[Code of Federal Regulations]
[Title 29, Volume 6]
[Revised as of January 1, 2007]
From the U.S. Government Printing Office via GPO Access
[CITE: 29CFR1910.1048]

[Page 356-381]
 
                             TITLE 29--LABOR

 
CHAPTER XVII--OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT 

                                OF LABOR

 
PART 1910_OCCUPATIONAL SAFETY AND HEALTH STANDARDS (CONTINUED)--Table of Contents

 
                Subpart Z_Toxic and Hazardous Substances

 
Sec. 1910.1048  Formaldehyde.


    (a) Scope and application. This standard applies to all occupational 

exposures to formaldehyde, i.e. from formaldehyde gas, its solutions, 

and materials that release formaldehyde.

    (b) Definitions. For purposes of this standard, the following 

definitions shall apply:

    Action level means a concentration of 0.5 part formaldehyde per 

million parts of air (0.5 ppm) calculated as an eight (8)-hour time-

weighted average (TWA) concentration.

    Assistant Secretary means the Assistant Secretary of Labor for the 

Occupational Safety and Health Administration, U.S. Department of Labor, 

or designee.

    Authorized person means any person required by work duties to be 

present in regulated areas, or authorized to do so by the employer, by 

this section, or by the OSH Act of 1970.

    Director means the Director of the National Institute for 

Occupational Safety and Health, U.S. Department of Health and Human 

Services, or designee.

    Emergency is any occurrence, such as but not limited to equipment 

failure, rupture of containers, or failure of control equipment that 

results in an uncontrolled release of a significant amount of 

formaldehyde.

    Employee exposure means the exposure to airborne formaldehyde which 

would occur without corrections for protection provided by any 

respirator that is in use.

    Formaldehyde means the chemical substance, HCHO, Chemical Abstracts 

Service Registry No. 50-00-0.

    (c) Permissible Exposure Limit (PEL)--(1) TWA: The employer shall 

assure that no employee is exposed to an airborne concentration of 

formaldehyde which exceeds 0.75 parts formaldehyde per million parts of 

air (0.75 ppm) as an 8-hour TWA.

    (2) Short Term Exposure Limit (STEL): The employer shall assure that 

no employee is exposed to an airborne concentration of formaldehyde 

which exceeds two parts formaldehyde per million parts of air (2 ppm) as 

a 15-minute STEL.

    (d) Exposure monitoring--(1) General. (i) Each employer who has a 

workplace covered by this standard shall monitor employees to determine 

their exposure to formaldehyde.

    (ii) Exception. Where the employer documents, using objective data, 

that the presence of formaldehyde or formaldehyde-releasing products in 

the workplace cannot result in airborne concentrations of formaldehyde 

that would cause any employee to be exposed at or above the action level 

or the STEL under foreseeable conditions of use, the employer will not 

be required to measure employee exposure to formaldehyde.



[[Page 357]]



    (iii) When an employee's exposure is determined from representative 

sampling, the measurements used shall be representative of the 

employee's full shift or short-term exposure to formaldehyde, as 

appropriate.

    (iv) Representative samples for each job classification in each work 

area shall be taken for each shift unless the employer can document with 

objective data that exposure levels for a given job classification are 

equivalent for different work shifts.

    (2) Initial monitoring. The employer shall identify all employees 

who may be exposed at or above the action level or at or above the STEL 

and accurately determine the exposure of each employee so identified.

    (i) Unless the employer chooses to measure the exposure of each 

employee potentially exposed to formaldehyde, the employer shall develop 

a representative sampling strategy and measure sufficient exposures 

within each job classification for each workshift to correctly 

characterize and not underestimate the exposure of any employee within 

each exposure group.

    (ii) The initial monitoring process shall be repeated each time 

there is a change in production, equipment, process, personnel, or 

control measures which may result in new or additional exposure to 

formaldehyde.

    (iii) If the employer receives reports of signs or symptoms of 

respiratory or dermal conditions associated with formaldehyde exposure, 

the employer shall promptly monitor the affected employee's exposure.

    (3) Periodic monitoring. (i) The employer shall periodically measure 

and accurately determine exposure to formaldehyde for employees shown by 

the initial monitoring to be exposed at or above the action level or at 

or above the STEL.

    (ii) If the last monitoring results reveal employee exposure at or 

above the action level, the employer shall repeat monitoring of the 

employees at least every 6 months.

    (iii) If the last monitoring results reveal employee exposure at or 

above the STEL, the employer shall repeat monitoring of the employees at 

least once a year under worst conditions.

    (4) Termination of monitoring. The employer may discontinue periodic 

monitoring for employees if results from two consecutive sampling 

periods taken at least 7 days apart show that employee exposure is below 

the action level and the STEL. The results must be statistically 

representative and consistent with the employer's knowledge of the job 

and work operation.

    (5) Accuracy of monitoring. Monitoring shall be accurate, at the 95 

percent confidence level, to within plus or minus 25 percent for 

airborne concentrations of formaldehyde at the TWA and the STEL and to 

within plus or minus 35 percent for airborne concentrations of 

formaldehyde at the action level.

    (6) Employee notification of monitoring results. The employer must, 

within 15 working days after the receipt of the results of any 

monitoring performed under this section, notify each affected employee 

of these results either individually in writing or by posting the 

results in an appropriate location that is accessible to employees. If 

employee exposure is above the PEL, affected employees shall be provided 

with a description of the corrective actions being taken by the employer 

to decrease exposure.

    (7) Observation of monitoring. (i) The employer shall provide 

affected employees or their designated representatives an opportunity to 

observe any monitoring of employee exposure to formaldehyde required by 

this standard.

    (ii) When observation of the monitoring of employee exposure to 

formaldehyde requires entry into an area where the use of protective 

clothing or equipment is required, the employer shall provide the 

clothing and equipment to the observer, require the observer to use such 

clothing and equipment, and assure that the observer complies with all 

other applicable safety and health procedures.

    (e) Regulated areas. (1) The employer shall establish regulated 

areas where the concentration of airborne formaldehyde exceeds either 

the TWA or the STEL and post all entrances and accessways with signs 

bearing the following information:



[[Page 358]]



                                 DANGER



                              FORMALDEHYDE



                  IRRITANT AND POTENTIAL CANCER HAZARD



                        AUTHORIZED PERSONNEL ONLY



    (2) The employer shall limit access to regulated areas to authorized 

persons who have been trained to recognize the hazards of formaldehyde.

    (3) An employer at a multiemployer worksite who establishes a 

regulated area shall communicate the access restrictions and locations 

of these areas to other employers with work operations at that worksite.

    (f) Methods of compliance--(1) Engineering controls and work 

practices. The employer shall institute engineering and work practice 

controls to reduce and maintain employee exposures to formaldehyde at or 

below the TWA and the STEL.

    (2) Exception. Whenever the employer has established that feasible 

engineering and work practice controls cannot reduce employee exposure 

to or below either of the PELs, the employer shall apply these controls 

to reduce employee exposures to the extent feasible and shall supplement 

them with respirators which satisfy this standard.

    (g) Respiratory protection--(1) General. For employees who use 

respirators required by this section, the employer must provide 

respirators that comply with the requirements of this paragraph. 

Respirators must be used during:

    (i) Periods necessary to install or implement feasible engineering 

and work-practice controls.

    (ii) Work operations, such as maintenance and repair activities or 

vessel cleaning, for which the employer establishes that engineering and 

work-practice controls are not feasible.

    (iii) Work operations for which feasible engineering and work-

practice controls are not yet sufficient to reduce employee exposure to 

or below the PELs.

    (iv) Emergencies.

    (2) Respirator program. (i) Employers must implement a respiratory 

protection program in accordance with 29 CFR 1910.134 (b) through (d) 

(except (d)(1)(iii)), and (f) through (m).

    (ii) When employees use air-purifying respirators with chemical 

cartridges or canisters that do not contain end-of-service-life 

indicators approved by the National Institute for Occupational Safety 

and Health, employers must replace these cartridges or canisters as 

specified by paragraphs (d)(3)(iii)(B)(1) and (B)(2) of 29 CFR 1910.134, 

or at the end of the workshift, whichever condition occurs first.

    (3) Respirator selection. (i) Employers must:

    (A) Select, and provide to employees, the appropriate respirators 

specified in paragraph (d)(3)(i)(A) of 29 CFR 1910.134.

    (B) Equip each air-purifying, full facepiece respirator with a 

canister or cartridge approved for protection against formaldehyde.

    (C) For escape, provide employees with one of the following 

respirator options: A self-contained breathing apparatus operated in the 

demand or pressure-demand mode; or a full facepiece respirator having a 

chin-style, or a front-or back-mounted industrial-size, canister or 

cartridge approved for protection against formaldehyde.

    (ii) Employers may substitute an air-purifying, half mask respirator 

for an air-purifying, full facepiece respirator when they equip the half 

mask respirator with a cartridge approved for protection against 

formaldehyde and provide the affected employee with effective gas-proof 

goggles.

    (iii) Employers must provide employees who have difficulty using 

negative pressure respirators with powered air-purifying respirators 

permitted for use under paragraph (g)(3)(i)(A) of this standard and that 

affords adequate protection against formaldehyde exposures.

    (h) Protective equipment and clothing. Employers shall comply with 

the provisions of 29 CFR 1910.132 and 29 CFR 1910.133. When protective 

equipment or clothing is provided under these provisions, the employer 

shall provide these protective devices at no cost to the employee and 

assure that the employee wears them.

    (1) Selection. The employer shall select protective clothing and 

equipment based upon the form of formaldehyde to be encountered, the 

conditions of use, and the hazard to be prevented.

    (i) All contact of the eyes and skin with liquids containing 1 

percent or



[[Page 359]]



more formaldehyde shall be prevented by the use of chemical protective 

clothing made of material impervious to formaldehyde and the use of 

other personal protective equipment, such as goggles and face shields, 

as appropriate to the operation.

    (ii) Contact with irritating or sensitizing materials shall be 

prevented to the extent necessary to eliminate the hazard.

    (iii) Where a face shield is worn, chemical safety goggles are also 

required if there is a danger of formaldehyde reaching the area of the 

eye.

    (iv) Full body protection shall be worn for entry into areas where 

concentrations exceed 100 ppm and for emergency reentry into areas of 

unknown concentration.

    (2) Maintenance of protective equipment and clothing. (i) The 

employer shall assure that protective equipment and clothing that has 

become contaminated with formaldehyde is cleaned or laundered before its 

reuse.

    (ii) When ventilating formaldehyde-contaminated clothing and 

equipment, the employer shall establish a storage area so that employee 

exposure is minimized. Containers for contaminated clothing and 

equipment and storage areas shall have labels and signs containing the 

following information:



                                 DANGER



             FORMALDEHYDE-CONTAMINATED [CLOTHING] EQUIPMENT



                    AVOID INHALATION AND SKIN CONTACT



    (iii) The employer shall assure that only persons trained to 

recognize the hazards of formaldehyde remove the contaminated material 

from the storage area for purposes of cleaning, laundering, or disposal.

    (iv) The employer shall assure that no employee takes home equipment 

or clothing that is contaminated with formaldehyde.

    (v) The employer shall repair or replace all required protective 

clothing and equipment for each affected employee as necessary to assure 

its effectiveness.

    (vi) The employer shall inform any person who launders, cleans, or 

repairs such clothing or equipment of formaldehyde's potentially harmful 

effects and of procedures to safely handle the clothing and equipment.

    (i) Hygiene protection. (1) The employer shall provide change rooms, 

as described in 29 CFR 1910.141 for employees who are required to change 

from work clothing into protective clothing to prevent skin contact with 

formaldehyde.

    (2) If employees' skin may become spashed with solutions containing 

1 percent or greater formaldehyde, for example, because of equipment 

failure or improper work practices, the employer shall provide 

conveniently located quick drench showers and assure that affected 

employees use these facilities immediately.

    (3) If there is any possibility that an employee's eyes may be 

splashed with solutions containing 0.1 percent or greater formaldehyde, 

the employer shall provide acceptable eyewash facilities within the 

immediate work area for emergency use.

    (j) Housekeeping. For operations involving formaldehyde liquids or 

gas, the employer shall conduct a program to detect leaks and spills, 

including regular visual inspections.

    (1) Preventative maintenance of equipment, including surveys for 

leaks, shall be undertaken at regular intervals.

    (2) In work areas where spillage may occur, the employer shall make 

provisions to contain the spill, to decontaminate the work area, and to 

dispose of the waste.

    (3) The employer shall assure that all leaks are repaired and spills 

are cleaned promptly by employees wearing suitable protective equipment 

and trained in proper methods for cleanup and decontamination.

    (4) Formaldehyde-contaminated waste and debris resulting from leaks 

or spills shall be placed for disposal in sealed containers bearing a 

label warning of formaldehyde's presence and of the hazards associated 

with formaldehyde.

    (k) Emergencies. For each workplace where there is the possibility 

of an emergency involving formaldehyde, the employer shall assure 

appropriate procedures are adopted to minimize injury and loss of life. 

Appropriate procedures shall be implemented in the event of an 

emergency.



[[Page 360]]



    (l) Medical surveillance--(1) Employees covered. (i) The employer 

shall institute medical surveillance programs for all employees exposed 

to formaldehyde at concentrations at or exceeding the action level or 

exceeding the STEL.

    (ii) The employer shall make medical surveillance available for 

employees who develop signs and symptoms of overexposure to formaldehyde 

and for all employees exposed to formaldehyde in emergencies. When 

determining whether an employee may be experiencing signs and symptoms 

of possible overexposure to formaldehyde, the employer may rely on the 

evidence that signs and symptoms associated with formaldehyde exposure 

will occur only in exceptional circumstances when airborne exposure is 

less than 0.1 ppm and when formaldehyde is present in material in 

concentrations less than 0.1 percent.

    (2) Examination by a physician. All medical procedures, including 

administration of medical disease questionnaires, shall be performed by 

or under the supervision of a licensed physician and shall be provided 

without cost to the employee, without loss of pay, and at a reasonable 

time and place.

    (3) Medical disease questionnaire. The employer shall make the 

following medical surveillance available to employees prior to 

assignment to a job where formaldehyde exposure is at or above the 

action level or above the STEL and annually thereafter. The employer 

shall also make the following medical surveillance available promptly 

upon determining that an employee is experiencing signs and symptoms 

indicative of possible overexposure to formaldehyde.

    (i) Administration of a medical disease questionnaire, such as in 

appendix D, which is designed to elicit information on work history, 

smoking history, any evidence of eye, nose, or throat irritation; 

chronic airway problems or hyperreactive airway disease: allergic skin 

conditions or dermatitis; and upper or lower respiratory problems.

    (ii) A determination by the physician, based on evaluation of the 

medical disease questionnaire, of whether a medical examination is 

necessary for employees not required to wear respirators to reduce 

exposure to formaldehyde.

    (4) Medical examinations. Medical examinations shall be given to any 

employee who the physician feels, based on information in the medical 

disease questionnaire, may be at increased risk from exposure to 

formaldehyde and at the time of initial assignment and at least annually 

thereafter to all employees required to wear a respirator to reduce 

exposure to formaldehyde. The medical examination shall include:

    (i) A physical examination with emphasis on evidence of irritation 

or sensitization of the skin and respiratory system, shortness of 

breath, or irritation of the eyes.

    (ii) Laboratory examinations for respirator wearers consisting of 

baseline and annual pulmonary function tests. As a minimum, these tests 

shall consist of forced vital capacity (FVC), forced expiratory volume 

in one second (FEV<INF>1</INF>), and forced expiratory flow (FEF).

    (iii) Any other test which the examining physician deems necessary 

to complete the written opinion.

    (iv) Counseling of employees having medical conditions that would be 

directly or indirectly aggravated by exposure to formaldehyde on the 

increased risk of impairment of their health.

    (5) Examinations for employees exposed in an emergency. The employer 

shall make medical examinations available as soon as possible to all 

employees who have been exposed to formaldehyde in an emergency.

    (i) The examination shall include a medical and work history with 

emphasis on any evidence of upper or lower respiratory problems, 

allergic conditions, skin reaction or hypersensitivity, and any evidence 

of eye, nose, or throat irritation.

    (ii) Other examinations shall consist of those elements considered 

appropriate by the examining physician.

    (6) Information provided to the physician. The employer shall 

provide the following information to the examining physician:

    (i) A copy of this standard and appendix A, C, D, and E;



[[Page 361]]



    (ii) A description of the affected employee's job duties as they 

relate to the employee's exposure to formaldehyde;

    (iii) The representative exposure level for the employee's job 

assignment;

    (iv) Information concerning any personal protective equipment and 

respiratory protection used or to be used by the employee; and

    (v) Information from previous medical examinations of the affected 

employee within the control of the employer.

    (vi) In the event of a nonroutine examination because of an 

emergency, the employer shall provide to the physician as soon as 

possible: A description of how the emergency occurred and the exposure 

the victim may have received.

    (7) Physician's written opinion. (i) For each examination required 

under this standard, the employer shall obtain a written opinion from 

the examining physician. This written opinion shall contain the results 

of the medical examination except that it shall not reveal specific 

findings or diagnoses unrelated to occupational exposure to 

formaldehyde. The written opinion shall include:

    (A) The physician's opinion as to whether the employee has any 

medical condition that would place the employee at an increased risk of 

material impairment of health from exposure to formaldehyde;

    (B) Any recommended limitations on the employee's exposure or 

changes in the use of personal protective equipment, including 

respirators;

    (C) A statement that the employee has been informed by the physician 

of any medical conditions which would be aggravated by exposure to 

formaldehyde, whether these conditions may have resulted from past 

formaldehyde exposure or from exposure in an emergency, and whether 

there is a need for further examination or treatment.

    (ii) The employer shall provide for retention of the results of the 

medical examination and tests conducted by the physician.

    (iii) The employer shall provide a copy of the physician's written 

opinion to the affected employee within 15 days of its receipt.

    (8) Medical removal. (i) The provisions of paragraph (l)(8) apply 

when an employee reports significant irritation of the mucosa of the 

eyes or the upper airways, respiratory sensitization, dermal irritation, 

or dermal sensitization attributed to workplace formaldehyde exposure. 

Medical removal provisions do not apply in the case of dermal irritation 

or dermal sensitization when the product suspected of causing the dermal 

condition contains less than 0.05% formaldehyde.

    (ii) An employee's report of signs or symptoms of possible 

overexposure to formaldehyde shall be evaluated by a physician selected 

by the employer pursuant to paragraph (l)(3). If the physician 

determines that a medical examination is not necessary under paragraph 

(l)(3)(ii), there shall be a two-week evaluation and remediation period 

to permit the employer to ascertain whether the signs or symptoms 

subside untreated or with the use of creams, gloves, first aid treatment 

or personal protective equipment. Industrial hygiene measures that limit 

the employee's exposure to formaldehyde may also be implemented during 

this period. The employee shall be referred immediately to a physician 

prior to expiration of the two-week period if the signs or symptoms 

worsen. Earnings, seniority and benefits may not be altered during the 

two-week period by virtue of the report.

    (iii) If the signs or symptoms have not subsided or been remedied by 

the end of the two-week period, or earlier if signs or symptoms warrant, 

the employee shall be examined by a physician selected by the employer. 

The physician shall presume, absent contrary evidence, that observed 

dermal irritation or dermal sensitization are not attributable to 

formaldehyde when products to which the affected employee is exposed 

contain less than 0.1% formaldehyde.

    (iv) Medical examinations shall be conducted in compliance with the 

requirements of paragraph (l)(5) (i) and (ii). Additional guidelines for 

conducting medical exams are contained in appendix C.

    (v) If the physician finds that significant irritation of the mucosa 

of the



[[Page 362]]



eyes or of the upper airways, respiratory sensitization, dermal 

irritation, or dermal sensitization result from workplace formaldehyde 

exposure and recommends restrictions or removal, the employer shall 

promptly comply with the restrictions or recommendation of removal. In 

the event of a recommendation of removal, the employer shall remove the 

effected employee from the current formaldehyde exposure and if 

possible, transfer the employee to work having no or significantly less 

exposure to formaldehyde.

    (vi) When an employee is removed pursuant to paragraph (l)(8)(v), 

the employer shall transfer the employee to comparable work for which 

the employee is qualified or can be trained in a short period (up to 6 

months), where the formaldehyde exposures are as low as possible, but 

not higher than the action level. The employeer shall maintain the 

employee's current earnings, seniority, and other benefits. If there is 

no such work available, the employer shall maintain the employee's 

current earnings, seniority and other benefits until such work becomes 

available, until the employee is determined to be unable to return to 

workplace formaldehyde exposure, until the employee is determined to be 

able to return to the original job status, or for six months, whichever 

comes first.

    (vii) The employer shall arrange for a follow-up medical examination 

to take place within six months after the employee is removed pursuant 

to this paragraph. This examination shall determine if the employee can 

return to the original job status, or if the removal is to be permanent. 

The physician shall make a decision within six months of the date the 

employee was removed as to whether the employee can be returned to the 

original job status, or if the removal is to be permanent.

    (viii) An employer's obligation to provide earnings, seniority and 

other benefits to a removed employee may be reduced to the extent that 

the employee receives compensation for earnings lost during the period 

of removal either from a publicly or employer-funded compensation 

program or from employment with another employer made possible by virtue 

of the employee's removal.

    (ix) In making determinations of the formaldehyde content of 

materials under this paragraph the employer may rely on objective data.

    (9) Multiple physician review. (i) After the employer selects the 

initial physician who conducts any medical examination or consultation 

to determine whether medical removal or restriction is appropriate, the 

employee may designate a second physician to review any findings, 

determinations or recommendations of the initial physician and to 

conduct such examinations, consultations, and laboratory tests as the 

second physician deems necessary and appropriate to evaluate the effects 

of formaldehyde exposure and to facilitate this review.

    (ii) The employer shall promptly notify an employee of the right to 

seek a second medical opinion after each occasion that an initial 

physician conducts a medical examination or consultation for the purpose 

of medical removal or restriction.

    (iii) The employer may condition its participation in, and payment 

for, the multiple physician review mechanism upon the employee doing the 

following within fifteen (15) days after receipt of the notification of 

the right to seek a second medical opinion, or receipt of the initial 

physician's written opinion, whichever is later;

    (A) The employee informs the employer of the intention to seek a 

second medical opinion, and

    (B) The employee initiates steps to make an appointment with a 

second physician.

    (iv) If the findings, determinations or recommendations of the 

second physician differ from those of the initial physician, then the 

employer and the employee shall assure that efforts are made for the two 

physicians to resolve the disagreement. If the two physicians are unable 

to quickly resolve their disagreement, then the employer and the 

employee through their respective physicians shall designate a third 

physician who shall be a specialist in the field at issue:

    (A) To review the findings, determinations or recommendations of the 

prior physicians; and



[[Page 363]]



    (B) To conduct such examinations, consultations, laboratory tests 

and discussions with the prior physicians as the third physician deems 

necessary to resolve the disagreement of the prior physicians.

    (v) In the alternative, the employer and the employee or authorized 

employee representative may jointly designate such third physician.

    (vi) The employer shall act consistent with the findings, 

determinations and recommendations of the third physician, unless the 

employer and the employee reach an agreement which is otherwise 

consistent with the recommendations of at least one of the three 

physicians.

    (m) Hazard communication--(1) General. Communication of the hazards 

associated with formaldehyde in the workplace shall be governed by the 

requirements of paragraph (m). The definitions of 29 CFR 1910.1200(c) 

shall apply under this paragraph.

    (i) The following shall be subject to the hazard communication 

requirements of this paragraph: Formaldehyde gas, all mixtures or 

solutions composed of greater than 0.1 percent formaldehyde, and 

materials capable of releasing formaldehyde into the air, under 

reasonably foreseeable conditions of use, at concentrations reaching or 

exceeding 0.1 ppm.

    (ii) As a minimum, specific health hazards that the employer shall 

address are: Cancer, irritation and sensitization of the skin and 

respiratory system, eye and throat irritation, and acute toxicity.

    (2) Manufacturers and importers who produce or import formaldehyde 

or formaldehyde-containing products shall provide downstream employers 

using or handling these products with an objective determination through 

the required labels and MSDSs if these items may constitute a health 

hazard within the meaning of 29 CFR 1910.1200(d) under normal conditions 

of use.

    (3) Labels. (i) The employer shall assure that hazard warning labels 

complying with the requirements of 29 CFR 1910.1200(f) are affixed to 

all containers of materials listed in paragraph (m)(1)(i), except to the 

extent that 29 CFR 1910.1200(f) is inconsistent with this paragraph.

    (ii) Information on labels. As a minimum, for all materials listed 

in paragraph (m)(1)(i) capable of releasing formaldehyde at levels of 

0.1 ppm to 0.5 ppm, labels shall identify that the product contains 

formaldehyde; list the name and address of the responsible party; and 

state that physical and health hazard information is readily available 

from the employer and from material safety data sheets.

    (iii) For materials listed in paragraph (m)(1)(i) capable of 

releasing formaldehyde at levels above 0.5 ppm, labels shall 

appropriately address all hazards as defined in 29 CFR 1910.1200(d) and 

29 CFR 1910.1200 appendices A and B, including respiratory 

sensitization, and shall contain the words ``Potential Cancer Hazard.''

    (iv) In making the determinations of anticipated levels of 

formaldehyde release, the employer may rely on objective data indicating 

the extent of potential formaldehyde release under reasonably 

foreseeable conditions of use.

    (v) Substitute warning labels. The employer may use warning labels 

required by other statutes, regulations, or ordinances which impart the 

same information as the warning statements required by this paragraph.

    (4) Material safety data sheets. (i) Any employer who uses 

formaldehyde-containing materials listed in paragraph (m)(1)(i) shall 

comply with the requirements of 29 CFR 1910.1200(g) with regard to the 

development and updating of material safety data sheets.

    (ii) Manufacturers, importers, and distributors of formaldehyde-

containing materials listed in paragraph (m)(1)(i) shall assure that 

material safety data sheets and updated information are provided to all 

employers purchasing such materials at the time of the initial shipment 

and at the time of the first shipment after a material safety data sheet 

is updated.

    (5) Written hazard communication program. The employer shall 

develop, implement, and maintain at the workplace, a written hazard 

communication program for formaldehyde exposures in the workplace, which 

at a minimum describes how the requirements specified in this paragraph 

for labels and



[[Page 364]]



other forms of warning and material safety data sheets, and paragraph 

(n) for employee information and training, will be met. Employers in 

multi-employer workplaces shall comply with the requirements of 29 CFR 

1910.1200(e)(2).

    (n) Employee information and training--(1) Participation. The 

employer shall assure that all employees who are assigned to workplaces 

where there is exposure to formaldehyde participate in a training 

program, except that where the employer can show, using objective data, 

that employees are not exposed to formaldehyde at or above 0.1 ppm, the 

employer is not required to provide training.

    (2) Frequency. Employers shall provide such information and training 

to employees at the time of initial assignment, and whenever a new 

exposure to formaldehyde is introduced into the work area. The training 

shall be repeated at least annually.

    (3) Training program. The training program shall be conducted in a 

manner which the employee is able to understand and shall include:

    (i) A discussion of the contents of this regulation and the contents 

of the Material Safety Data Sheet.

    (ii) The purpose for and a description of the medical surveillance 

program required by this standard, including:

    (A) A description of the potential health hazards associated with 

exposure to formaldehyde and a description of the signs and symptoms of 

exposure to formaldehyde.

    (B) Instructions to immediately report to the employer the 

development of any adverse signs or symptoms that the employee suspects 

is attributable to formaldehyde exposure.

    (iii) Description of operations in the work area where formaldehyde 

is present and an explanation of the safe work practices appropriate for 

limiting exposure to formaldehyde in each job;

    (iv) The purpose for, proper use of, and limitations of personal 

protective clothing and equipment;

    (v) Instructions for the handling of spills, emergencies, and clean-

up procedures;

    (vi) An explanation of the importance of engineering and work 

practice controls for employee protection and any necessary instruction 

in the use of these controls; and

    (vii) A review of emergency procedures including the specific duties 

or assignments of each employee in the event of an emergency.

    (4) Access to training materials. (i) The employer shall inform all 

affected employees of the location of written training materials and 

shall make these materials readily available, without cost, to the 

affected employees.

    (ii) The employer shall provide, upon request, all training 

materials relating to the employee training program to the Assistant 

Secretary and the Director.

    (o) Recordkeeping--(1) Exposure measurements. The employer shall 

establish and maintain an accurate record of all measurements taken to 

monitor employee exposure to formaldehyde. This record shall include:

    (i) The date of measurement;

    (ii) The operation being monitored;

    (iii) The methods of sampling and analysis and evidence of their 

accuracy and precision;

    (iv) The number, durations, time, and results of samples taken;

    (v) The types of protective devices worn; and

    (vi) The names, job classifications, social security numbers, and 

exposure estimates of the employees whose exposures are represented by 

the actual monitoring results.

    (2) Exposure determinations. Where the employer has determined that 

no monitoring is required under this standard, the employer shall 

maintain a record of the objective data relied upon to support the 

determination that no employee is exposed to formaldehyde at or above 

the action level.

    (3) Medical surveillance. The employer shall establish and maintain 

an accurate record for each employee subject to medical surveillance 

under this standard. This record shall include:

    (i) The name and social security number of the employee;

    (ii) The physician's written opinion;

    (iii) A list of any employee health complaints that may be related 

to exposure to formaldehyde; and

    (iv) A copy of the medical examination results, including medical 

disease



[[Page 365]]



questionnaires and results of any medical tests required by the standard 

or mandated by the examining physician.

    (4) Respirator fit testing. (i) The employer shall establish and 

maintain accurate records for employees subject to negative pressure 

respirator fit testing required by this standard.

    (ii) This record shall include:

    (A) A copy of the protocol selected for respirator fit testing.

    (B) A copy of the results of any fit testing performed.

    (C) The size and manufacturer of the types of respirators available 

for selection.

    (D) The date of the most recent fit testing, the name and social 

security number of each tested employee, and the respirator type and 

facepiece selected.

    (5) Record retention. The employer shall retain records required by 

this standard for at least the following periods:

    (i) Exposure records and determinations shall be kept for at least 

30 years.

    (ii) Medical records shall be kept for the duration of employment 

plus 30 years.

    (iii) Respirator fit testing records shall be kept until replaced by 

a more recent record.

    (6) Availability of records. (i) Upon request, the employer shall 

make all records maintained as a requirement of this standard available 

for examination and copying to the Assistant Secretary and the Director.

    (ii) The employer shall make employee exposure records, including 

estimates made from representative monitoring and available upon request 

for examination, and copying to the subject employee, or former 

employee, and employee representatives in accordance with 29 CFR 

1910.1020 (a)-(e) and (g)-(i).

    (iii) Employee medical records required by this standard shall be 

provided upon request for examination and coying, to the subject 

employee or former employee or to anyone having the specific written 

consent of the subject employee or former employee in accordance with 29 

CFR 1910.1020 (a)-(e) and (g)-(i).



   Appendix A to Sec. 1910.1048--Substance Technical Guidelines for 

                                Formalin



    The following Substance Technical Guideline for Formalin provides 

information on uninhibited formalin solution (37% formaldehyde, no 

methanol stabilizer). It is designed to inform employees at the 

production level of their rights and duties under the formaldehyde 

standard whether their job title defines them as workers or supervisors. 

Much of the information provided is general; however, some information 

is specific for formalin. When employee exposure to formaldehyde is from 

resins capable of releasing formaldehyde, the resin itself and other 

impurities or decomposition products may also be toxic, and employers 

should include this information as well when informing employees of the 

hazards associated with the materials they handle. The precise hazards 

associated with exposure to formaldehyde depend both on the form (solid, 

liquid, or gas) of the material and the concentration of formaldehyde 

present. For example, 37-50 percent solutions of formaldehyde present a 

much greater hazard to the skin and eyes from spills or splashes than 

solutions containing less than 1 percent formaldehyde. Individual 

Substance Technical Guidelines used by the employer for training 

employees should be modified to properly give information on the 

material actually being used.



                        Substance Identification



Chemical Name: Formaldehyde

Chemical Family: Aldehyde

Chemical Formula: HCHO

Molecular Weight: 30.03

Chemical Abstracts Service Number (CAS Number): 50-00-0



    Synonyms: Formalin; Formic Aldehyde; Paraform; Formol; Formalin 

(Methanol-free); Fyde; Formalith; Methanal; Methyl Aldehyde; Methylene 

Glycol; Methylene Oxide; Tetraoxymethalene; Oxomethane; Oxymethylene



                       Components and Contaminants



Percent: 37.0 Formaldehyde

Percent: 63.0 Water



(Note--Inhibited solutions contain methanol.)



Other Contaminants: Formic acid (alcohol free)

Exposure Limits:



OSHA TWA--0.75 ppm

OSHA STEL--2 ppm



                              Physical Data



Description: Colorless liquid, pungent odor

Boiling point: 214 [deg]F (101 [deg]C)

Specific Gravity: 1.08 (H<INF>2</INF> O=1 @ 20 [deg]C)

pH: 2.8-4.0

Solubility in Water: Miscible



[[Page 366]]



Solvent Solubility: Soluble in alcohol and acetone

Vapor Density: 1.04 (Air=1 @ 20 [deg]C)

Odor Threshold: 0.8-1 ppm



                        Fire and Explosion Hazard



    Moderate fire and explosion hazard when exposed to heat or flame.

    The flash point of 37% formaldehyde solutions is above normal room 

temperature, but the explosion range is very wide, from 7 to 73% by 

volume in air.

    Reaction of formaldehyde with nitrogen dioxide, nitromethane, 

perchloric acid and aniline, or peroxyformic acid yields explosive 

compounds.



Flash Point: 185 [deg]F (85 [deg]C) closed cup

Lower Explosion Limit: 7%

Upper Explosion Limit: 73%

Autoignition Temperature: 806 [deg]F (430 [deg]C)

Flammability Class (OSHA): III A



    Extinguishing Media: Use dry chemical, ``alcohol foam'', carbon 

dioxide, or water in flooding amounts as fog. Solid streams may not be 

effective. Cool fire-exposed containers with water from side until well 

after fire is out.

    Use of water spray to flush spills can also dilute the spill to 

produce nonflammable mixtures. Water runoff, however, should be 

contained for treatment.



     National Fire Protection Association Section 325M Designation:



    Health: 2--Materials hazardous to health, but areas may be entered 

with full-faced mask self-contained breathing apparatus which provides 

eye protection.

    Flammability: 2--Materials which must be moderately heated before 

ignition will occur. Water spray may be used to extinguish the fire 

because the material can be cooled below its flash point.

    Reactivity: D--Materials which (in themselves) are normally stable 

even under fire exposure conditions and which are not reactive with 

water. Normal fire fighting procedures may be used.



                               Reactivity



    Stability: Formaldehyde solutions may self-polymerize to form 

paraformaldehyde which precipitates.

    Incompatibility (Materials to Avoid): Strong oxidizing agents, 

caustics, strong alkalies, isocyanates, anhydrides, oxides, and 

inorganic acids. Formaldehyde reacts with hydrochloric acid to form the 

potent carcinogen, bis-chloromethyl ether. Formaldehyde reacts with 

nitrogen dioxide, nitromethane, perchloric acid and aniline, or 

peroxyformic acid to yield explosive compounds. A violent reaction 

occurs when formaldehyde is mixed with strong oxidizers.

    Hazardous Combustion or Decomposition Products: Oxygen from the air 

can oxidize formaldehyde to formic acid, especially when heated. Formic 

acid is corrosive.



                           Health Hazard Data



                        Acute Effects of Exposure



    Ingestion (Swallowing): Liquids containing 10 to 40% formaldehyde 

cause severe irritation and inflammation of the mouth, throat, and 

stomach. Severe stomach pains will follow ingestion with possible loss 

of consciousness and death. Ingestion of dilute formaldehyde solutions 

(0.03-0.04%) may cause discomfort in the stomach and pharynx.

    Inhalation (Breathing): Formaldehyde is highly irritating to the 

upper respiratory tract and eyes. Concentrations of 0.5 to 2.0 ppm may 

irritate the eyes, nose, and throat of some individuals. Concentrations 

of 3 to 5 ppm also cause tearing of the eyes and are intolerable to some 

persons. Concentrations of 10 to 20 ppm cause difficulty in breathing, 

burning of the nose and throat, cough, and heavy tearing of the eyes, 

and 25 to 30 ppm causes severe respiratory tract injury leading to 

pulmonary edema and pneumonitis. A concentration of 100 ppm is 

immediately dangerous to life and health. Deaths from accidental 

exposure to high concentrations of formaldehyde have been reported.

    Skin (Dermal): Formalin is a severe skin irritant and a sensitizer. 

Contact with formalin causes white discoloration, smarting, drying, 

cracking, and scaling. Prolonged and repeated contact can cause numbness 

and a hardening or tanning of the skin. Previously exposed persons may 

react to future exposure with an allergic eczematous dermatitis or 

hives.

    Eye Contact: Formaldehyde solutions splashed in the eye can cause 

injuries ranging from transient discomfort to severe, permanent corneal 

clouding and loss of vision. The severity of the effect depends on the 

concentration of formaldehyde in the solution and whether or not the 

eyes are flushed with water immediately after the accident.



    Note. The perception of formaldehyde by odor and eye irritation 

becomes less sensitive with time as one adapts to formaldehyde. This can 

lead to overexposure if a worker is relying on formaldehyde's warning 

properties to alert him or her to the potential for exposure.



Acute Animal Toxicity:

Oral, rats: LD50=800 mg/kg

Oral, mouse: LD50=42 mg/kg

Inhalation, rats: LCLo=250 mg/kg

Inhalation, mouse: LCLo=900 mg/kg

Inhalation, rats: LC50=590 mg/kg



                       Chronic Effects of Exposure



    Carcinogenicity: Formaldehyde has the potential to cause cancer in 

humans. Repeated and prolonged exposure increases the risk.



[[Page 367]]



Various animal experiments have conclusively shown formaldehyde to be a 

carcinogen in rats. In humans, formaldehyde exposure has been associated 

with cancers of the lung, nasopharynx and oropharynx, and nasal 

passages.

    Mutagenicity: Formaldehyde is genotoxic in several in vitro test 

systems showing properties of both an initiator and a promoter.

    Toxicity: Prolonged or repeated exposure to formaldehyde may result 

in respiratory impairment. Rats exposed to formaldehyde at 2 ppm 

developed benign nasal tumors and changes of the cell structure in the 

nose as well as inflamed mucous membranes of the nose. Structural 

changes in the epithelial cells in the human nose have also been 

observed. Some persons have developed asthma or bronchitis following 

exposure to formaldehyde, most often as the result of an accidental 

spill involving a single exposure to a high concentration of 

formaldehyde.



                   Emergency and First Aid Procedures



    Ingestion (Swallowing): If the victim is conscious, dilute, 

inactivate, or absorb the ingested formaldehyde by giving milk, 

activated charcoal, or water. Any organic material will inactivate 

formaldehyde. Keep affected person warm and at rest. Get medical 

attention immediately. If vomiting occurs, keep head lower than hips.

    Inhalation (Breathing): Remove the victim from the exposure area to 

fresh air immediately. Where the formaldehyde concentration may be very 

high, each rescuer must put on a self-contained breathing apparatus 

before attempting to remove the victim, and medical personnel should be 

informed of the formaldehyde exposure immediately. If breathing has 

stopped, give artificial respiration. Keep the affected person warm and 

at rest. Qualified first-aid or medical personnel should administer 

oxygen, if available, and maintain the patient's airways and blood 

pressure until the victim can be transported to a medical facility. If 

exposure results in a highly irritated upper respiratory tract and 

coughing continues for more than 10 minutes, the worker should be 

hospitalized for observation and treatment.

    Skin Contact: Remove contaminated clothing (including shoes) 

immediately. Wash the affected area of your body with soap or mild 

detergent and large amounts of water until no evidence of the chemical 

remains (at least 15 to 20 minutes). If there are chemical burns, get 

first aid to cover the area with sterile, dry dressing, and bandages. 

Get medical attention if you experience appreciable eye or respiratory 

irritation.

    Eye Contact: Wash the eyes immediately with large amounts of water 

occasionally lifting lower and upper lids, until no evidence of chemical 

remains (at least 15 to 20 minutes). In case of burns, apply sterile 

bandages loosely without medication. Get medical attention immediately. 

If you have experienced appreciable eye irritation from a splash or 

excessive exposure, you should be referred promptly to an opthamologist 

for evaluation.



                          Emergency Procedures



    Emergencies: If you work in an area where a large amount of 

formaldehyde could be released in an accident or from equipment failure, 

your employer must develop procedures to be followed in event of an 

emergency. You should be trained in your specific duties in the event of 

an emergency, and it is important that you clearly understand these 

duties. Emergency equipment must be accessible and you should be trained 

to use any equipment that you might need. Formaldehyde contaminated 

equipment must be cleaned before reuse.

    If a spill of appreciable quantity occurs, leave the area quickly 

unless you have specific emergency duties. Do not touch spilled 

material. Designated persons may stop the leak and shut off ignition 

sources if these procedures can be done without risk. Designated persons 

should isolate the hazard area and deny entry except for necessary 

people protected by suitable protective clothing and respirators 

adequate for the exposure. Use water spray to reduce vapors. Do not 

smoke, and prohibit all flames or flares in the hazard area.

    Special Firefighting Procedures: Learn procedures and 

responsibilities in the event of a fire in your workplace. Become 

familiar with the appropriate equipment and supplies and their location. 

In firefighting, withdraw immediately in case of rising sound from 

venting safety device or any discoloration of storage tank due to fire.



                  Spill, Leak, and Disposal Procedures



    Occupational Spill: For small containers, place the leaking 

container in a well ventilated area. Take up small spills with absorbent 

material and place the waste into properly labeled containers for later 

disposal. For larger spills, dike the spill to minimize contamination 

and facilitate salvage or disposal. You may be able to neutralize the 

spill with sodium hydroxide or sodium sulfite. Your employer must comply 

with EPA rules regarding the clean-up of toxic waste and notify state 

and local authorities, if required. If the spill is greater than 1,000 

lb/day, it is reportable under EPA's Superfund legislation.

    Waste Disposal: Your employer must dispose of waste containing 

formaldehyde in accordance with applicable local, state, and Federal law 

and in a manner that minimizes exposure of employees at the site and of 

the clean-up crew.



[[Page 368]]



                  Monitoring and Measurement Procedures



    Monitoring Requirements: If your exposure to formaldehyde exceeds 

the 0.5 ppm action level or the 2 ppm STEL, your employer must monitor 

your exposure. Your employer need not measure every exposure if a ``high 

exposure'' employee can be identified. This person usually spends the 

greatest amount of time nearest the process equipment. If you are a 

``representative employee'', you will be asked to wear a sampling device 

to collect formaldehyde. This device may be a passive badge, a sorbent 

tube attached to a pump, or an impinger containing liquid. You should 

perform your work as usual, but inform the person who is conducting the 

monitoring of any difficulties you are having wearing the device.

    Evaluation of 8-hour Exposure: Measurements taken for the purpose of 

determining time-weighted average (TWA) exposures are best taken with 

samples covering the full shift. Samples collected must be taken from 

the employee's breathing zone air.

    Short-term Exposure Evaluation: If there are tasks that involve 

brief but intense exposure to formaldehyde, employee exposure must be 

measured to assure compliance with the STEL. Sample collections are for 

brief periods, only 15 minutes, but several samples may be needed to 

identify the peak exposure.

    Monitoring Techniques: OSHA's only requirement for selecting a 

method for sampling and analysis is that the methods used accurately 

evaluate the concentration of formaldehyde in employees' breathing 

zones. Sampling and analysis may be performed by collection of 

formaldehyde on liquid or solid sorbents with subsequent chemical 

analysis. Sampling and analysis may also be performed by passive 

diffusion monitors and short-term exposure may be measured by 

instruments such as real-time continuous monitoring systems and portable 

direct reading instruments.

    Notification of Results: Your employer must inform you of the 

results of exposure monitoring representative of your job. You may be 

informed in writing, but posting the results where you have ready access 

to them constitutes compliance with the standard.



                    Protective Equipment and Clothing



    [Material impervious to formaldehyde is needed if the employee 

handles formaldehyde solutions of 1% or more. Other employees may also 

require protective clothing or equipment to prevent dermatitis.]

    Respiratory Protection: Use NIOSH-approved full facepiece negative 

pressure respirators equipped with approved cartridges or canisters 

within the use limitations of these devices. (Present restrictions on 

cartridges and canisters do not permit them to be used for a full 

workshift.) In all other situations, use positive pressure respirators 

such as the positive-pressure air purifying respirator or the self-

contained breathing apparatus (SCBA). If you use a negative pressure 

respirator, your employer must provide you with fit testing of the 

respirator at least once a year.

    Protective Gloves: Wear protective (impervious) gloves provided by 

your employer, at no cost, to prevent contact with formalin. Your 

employer should select these gloves based on the results of permeation 

testing and in accordance with the ACGIH Guidelines for Selection of 

Chemical Protective Clothing.

    Eye Protection: If you might be splashed in the eyes with formalin, 

it is essential that you wear goggles or some other type of complete 

protection for the eye. You may also need a face shield if your face is 

likely to be splashed with formalin, but you must not substitute face 

shields for eye protection. (This section pertains to formaldehyde 

solutions of 1% or more.)

    Other Protective Equipment: You must wear protective (impervious) 

clothing and equipment provided by your employer at no cost to prevent 

repeated or prolonged contact with formaldehyde liquids. If you are 

required to change into whole-body chemical protective clothing, your 

employer must provide a change room for your privacy and for storage of 

your normal clothing.

    If you are splashed with formaldehyde, use the emergency showers and 

eyewash fountains provided by your employer immediately to prevent 

serious injury. Report the incident to your supervisor and obtain 

necessary medical support.



                      Entry Into an IDLH Atmosphere



    Enter areas where the formaldehyde concentration might be 100 ppm or 

more only with complete body protection including a self-contained 

breathing apparatus with a full facepiece operated in a positive 

pressure mode or a supplied air respirator with full facepiece and 

operated in a positive pressure mode. This equipment is essential to 

protect your life and health under such extreme conditions.



                          Engineering Controls



    Ventilation is the most widely applied engineering control method 

for reducing the concentration of airborne substances in the breathing 

zones of workers. There are two distinct types of ventilation.

    Local Exhaust: Local exhaust ventilation is designed to capture 

airborne contaminants as near to the point of generation as possible. To 

protect you, the direction of contaminant flow must always be toward the 

local exhaust system inlet and away from you.

    General (Mechanical): General dilution ventilation involves 

continuous introduction of



[[Page 369]]



fresh air into the workroom to mix with the contaminated air and lower 

your breathing zone concentration of formaldehyde. Effectiveness depends 

on the number of air changes per hour. Where devices emitting 

formaldehyde are spread out over a large area, general dilution 

ventilation may be the only practical method of control.

    Work Practices: Work practices and administrative procedures are an 

important part of a control system. If you are asked to perform a task 

in a certain manner to limit your exposure to formaldehyde, it is 

extremely important that you follow these procedures.



                          Medical Surveillance



    Medical surveillance helps to protect employees' health. You are 

encouraged strongly to participate in the medical surveillance program.

    Your employer must make a medical surveillance program available at 

no expense to you and at a reasonable time and place if you are exposed 

to formaldehyde at concentrations above 0.5 ppm as an 8-hour average or 

2 ppm over any 15-minute period. You will be offered medical 

surveillance at the time of your initial assignment and once a year 

afterward as long as your exposure is at least 0.5 ppm (TWA) or 2 ppm 

(STEL). Even if your exposure is below these levels, you should inform 

your employer if you have signs and symptoms that you suspect, through 

your training, are related to your formaldehyde exposure because you may 

need medical surveillance to determine if your health is being impaired 

by your exposure.

    The surveillance plan includes:

    (a) A medical disease questionnaire.

    (b) A physical examination if the physician determines this is 

necessary.

    If you are required to wear a respirator, your employer must offer 

you a physical examination and a pulmonary function test every year.

    The physician must collect all information needed to determine if 

you are at increased risk from your exposure to formaldehyde. At the 

physician's discretion, the medical examination may include other tests, 

such as a chest x-ray, to make this determination.

    After a medical examination the physician will provide your employer 

with a written opinion which includes any special protective measures 

recommended and any restrictions on your exposure. The physician must 

inform you of any medical conditions you have which would be aggravated 

by exposure to formaldehyde.

    All records from your medical examinations, including disease 

surveys, must be retained at your employer's expense.



                               Emergencies



    If you are exposed to formaldehyde in an emergency and develop signs 

or symptoms associated with acute toxicity from formaldehyde exposure, 

your employer must provide you with a medical examination as soon as 

possible. This medical examination will include all steps necessary to 

stabilize your health. You may be kept in the hospital for observation 

if your symptoms are severe to ensure that any delayed effects are 

recognized and treated.



Appendix B to Sec. 1910.1048--Sampling Strategy and Analytical Methods 

                            for Formaldehyde



    To protect the health of employees, exposure measurements must be 

unbiased and representative of employee exposure. The proper measurement 

of employee exposure requires more than a token commitment on the part 

of the employer. OSHA's mandatory requirements establish a baseline; 

under the best of circumstances all questions regarding employee 

exposure will be answered. Many employers, however, will wish to conduct 

more extensive monitoring before undertaking expensive commitments, such 

as engineering controls, to assure that the modifications are truly 

necessary. The following sampling strategy, which was developed at NIOSH 

by Nelson A. Leidel, Kenneth A. Busch, and Jeremiah R. Lynch and 

described in NIOSH publication No. 77-173 (Occupational Exposure 

Sampling Strategy Manual) will assist the employer in developing a 

strategy for determining the exposure of his or her employees.

    There is no one correct way to determine employee exposure. 

Obviously, measuring the exposure of every employee exposed to 

formaldehyde will provide the most information on any given day. Where 

few employees are exposed, this may be a practical solution. For most 

employers, however, use of the following strategy will give just as much 

information at less cost.

    Exposure data collected on a single day will not automatically 

guarantee the employer that his or her workplace is always in compliance 

with the formaldehyde standard. This does not imply, however, that it is 

impossible for an employer to be sure that his or her worksite is in 

compliance with the standard. Indeed, a properly designed sampling 

strategy showing that all employees are exposed below the PELs, at least 

with a 95 percent certainty, is compelling evidence that the exposure 

limits are being achieved provided that measurements are conducted using 

valid sampling strategy and approved analytical methods.

    There are two PELs, the TWA concentration and the STEL. Most 

employers will find that one of these two limits is more critical in the 

control of their operations, and OSHA



[[Page 370]]



expects that the employer will concentrate monitoring efforts on the 

critical component. If the more difficult exposure is controlled, this 

information, along with calculations to support the assumptions, should 

be adequate to show that the other exposure limit is also being 

achieved.



                            Sampling Strategy



           Determination of the Need for Exposure Measurements



    The employer must determine whether employees may be exposed to 

concentrations in excess of the action level. This determination becomes 

the first step in an employee exposure monitoring program that minimizes 

employer sampling burdens while providing adequate employee protection. 

If employees may be exposed above the action level, the employer must 

measure exposure. Otherwise, an objective determination that employee 

exposure is low provides adequate evidence that exposure potential has 

been examined.

    The employer should examine all available relevant information, eg. 

insurance company and trade association data and information from 

suppliers or exposure data collected from similar operations. The 

employer may also use previously-conducted sampling including area 

monitoring. The employer must make a determination relevant to each 

operation although this need not be on a separate piece of paper. If the 

employer can demonstrate conclusively that no employee is exposed above 

the action level or the STEL through the use of objective data, the 

employer need proceed no further on employee exposure monitoring until 

such time that conditions have changed and the determination is no 

longer valid.

    If the employer cannot determine that employee exposure is less than 

the action level and the STEL, employee exposure monitoring will have to 

be conducted.



                        Workplace Material Survey



    The primary purpose of a survey of raw material is to determine if 

formaldehyde is being used in the work environment and if so, the 

conditions under which formaldehyde is being used.

    The first step is to tabulate all situations where formaldehyde is 

used in a manner such that it may be released into the workplace 

atmosphere or contaminate the skin. This information should be available 

through analysis of company records and information on the MSDSs 

available through provisions of this standard and the Hazard 

Communication standard.

    If there is an indication from materials handling records and 

accompanying MSDSs that formaldehyde is being used in the following 

types of processes or work operations, there may be a potential for 

releasing formaldehyde into the workplace atmosphere:

    (1) Any operation that involves grinding, sanding, sawing, cutting, 

crushing, screening, sieving, or any other manipulation of material that 

generates formaldehyde-bearing dust

    (2) Any processes where there have been employee complaints or 

symptoms indicative of exposure to formaldehyde

    (3) Any liquid or spray process involving formaldehyde

    (4) Any process that uses formaldehyde in preserved tissue

    (5) Any process that involves the heating of a formaldehyde-bearing 

resin.



Processes and work operations that use formaldehyde in these manners 

will probably require further investigation at the worksite to determine 

the extent of employee monitoring that should be conducted.



                         Workplace Observations



    To this point, the only intention has been to provide an indication 

as to the existence of potentially exposed employees. With this 

information, a visit to the workplace is needed to observe work 

operations, to identify potential health hazards, and to determine 

whether any employees may be exposed to hazardous concentrations of 

formaldehyde.

    In many circumstances, sources of formaldehyde can be identified 

through the sense of smell. However, this method of detection should be 

used with caution because of olfactory fatigue.

    Employee location in relation to source of formaldehyde is important 

in determining if an employee may be significantly exposed to 

formaldehyde. In most instances, the closer a worker is to the source, 

the higher the probability that a significant exposure will occur.

    Other characteristics should be considered. Certain high temperature 

operations give rise to higher evaporation rates. Locations of open 

doors and windows provide natural ventilation that tend to dilute 

formaldehyde emissions. General room ventilation also provides a measure 

of control.



            Calculation of Potential Exposure Concentrations



    By knowing the ventilation rate in a workplace and the quantity of 

formaldehyde generated, the employer may be able to determine by 

calculation if the PELs might be exceeded. To account for poor mixing of 

formaldehyde into the entire room, locations of fans and proximity of 

employees to the work operation, the employer must include a safety 

factor. If an employee is relatively close to a source, particularly if 

he or she is located downwind, a safety factor of 100 may be necessary. 

For other situations, a factor of 10 may be acceptable. If the employer 

can



[[Page 371]]



demonstrate through such calculations that employee exposure does not 

exceed the action level or the STEL, the employer may use this 

information as objective data to demonstrate compliance with the 

standard.



                            Sampling Strategy



    Once the employer determines that there is a possibility of 

substantial employee exposure to formaldehyde, the employer is obligated 

to measure employee exposure.

    The next step is selection of a maximum risk employee. When there 

are different processes where employees may be exposed to formaldehyde, 

a maximum risk employee should be selected for each work operation.

    Selection of the maximum risk employee requires professional 

judgment. The best procedure for selecting the maximum risk employee is 

to observe employees and select the person closest to the source of 

formaldehyde. Employee mobility may affect this selection; eg. if the 

closest employee is mobile in his tasks, he may not be the maximum risk 

employee. Air movement patterns and differences in work habits will also 

affect selection of the maximum risk employee.

    When many employees perform essentially the same task, a maximum 

risk employee cannot be selected. In this circumstance, it is necessary 

to resort to random sampling of the group of workers. The objective is 

to select a subgroup of adequate size so that there is a high 

probability that the random sample will contain at least one worker with 

high exposure if one exists. The number of persons in the group 

influences the number that need to be sampled to ensure that at least 

one individual from the highest 10 percent exposure group is contained 

in the sample. For example, to have 90 percent confidence in the 

results, if the group size is 10, nine should be sampled; for 50, only 

18 need to be sampled.

    If measurement shows exposure to formaldehyde at or above the action 

level or the STEL, the employer needs to identify all other employees 

who may be exposed at or above the action level or STEL and measure or 

otherwise accurately characterize the exposure of these employees.

    Whether representative monitoring or random sampling are conducted, 

the purpose remains the same--to determine if the exposure of any 

employee is above the action level. If the exposure of the most exposed 

employee is less than the action level and the STEL, regardless of how 

the employee is identified, then it is reasonable to assume that 

measurements of exposure of the other employees in that operation would 

be below the action level and the STEL.



                          Exposure Measurements



    There is no ``best'' measurement strategy for all situations. Some 

elements to consider in developing a strategy are:

    (1) Availability and cost of sampling equipment

    (2) Availability and cost of analytic facilities

    (3) Availability and cost of personnel to take samples

    (4) Location of employees and work operations

    (5) Intraday and interday variations in the process

    (6) Precision and accuracy of sampling and analytic methods, and

    (7) Number of samples needed.

    Samples taken for determining compliance with the STEL differ from 

those that measure the TWA concentration in important ways. STEL samples 

are best taken in a nonrandom fashion using all available knowledge 

relating to the area, the individual, and the process to obtain samples 

during periods of maximum expected concentrations. At least three 

measurements on a shift are generally needed to spot gross errors or 

mistakes; however, only the highest value represents the STEL.

    If an operation remains constant throughout the workshift, a much 

greater number of samples would need to be taken over the 32 discrete 

nonoverlapping periods in an 8-hour workshift to verify compliance with 

a STEL. If employee exposure is truly uniform throughout the workshift, 

however, an employer in compliance with the l ppm TWA would be in 

compliance with the 2 ppm STEL, and this determination can probably be 

made using objective data.



                 Need To Repeat the Monitoring Strategy



    Interday and intraday fluctuations in employee exposure are mostly 

influenced by the physical processes that generate formaldehyde and the 

work habits of the employee. Hence, in-plant process variations 

influence the employer's determination of whether or not additional 

controls need to be imposed. Measurements that employee exposure is low 

on a day that is not representative of worst conditions may not provide 

sufficient information to determine whether or not additional 

engineering controls should be installed to achieve the PELs.

    The person responsible for conducting sampling must be aware of 

systematic changes which will negate the validity of the sampling 

results. Systematic changes in formaldehyde exposure concentration for 

an employee can occur due to:

    (1) The employee changing patterns of movement in the workplace

    (2) Closing of plant doors and windows

    (3) Changes in ventilation from season to season

    (4) Decreases in ventilation efficiency or abrupt failure of 

engineering control equipment

    (5) Changes in the production process or work habits of the 

employee.





[[Page 372]]





Any of these changes, if they may result in additional exposure that 

reaches the next level of action (i.e. 0.5 or 1.0 ppm as an 8-hr average 

or 2 ppm over 15 minutes) require the employer to perform additional 

monitoring to reassess employee exposure.

    A number of methods are suitable for measuring employee exposure to 

formaldehyde or for characterizing emissions within the worksite. The 

preamble to this standard describes some methods that have been widely 

used or subjected to validation testing. A detailed analytical procedure 

derived from the OSHA Method 52 for acrolein and formaldehyde is 

presented below for informational purposes.

    Inclusion of OSHA's method in this appendix in no way implies that 

it is the only acceptable way to measure employee exposure to 

formaldehyde. Other methods that are free from significant interferences 

and that can determine formaldehyde at the permissible exposure limits 

within <plus-minus<ls-thn-eq>25 percent of the ``true'' value at the 95 

percent confidence level are also acceptable. Where applicable, the 

method shou1d a1so be capab1e of measuring formaldehyde at the action 

level to <plus-minus<ls-thn-eq>35 percent of the ``true'' value with a 

95 percent confidence level. OSHA encourages emp1oyers to choose methods 

that will be best for their individual needs. The employer must exercise 

caution, however, in choosing an appropriate method since some 

techniques suffer from interferences that are likely to be present in 

workplaces of certain industry sectors where formaldehyde is used.



                   OSHA's Analytical Laboratory Method



Method No: 52

Matrix: Air

Target Concentration: 1 ppm (1.2 mg/m\3\)

Procedures: Air samples are collected by drawing known volumes of air 

through sampling tubes containing XAD-2 adsorbent which have been coated 

with 2-(hydroxymethyl) piperidine. The samples are desorbed with toluene 

and then analyzed by gas chromatography using a nitrogen selective 

detector.

Recommended Sampling Rate and Air Volumes: 0.1 L/min and 24 L

Reliable Quantitation Limit:16 ppb (20 [micro]g/m\3\)

Standard Error of Estimate at the Target Concentration: 7.3%

Status of the Method: A sampling and analytical method that has been 

subjected to the established evaluation procedures of the Organic 

Methods Evaluation Branch.

Date: March 1985



                          1. General Discussion



    1.1 Background: The current OSHA method for collecting acrolein 

vapor recommends the use of activated 13X molecular sieves. The samples 

must be stored in an ice bath during and after sampling and also they 

must be analyzed within 48 hours of collection. The current OSHA method 

for collecting formaldehyde vapor recommends the use of bubblers 

containing 10% methanol in water as the trapping solution.

    This work was undertaken to resolve the sample stability problems 

associated with acrolein and also to eliminate the need to use bubb1ers 

to sample formaldehyde. A goal of this work was to develop and/or to 

evaluate a common sampling and analytical procedure for acrolein and 

formaldehyde.

    NIOSH has developed independent methodologies for acrolein and 

formaldehyde which recommend the use of reagent-coated adsorbent tubes 

to collect the aldehydes as stable derivatives. The formaldehyde 

sampling tubes contain Chromosorb 102 adsorbent coated with N-

benzylethanolamine (BEA) which reacts with formaldehyde vapor to form a 

stable oxazolidine compound. The acrolein sampling tubes contain XAD-2 

adsorbent coated with 2-(hydroxymethyl)piperidine (2-HMP) which reacts 

with acrolein vapor to form a different, stable oxazolidine derivative. 

Acrolein does not appear to react with BEA to give a suitable reaction 

product. Therefore, the formaldehyde procedure cannot provide a common 

method for both aldehydes. However, formaldehyde does react with 2-HMP 

to form a very suitable reaction product. It is the quantitative 

reaction of acrolein and formaldehyde with 2-HMP that provides the basis 

for this evaluation.

    This sampling and analytical procedure is very similar to the method 

recommended by NIOSH for acrolein. Some changes in the NIOSH methodology 

were necessary to permit the simultaneous determination of both 

aldehydes and also to accommodate OSHA laboratory equipment and 

analytical techniques.

    1.2 Limit-defining parameters: The analyte air concentrations 

reported in this method are based on the recommended air volume for each 

analyte collected separately and a desorption volume of 1 mL. The 

amounts are presented as acrolein and/or formaldehyde, even though the 

derivatives are the actual species analyzed.

    1.2.1 Detection limits of the analytical procedure: The detection 

limit of the analytical procedure was 386 pg per injection for 

formaldehyde. This was the amount of analyte which gave a peak whose 

height was about five times the height of the peak given by the residual 

formaldehyde derivative in a typical blank front section of the 

recommended sampling tube.

    1.2.2 Detection limits of the overall procedure: The detection 

limits of the overall procedure were 482 ng per sample (16 ppb or 20 

[micro]g/m\3\ for formaldehyde). This was the amount of analyte spiked 

on the sampling



[[Page 373]]



device which allowed recoveries approximately equal to the detection 

limit of the analytical procedure.

    1.2.3 Reliable quantitation limits: The reliable quantitation limit 

was 482 ng per sample (16 ppb or 20 [micro]g/m\3\) for formaldehyde. 

These were the smallest amounts of analyte which could be quantitated 

within the limits of a recovery of at least 75% and a precision (<plus-

minus<ls-thn-eq>1.96 SD) of <plus-minus<ls-thn-eq>25% or better.

________________________________________________________________________

    The reliable quantitation limit and detection limits reported in the 

method are based upon optimization of the instrument for the smallest 

possible amount of analyte. When the target concentration of an analyte 

is exceptionally higher than these limits, they may not be attainable at 

the routine operating parameters.



________________________________________________________________________

    1.2.4 Sensitivity: The sensitivity of the analytical procedure over 

concentration ranges representing 0.4 to 2 times the target 

concentration, based on the recommended air volumes, was 7,589 area 

units per [micro]g/mL for formaldehyde. This value was determined from 

the slope of the calibration curve. The sensitivity may vary with the 

particular instrument used in the analysis.

    1.2.5 Recovery: The recovery of formaldehyde from samples used in an 

18-day storage test remained above 92% when the samples were stored at 

ambient temperature. These values were determined from regression lines 

which were calculated from the storage data. The recovery of the analyte 

from the collection device must be at least 75% following storage.

    1.2.6 Precision (analytical method only): The pooled coefficient of 

variation obtained from replicate determinations of analytical standards 

over the range of 0.4 to 2 times the target concentration was 0.0052 for 

formaldehyde (Section 4.3).

    1.2.7 Precision (overall procedure): The precision at the 95% 

confidence level for the ambient temperature storage tests was <plus-

minus<ls-thn-eq>14.3% for formaldehyde. These values each include an 

additional <plus-minus<ls-thn-eq>5% for sampling error. The overall 

procedure must provide results at the target concentrations that are 

<plus-minus<ls-thn-eq>25% at the 95% confidence level.

    1.2.8 Reproducibility: Samples collected from controlled test 

atmospheres and a draft copy of this procedure were given to a chemist 

unassociated with this evaluation. The formaldehyde samples were 

analyzed following 15 days storage. The average recovery was 96.3% and 

the standard deviation was 1.7%.

    1.3 Advantages:

    1.3.1 The sampling and analytical procedures permit the simultaneous 

determination of acrolein and formaldehyde.

    1.3.2 Samples are stable following storage at ambient temperature 

for at least 18 days.

    1.4 Disadvantages: None.



                          2. Sampling Procedure



    2.1 Apparatus:

    2.1.1 Samples are collected by use of a personal sampling pump that 

can be calibrated to within <plus-minus<ls-thn-eq>5% of the recommended 

0.1 L/min sampling rate with the sampling tube in line.

    2.1.2 Samples are collected with laboratory prepared sampling tubes. 

The sampling tube is constructed of silane treated glass and is about 8-

cm long. The ID is 4 mm and the OD is 6 mm. One end of the tube is 

tapered so that a glass wool end plug will hold the contents of the tube 

in place during sampling. The other end of the sampling tube is open to 

its full 4-mm ID to facilitate packing of the tube. Both ends of the 

tube are fire-polished for safety. The tube is packed with a 75-mg 

backup section, located nearest the tapered end and a 150-mg sampling 

section of pretreated XAD-2 adsorbent which has been coated with 2-HMP. 

The two sections of coated adsorbent are separated and retained with 

small plugs of silanized glass wool. Following packing, the sampling 

tubes are sealed with two \7/32\ inch OD plastic end caps. Instructions 

for the pretreatment and the coating of XAD-2 adsorbent are presented in 

Section 4 of this method.

    2.1.3 Sampling tubes, similar to those recommended in this method, 

are marketed by Supelco, Inc. These tubes were not available when this 

work was initiated; therefore, they were not evaluated.

    2.2 Reagents: None required.

    2.3 Technique:

    2.3.1 Properly label the sampling tube before sampling and then 

remove the plastic end caps.

    2.3.2 Attach the sampling tube to the pump using a section of 

flexible plastic tubing such that the large, front section of the 

sampling tube is exposed directly to the atmosphere. Do not place any 

tubing ahead of the sampling tube. The sampling tube should be attached 

in the worker's breathing zone in a vertical manner such that it does 

not impede work performance.

    2.3.3 After sampling for the appropriate time, remove the sampling 

tube from the pump and then seal the tube with plastic end caps.

    2.3.4 Include at least one blank for each sampling set. The blank 

should be handled in the same manner as the samples with the exception 

that air is not drawn through it.

    2.3.5 List any potential interferences on the sample data sheet.

    2.4 Breakthrough:

    2.4.1 Breakthrough was defined as the relative amount of analyte 

found on a backup sample in relation to the total amount of analyte 

collected on the sampling train.

    2.4.2 For formaldehyde collected from test atmospheres containing 6 

times the PEL, the



[[Page 374]]



average 5% breakthrough air volume was 41 L. The sampling rate was 0.1 

L/min and the average mass of formaldehyde collected was 250 [micro]g.

    2.5 Desorption Efficiency: No desorption efficiency corrections are 

necessary to compute air sample results because analytical standards are 

prepared using coated adsorbent. Desorption efficiencies were 

determined, however, to investigate the recoveries of the analytes from 

the sampling device. The average recovery over the range of 0.4 to 2 

times the target concentration, based on the recommended air volumes, 

was 96.2% for formaldehyde. Desorption efficiencies were essentially 

constant over the ranges studied.

    2.6 Recommended Air Volume and Sampling Rate:

    2.6.1 The recommended air volume for formaldehyde is 24 L.

    2.6.2 The recommended sampling rate is 0.1 L/min.

    2.7 Interferences:

    2.7.1 Any collected substance that is capable of reacting 2-HMP and 

thereby depleting the derivatizing agent is a potential interference. 

Chemicals which contain a carbonyl group, such as acetone, may be 

capable or reacting with 2-HMP.

    2.7.2 There are no other known interferences to the sampling method.

    2.8 Safety Precautions:

    2.8.1 Attach the sampling equipment to the worker in such a manner 

that it well not interfere with work performance or safety.

    2.8.2 Follow all safety practices that apply to the work area being 

sampled.



                         3. Analytical Procedure



    3.1 Apparatus:

    3.1.1 A gas chromatograph (GC), equipped with a nitrogen selective 

detector. A Hewlett-Packard Model 5840A GC fitted with a nitrogen-

phosphorus flame ionization detector (NPD) was used for this evaluation. 

Injections were performed using a Hewlett-Packard Model 7671A automatic 

sampler.

    3.1.2 A GC column capable of resolving the analytes from any 

interference. A 6 ft x \1/4\ in OD (2mm ID) glass GC column containing 

10% UCON 50-HB-5100 + 2% KOH on 80/100 mesh Chromosorb W-AW was used for 

the evaluation. Injections were performed on-column.

    3.1.3 Vials, glass 2-mL with Teflon-lined caps.

    3.1.4 Volumetric flasks, pipets, and syringes for preparing 

standards, making dilutions, and performing injections.

    3.2 Reagents:

    3.2.1 Toluene and dimethylformamide. Burdick and Jackson solvents 

were used in this evaluation.

    3.2.2 Helium, hydrogen, and air, GC grade.

    3.2.3 Formaldehyde, 37%, by weight, in water. Aldrich Chemical, ACS 

Reagent Grade formaldehyde was used in this evaluation.

    3.2.4 Amberlite XAD-2 adsorbent coated with 2-(hydroxymethyl--

piperidine (2-HMP), 10% by weight (Section 4).

    3.2.5 Desorbing solution with internal standard. This solution was 

prepared by adding 20 [micro]L of dimethylformamide to 100 mL of 

toluene.

    3.3 Standard preparation:

    3.3.1 Formaldehyde: Prepare stock standards by diluting known 

volumes of 37% formaldehyde solution with methanol. A procedure to 

determine the formaldehyde content of these standards is presented in 

Section 4. A standard containing 7.7 mg/mL formaldehyde was prepared by 

diluting 1 mL of the 37% reagent to 50 mL with methanol.

    3.3.2 It is recommended that analytical standards be prepared about 

16 hours before the air samples are to be analyzed in order to ensure 

the complete reaction of the analytes with 2-HMP. However, rate studies 

have shown the reaction to be greater than 95% complete after 4 hours. 

Therefore, one or two standards can be analyzed after this reduced time 

if sample results are outside the concentration range of the prepared 

standards.

    3.3.3 Place 150-mg portions of coated XAD-2 adsorbent, from the same 

lot number as used to collect the air samples, into each of several 

glass 2-mL vials. Seal each vial with a Teflon-lined cap.

    3.3.4 Prepare fresh analytical standards each day by injecting 

appropriate amounts of the diluted analyte directly onto 150-mg portions 

of coated adsorbent. It is permissible to inject both acrolein and 

formaldehyde on the same adsorbent portion. Allow the standards to stand 

at room temperature. A standard, approximately the target levels, was 

prepared by injecting 11 [micro]L of the acrolein and 12 [micro]L of the 

formaldehyde stock standards onto a single coated XAD-2 adsorbent 

portion.

    3.3.5 Prepare a sufficient number of standards to generate the 

calibration curves. Analytical standard concentrations should bracket 

sample concentrations. Thus, if samples are not in the concentration 

range of the prepared standards, additional standards must be prepared 

to determine detector response.

    3.3.7 Desorb the standards in the same manner as the samples 

following the 16-hour reaction time.

    3.4 Sample preparation:

    3.4.1 Transfer the 150-mg section of the sampling tube to a 2-mL 

vial. Place the 75-mg section in a separate vial. If the glass wool 

plugs contain a significant number of adsorbent beads, place them with 

the appropriate sampling tube section. Discard the glass wool plugs if 

they do not contain a significant number of adsorbent beads.

    3.4.2 Add 1 mL of desorbing solution to each vial.

    3.4.3 Seal the vials with Teflon-lined caps and then allow them to 

desorb for one hour.



[[Page 375]]



Shake the vials by hand with vigorous force several times during the 

desorption time.

    3.4.4 Save the used sampling tubes to be cleaned and recycled.

    3.5 Analysis:

    3.5.1 GC Conditions



Column Temperature:

Bi-level temperature program--First level: 100 to 140 [deg]C at 4 

[deg]C/min following completion of the first level.

Second level: 140 to 180 [deg]C at 20 [deg]C/min following completion of 

the first level.

Isothermal period: Hold column at 180 [deg]C until the recorder pen 

returns to baseline (usually about 25 min after injection).



Injector temperature: 180 [deg]C

Helium flow rate: 30 mL/min (detector response will be reduced if 

nitrogen is substituted for helium carrier gas).

Injection volume: 0.8 [micro]L

GC column: Six-ft x \1/4\-in OD (2 mm ID) glass GC column containing 10% 

UCON 50-HB-5100+2% KOH on 80/100 Chromosorb W-AW.

    NPD conditions:

    Hydrogen flow rate: 3 mL/min

    Air flow rate: 50 mL/min

    Detector temperature: 275 [deg]C

    3.5.2 Chromatogram: For an example of a typical chromatogram, see 

Figure 4.11 in OSHA Method 52.

    3.5.3 Use a suitable method, such as electronic integration, to 

measure detector response.

    3.5.4 Use an internal standard method to prepare the calibration 

curve with several standard solutions of different concentrations. 

Prepare the calibration curve daily. Program the integrator to report 

results in [micro]g/mL.

    3.5.5 Bracket sample concentrations with standards.

    3.6 Interferences (Analytical)

    3.6.1 Any compound with the same general retention time as the 

analytes and which also gives a detector response is a potential 

interference. Possible interferences should be reported to the 

laboratory with submitted samples by the industrial hygienist.

    3.6.2 GC parameters (temperature, column, etc.) may be changed to 

circumvent interferences.

    3.6.3 A useful means of structure designation is GC/MS. It is 

recommended this procedure be used to confirm samples whenever possible.

    3.6.4 The coated adsorbent usually contains a very small amount of 

residual formaldehyde derivative (Section 4.8).

    3.7 Calculations:

    3.7.1 Results are obtained by use of calibration curves. Calibration 

curves are prepared by plotting detector response against concentration 

for each standard. The best line through the data points is determined 

by curve fitting.

    3.7.2 The concentration, in [micro]g/mL, for a particular sample is 

determined by comparing its detector response to the calibration curve. 

If either of the analytes is found on the backup section, it is added to 

the amount found on the front section. Blank corrections should be 

performed before adding the results together.

    3.7.3 The acrolein and/or formaldehyde air concentration can be 

expressed using the following equation:



mg/m\3\=(A)(B)/C



where A=[micro]g/mL from 3.7.2, B=desorption volume, and C=L of air 

sampled.



    No desorption efficiency corrections are required.

    3.7.4 The following equation can be used to convert results in mg/

m\3\ to ppm.



ppm=(mg/m\3\)(24.45)/MW



where mg/m\3\=result from 3.7.3, 24.45=molar volume of an ideal gas at 

760 mm Hg and 25 [deg]C, MW=molecular weight (30.0).



                             4. Backup Data



    4.1 Backup data on detection limits, reliable quantitation limits, 

sensitivity and precision of the analytical method, breakthrough, 

desorption efficiency, storage, reproducibility, and generation of test 

atmospheres are available in OSHA Method 52, developed by the Organics 

Methods Evaluation Branch, OSHA Analytical Laboratory, Salt Lake City, 

Utah.

    4.2 Procedure to Coat XAD-2 Adsorbent with 2-HMP:

    4.2.1 Apparatus: Soxhlet extraction apparatus, rotary evaporation 

apparatus, vacuum dessicator, 1-L vacuum flask, 1-L round-bottomed 

evaporative flask, 1-L Erlenmeyer flask, 250-mL Buchner funnel with a 

coarse fritted disc, etc.

    4.2.2 Reagents:

    4.2.2.1 Methanol, isooctane, and toluene.

    4.2.2.2 2-(Hydroxymethyl)piperidine.

    4.2.2.3 Amberlite XAD-2 non-ionic polymeric adsorbent, 20 to 60 

mesh, Aldrich Chemical XAD-2 was used in this evaluation.

    4.2.3 Procedure: Weigh 125 g of crude XAD-2 adsorbent into a 1-L 

Erlenmeyer flask. Add about 200 mL of water to the flask and then swirl 

the mixture to wash the adsorbent. Discard any adsorbent that floats to 

the top of the water and then filter the mixture using a fritted Buchner 

funnel. Air dry the adsorbent for 2 minutes. Transfer the adsorbent back 

to the Erlenmeyer flask and then add about 200 mL of methanol to the 

flask. Swirl and then filter the mixture as before. Transfer the washed 

adsorbent back to the Erlenmeyer flask and then add about 200 mL of 

methanol to the flask. Swirl and then filter the mixture as before. 

Transfer the washed adsorbent to a 1-L round-bottomed evaporative flask, 

add 13 g of 2-HMP and then 200 mL of methanol, swirl the mixture



[[Page 376]]



and then allow it to stand for one hour. Remove the methanol at about 40 

[deg]C and reduced pressure using a rotary evaporation apparatus. 

Transfer the coated adsorbent to a suitable container and store it in a 

vacuum desiccator at room temperature overnight. Transfer the coated 

adsorbent to a Soxhlet extractor and then extract the material with 

toluene for about 24 hours. Discard the contaminated toluene, add 

methanol in its place and then continue the Soxhlet extraction for an 

additional 4 hours. Transfer the adsorbent to a weighted 1-L round-

bottom evaporative flask and remove the methanol using the rotary 

evaporation apparatus. Determine the weight of the adsorbent and then 

add an amount of 2-HMP, which is 10% by weight of the adsorbent. Add 200 

mL of methanol and then swirl the mixture. Allow the mixture to stand 

for one hour. Remove the methanol by rotary evaporation. Transfer the 

coated adsorbent to a suitable container and store it in a vacuum 

desiccator until all traces of solvents are gone. Typically, this will 

take 2-3 days. The coated adsorbent should be protected from 

contamination. XAD-2 adsorbent treated in this manner will probably not 

contain residual acrolein derivative. However, this adsorbent will often 

contain residual formaldehyde derivative levels of about 0.1 [micro]g 

per 150 mg of adsorbent. If the blank values for a batch of coated 

adsorbent are too high, then the batch should be returned to the Soxhlet 

extractor, extracted with toluene again and then recoated. This process 

can be repeated until the desired blank levels are attained.

    The coated adsorbent is now ready to be packed into sampling tubes. 

The sampling tubes should be stored in a sealed container to prevent 

contamination. Sampling tubes should be stored in the dark at room 

temperature. The sampling tubes should be segregated by coated adsorbent 

lot number. A sufficient amount of each lot number of coated adsorbent 

should be retained to prepare analytical standards for use with air 

samples from that lot number.

    4.3 A Procedure to Determine Formaldehyde by Acid Titration: 

Standardize the 0.1 N HCl solution using sodium carbonate and methyl 

orange indicator.

    Place 50 mL of 0.1 M sodium sulfite and three drops of 

thymophthalein indicator into a 250-mL Erlenmeyer flask. Titrate the 

contents of the flask to a colorless endpoint with 0.1 N HCl (usually 

one or two drops is sufficient). Transfer 10 mL of the formaldehyde/

methanol solution (prepared in 3.3.1) into the same flask and titrate 

the mixture with 0.1 N HCl, again, to a colorless endpoint. The 

formaldehyde concentration of the standard may be calculated by the 

following equation:

[GRAPHIC] [TIFF OMITTED] TC15NO91.041



    This method is based on the quantitative liberation of sodium 

hydroxide when formaldehyde reacts with sodium sulfite to form the 

formaldehyde-bisulfite addition product. The volume of sample may be 

varied depending on the formaldehyde content but the solution to be 

titrated must contain excess sodium sulfite. Formaldehyde solutions 

containing substantial amounts of acid or base must be neutralized 

before analysis.



    Appendix C to Sec. 1910.1048--Medical Surveillance--Formaldehyde



                            I. Health Hazards



    The occupational health hazards of formaldehyde are primarily due to 

its toxic effects after inhalation, after direct contact with the skin 

or eyes by formaldehyde in liquid or vapor form, and after ingestion.



                             II. Toxicology



                      A. Acute Effects of Exposure



    1. Inhalation (breathing): Formaldehyde is highly irritating to the 

upper airways. The concentration of formaldehyde that is immediately 

dangerous to life and health is 100 ppm. Concentrations above 50 ppm can 

cause severe pulmonary reactions within minutes. These include pulmonary 

edema, pneumonia, and bronchial irritation which can result in death. 

Concentrations above 5 ppm readily cause lower airway irritation 

characterized by cough, chest tightness and wheezing. There is some 

controversy regarding whether formaldehyde gas is a pulmonary sensitizer 

which can cause occupational asthma in a previously normal individual. 

Formaldehyde can produce symptoms of bronchial asthma in humans. The 

mechanism may be either sensitization of the individual by exposure to 

formaldehyde or direct irritation by formaldehyde in persons with pre-

existing asthma. Upper airway irritation is the most common respiratory 

effect reported by workers and can occur over a wide range of 

concentrations, most frequently above 1 ppm. However, airway irritation 

has occurred in some workers with exposures to formaldehyde as low as 

0.1 ppm. Symptoms of upper airway irritation include dry or sore throat,



[[Page 377]]



itching and burning sensations of the nose, and nasal congestion. 

Tolerance to this level of exposure may develop within 1-2 hours. This 

tolerance can permit workers remaining in an environment of gradually 

increasing formaldehyde concentrations to be unaware of their 

increasingly hazardous exposure.

    2. Eye contact: Concentrations of formaldehyde between 0.05 ppm and 

0.5 ppm produce a sensation of irritation in the eyes with burning, 

itching, redness, and tearing. Increased rate of blinking and eye 

closure generally protects the eye from damage at these low levels, but 

these protective mechanisms may interfere with some workers' work 

abilities. Tolerance can occur in workers continuously exposed to 

concentrations of formaldehyde in this range. Accidental splash injuries 

of human eyes to aqueous solutions of formaldehyde (formalin) have 

resulted in a wide range of ocular injuries including corneal opacities 

and blindness. The severity of the reactions have been directly 

dependent on the concentration of formaldehyde in solution and the 

amount of time lapsed before emergency and medical intervention.

    3. Skin contact: Exposure to formaldehyde solutions can cause 

irritation of the skin and allergic contact dermatitis. These skin 

diseases and disorders can occur at levels well below those encountered 

by many formaldehyde workers. Symptoms include erythema, edema, and 

vesiculation or hives. Exposure to liquid formalin or formaldehyde vapor 

can provoke skin reactions in sensitized individuals even when airborne 

concentrations of formaldehyde are well below 1 ppm.

    4. Ingestion: Ingestion of as little as 30 ml of a 37 percent 

solution of formaldehyde (formalin) can result in death. 

Gastrointestinal toxicity after ingestion is most severe in the stomach 

and results in symptoms which can include nausea, vomiting, and servere 

abdominal pain. Diverse damage to other organ systems including the 

liver, kidney, spleen, pancreas, brain, and central nervous systems can 

occur from the acute response to ingestion of formaldehyde.



                     B. Chronic Effects of Exposure



    Long term exposure to formaldehyde has been shown to be associated 

with an increased risk of cancer of the nose and accessory sinuses, 

nasopharyngeal and oropharyngeal cancer, and lung cancer in humans. 

Animal experiments provide conclusive evidence of a causal relationship 

between nasal cancer in rats and formaldehyde exposure. Concordant 

evidence of carcinogenicity includes DNA binding, genotoxicity in short-

term tests, and cytotoxic changes in the cells of the target organ 

suggesting both preneoplastic changes and a dose-rate effect. 

Formaldehyde is a complete carcinogen and appears to exert an effect on 

at least two stages of the carcinogenic process.



                    III. Surveillance considerations



                               A. History



    1. Medical and occupational history: Along with its acute irritative 

effects, formaldehyde can cause allergic sensitization and cancer. One 

of the goals of the work history should be to elicit information on any 

prior or additional exposure to formaldehyde in either the occupational 

or the non-occupational setting.

    2. Respiratory history: As noted above, formaldehyde has recognized 

properties as an airway irritant and has been reported by some authors 

as a cause of occupational asthma. In addition, formaldehyde has been 

associated with cancer of the entire respiratory system of humans. For 

these reasons, it is appropriate to include a comprehensive review of 

the respiratory system in the medical history. Components of this 

history might include questions regarding dyspnea on exertion, shortness 

of breath, chronic airway complaints, hyperreactive airway disease, 

rhinitis, bronchitis, bronchiolitis, asthma, emphysema, respiratory 

allergic reaction, or other preexisting pulmonary disease.

    In addition, generalized airway hypersensitivity can result from 

exposures to a single sensitizing agent. The examiner should, therefore, 

elicit any prior history of exposure to pulmonary irritants, and any 

short- or long-term effects of that exposure.

    Smoking is known to decrease mucociliary clearance of materials 

deposited during respiration in the nose and upper airways. This may 

increase a worker's exposure to inhaled materials such as formaldehyde 

vapor. In addition, smoking is a potential confounding factor in the 

investigation of any chronic respiratory disease, including cancer. For 

these reasons, a complete smoking history should be obtained.

    3. Skin Disorders: Because of the dermal irritant and sensitizing 

effects of formaldehyde, a history of skin disorders should be obtained. 

Such a history might include the existence of skin irritation, 

previously documented skin sensitivity, and other dermatologic 

disorders. Previous exposure to formaldehyde and other dermal 

sensitizers should be recorded.

    4. History of atopic or allergic diseases: Since formaldehyde can 

cause allergic sensitization of the skin and airways, it might be useful 

to identify individuals with prior allergen sensitization. A history of 

atopic disease and allergies to formaldehyde or any other substances 

should also be obtained. It is not definitely known at this time whether 

atopic diseases and allergies to formaldehyde or any other substances 

should also be obtained. Also it is not definitely known at this time 

whether atopic individuals have a greater propensity to develop 

formaldehyde sensitivity than the general population, but



[[Page 378]]



identification of these individuals may be useful for ongoing 

surveillance.

    5. Use of disease questionnaires: Comparison of the results from 

previous years with present results provides the best method for 

detecting a general deterioration in health when toxic signs and 

symptoms are measured subjectively. In this way recall bias does not 

affect the results of the analysis. Consequently, OSHA has determined 

that the findings of the medical and work histories should be kept in a 

standardized form for comparison of the year-to-year results.



                         B. Physical Examination



    1. Mucosa of eyes and airways: Because of the irritant effects of 

formaldehyde, the examining physician should be alert to evidence of 

this irritation. A speculum examination of the nasal mucosa may be 

helpful in assessing possible irritation and cytotoxic changes, as may 

be indirect inspection of the posterior pharynx by mirror.

    2. Pulmonary system: A conventional respiratory examination, 

including inspection of the thorax and auscultation and percussion of 

the lung fields should be performed as part of the periodic medical 

examination. Although routine pulmonary function testing is only 

required by the standard once every year for persons who are exposed 

over the TWA concentration limit, these tests have an obvious value in 

investigating possible respiratory dysfunction and should be used 

wherever deemed appropriate by the physician. In cases of alleged 

formaldehyde-induced airway disease, other possible causes of pulmonary 

disfunction (including exposures to other substances) should be ruled 

out. A chest radiograph may be useful in these circumstances. In cases 

of suspected airway hypersensitivity or allergy, it may be appropriate 

to use bronchial challenge testing with formaldehyde or methacholine to 

determine the nature of the disorder. Such testing should be performed 

by or under the supervision of a physician experienced in the procedures 

involved.

    3. Skin: The physician should be alert to evidence of dermal 

irritation of sensitization, including reddening and inflammation, 

urticaria, blistering, scaling, formation of skin fissures, or other 

symptoms. Since the integrity of the skin barrier is compromised by 

other dermal diseases, the presence of such disease should be noted. 

Skin sensitivity testing carries with it some risk of inducing 

sensitivity, and therefore, skin testing for formaldehyde sensitivity 

should not be used as a routine screening test. Sensitivity testing may 

be indicated in the investigation of a suspected existing sensitivity. 

Guidelines for such testing have been prepared by the North American 

Contact Dermatitis Group.



                   C. Additional Examinations or Tests



    The physician may deem it necessary to perform other medical 

examinations or tests as indicated. The standard provides a mechanism 

whereby these additional investigations are covered under the standard 

for occupational exposure to formaldehyde.



                             D. Emergencies



    The examination of workers exposed in an emergency should be 

directed at the organ systems most likely to be affected. Much of the 

content of the examination will be similar to the periodic examination 

unless the patient has received a severe acute exposure requiring 

immediate attention to prevent serious consequences. If a severe 

overexposure requiring medical intervention or hospitalization has 

occurred, the physician must be alert to the possibility of delayed 

symptoms. Followup nonroutine examinations may be necessary to assure 

the patient's well-being.



                         E. Employer Obligations



    The employer is required to provide the physician with the following 

information: A copy of this standard and appendices A, C, D, and E; a 

description of the affected employee's duties as they relate to his or 

her exposure concentration; an estimate of the employee's exposure 

including duration (e.g. 15 hr/wk, three 8-hour shifts, full-time); a 

description of any personal protective equipment, including respirators, 

used by the employee; and the results of any previous medical 

determinations for the affected employee related to formaldehyde 

exposure to the extent that this information is within the employer's 

control.



                       F. Physician's Obligations



    The standard requires the employer to obtain a written statement 

from the physician. This statement must contain the physician's opinion 

as to whether the employee has any medical condition which would place 

him or her at increased risk of impaired health from exposure to 

formaldehyde or use of respirators, as appropriate. The physician must 

also state his opinion regarding any restrictions that should be placed 

on the employee's exposure to formaldehyde or upon the use of protective 

clothing or equipment such as respirators. If the employee wears a 

respirator as a result of his or her exposure to formaldehyde, the 

physician's opinion must also contain a statement regarding the 

suitability of the employee to wear the type of respirator assigned. 

Finally, the physician must inform the employer that the employee has 

been told the results of the medical examination and of any medical 

conditions which require further explanation or treatment. This written 

opinion is not to contain



[[Page 379]]



any information on specific findings or diagnoses unrelated to 

occupational exposure to formaldehyde.

    The purpose in requiring the examining physician to supply the 

employer with a written opinion is to provide the employer with a 

medical basis to assist the employer in placing employees initially, in 

assuring that their health is not being inpaired by formaldehyde, and to 

assess the employee's ability to use any required protective equipment.



      Appendix D to Sec. 1910.1048--Nonmandatory Medical Disease 

                              Questionnaire



                            A. Identification



Plant Name______________________________________________________________



Date____________________________________________________________________



Employee Name___________________________________________________________



S.S. <greek-i>__________________________________________________________



Job Title_______________________________________________________________



Birthdate:______________________________________________________________



Age:____________________________________________________________________



Sex:____________________________________________________________________



Height:_________________________________________________________________



Weight:_________________________________________________________________



                           B. Medical History



1. Have you ever been in the hospital as a patient?

Yes [squ] No [squ]

If yes, what kind of problem were you having?___________________________

________________________________________________________________________

2. Have you ever had any kind of operation?

Yes [squ] No [squ]

If yes, what kind?______________________________________________________

________________________________________________________________________

3. Do you take any kind of medicine regularly?

Yes [squ] No [squ]

If yes, what kind?______________________________________________________

________________________________________________________________________

4. Are you allergic to any drugs, foods, or chemicals?

Yes [squ] No [squ]

If yes, what kind of allergy is it?_____________________________________

________________________________________________________________________

What causes the allergy?________________________________________________

________________________________________________________________________

5. Have you ever been told that you have asthma, hayfever, or sinusitis?

Yes [squ] No [squ]

6. Have you ever been told that you have emphysema, bronchitis, or any 

          other respiratory problems?

Yes [squ] No [squ]

7. Have you ever been told you had hepatitis?

Yes [squ] No [squ]

8. Have you ever been told that you had cirrhosis?

Yes [squ] No [squ]

9. Have you ever been told that you had cancer?

Yes [squ] No [squ]

10. Have you ever had arthritis or joint pain?

Yes [squ] No [squ]

11. Have you ever been told that you had high blood pressure?

Yes [squ] No [squ]

12. Have you ever had a heart attack or heart trouble?

Yes [squ] No [squ]



                       B-1. Medical History Update



1. Have you been in the hospital as a patient any time within the past 

          year?

Yes [squ] No [squ]

If so, for what condition?______________________________________________

________________________________________________________________________

2. Have you been under the care of a physician during the past year?

Yes [squ] No [squ]

If so, for what condition?______________________________________________

________________________________________________________________________

3. Is there any change in your breathing since last year?

Yes [squ] No [squ]

Better?_________________________________________________________________

Worse?__________________________________________________________________

No change?______________________________________________________________

If change, do you know why?_____________________________________________

________________________________________________________________________

4. Is your general health different this year from last year?

Yes [squ] No [squ]

If different, in what way?______________________________________________

________________________________________________________________________

5. Have you in the past year or are you now taking any medication on a 

          regular basis?

Yes [squ] No [squ]

Name Rx_________________________________________________________________

Condition being treated_________________________________________________



                         C. Occupational History



1. How long have you worked for your present employer?

________________________________________________________________________

2. What jobs have you held with this employer? Include job title and 

          length of time in each job.

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

3. In each of these jobs, how many hours a day were you exposed to 

          chemicals?

________________________________________________________________________

4. What chemicals have you worked with most of the time?

________________________________________________________________________

5. Have you ever noticed any type of skin rash you feel was related to 

          your work?

Yes [squ] No [squ]

6. Have you ever noticed that any kind of chemical makes you cough?

Yes [squ] No [squ]



[[Page 380]]



Wheeze?

Yes [squ] No [squ]

Become short of breath or cause your chest to become tight?

Yes [squ] No [squ]

7. Are you exposed to any dust or chemicals at home?

Yes [squ] No [squ]

If yes, explain:________________________________________________________

________________________________________________________________________

8. In other jobs, have you ever had exposure to:

Wood dust?

Yes [squ] No [squ]

Nickel or chromium?

Yes [squ] No [squ]

Silica (foundry, sand blasting)?

Yes [squ] No [squ]

Arsenic or asbestos?

Yes [squ] No [squ]

Organic solvents?

Yes [squ] No [squ]

Urethane foams?

Yes [squ] No [squ]



                    C-1. Occupational History Update



1. Are you working on the same job this year as you were last year?

Yes [squ] No [squ]

If not, how has your job changed?_______________________________________

________________________________________________________________________

2. What chemicals are you exposed to on your job?

________________________________________________________________________

3. How many hours a day are you exposed to chemicals?

________________________________________________________________________

4. Have you noticed any skin rash within the past year you feel was 

          related to your work?

Yes [squ] No [squ]

If so, explain circumstances:___________________________________________

________________________________________________________________________

5. Have you noticed that any chemical makes you cough, be short of 

          breath, or wheeze?

Yes [squ] No [squ]

If so, can you identify it?_____________________________________________

________________________________________________________________________



                            D. Miscellaneous



1. Do you smoke?

Yes [squ] No [squ]

If so, how much and for how long?_______________________________________

________________________________________________________________________

Pipe____________________________________________________________________

Cigars__________________________________________________________________

Cigarettes______________________________________________________________

2. Do you drink alcohol in any form?

Yes [squ] No [squ]

If so, how much, how long, and how often?_______________________________

________________________________________________________________________

3. Do you wear glasses or contact lenses?

Yes [squ] No [squ]

4. Do you get any physical exercise other than that required to do your 

          job?

Yes [squ] No [squ]

If so, explain:_________________________________________________________

________________________________________________________________________

5. Do you have any hobbies or ``side jobs'' that require you to use 

          chemicals, such as furniture stripping, sand blasting, 

          insulation or manufacture of urethane foam, furniture, etc?

Yes [squ] No [squ]

If so, please describe, giving type of business or hobby, chemicals used 

and length of exposures.

________________________________________________________________________



                        E. Symptoms Questionnaire



1. Do you ever have any shortness of breath?

Yes [squ] No [squ]

If yes, do you have to rest after climbing several flights of stairs?

Yes [squ] No [squ]

If yes, if you walk on the level with people your own age, do you walk 

slower than they do?

Yes [squ] No [squ]

If yes, if you walk slower than a normal pace, do you have to limit the 

distance that you walk?

Yes [squ] No [squ]

If yes, do you have to stop and rest while bathing or dressing?

Yes [squ] No [squ]

2. Do you cough as much as three months out of the year?

Yes [squ] No [squ]

If yes, have you had this cough for more than two years?

Yes [squ] No [squ]

If yes, do you ever cough anything up from chest?

Yes [squ] No [squ]

3. Do you ever have a feeling of smothering, unable to take a deep 

          breath, or tightness in your chest?

Yes [squ] No [squ]

If yes, do you notice that this on any particular day of the week?

Yes [squ] No [squ]

If yes, what day or the week?

Yes [squ] No [squ]

If yes, do you notice that this occurs at any particular place?

Yes [squ] No [squ]

If yes, do you notice that this is worse after you have returned to work 

after being off for several days?

Yes [squ] No [squ]

4. Have you ever noticed any wheezing in your chest?

Yes [squ] No [squ]

If yes, is this only with colds or other infections?

Yes [squ] No [squ]

Is this caused by exposure to any kind of dust or other material?

Yes [squ] No [squ]

If yes, what kind?______________________________________________________



[[Page 381]]



5. Have you noticed any burning, tearing, or redness of your eyes when 

          you are at work?

Yes [squ] No [squ]

If so, explain circumstances:___________________________________________

________________________________________________________________________

6. Have you noticed any sore or burning throat or itchy or burning nose 

          when you are at work?

Yes [squ] No [squ]

If so, explain circumstances:___________________________________________

________________________________________________________________________

7. Have you noticed any stuffiness or dryness of your nose?

Yes [squ] No [squ]

8. Do you ever have swelling of the eyelids or face?

Yes [squ] No [squ]

9. Have you ever been jaundiced?

Yes [squ] No [squ]

If yes, was this accompanied by any pain?

Yes [squ] No [squ]

10. Have you ever had a tendency to bruise easily or bleed excessively?

Yes [squ] No [squ]

11. Do you have frequent headaches that are not relieved by aspirin or 

          tylenol?

Yes [squ] No [squ]

If yes, do they occur at any particular time of the day or week?

Yes [squ] No [squ]

If yes, when do they occur?_____________________________________________

________________________________________________________________________

12. Do you have frequent episodes of nervousness or irritability?

Yes [squ] No [squ]

13. Do you tend to have trouble concentrating or remembering?

Yes [squ] No [squ]

14. Do you ever feel dizzy, light-headed, excessively drowsy or like you 

          have been drugged?

Yes [squ] No [squ]

15. Does your vision ever become blurred?

Yes [squ] No [squ]

16. Do you have numbness or tingling of the hands or feet or other parts 

          of your body?

Yes [squ] No [squ]

17. Have you ever had chronic weakness or fatigue?

Yes [squ] No [squ]

18. Have you ever had any swelling of your feet or ankles to the point 

          where you could not wear your shoes?

Yes [squ] No [squ]

19. Are you bothered by heartburn or indigestion?

Yes [squ] No [squ]

20. Do you ever have itching, dryness, or peeling and scaling of the 

          hands?

Yes [squ] No [squ]

21. Do you ever have a burning sensation in the hands, or reddening of 

          the skin?

Yes [squ] No [squ]

22. Do you ever have cracking or bleeding of the skin on your hands?

Yes [squ] No [squ]

23. Are you under a physician's care?

Yes [squ] No [squ]

If yes, for what are you being treated?_________________________________

________________________________________________________________________

24. Do you have any physical complaints today?

Yes [squ] No [squ]

If yes, explain?________________________________________________________

________________________________________________________________________

25. Do you have other health conditions not covered by these questions?

Yes [squ] No [squ]

If yes, explain:________________________________________________________

________________________________________________________________________



[57 FR 22310, May 27, 1992; 57 FR 27161, June 18, 1992; 61 FR 5508, Feb. 

13, 1996; 63 FR 1292, Jan. 8, 1998; 63 FR 20099, Apr. 23, 1998; 70 FR 

1143, Jan. 5, 2005; 71 FR 16672, 16673, Apr. 3, 2006; 71 FR 50190, Aug. 

24, 2006]