Lower extremities and higher extremities have recorded the highestaverage incidence rate in the four companies (P
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Physical hazards, which are mainly associated with various
foundry processes are noise, vibration and heat.(5,6)
The foundry industry includes; pourers, moulders, core workers
and cleaning room operators in addition to crane operators, electricians
and welders.
Foundry workers accidents can result in injuries from (i) manual
and mechanical materials handling; (ii) work equipment and
machinery; (iii) walking and working surfaces; (iv) foreign particles in
the eye; (v) contact with hot material; (vi) falling objects and (vii) fire
and explosion.(7)
Manual materials handling is the most prevalent causes of injury to
foundry workers due to overexertion and poor lifting techniques.(8-10)
Traumatic injuries and burns have been received by workers
handling castings, hot core and molten metal because of inadequate
personal protective equipment and poor work practices.(9)
Semiautomatic and automatic machinery presented hazards from
moving parts and flying or ejected materials. Improper maintenance,
repair, guarding and use of grinders and abrasive wheels may also
result in worker injury. Poor house keeping and poorly lighted area
result in slips, trips and other types of falls on walking and working
surfaces.(7)
Higher temperature environment foundry increases the strength on
mechanical handling devices. In addition, some of these devices are
continuously vibrating, resulting in mechanical stress on nuts, bolts,
chains and cables; which eventually may result in equipment failure,
may lead to major explosions, fires, spills and burns.(7)
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The objective of the present work is to evaluate extensively the
main chemical and physical occupational exposures in the working
environment; and to analyze injuries data in four foundry plants in
Alexandria and Behira in three years from 1998 to 2000.
MATERIAL AND METHODS
The present study has been conducted in four foundry plants
(manual and automatic) where the number of workers is more than 50
workers. In Alexandria governorate; Ramsis and El Nasr foundries, and
in Behira governorate; Misr Company of Spinning and Weaving and
Misr Company of Synthetic Rayon in Kafr El-Dawar have been chosen
to be surveyed. In table (1) a brief description of each of the four
foundries are presented.
Table (1): Description of the Four Foundries Surveyed.
Parameter El Nasr RamsisMisr for
SpinningMisr Rayon
Sector Business Private Business Private
No. of workers 410 53 210 51
No. and type of
furnaces
3 large electric
furnaces
2 small electric
furnaces
5 furnaces:
3 electric and
2 crucible (light
fuel oil)
2 small crucible
(light fuel oil)
Mode of
operation
Highly automated Manual Automated Manual
Casting type Iron Iron Iron, aluminum
and copper
Lead, aluminum
and copper
Safety
performance
1. Good
housekeeping
1. Bad
housekeeping
1. Fair
housekeeping
1. Fair
housekeeping
2. Available
PPE
2. Non available
PPE
2. Lack of safety
measures
2. Lack of safety
measures
3. Highly
qualified
safety staff
2. No safety
staff
3. Non available
PPE
3. Non available
PPE
4. Adequatesafety
measures and
rules
4. Lack of safetymeasures
4. Non qualifiedsafety staff
4. Non qualifiedsafety staff
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Methods
Sampling locations and durations
Air samples have been taken at breathing zone of workers. Area
samples were taken as near as possible to work stations. Personal
samples (attached to workers bet and collar) were taken as well.
Samples were taken at the main steps of casting, moulding, melting,
finishing, and cleaning. Air samples were taken for 2-3 hours.
Chemical pollutants
Total suspended particulate TSP
Total suspended particles were determined gravimetrically.
Membrane filter attached to a calibrated personal pump (MSA) was
used to collect particulates at a rate of 0.8 L/min.(11)
Respirable dust
Respirable dust samples were taken typically as TSP, except that a
10 mm nylon cyclone is put prior to the filter holder to separate
particulate > 10 m and pass through particulate < 10 m to be trapped
on the filter.(11)
Sulphur dioxide
Sulphur dioxide is absorbed by aspirating a measured air sample
by a calibrated electrical diaphragm pump through a solution of
potassium tetrachloromercurate, TCM. This procedure results in the
formation of the dichlorosulfitomercurate which is determined
colorimetrically at 548 nm.(12)
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Nitrogen dioxide
Nitrogen dioxide is absorbed from a measured volume of air
sample by a calibrated electrical diaphragm pump through aqueous
triethanolamine solution, subsequent analysis is preformed using an
azo-dye forming reagent. The color produced by the reagent is
measured in a spectrophotometer at 540 nm.(13)
Carbon monoxide
Carbon monoxide is determined by a self calibrated direct readinginstrument; Multilog 2000 Quest Technologies, USA.
Free silica
Free silica percentage in total dust samples was determined by
spectrophotometric method.(14)
Lead
Lead in total and respirable particulate samples are extracted by a
mixture of nitric and hydrochloric acids. The analysis is subsequently
made by atomic absorption spectroscopy using the 217.0 nm lead
line.(15)
Physical hazards
Noise
Noise levels have been measured by a calibrated sound level meter
at 114 dB(A) nearby the workers locations at knocking out and cleaning
operations. The average level was computed.(16)
Heat stress
Heat stress, wet bulb globe temperature (WBGT) has been
evaluated by Botsball nearby the workers locations in front of the
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furnaces during melting and pouring operations. The average heat
stress has been computed for each operation.(17)
Accidents records
The raw accidents records have been taken from the four
companies files for the period from 1998-2000. The raw accidents
records have been organized and recalculated so as to demonstrate
incidence rate of injury per 100 full time workers of injuries causes,
injuries means, injured parts of body and age groups.
Frequency rate (FR) and severity rate (SR) were computed using
the forthcoming formulas. The injury in the formula is the injury which
disables the injured worker for more than the day or shift during which
he was injured.(18)
FR =hoursworkedTotal
reportedinjuriesofNumber 610
(Total worked hours = number of workers working days 8)
SR =hoursworkedTotal
injurytoduelostdaysofNumber 310
The injuries data were analyzed by chi-square test.(19)
RESULTS
Chemical pollutants
Total dust
Concentrations at the four major operations of casting in the four
surveyed companies are presented in figure (1). It is apparent that the
highest levels of total dust at the four operations have been observed in
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El-Nasr Company. In contrary the lowest levels have been recorded in
Ramsis Company.
0
1
23
4
5
6
7
8
9
Moulding Melting Pouring Shake-out
and cleaning
El-Nasr
Ramsis
Misr Spnning
Misr Rayon
Fig (1): Total dust different operations in the four companies (mg/m3)
Tota
ldustconcentration
(mg/m3)
Respirable dust
Respirable dust data at the four major operations of casting in the
four surveyed companies are presented in figure (2). The same trend
observed with total dust is repeated with respirable dust, El-Nasr was
the highest and Ramsis was the lowest in all operations.
Free silica percentage in total dust
The free silica percentage in total dust at the four operations of
casting is presented in figure (3). Ramsis Company recorded the highest
free silica percentage in the four operations, followed by El-NasrCompany where as Misr Rayon Company recorded the lowest
percentage in the melting and pouring operations.
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0
0.5
1
1.5
2
2.5
3
3.5
4
Moulding Melting Pouring Shacke out
and cleaning
El-Nasr
Ramsis
Misr Spnning
Misr Rayon
Fig (2): Respirable dust different operations in the four companies
(mg/m3)
Respirabledustconcentration
(mg/m3)
Company process
0
0.5
1
1.5
2
2.5
3
M oulding Melting Pouring Shacke out
and cleaning
El-Nasr
Ramsis
Misr Spnning
Misr Rayon
Fig (3): Free silica perecentage in total dust different operations in
the four companies
Freesilicapercen
tage
Company process
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Airborne lead concentrations
Figure (4) presents the concentration of lead in total and respirable
dust in melting and pouring operations in Misr Rayon Company, since
it was the only company which was casting lead. It is clear that lead
concentrations in total and respirable dust were very close. However,
lead concentrations in both total and respirable dust were higher in
melting than in pouring operation.
0
20
40
60
80
100
120
melting pouring
total dust
respirable dust
Fig.(4): lead concentrations (g/m3) in total and respirable
dust at melting and pouring operations in Misr Rayon
company
Leadconcentration
Gaseous levels
Figure (5) represents the average NO2 concentration in melting and
pouring operations in the four companies. In general, melting operation
has recorded higher levels of NO2 than those of pouring operation in
the four companies. El-Nasr Company has recorded the highest and
lowest levels of NO2 in melting and pouring operations respectively.
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0
10
20
30
40
50
60
70
Moulding Pouring
El-Nasr
Ramsis
Misr Spnning
Misr Rayon
Fig (5): No2 concentrations at (g/m3) different operations in
the four companies
No2concentration(g/m3)
SO2 levels
Figure (6) represents the average SO2 concentration in melting and
pouring operations in the four companies. The highest levels were
observed in Ramsis Company in the two operations, whereas the lowest
levels were recorded in Misr Weaving Company.
CO levels
Figure (7) represents the average CO levels in charging, melting
and pouring operation at Misr Weaving Company. The highest average
levels have been recorded in pouring operation.
Physical hazards
Noise levels
Figure (8) represents the noise levels at shake out and cleaning
operation, which is the noisiest operation in casting. El Nasr Company
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has recorded the highest levels among the four companies, whereas
Misr Rayon Company has recorded the lowest levels.
0
100
200
300
400
500
600
Moulding Pouring
El-Nasr
Ramsis
Misr Spnning
Misr Rayon
Fig (6): So2 concentrations at different operations in the four
companies
So2co
ncentration(g/m3)
020
40
60
80
100
120
140
160
180
200
charging melting pouring
Fig (7): Co concentrations (ppm) at the different operations of coke fueled
furnace in Misr Weaving company
Coconcntration(ppm)
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86
88
90
92
94
96
98
100
102
El Nasr Ramsis Misr spinning Misr Rayon
Fig (8): Average noise levels in shakeout and cleaning operation at
the four companies (dBA)
A
veragenoiselevels(dBA)
Heat stress levels
Heat stress levels (WBGT) of melting and pouring operations in the
four companies are presented in figure (9). Heat stress levels recorded
in El-Nasr Company were the highest in the two operations, whereas
Misr Rayon has recorded the least levels.
Accident records
Age group
Figure (10) represents the average three years incidence rate of
injury (per 100 workers) as related to age groups in the four companies.
Ramsis Company has recorded the highest incidence rate in all age
groups. The highest incidence rate has been recorded in age group 31-
40, while the lowest has been recorded in age group 51-60 years.
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0
5
10
15
20
25
30
35
Melting pouring
El-Nasr
Ramsis
Misr spinning
Misr rayon
Fig.(9): Average heat stress levels in melting and pouring at
the four companies
AverageHeatStress
Fig.(10) Correlation between age and average No.
of injuries/100 workers in the four companies
0
10
20
30
40
50
60
AverageNo.
ofinjuries/100wo
rkers
20-30
31-40
41-50
51-60
El-Nasr
Ramsis
Misr Spining
Misr Rayon
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Injured body parts
Figure (11) represents the average three years incidence rate of
injury (per 100 workers) versus the injured body part in the four
companies. In general, Ramsis Company has recorded the highest
figures of injured body parts. Lower extremities and higher extremities
in order have been recorded the highest incidence rate of injury among
body parts, there was no injury of neck in the four companies.
Fig.(11) Correlation between injured part and average No.
of injuries/100 workers in the four companies
0
10
20
30
40
50
60
AverageNo.ofinjuries/100workers
Head
Neck
Trunk
Higherextremities
Lowerextremities
Others
El-NasrRamsis
Misr Spining
Misr Rayon
Cause of injury
Figure (12) illustrate average three years incidence rate of injury
(per 100 workers) by the cause of injury in the four companies. Workingenvironment and transportation were major causes of injury in Ramsis
Company, in the mean time they recorded the highest figures. Biologic
agents was not responsible for any injury in the four companies.
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Fig.(12) Correlation between causes of injury and average No.
of injuries/100 workers in the four companies
0
5
10
15
20
25
30
35
40
45
AverageNo.ofinjuries/100workers
Mach
ienes
Transportation
andObject
Lifting
EquipmentandHazard
ousinstru
ments
HazardousM
aterial
WorkEnviro
nment
Bilogical
Agent
O
thers
El-Nasr
Ramsis
Misr Spining
Misr Rayon
Means of injury
Figure (13) represents average three years incidence rate of injury
(per 100 workers) as related to means of injury in the four companies. It
is obvious that explosion, hazardous materials and electrical current did
not lead to any injury in the four companies. Contact with hot objects
followed by faulty action and striking against and exhaustion were the
major means of injury. Ramsis Company has recorded the highest
figures among the four companies in all means of injury.
Injury indices
Figure (14) represents frequency rates and severity rates ( 100) of
different companies in the years 1998-2000. Ramsis foundry has
recorded the highest frequency and severity rates in the three years of
study. The lowest frequency rate was recorded in Misr Rayon Company
in the three years.
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Fig.(13) Correlation between mean of injury and average No.
of injuries/100 workers in the four companies
0
5
10
15
20
25
30
35
AverageNo.ofinjuries/100workers
Falling
Fallingobjects
Faultyaction&strikingagents
Caught
betweenobjects
Exhaustion
Contacth
otobjects
Electricalcurrent
Hazardousmaterial
Explosion
Others
El-Nasr
Ramsis
Misr Spining
Misr Rayon
Fig. (14): Injures parameters at El Nasr, Misr Rayon, Misr spinning &
Ramsis company in years 1998-2000
0
100
200
300
400
500
600
1998
1999
2000
1998
1999
2000
1998
1999
2000
1998
1999
2000
Frequency
Severity
El-Nasr Ramsis Misr Spining Misr Rayon
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DISCUSSION
Chemical hazards
Airborne particulate
Total dust
The TLV of total dust in foundries could be taken as 10 mg/m3
referring to nuisance dust (Law No. 4, 1994), (20) however, the existence
of free silica and different metal fumes might decrease markedly total
dust TLV, which might be computed from the following formula.(1)
TLV of total dust (mg/m3) =3
30
+%silicafreeAverage
The computed TLV of total dust and average total dust
concentrations at different operations in the four companies are
presented in table (2).
Table (2): Computed TLV's of Total Dust on the Basis of Average Free
Silica Percentage and Average Total Dust Concentration at
Different Operation in the Four Companies.
El Nasr Ramsis Misr Weaving Misr RayonCompany
ProcessAv.
ConTLV
Av.
ConTLV
Av.
ConTLV
Av.
ConTLV
Moulding 3.59 5.6 0.55 6.17 - 5.8 - 5.17
Melting 3.58 6.33 0.89 7.7 1.45 6.77 1.83 5.63
Pouring 0.91 6.6 0.57 7.34 1.02 6.1 0.93 5.88
Shakeout and
cleaning8.31 5.57 0.58 6.98 - 6.28 - 5.5
The average concentration of total dust at shake-out and cleaning
operations in El Nasr Company was much higher than the computed
TLV, which might increase the liability of exposed workers to silicosis
risk.(21)
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As shown in figure (1), the high-recorded levels of total dust
concentration in El Nasr Company might be attributed to the heavy
work load and extensive activities in the company, since at the study
period there was a contract between the company and Alexandria
governorate to produce a big number of decorative light columns.
Much lower levels of total dust were recorded in 12 foundries in
Japan.(22) The range was 0.14-1.55 mg/m3 compared to 0.55-8.31 mg/m3
in the present study reflecting bad house keeping and lack of control
measures, which was observed in the surveyed foundries.
Respirable dust
Respirable dust concentrations were following the same trend
observed with total dust concentrations as shown in figure (2). The
same reason, which interprets the higher results of total dust in EL Nasr
Company is plausible for those of respirable dust. The average
concentration of respirable dust in pouring operation is higher than
total dust in EL Nasr Company, which is unlogic. However, this
observation is interpreted by the non-simultaneous sampling of total
and respirable dust for technical reasons.
Free silica percentage
Free silica percentage as shown in figure (3) is somewhat
misleading, because total dust concentrations in the different operations
are not the same. Hence, expressing free silica in g/m3 would change
markedly the data trend observed in figure (3). El Nasr Company will
be the highest in all operations except pouring operation, and Ramsis
would rank in the fourth position after it was the first. The
concentration of free silica in g/m3 at EL Nasr Company in moulding,
melting and shake-out and cleaning were 84.7, 56.8 and 198.6 g/m3
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respectively. These values exceed the NIOSH recommended TWA of 50
g/m3,(5) which emphasized what mentioned earlier of the high risk of
silicosis in EL Nasr Company. The levels of free silica in g/m3 in the
other companies are below NIOSH limit. In a similar study,(23) the range
of silica was 50-970 g/m3.
Airborne lead concentration
Misr Rayon Company was the sole company casting lead. The
average levels of lead concentration, as shown in figure (4), in total dustin melting and pouring were 0.09 and 0.075 mg/m3 respectively
whereas the average level of lead in respirable dust in melting and
pouring were 0.103 and 0.08 mg/m3 respectively. Although the levels of
total dust are higher than those of respirable dust, the average lead
levels in respirable dust are slightly higher than those of total dust in
the two operations. This might be interpreted by the minute grain size
of lead oxide fumes.
The TLV of lead in Law No. 4, 1994 (Egyptian Environmental Law,1994) is 0.15 g/m3.(20) The average levels of lead in total and respirable
dust in both melting and pouring are below this limit. Meanwhile the
levels reported in the present study are lower than those reported in the
US (24) where lead levels ranged from 60 to 330 g/m3, which might be
attributed to the intermittent work practice and low workload in Misr
Rayon Company.
Gaseous levels
NO2 levels
The two main mechanisms of NOx formation might interpret the
obtained results of NOx. The thermal NOx mechanism arises from the
thermal dissociation and subsequent reaction of nitrogen and oxygen
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molecules in combustion air. The fuel NOx mechanisms arise from the
evolution and reaction of fuel-bound nitrogen compound with
oxygen.(25)
In general, the average concentration of NO2 in the four companies
during melting and pouring operations as shown in figure (5) were
below the threshold limit value of 6 mg/m3 stated in Law No. 4, 1994.(20)
Thermal mechanism of NOx formation is predominant in EL Nasr
and Ramsis companies, whereas the fuel NOx mechanism is
predominant in Misr Spinning and Misr Rayon companies, since the
furnaces in the former two are electric and in the latter two are fossil
fueled furnaces.
SO2 levels
Sulphur dioxide may be formed when high sulphur content charge
materials are added to furnaces. The presence of sulphur in fuel,
especially coke, gives rise to sulphur dioxide emissions. The highest
levels of SO2 observed in Ramsis Company, as shown in figure (6),might be attributed to charges of low quality scrapes and combustion
technology used in the old low capacity furnace around which the work
stations are allocated. Similar to NO2 concentration, SO2 concentrations
were far below the threshold limit values of 5 mg/m3 stated in the Law
No. 4, 1994.(20) Very high SO2 concentrations of 25-250 ppm have been
measured nearby coke fueled furnace in an American foundry.(26)
CO levels
CO emissions are generated from incomplete combustion of carbon
additives and dirt and scale on the scrap charge. It may be produced in
significant quantities during preheating of the furnace charges melting
or pouring, ladle of core curing, or by decomposition of sand binder
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system and carbonaceous substances when contacted by the molten
metal.(3) CO levels have been measured in Misr Weaving Company
since the cupola furnace is coke fueled, and there is a great likelihood of
CO emission. As shown in figure (7) the highest levels were recorded in
pouring operation. Fortunately, pouring operations takes few minutes
for each batch. However, all the average levels were exceeding the
threshold limit values of 50 ppm stated in the Egyptian Environmental
Law. It is noteworthy that similar results were recorded in Finland. In a
survey of 52 iron, 5 steel and 100 copper alloys foundries, the mean COconcentration around the cupola averaged 240 ppm and 110 ppm in the
casting area.(27)
Noise levels
Noise levels were measured during shake-out and cleaning
operations, the most noisy operation being in casting. The highest
recorded noise levels in El Nasr Company might be attributed to the
high workload, extensive activities in the company at the period of the
study besides the huge size of produced casting. However, workers
were wearing earplugs during practicing shake-out and cleaning.
Although the noise levels were lower in the other three companies, they
still exceeded the 90 dB(A) limit in the Egyptian Law. (20) Workers were
not wearing earplugs in these operations in these departments which
might threaten their hearing acuity.
It is normal that shake-out and cleaning operations are being
associated with noise levels of 90-110 dB(A). Also, noise levels of 100-
110 dB(A) have been regularly measured during routine fettling in both
ferrous and nonferrous foundries.(6,28)
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Heat stress levels
Extreme heat exposure is known to occur during melting and
pouring operations. Hence heat stress levels (WBGT) were measured at
the two operations. Shown in figure (9), EL Nasr Company has
recorded the highest levels in both operations. The WBGT in pouring
operation was higher than that in melting operation in El Nasr
Company. This might be attributed to the huge amount of molten metal
handled during pouring which emits great amount of radiant heat.
The high capacity of furnace and bad working practice are possible
reasons of high heat exposure in El Nasr and Ramsis companies
respectively. The work in the foundries is a heavy work and it is almost
continuous. However, if the worker is expected to work 75% of the
work shift and the work is considered heavy, the equivalent permissible
heat stress in the Law No. 4, 1994 is 26C.(20) the results of heat levels
were higher in El Nasr Company in both operations. A proper solution
should be taken including isolation of workers, and decreasing of
working time at those areas as possible. Levels of WBGT between 30 to
50 C have been measured in several foundry surveys. At WBGT levels
over 30C, the risk of incurring heat illness progressively increases, with
the level of risk being higher for the heavier physical work.(2,29)
Accident records analysis
Age group
Ramsis Company has recorded the highest incidence rate in all
groups among the four companies especially in age group 31-40 and 41-50 (P
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company, the workers were highly turned over, even more than once in
the year which might interpret this high incidence rate. In the mean
time, this extremely high incidence rate of injury might reflect the bad
safety performance in general, which has been observed by the authors,
lack of personal protective equipment, besides, non existence of
specialized safety measures.
The age group 31-40 years has recorded the highest incidence rate
of injury in the four companies within the four age groups (P
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It is quiet obvious that Ramsis Company has recorded a significant
increase of injuries incidence rate for all body parts compared with the
other three companies (P
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Company has recorded the highest incidence rate of injury of all
categories. However, there was highly significant increase in injuries
due to contact with hot objects and exhaustion (P
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459
severity rates have been observed in all the companies except in Misr
Rayon Company. This might be attributed partly to the informal
instructions and advices to the safety staff of the companies throughout
the study period.
CONCLUSION
Foundry workers may be exposed to a variety of numerous health
hazards and accidents, owing to inherent hazardous conditions in
foundries including chemical, physical and mechanical agents. The four
surveyed foundries for chemical and physical hazards and accidents
records in the present work were different mainly in applied technology
and capacity and workload. The results of the present study revealed
that the majority of the assessed occupational chemical hazards were
within threshold limits values with some exceptions; whereas physical
hazards were exceeding threshold limit values.
The analysis of accident records in three years from 1998 to 2000
have emphasized the difference between private and business sectors
companies. The administration attitude targeting toward productivity
and profitability in private sector, represented by Ramsis Company,
besides, lack of safety plan or measures, safety staff and personal
protective equipment, all have adversely affected injuries incidence
rates, frequency and severity rates in the company.
The synergistic interactions between the diverse acting
occupational hazards, which have not yet been totally studied, might
create much serious situation than the results actually showed.
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