Evaluation of occupational risk for health in multi-factor intensive influence

V. Kharitonov, Василий Иванович Харитонов
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引用次数: 1

Abstract

Aim . Practical realization of conceptual model of occupational risk evaluation and methods of analysis of structure and extent of occupational risk. Materials and Methods . Eva-luation of occupational risk for health completed on an example of labor of hot forging die press operators. In a conceptual model the main information blocks are “Hygienic Evaluation of the Working Conditions and of Workload” (for prior evaluation of occupational risk) and “Evaluation of Health Condition” (for posterior evaluation of occupational risk). The task of the first block was evaluation of exposure doses of such factors as thermal stress of the environment, local and total vibration, noise, and also evaluation of the extent of the workload by parameters of severity and tension of the working process. The health condition was evaluated by four blocks: parameters of the functional condition of an organism, presence of occupational diseases, diseased conditions with temporary disability, and evidence of accelerated ageing by parameters of biological age. Results and Conclusions . Results are presented on the basis of in-depth analysis of intensive influence of industrial factors in accordance with domestic and ISO standards. Etiogenous analysis of occupational risk for the main stress factors and integral evaluation by the index of occupational diseases were conducted. The index takes into account categories of risk and severity of occupational diseases with respective partial indices for the leading unfavorable industrial factors. This enabled adequate evaluation of damage to health induced by occupational industrial factors of different intensity. Comparison of hygienic and medico-biological parameters of evaluation of occupational risk on the basis of etiogenous analysis showed the probability for quantitative evaluation of multi-factor intensive influences and for development of effective prophylactic measures on their basis.
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多因素密集影响下的职业健康风险评价
的目标。职业风险评价概念模型的实践实现及职业风险结构和程度的分析方法。材料与方法。以热锻模压力机操作工为例,完成了职业健康风险评价。在概念模型中,主要信息块是“工作条件和工作量的卫生评价”(用于职业风险的事先评价)和“健康状况评价”(用于职业风险的后验评价)。第一个区块的任务是评估环境热应力、局部和总振动、噪音等因素的暴露剂量,并通过工作过程的严重性和紧张程度参数评估工作量的程度。健康状况通过四个方面进行评估:生物体功能状况参数、职业疾病的存在、暂时残疾的疾病状况,以及生物年龄参数加速衰老的证据。结果与结论。根据国内标准和ISO标准,对行业因素的密集影响进行了深入分析,得出了结果。对主要应激因素进行了职业风险成因分析,并用职业病指标进行了综合评价。该指数考虑了职业病的风险类别和严重程度,并对主要不利工业因素分别给出了部分指数。这就能够充分评价不同强度的职业工业因素对健康造成的损害。在病因分析基础上评价职业风险的卫生学参数和医学生物学参数的比较,说明了多因素密集影响的定量评价和在此基础上制定有效预防措施的可能性。
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