%PDF-1.3 1 0 obj << /Type /Catalog /Outlines 2 0 R /Pages 3 0 R >> endobj 2 0 obj << /Type /Outlines /Count 0 >> endobj 3 0 obj << /Type /Pages /Kids [6 0 R 56 0 R 82 0 R 132 0 R 152 0 R 184 0 R 210 0 R ] /Count 7 /Resources << /ProcSet 4 0 R /Font << /F1 8 0 R /F2 9 0 R /F3 10 0 R /F4 11 0 R >> /XObject << /I1 12 0 R /I2 13 0 R >> >> /MediaBox [0.000 0.000 612.000 792.000] >> endobj 4 0 obj [/PDF /Text /ImageC ] endobj 5 0 obj << /Creator (DOMPDF) /CreationDate (D:20170830034821+00'00') /ModDate (D:20170830034821+00'00') /Title (Review of the OSHA-NIOSH Response to the Deepwater Horizon Oil Spill: Protecting the Health and Safety of Cleanup Workers PLOS Currents Disasters) >> endobj 6 0 obj << /Type /Page /Parent 3 0 R /Annots [ 14 0 R 16 0 R 18 0 R 20 0 R 22 0 R 24 0 R 26 0 R 28 0 R 30 0 R 32 0 R 34 0 R 36 0 R 38 0 R 40 0 R 42 0 R 44 0 R 46 0 R 48 0 R 50 0 R 52 0 R 54 0 R ] /Contents 7 0 R >> endobj 7 0 obj << /Length 18755 >> stream q 375.000 0 0 39.000 222.000 738.000 cm /I2 Do Q q 15.000 659.406 577.500 78.594 re W n 0.267 0.267 0.267 rg BT 15.000 718.042 Td /F2 21.0 Tf [(Review of the OSHA-NIOSH Response to the Deepwater )] TJ ET BT 15.000 693.094 Td /F2 21.0 Tf [(Horizon Oil Spill: Protecting the Health and Safety of Cleanup )] TJ ET BT 15.000 668.146 Td /F2 21.0 Tf [(Workers)] TJ ET Q 0.271 0.267 0.267 rg BT 15.000 650.140 Td /F3 9.8 Tf [(July 18, 2012)] TJ ET BT 72.681 650.140 Td /F3 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg BT 77.556 650.140 Td /F3 9.8 Tf [(Field report)] TJ ET BT 26.250 638.299 Td /F1 9.8 Tf [(David Michaels)] TJ ET 0.271 0.267 0.267 rg BT 92.345 638.299 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 97.766 638.299 Td /F1 9.8 Tf [(John Howard)] TJ ET 0.271 0.267 0.267 rg BT 26.250 626.394 Td /F1 9.8 Tf [(Michaels D, Howard J. Review of the OSHA-NIOSH Response to the Deepwater Horizon Oil Spill: Protecting the Health and )] TJ ET BT 26.250 614.490 Td /F1 9.8 Tf [(Safety of Cleanup Workers. PLOS Currents Disasters. 2012 Jul 18 . Edition 1. doi: 10.1371/4fa83b7576b6e.)] TJ ET q 15.000 28.739 577.500 583.370 re W n 0.271 0.267 0.267 rg BT 26.250 585.387 Td /F4 12.0 Tf [(Abstract)] TJ ET BT 26.250 565.433 Td /F1 9.8 Tf [(Introduction:)] TJ ET BT 26.250 553.528 Td /F1 9.8 Tf [(The fire and explosion of the Deepwater Horizon oil rig resulted in an enormous oil spill that threatened large distances of )] TJ ET BT 26.250 541.623 Td /F1 9.8 Tf [(coastline. The overall response was led by the United States Coast Guard and involved the oil company BP, federal agencies, )] TJ ET BT 26.250 529.719 Td /F1 9.8 Tf [(and state and local governments of five states.)] TJ ET BT 26.250 517.814 Td /F1 9.8 Tf [(Methods:)] TJ ET BT 26.250 505.909 Td /F1 9.8 Tf [(The Occupational Safety and Health Administration and the National Institute for Occupational Safety and Health focused )] TJ ET BT 26.250 494.004 Td /F1 9.8 Tf [(extensive resources on ensuring that BP and its contractors provided safe working conditions for thousands of workers involved )] TJ ET BT 26.250 482.100 Td /F1 9.8 Tf [(in the response. Federal personnel visited worksites daily, identifying hazards and means of abatement; assessed training )] TJ ET BT 26.250 470.195 Td /F1 9.8 Tf [(programs to ensure that workers were adequately trained in languages they could understand; monitored chemical exposures )] TJ ET BT 26.250 458.290 Td /F1 9.8 Tf [(and determined that the proper personal protective equipment was deployed; insisted on implementation of a heat mitigation )] TJ ET BT 26.250 446.385 Td /F1 9.8 Tf [(program; rostered thousands of workers; and conducted extensive outreach in communities impacted by the spill.)] TJ ET BT 26.250 434.481 Td /F1 9.8 Tf [(Results:)] TJ ET BT 26.250 422.576 Td /F1 9.8 Tf [(Advance planning, immediate deployment, and collaboration across agencies helped ensure that the response operations )] TJ ET BT 26.250 410.671 Td /F1 9.8 Tf [(resulted in no worker fatalities, and relatively few injuries and illnesses.)] TJ ET BT 26.250 398.766 Td /F1 9.8 Tf [(Conclusions:)] TJ ET BT 26.250 386.862 Td /F1 9.8 Tf [(For future responses, improvements should be made in how safety and health information, as well as the process behind safety )] TJ ET BT 26.250 374.957 Td /F1 9.8 Tf [(and health decisions, are communicated to the public.)] TJ ET BT 26.250 355.552 Td /F1 9.8 Tf [(Citation: Michaels D, Howard J. Review of the OSHA-NIOSH Response to the Deepwater Horizon Oil Spill: Protecting the )] TJ ET BT 26.250 343.647 Td /F1 9.8 Tf [(Health and Safety of Cleanup Workers. PLoS Currents Disasters. 2012 Jul 18)] TJ ET BT 26.250 307.045 Td /F4 12.0 Tf [(Funding Statement)] TJ ET BT 26.250 287.091 Td /F1 9.8 Tf [(This review was funded by the U.S. Department of Labor and the U.S. Department of Health and Human Services. Neither )] TJ ET BT 26.250 275.186 Td /F1 9.8 Tf [(author has any potential or perceived competing interests to report regarding this review.)] TJ ET BT 26.250 246.083 Td /F4 12.0 Tf [(The Deepwater Horizon Spill)] TJ ET BT 26.250 226.129 Td /F1 9.8 Tf [(On the night of April 20, 2010, the Deepwater Horizon oil rig, located 72 kilometers offshore southeast of Venice, Louisiana, )] TJ ET BT 26.250 214.224 Td /F1 9.8 Tf [(exploded and caught fire, resulting in the deaths of eleven workers. It soon became clear that the Macondo wellhead, 1,500 )] TJ ET BT 26.250 202.320 Td /F1 9.8 Tf [(meters below the ocean surface, was discharging crude oil into the Gulf of Mexico. The rig, operated by the oil company BP, )] TJ ET BT 26.250 190.415 Td /F1 9.8 Tf [(sank on the morning of April 22, 2010. Many millions of barrels of oil discharged into the Gulf before the leak was sealed on July )] TJ ET BT 26.250 178.510 Td /F1 9.8 Tf [(15, 2010, making it the largest oil spill in U.S. history and the first to be declared a Spill of National Significance.)] TJ ET 0.267 0.267 0.267 rg BT 506.925 180.017 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 26.250 159.105 Td /F1 9.8 Tf [(Faced with an environmental catastrophe that threatened hundreds of kilometers of coastline, BP hired tens of thousands of )] TJ ET BT 26.250 147.201 Td /F1 9.8 Tf [(workers, many unconditioned to the heat and long hours of work and with limited experience responding to and cleaning up oil )] TJ ET BT 26.250 135.296 Td /F1 9.8 Tf [(spills. At the height of the response, the workforce totaled more than 47,000 men and women, including over 42,000 response )] TJ ET BT 26.250 123.391 Td /F1 9.8 Tf [(and cleanup workers employed by BP and its contractors, 1,600 members of the National Guard, and more than 2,400 federal )] TJ ET BT 26.250 111.486 Td /F1 9.8 Tf [(employees. The government response was unprecedented in its scope and duration, involving many federal agencies and the )] TJ ET BT 26.250 99.582 Td /F1 9.8 Tf [(state and local governments of five states: Louisiana, Mississippi, Alabama, Florida, and Texas.)] TJ ET BT 26.250 62.979 Td /F4 12.0 Tf [(Overview of the response)] TJ ET BT 26.250 43.025 Td /F1 9.8 Tf [(Federal responses to oil spills are conducted under the National Oil and Hazardous Substances Pollution Contingency Plan )] TJ ET Q q 15.000 659.406 577.500 78.594 re W n 0.267 0.267 0.267 rg BT 15.000 718.042 Td /F2 21.0 Tf [(Review of the OSHA-NIOSH Response to the Deepwater )] TJ ET BT 15.000 693.094 Td /F2 21.0 Tf [(Horizon Oil Spill: Protecting the Health and Safety of Cleanup )] TJ ET BT 15.000 668.146 Td /F2 21.0 Tf [(Workers)] TJ ET Q 0.271 0.267 0.267 rg BT 15.000 650.140 Td /F3 9.8 Tf [(July 18, 2012)] TJ ET BT 72.681 650.140 Td /F3 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg BT 77.556 650.140 Td /F3 9.8 Tf [(Field report)] TJ ET BT 26.250 638.299 Td /F1 9.8 Tf [(David Michaels)] TJ ET 0.271 0.267 0.267 rg BT 92.345 638.299 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 97.766 638.299 Td /F1 9.8 Tf [(John Howard)] TJ ET 0.271 0.267 0.267 rg BT 26.250 626.394 Td /F1 9.8 Tf [(Michaels D, Howard J. Review of the OSHA-NIOSH Response to the Deepwater Horizon Oil Spill: Protecting the Health and )] TJ ET BT 26.250 614.490 Td /F1 9.8 Tf [(Safety of Cleanup Workers. PLOS Currents Disasters. 2012 Jul 18 . Edition 1. doi: 10.1371/4fa83b7576b6e.)] TJ ET q 15.000 28.739 577.500 583.370 re W n 0.271 0.267 0.267 rg BT 26.250 585.387 Td /F4 12.0 Tf [(Abstract)] TJ ET BT 26.250 565.433 Td /F1 9.8 Tf [(Introduction:)] TJ ET BT 26.250 553.528 Td /F1 9.8 Tf [(The fire and explosion of the Deepwater Horizon oil rig resulted in an enormous oil spill that threatened large distances of )] TJ ET BT 26.250 541.623 Td /F1 9.8 Tf [(coastline. The overall response was led by the United States Coast Guard and involved the oil company BP, federal agencies, )] TJ ET BT 26.250 529.719 Td /F1 9.8 Tf [(and state and local governments of five states.)] TJ ET BT 26.250 517.814 Td /F1 9.8 Tf [(Methods:)] TJ ET BT 26.250 505.909 Td /F1 9.8 Tf [(The Occupational Safety and Health Administration and the National Institute for Occupational Safety and Health focused )] TJ ET BT 26.250 494.004 Td /F1 9.8 Tf [(extensive resources on ensuring that BP and its contractors provided safe working conditions for thousands of workers involved )] TJ ET BT 26.250 482.100 Td /F1 9.8 Tf [(in the response. Federal personnel visited worksites daily, identifying hazards and means of abatement; assessed training )] TJ ET BT 26.250 470.195 Td /F1 9.8 Tf [(programs to ensure that workers were adequately trained in languages they could understand; monitored chemical exposures )] TJ ET BT 26.250 458.290 Td /F1 9.8 Tf [(and determined that the proper personal protective equipment was deployed; insisted on implementation of a heat mitigation )] TJ ET BT 26.250 446.385 Td /F1 9.8 Tf [(program; rostered thousands of workers; and conducted extensive outreach in communities impacted by the spill.)] TJ ET BT 26.250 434.481 Td /F1 9.8 Tf [(Results:)] TJ ET BT 26.250 422.576 Td /F1 9.8 Tf [(Advance planning, immediate deployment, and collaboration across agencies helped ensure that the response operations )] TJ ET BT 26.250 410.671 Td /F1 9.8 Tf [(resulted in no worker fatalities, and relatively few injuries and illnesses.)] TJ ET BT 26.250 398.766 Td /F1 9.8 Tf [(Conclusions:)] TJ ET BT 26.250 386.862 Td /F1 9.8 Tf [(For future responses, improvements should be made in how safety and health information, as well as the process behind safety )] TJ ET BT 26.250 374.957 Td /F1 9.8 Tf [(and health decisions, are communicated to the public.)] TJ ET BT 26.250 355.552 Td /F1 9.8 Tf [(Citation: Michaels D, Howard J. Review of the OSHA-NIOSH Response to the Deepwater Horizon Oil Spill: Protecting the )] TJ ET BT 26.250 343.647 Td /F1 9.8 Tf [(Health and Safety of Cleanup Workers. PLoS Currents Disasters. 2012 Jul 18)] TJ ET BT 26.250 307.045 Td /F4 12.0 Tf [(Funding Statement)] TJ ET BT 26.250 287.091 Td /F1 9.8 Tf [(This review was funded by the U.S. Department of Labor and the U.S. Department of Health and Human Services. Neither )] TJ ET BT 26.250 275.186 Td /F1 9.8 Tf [(author has any potential or perceived competing interests to report regarding this review.)] TJ ET BT 26.250 246.083 Td /F4 12.0 Tf [(The Deepwater Horizon Spill)] TJ ET BT 26.250 226.129 Td /F1 9.8 Tf [(On the night of April 20, 2010, the Deepwater Horizon oil rig, located 72 kilometers offshore southeast of Venice, Louisiana, )] TJ ET BT 26.250 214.224 Td /F1 9.8 Tf [(exploded and caught fire, resulting in the deaths of eleven workers. It soon became clear that the Macondo wellhead, 1,500 )] TJ ET BT 26.250 202.320 Td /F1 9.8 Tf [(meters below the ocean surface, was discharging crude oil into the Gulf of Mexico. The rig, operated by the oil company BP, )] TJ ET BT 26.250 190.415 Td /F1 9.8 Tf [(sank on the morning of April 22, 2010. Many millions of barrels of oil discharged into the Gulf before the leak was sealed on July )] TJ ET BT 26.250 178.510 Td /F1 9.8 Tf [(15, 2010, making it the largest oil spill in U.S. history and the first to be declared a Spill of National Significance.)] TJ ET 0.267 0.267 0.267 rg BT 506.925 180.017 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 26.250 159.105 Td /F1 9.8 Tf [(Faced with an environmental catastrophe that threatened hundreds of kilometers of coastline, BP hired tens of thousands of )] TJ ET BT 26.250 147.201 Td /F1 9.8 Tf [(workers, many unconditioned to the heat and long hours of work and with limited experience responding to and cleaning up oil )] TJ ET BT 26.250 135.296 Td /F1 9.8 Tf [(spills. At the height of the response, the workforce totaled more than 47,000 men and women, including over 42,000 response )] TJ ET BT 26.250 123.391 Td /F1 9.8 Tf [(and cleanup workers employed by BP and its contractors, 1,600 members of the National Guard, and more than 2,400 federal )] TJ ET BT 26.250 111.486 Td /F1 9.8 Tf [(employees. The government response was unprecedented in its scope and duration, involving many federal agencies and the )] TJ ET BT 26.250 99.582 Td /F1 9.8 Tf [(state and local governments of five states: Louisiana, Mississippi, Alabama, Florida, and Texas.)] TJ ET BT 26.250 62.979 Td /F4 12.0 Tf [(Overview of the response)] TJ ET BT 26.250 43.025 Td /F1 9.8 Tf [(Federal responses to oil spills are conducted under the National Oil and Hazardous Substances Pollution Contingency Plan )] TJ ET Q q 15.000 659.406 577.500 78.594 re W n 0.267 0.267 0.267 rg BT 15.000 718.042 Td /F2 21.0 Tf [(Review of the OSHA-NIOSH Response to the Deepwater )] TJ ET BT 15.000 693.094 Td /F2 21.0 Tf [(Horizon Oil Spill: Protecting the Health and Safety of Cleanup )] TJ ET BT 15.000 668.146 Td /F2 21.0 Tf [(Workers)] TJ ET Q 0.271 0.267 0.267 rg BT 15.000 650.140 Td /F3 9.8 Tf [(July 18, 2012)] TJ ET BT 72.681 650.140 Td /F3 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg BT 77.556 650.140 Td /F3 9.8 Tf [(Field report)] TJ ET BT 26.250 638.299 Td /F1 9.8 Tf [(David Michaels)] TJ ET 0.271 0.267 0.267 rg BT 92.345 638.299 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 97.766 638.299 Td /F1 9.8 Tf [(John Howard)] TJ ET 0.271 0.267 0.267 rg BT 26.250 626.394 Td /F1 9.8 Tf [(Michaels D, Howard J. Review of the OSHA-NIOSH Response to the Deepwater Horizon Oil Spill: Protecting the Health and )] TJ ET BT 26.250 614.490 Td /F1 9.8 Tf [(Safety of Cleanup Workers. PLOS Currents Disasters. 2012 Jul 18 . Edition 1. doi: 10.1371/4fa83b7576b6e.)] TJ ET q 15.000 28.739 577.500 583.370 re W n 0.271 0.267 0.267 rg BT 26.250 585.387 Td /F4 12.0 Tf [(Abstract)] TJ ET BT 26.250 565.433 Td /F1 9.8 Tf [(Introduction:)] TJ ET BT 26.250 553.528 Td /F1 9.8 Tf [(The fire and explosion of the Deepwater Horizon oil rig resulted in an enormous oil spill that threatened large distances of )] TJ ET BT 26.250 541.623 Td /F1 9.8 Tf [(coastline. The overall response was led by the United States Coast Guard and involved the oil company BP, federal agencies, )] TJ ET BT 26.250 529.719 Td /F1 9.8 Tf [(and state and local governments of five states.)] TJ ET BT 26.250 517.814 Td /F1 9.8 Tf [(Methods:)] TJ ET BT 26.250 505.909 Td /F1 9.8 Tf [(The Occupational Safety and Health Administration and the National Institute for Occupational Safety and Health focused )] TJ ET BT 26.250 494.004 Td /F1 9.8 Tf [(extensive resources on ensuring that BP and its contractors provided safe working conditions for thousands of workers involved )] TJ ET BT 26.250 482.100 Td /F1 9.8 Tf [(in the response. Federal personnel visited worksites daily, identifying hazards and means of abatement; assessed training )] TJ ET BT 26.250 470.195 Td /F1 9.8 Tf [(programs to ensure that workers were adequately trained in languages they could understand; monitored chemical exposures )] TJ ET BT 26.250 458.290 Td /F1 9.8 Tf [(and determined that the proper personal protective equipment was deployed; insisted on implementation of a heat mitigation )] TJ ET BT 26.250 446.385 Td /F1 9.8 Tf [(program; rostered thousands of workers; and conducted extensive outreach in communities impacted by the spill.)] TJ ET BT 26.250 434.481 Td /F1 9.8 Tf [(Results:)] TJ ET BT 26.250 422.576 Td /F1 9.8 Tf [(Advance planning, immediate deployment, and collaboration across agencies helped ensure that the response operations )] TJ ET BT 26.250 410.671 Td /F1 9.8 Tf [(resulted in no worker fatalities, and relatively few injuries and illnesses.)] TJ ET BT 26.250 398.766 Td /F1 9.8 Tf [(Conclusions:)] TJ ET BT 26.250 386.862 Td /F1 9.8 Tf [(For future responses, improvements should be made in how safety and health information, as well as the process behind safety )] TJ ET BT 26.250 374.957 Td /F1 9.8 Tf [(and health decisions, are communicated to the public.)] TJ ET BT 26.250 355.552 Td /F1 9.8 Tf [(Citation: Michaels D, Howard J. Review of the OSHA-NIOSH Response to the Deepwater Horizon Oil Spill: Protecting the )] TJ ET BT 26.250 343.647 Td /F1 9.8 Tf [(Health and Safety of Cleanup Workers. PLoS Currents Disasters. 2012 Jul 18)] TJ ET BT 26.250 307.045 Td /F4 12.0 Tf [(Funding Statement)] TJ ET BT 26.250 287.091 Td /F1 9.8 Tf [(This review was funded by the U.S. Department of Labor and the U.S. Department of Health and Human Services. Neither )] TJ ET BT 26.250 275.186 Td /F1 9.8 Tf [(author has any potential or perceived competing interests to report regarding this review.)] TJ ET BT 26.250 246.083 Td /F4 12.0 Tf [(The Deepwater Horizon Spill)] TJ ET BT 26.250 226.129 Td /F1 9.8 Tf [(On the night of April 20, 2010, the Deepwater Horizon oil rig, located 72 kilometers offshore southeast of Venice, Louisiana, )] TJ ET BT 26.250 214.224 Td /F1 9.8 Tf [(exploded and caught fire, resulting in the deaths of eleven workers. It soon became clear that the Macondo wellhead, 1,500 )] TJ ET BT 26.250 202.320 Td /F1 9.8 Tf [(meters below the ocean surface, was discharging crude oil into the Gulf of Mexico. The rig, operated by the oil company BP, )] TJ ET BT 26.250 190.415 Td /F1 9.8 Tf [(sank on the morning of April 22, 2010. Many millions of barrels of oil discharged into the Gulf before the leak was sealed on July )] TJ ET BT 26.250 178.510 Td /F1 9.8 Tf [(15, 2010, making it the largest oil spill in U.S. history and the first to be declared a Spill of National Significance.)] TJ ET 0.267 0.267 0.267 rg BT 506.925 180.017 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 26.250 159.105 Td /F1 9.8 Tf [(Faced with an environmental catastrophe that threatened hundreds of kilometers of coastline, BP hired tens of thousands of )] TJ ET BT 26.250 147.201 Td /F1 9.8 Tf [(workers, many unconditioned to the heat and long hours of work and with limited experience responding to and cleaning up oil )] TJ ET BT 26.250 135.296 Td /F1 9.8 Tf [(spills. At the height of the response, the workforce totaled more than 47,000 men and women, including over 42,000 response )] TJ ET BT 26.250 123.391 Td /F1 9.8 Tf [(and cleanup workers employed by BP and its contractors, 1,600 members of the National Guard, and more than 2,400 federal )] TJ ET BT 26.250 111.486 Td /F1 9.8 Tf [(employees. The government response was unprecedented in its scope and duration, involving many federal agencies and the )] TJ ET BT 26.250 99.582 Td /F1 9.8 Tf [(state and local governments of five states: Louisiana, Mississippi, Alabama, Florida, and Texas.)] TJ ET BT 26.250 62.979 Td /F4 12.0 Tf [(Overview of the response)] TJ ET BT 26.250 43.025 Td /F1 9.8 Tf [(Federal responses to oil spills are conducted under the National Oil and Hazardous Substances Pollution Contingency Plan )] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 19.825 Td /F1 11.0 Tf [(1)] TJ ET BT 25.000 19.825 Td /F1 11.0 Tf [(PLOS Currents Disasters)] TJ ET Q endstream endobj 8 0 obj << /Type /Font /Subtype /Type1 /Name /F1 /BaseFont /Helvetica /Encoding /WinAnsiEncoding >> endobj 9 0 obj << /Type /Font /Subtype /Type1 /Name /F2 /BaseFont /Times-Bold /Encoding /WinAnsiEncoding >> endobj 10 0 obj << /Type /Font /Subtype /Type1 /Name /F3 /BaseFont /Times-Italic /Encoding /WinAnsiEncoding >> endobj 11 0 obj << /Type /Font /Subtype /Type1 /Name /F4 /BaseFont /Helvetica-Bold /Encoding /WinAnsiEncoding >> endobj 12 0 obj << /Type /XObject /Subtype /Image /Width 500 /Height 52 /Filter /FlateDecode /DecodeParms << /Predictor 15 /Colors 1 /Columns 500 /BitsPerComponent 8>> /ColorSpace /DeviceGray /BitsPerComponent 8 /Length 144>> stream x1 0 'ݲ؎"e{dzAdzAdzAdzAdzAdzAdzAdzAdzAdzAdzAdzAtlM0\ endstream endobj 13 0 obj << /Type /XObject /Subtype /Image /Width 500 /Height 52 /SMask 12 0 R /Filter /FlateDecode /DecodeParms << /Predictor 15 /Colors 3 /Columns 500 /BitsPerComponent 8>> /ColorSpace /DeviceRGB /BitsPerComponent 8 /Length 3627>> stream x?b!/w N BU!@rܥ>L%|"ɾeB~qbϧG0 0 0 ü<,a ,a ,a /)܋( daKnW>'IR2 0x1ͽ{0 Z4= 4M޶mY}'IĖ2 0ָML}GQ48Iy>i("u>s6ne0 YfB;S}b 5ba,ZP՚ћuFڶ= 0{ǤbA!>m{wwW׵ApssDZdU,K:fs_׿___qykQbfMii{$̂>}JdB um{Lh'پy2c\ifZypE|,Uݝ,h4ڶ],R*\U-rQ9l PUUQ#G80aef_-mI*gߋlil-d:5ec]RUa0\ͼ$ ֌8jE%4BH\m=ϣfY )!vDL^)4axt=3*E<' _?>>.7DYt]׆0gqwр,ajmۢ(HMB$ [ U5;gfw`2R]u]GQD0g[Tt:a1J#,AU}0hwb>&8V~*ȀIH fuiah aMl7\:\>|,L5w(YqOFsoBy|<3^=6.ym۾%)~`XHnݰ‹IDs'oZ7In}wV|C%H{lDsDQ6]4jcЊͭ;*ٶv&A.09e(ji2btXɄy4?!ZEI"+Yɲy%'hZch@C+q,U1TA+FEe_R18;z.􃰢c ( H| $I.hy {ss&` 26:#(RuGQmZtJӅ˲csоj$}3#rl& j }>  ]x] ъ|G[1lfu ϛIaVz0-mvy2h܉ေA^XD`b"W#ֵU{(Y BAaDL]z_ex6 (nMOÈ%֐m`04Ԝ0aℓ.*"^=KeY~-'iM``v,Z꺞fRf1c+! 85BX,HeEљ @N^ԚG`5p |!L]U).?"l5eFQŞu]ɍK'eW/o҆&(i VM_ = E/J,;sqq0 W>rM=gdќ陞qѼ:2X;.˲j#Ņ뺮fbi\ו.u݋1mgXEQꋋ q@P%~VL0%b`eF4M}'@Sp8v;FߊdY]@u[5 (96 V0~1Gj Ňg֏= >\'ͪ$yX`!dhq%I0fF5x]t,hRˮb"3鈰@'5ؽE2>GI@ KȲLrÿ*1ȰT5ffܱYjuqqC3v(uEsI'c^چ#X,hAk"ZH6`XPW,>}fY6t^C8,Fi#nica Jzlf0 >سX,)m_Bs' c oN c>TT'%x&ߘ fi$W܇g[@ mDZ7]:RQjƘ.ğ$:؝, s{HzxqZKmF|Ϗ~p7@ {1$Xu}p(ĉzZaJ%i&0L@#\}GaT~tTQ,asEOxhy.?,aC9oqE=MS9I%8~WmdG:agO\\$,yHg^Ab%Ĩ7Z}џd2!YmN0X-#*ڈ/&W4MAYT?3;f udJ 6%ag9IxINlȦ|[+ ٘{R0' uT?NP%A wD&1=4L&ĵg-G)+0*V} 62T75yiۣrѰڳ>$'?B'IeY0K1WH]NkiR m<˭XF.xaijT==}~&;ہHA7| \( s\? ~_{ޒ{ O?^AVtї~g~~mVfS XtU6wMUv8|xxG-ü[A܆m!g۾勜*N5,sP=0 cibCub=2xa? Lx"(*׾90?po6EF$|z8oLoݻgV_zqoea&p="Z,ca^T˲l6c0 of+$0 oa wa7 wa7 wa7 wa7_i= endstream endobj 14 0 obj << /Type /Annot /Subtype /Link /A 15 0 R /Border [0 0 0] /H /I /Rect [ 15.0000 716.1516 528.2610 736.9416 ] >> endobj 15 0 obj << /Type /Action /S /URI /URI (https://currents.plos.org/disasters/article/review-of-the-osha-niosh-response-to-the-deepwater-horizon-oil-spill-protecting-the-health-and-safety-of-cleanup-workers/) >> endobj 16 0 obj << /Type /Annot /Subtype /Link /A 17 0 R /Border [0 0 0] /H /I /Rect [ 15.0000 691.2036 582.0210 711.9936 ] >> endobj 17 0 obj << /Type /Action /S /URI /URI (https://currents.plos.org/disasters/article/review-of-the-osha-niosh-response-to-the-deepwater-horizon-oil-spill-protecting-the-health-and-safety-of-cleanup-workers/) >> endobj 18 0 obj << /Type /Annot /Subtype /Link /A 19 0 R /Border [0 0 0] /H /I /Rect [ 15.0000 666.2556 94.3170 687.0456 ] >> endobj 19 0 obj << /Type /Action /S /URI /URI (https://currents.plos.org/disasters/article/review-of-the-osha-niosh-response-to-the-deepwater-horizon-oil-spill-protecting-the-health-and-safety-of-cleanup-workers/) >> endobj 20 0 obj << /Type /Annot /Subtype /Link /A 21 0 R /Border [0 0 0] /H /I /Rect [ 77.5560 649.2621 124.9507 658.9146 ] >> endobj 21 0 obj << /Type /Action /S /URI /URI (https://currents.plos.org/disasters/article_category/field-report/) >> endobj 22 0 obj << /Type /Annot /Subtype /Link /A 23 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 637.3973 92.3452 647.3179 ] >> endobj 23 0 obj << /Type /Action /S /URI /URI (https://currents.plos.org/disasters/author/drdavidmichaels/) >> endobj 24 0 obj << /Type /Annot /Subtype /Link /A 25 0 R /Border [0 0 0] /H /I /Rect [ 97.7662 637.3973 155.2035 647.3179 ] >> endobj 25 0 obj << /Type /Action /S /URI /URI (https://currents.plos.org/disasters/author/jjhoward4710/) >> endobj 26 0 obj << /Type /Annot /Subtype /Link /A 27 0 R /Border [0 0 0] /H /I /Rect [ 506.9250 179.2157 511.7437 188.0340 ] >> endobj 27 0 obj << /Type /Action >> endobj 28 0 obj << /Type /Annot /Subtype /Link /A 29 0 R /Border [0 0 0] /H /I /Rect [ 15.0000 716.1516 528.2610 736.9416 ] >> endobj 29 0 obj << /Type /Action /S /URI /URI (https://currents.plos.org/disasters/article/review-of-the-osha-niosh-response-to-the-deepwater-horizon-oil-spill-protecting-the-health-and-safety-of-cleanup-workers/) >> endobj 30 0 obj << /Type /Annot /Subtype /Link /A 31 0 R /Border [0 0 0] /H /I /Rect [ 15.0000 691.2036 582.0210 711.9936 ] >> endobj 31 0 obj << /Type /Action /S /URI /URI (https://currents.plos.org/disasters/article/review-of-the-osha-niosh-response-to-the-deepwater-horizon-oil-spill-protecting-the-health-and-safety-of-cleanup-workers/) >> endobj 32 0 obj << /Type /Annot /Subtype /Link /A 33 0 R /Border [0 0 0] /H /I /Rect [ 15.0000 666.2556 94.3170 687.0456 ] >> endobj 33 0 obj << /Type /Action /S /URI /URI (https://currents.plos.org/disasters/article/review-of-the-osha-niosh-response-to-the-deepwater-horizon-oil-spill-protecting-the-health-and-safety-of-cleanup-workers/) >> endobj 34 0 obj << /Type /Annot /Subtype /Link /A 35 0 R /Border [0 0 0] /H /I /Rect [ 77.5560 649.2621 124.9507 658.9146 ] >> endobj 35 0 obj << /Type /Action /S /URI /URI (https://currents.plos.org/disasters/article_category/field-report/) >> endobj 36 0 obj << /Type /Annot /Subtype /Link /A 37 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 637.3973 92.3452 647.3179 ] >> endobj 37 0 obj << /Type /Action /S /URI /URI (https://currents.plos.org/disasters/author/drdavidmichaels/) >> endobj 38 0 obj << /Type /Annot /Subtype /Link /A 39 0 R /Border [0 0 0] /H /I /Rect [ 97.7662 637.3973 155.2035 647.3179 ] >> endobj 39 0 obj << /Type /Action /S /URI /URI (https://currents.plos.org/disasters/author/jjhoward4710/) >> endobj 40 0 obj << /Type /Annot /Subtype /Link /A 41 0 R /Border [0 0 0] /H /I /Rect [ 506.9250 179.2157 511.7437 188.0340 ] >> endobj 41 0 obj << /Type /Action >> endobj 42 0 obj << /Type /Annot /Subtype /Link /A 43 0 R /Border [0 0 0] /H /I /Rect [ 15.0000 716.1516 528.2610 736.9416 ] >> endobj 43 0 obj << /Type /Action /S /URI /URI (https://currents.plos.org/disasters/article/review-of-the-osha-niosh-response-to-the-deepwater-horizon-oil-spill-protecting-the-health-and-safety-of-cleanup-workers/) >> endobj 44 0 obj << /Type /Annot /Subtype /Link /A 45 0 R /Border [0 0 0] /H /I /Rect [ 15.0000 691.2036 582.0210 711.9936 ] >> endobj 45 0 obj << /Type /Action /S /URI /URI (https://currents.plos.org/disasters/article/review-of-the-osha-niosh-response-to-the-deepwater-horizon-oil-spill-protecting-the-health-and-safety-of-cleanup-workers/) >> endobj 46 0 obj << /Type /Annot /Subtype /Link /A 47 0 R /Border [0 0 0] /H /I /Rect [ 15.0000 666.2556 94.3170 687.0456 ] >> endobj 47 0 obj << /Type /Action /S /URI /URI (https://currents.plos.org/disasters/article/review-of-the-osha-niosh-response-to-the-deepwater-horizon-oil-spill-protecting-the-health-and-safety-of-cleanup-workers/) >> endobj 48 0 obj << /Type /Annot /Subtype /Link /A 49 0 R /Border [0 0 0] /H /I /Rect [ 77.5560 649.2621 124.9507 658.9146 ] >> endobj 49 0 obj << /Type /Action /S /URI /URI (https://currents.plos.org/disasters/article_category/field-report/) >> endobj 50 0 obj << /Type /Annot /Subtype /Link /A 51 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 637.3973 92.3452 647.3179 ] >> endobj 51 0 obj << /Type /Action /S /URI /URI (https://currents.plos.org/disasters/author/drdavidmichaels/) >> endobj 52 0 obj << /Type /Annot /Subtype /Link /A 53 0 R /Border [0 0 0] /H /I /Rect [ 97.7662 637.3973 155.2035 647.3179 ] >> endobj 53 0 obj << /Type /Action /S /URI /URI (https://currents.plos.org/disasters/author/jjhoward4710/) >> endobj 54 0 obj << /Type /Annot /Subtype /Link /A 55 0 R /Border [0 0 0] /H /I /Rect [ 506.9250 179.2157 511.7437 188.0340 ] >> endobj 55 0 obj << /Type /Action >> endobj 56 0 obj << /Type /Page /Parent 3 0 R /Annots [ 58 0 R 60 0 R 62 0 R 64 0 R 66 0 R 68 0 R 70 0 R 72 0 R 74 0 R 76 0 R 78 0 R 80 0 R ] /Contents 57 0 R >> endobj 57 0 obj << /Length 27880 >> stream 0.271 0.267 0.267 rg q 15.000 23.429 577.500 753.571 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(\(also known as the National Contingency Plan or NCP\), which establishes a multi-tiered National Response System. Under the )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(NCP, the National Response Team \(NRT\), a standing group of 16 federal agencies, is responsible for interagency )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(preparedness and response for oil and hazardous materials releases. The NRT, which includes the Occupational Safety and )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(Health Administration \(OSHA\) and the National Institute for Occupational Safety and Health \(NIOSH\), began meeting to plan the )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(response to the oil spill on April 22, 2010, the same day the rig sank.)] TJ ET BT 26.250 700.452 Td /F1 9.8 Tf [(After the oil spill was declared a Spill of National Significance on April 29, a National Incident Command \(NIC\) was established )] TJ ET BT 26.250 688.548 Td /F1 9.8 Tf [(to coordinate resources at the national level. The NIC was under the leadership of the United States Coast Guard \(USCG\) )] TJ ET BT 26.250 676.643 Td /F1 9.8 Tf [(because the spill occurred in coastal waters. Local incident/unified command posts were set up to coordinate multiagency )] TJ ET BT 26.250 664.738 Td /F1 9.8 Tf [(operations. These were supervised by the Unified Area Command, consisting of the On-Scene Coordinator \(from the USCG\) )] TJ ET BT 26.250 652.833 Td /F1 9.8 Tf [(and the responsible party \(in this case, BP\).)] TJ ET 0.267 0.267 0.267 rg BT 214.834 654.341 Td /F4 8.7 Tf [(2)] TJ ET 0.271 0.267 0.267 rg BT 219.653 652.833 Td /F1 9.8 Tf [( OSHA and NIOSH provided guidance and safety and health expertise to all levels )] TJ ET BT 26.250 640.929 Td /F1 9.8 Tf [(of the Unified Command: the local incident command posts; the Unified Area Command; and the National Incident Command.)] TJ ET BT 26.250 621.524 Td /F1 9.8 Tf [(The Unified Command provided a structure for agencies from across the federal government to work together, fostering )] TJ ET BT 26.250 609.619 Td /F1 9.8 Tf [(collaboration between a range of agencies with public health and worker protection responsibilities. These agencies included )] TJ ET BT 26.250 597.714 Td /F1 9.8 Tf [(OSHA, NIOSH, USCG, the National Institute of Environmental Health Sciences \(NIEHS\), the Environmental Protection Agency )] TJ ET BT 26.250 585.810 Td /F1 9.8 Tf [(\(EPA\), the National Oceanic and Atmospheric Administration \(NOAA\), the Department of Labors Employment and Training )] TJ ET BT 26.250 573.905 Td /F1 9.8 Tf [(Administration and Wage and Hour Division, the Food and Drug Administration, and the Substance Abuse and Mental Health )] TJ ET BT 26.250 562.000 Td /F1 9.8 Tf [(Services Administration.)] TJ ET BT 26.250 542.595 Td /F1 9.8 Tf [(Under the Occupational Safety and Health Act, BP was responsible as an employer for providing a safe and healthful workplace )] TJ ET BT 26.250 530.691 Td /F1 9.8 Tf [(for response workers hired by BP and its contractors.)] TJ ET 0.267 0.267 0.267 rg BT 255.463 532.198 Td /F4 8.7 Tf [(3)] TJ ET 0.271 0.267 0.267 rg BT 260.281 530.691 Td /F1 9.8 Tf [( BP was also obligated under the NCP to implement a safety and health )] TJ ET BT 26.250 518.786 Td /F1 9.8 Tf [(program consistent with OSHA standards.)] TJ ET 0.267 0.267 0.267 rg BT 207.775 520.293 Td /F4 8.7 Tf [(4)] TJ ET 0.271 0.267 0.267 rg BT 26.250 499.381 Td /F1 9.8 Tf [(OSHA began planning its operations in the Gulf within days of the explosion and invited NIOSH to join the interagency )] TJ ET BT 26.250 487.476 Td /F1 9.8 Tf [(operational effort. As the Unified Command opened staging areas and BP hired workers to prepare for cleanup activities, OSHA )] TJ ET BT 26.250 475.572 Td /F1 9.8 Tf [(assigned staff to ensure that BP adequately trained, equipped and protected the cleanup workers. OSHA recognized the need )] TJ ET BT 26.250 463.667 Td /F1 9.8 Tf [(to communicate with workers in their native languages, and deployed staff fluent in Vietnamese and Spanish to aid the oil spill )] TJ ET BT 26.250 451.762 Td /F1 9.8 Tf [(response.)] TJ ET BT 26.250 432.357 Td /F1 9.8 Tf [(Throughout the response, nearly 150 OSHA professionals were involved in protecting workers in the Gulf Region, with 25 to 40 )] TJ ET BT 26.250 420.453 Td /F1 9.8 Tf [(of them assigned full-time to the oil response cleanup. OSHA personnel were active in all 17 staging areas in Louisiana, )] TJ ET BT 26.250 408.548 Td /F1 9.8 Tf [(Mississippi, Alabama, and Florida. They visited worksites each day to assess whether BP was following OSHA guidance and )] TJ ET BT 26.250 396.643 Td /F1 9.8 Tf [(providing appropriate worker safety and health protections. OSHA staff made over 4,200 site visits, covering: staging areas; )] TJ ET BT 26.250 384.738 Td /F1 9.8 Tf [(decontamination, distribution, and deployment sites; and Vessels of Opportunity, the displaced fishing vessels involved in )] TJ ET BT 26.250 372.834 Td /F1 9.8 Tf [(defensive booming, transporting work crews, and other types of support. When OSHA identified safety and health hazards, )] TJ ET BT 26.250 360.929 Td /F1 9.8 Tf [(these concerns were communicated to the Unified Command. This approach helped ensure that hazards were identified and )] TJ ET BT 26.250 349.024 Td /F1 9.8 Tf [(fixed and that consistent incident-wide protective measures were implemented.)] TJ ET BT 26.250 329.619 Td /F1 9.8 Tf [(Well before the oil reached the shore, OSHA assisted the Unified Command with conducting Job Hazard Analyses for the tasks )] TJ ET BT 26.250 317.715 Td /F1 9.8 Tf [(it was anticipated workers would be performing and identified the protections required in a comprehensive safety and health )] TJ ET BT 26.250 305.810 Td /F1 9.8 Tf [(program. OSHA also provided guidance for the development of a heat stress mitigation program and strongly encouraged BP to )] TJ ET BT 26.250 293.905 Td /F1 9.8 Tf [(keep a comprehensive incident-wide log to record the full spectrum of worker injuries and illnesses. This included traditional )] TJ ET BT 26.250 282.000 Td /F1 9.8 Tf [(OSHA recordable cases, which require treatment beyond first aid or lead to restricted duty or missed days of work, as well as )] TJ ET BT 26.250 270.096 Td /F1 9.8 Tf [(near misses and injuries that only required first aid. BP reported these OSHA recordable and non-recordable injuries and )] TJ ET BT 26.250 258.191 Td /F1 9.8 Tf [(illnesses during daily conference calls.)] TJ ET BT 26.250 238.786 Td /F1 9.8 Tf [(From May 3 through mid-August, NIOSH deployed over 100 staff to multiple locations in the five-state Gulf region and provided )] TJ ET BT 26.250 226.881 Td /F1 9.8 Tf [(subject matter expertise to the Unified Area Command. NIOSH activities included rostering over 55,000 workers, conducting on- )] TJ ET BT 26.250 214.977 Td /F1 9.8 Tf [(and off-shore health hazard evaluations, providing technical guidance and communication/educational materials, analyzing )] TJ ET BT 26.250 203.072 Td /F1 9.8 Tf [(health surveillance information, and performing toxicity testing on samples of the oil dispersant and the crude from the leaking )] TJ ET BT 26.250 191.167 Td /F1 9.8 Tf [(well. In total, close to 250 NIOSH staff participated in the response in some capacity.)] TJ ET BT 26.250 171.762 Td /F4 9.8 Tf [(Assessment and Control of Chemical Exposures.)] TJ ET BT 254.351 171.762 Td /F1 9.8 Tf [( From the start of the response, the Unified Command was concerned )] TJ ET BT 26.250 159.858 Td /F1 9.8 Tf [(about the potential health effects on workers from inhalation and skin exposure to crude oil, weathered oil, dispersants, solvents )] TJ ET BT 26.250 147.953 Td /F1 9.8 Tf [(used to clean boats, and other chemicals. OSHA provided input to help BP develop a sampling strategy to address these )] TJ ET BT 26.250 136.048 Td /F1 9.8 Tf [(hazards. OSHA also developed its own sampling protocol and strategy, based on a review of the specific tasks workers would )] TJ ET BT 26.250 124.143 Td /F1 9.8 Tf [(be performing, the chemicals of concern from the oil and dispersants, and available Occupational Exposure Limits \(OELs\). The )] TJ ET BT 26.250 112.239 Td /F1 9.8 Tf [(sampling strategy OSHA developed to support the Unified Command incorporated onshore zones, near-shore, and offshore )] TJ ET BT 26.250 100.334 Td /F1 9.8 Tf [(operations.)] TJ ET 0.267 0.267 0.267 rg BT 74.483 101.841 Td /F4 8.7 Tf [(5)] TJ ET 0.271 0.267 0.267 rg BT 26.250 80.929 Td /F1 9.8 Tf [(On May 6, OSHA deployed its specialized industrial hygienist team to Louisiana to provide technical support for the agencys )] TJ ET BT 26.250 69.024 Td /F1 9.8 Tf [(extensive air monitoring for potential worker chemical exposures at staging areas and on vessels.)] TJ ET BT 26.250 49.620 Td /F1 9.8 Tf [(A specialized committee convened each morning, consisting of the lead industrial hygienists from OSHA, NIOSH, USCG, EPA, )] TJ ET BT 26.250 37.715 Td /F1 9.8 Tf [(the U.S. Department of the Interior, and BP and its contractors to review and discuss the results of air monitoring conducted by )] TJ ET Q q 15.000 23.429 577.500 753.571 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(\(also known as the National Contingency Plan or NCP\), which establishes a multi-tiered National Response System. Under the )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(NCP, the National Response Team \(NRT\), a standing group of 16 federal agencies, is responsible for interagency )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(preparedness and response for oil and hazardous materials releases. The NRT, which includes the Occupational Safety and )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(Health Administration \(OSHA\) and the National Institute for Occupational Safety and Health \(NIOSH\), began meeting to plan the )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(response to the oil spill on April 22, 2010, the same day the rig sank.)] TJ ET BT 26.250 700.452 Td /F1 9.8 Tf [(After the oil spill was declared a Spill of National Significance on April 29, a National Incident Command \(NIC\) was established )] TJ ET BT 26.250 688.548 Td /F1 9.8 Tf [(to coordinate resources at the national level. The NIC was under the leadership of the United States Coast Guard \(USCG\) )] TJ ET BT 26.250 676.643 Td /F1 9.8 Tf [(because the spill occurred in coastal waters. Local incident/unified command posts were set up to coordinate multiagency )] TJ ET BT 26.250 664.738 Td /F1 9.8 Tf [(operations. These were supervised by the Unified Area Command, consisting of the On-Scene Coordinator \(from the USCG\) )] TJ ET BT 26.250 652.833 Td /F1 9.8 Tf [(and the responsible party \(in this case, BP\).)] TJ ET 0.267 0.267 0.267 rg BT 214.834 654.341 Td /F4 8.7 Tf [(2)] TJ ET 0.271 0.267 0.267 rg BT 219.653 652.833 Td /F1 9.8 Tf [( OSHA and NIOSH provided guidance and safety and health expertise to all levels )] TJ ET BT 26.250 640.929 Td /F1 9.8 Tf [(of the Unified Command: the local incident command posts; the Unified Area Command; and the National Incident Command.)] TJ ET BT 26.250 621.524 Td /F1 9.8 Tf [(The Unified Command provided a structure for agencies from across the federal government to work together, fostering )] TJ ET BT 26.250 609.619 Td /F1 9.8 Tf [(collaboration between a range of agencies with public health and worker protection responsibilities. These agencies included )] TJ ET BT 26.250 597.714 Td /F1 9.8 Tf [(OSHA, NIOSH, USCG, the National Institute of Environmental Health Sciences \(NIEHS\), the Environmental Protection Agency )] TJ ET BT 26.250 585.810 Td /F1 9.8 Tf [(\(EPA\), the National Oceanic and Atmospheric Administration \(NOAA\), the Department of Labors Employment and Training )] TJ ET BT 26.250 573.905 Td /F1 9.8 Tf [(Administration and Wage and Hour Division, the Food and Drug Administration, and the Substance Abuse and Mental Health )] TJ ET BT 26.250 562.000 Td /F1 9.8 Tf [(Services Administration.)] TJ ET BT 26.250 542.595 Td /F1 9.8 Tf [(Under the Occupational Safety and Health Act, BP was responsible as an employer for providing a safe and healthful workplace )] TJ ET BT 26.250 530.691 Td /F1 9.8 Tf [(for response workers hired by BP and its contractors.)] TJ ET 0.267 0.267 0.267 rg BT 255.463 532.198 Td /F4 8.7 Tf [(3)] TJ ET 0.271 0.267 0.267 rg BT 260.281 530.691 Td /F1 9.8 Tf [( BP was also obligated under the NCP to implement a safety and health )] TJ ET BT 26.250 518.786 Td /F1 9.8 Tf [(program consistent with OSHA standards.)] TJ ET 0.267 0.267 0.267 rg BT 207.775 520.293 Td /F4 8.7 Tf [(4)] TJ ET 0.271 0.267 0.267 rg BT 26.250 499.381 Td /F1 9.8 Tf [(OSHA began planning its operations in the Gulf within days of the explosion and invited NIOSH to join the interagency )] TJ ET BT 26.250 487.476 Td /F1 9.8 Tf [(operational effort. As the Unified Command opened staging areas and BP hired workers to prepare for cleanup activities, OSHA )] TJ ET BT 26.250 475.572 Td /F1 9.8 Tf [(assigned staff to ensure that BP adequately trained, equipped and protected the cleanup workers. OSHA recognized the need )] TJ ET BT 26.250 463.667 Td /F1 9.8 Tf [(to communicate with workers in their native languages, and deployed staff fluent in Vietnamese and Spanish to aid the oil spill )] TJ ET BT 26.250 451.762 Td /F1 9.8 Tf [(response.)] TJ ET BT 26.250 432.357 Td /F1 9.8 Tf [(Throughout the response, nearly 150 OSHA professionals were involved in protecting workers in the Gulf Region, with 25 to 40 )] TJ ET BT 26.250 420.453 Td /F1 9.8 Tf [(of them assigned full-time to the oil response cleanup. OSHA personnel were active in all 17 staging areas in Louisiana, )] TJ ET BT 26.250 408.548 Td /F1 9.8 Tf [(Mississippi, Alabama, and Florida. They visited worksites each day to assess whether BP was following OSHA guidance and )] TJ ET BT 26.250 396.643 Td /F1 9.8 Tf [(providing appropriate worker safety and health protections. OSHA staff made over 4,200 site visits, covering: staging areas; )] TJ ET BT 26.250 384.738 Td /F1 9.8 Tf [(decontamination, distribution, and deployment sites; and Vessels of Opportunity, the displaced fishing vessels involved in )] TJ ET BT 26.250 372.834 Td /F1 9.8 Tf [(defensive booming, transporting work crews, and other types of support. When OSHA identified safety and health hazards, )] TJ ET BT 26.250 360.929 Td /F1 9.8 Tf [(these concerns were communicated to the Unified Command. This approach helped ensure that hazards were identified and )] TJ ET BT 26.250 349.024 Td /F1 9.8 Tf [(fixed and that consistent incident-wide protective measures were implemented.)] TJ ET BT 26.250 329.619 Td /F1 9.8 Tf [(Well before the oil reached the shore, OSHA assisted the Unified Command with conducting Job Hazard Analyses for the tasks )] TJ ET BT 26.250 317.715 Td /F1 9.8 Tf [(it was anticipated workers would be performing and identified the protections required in a comprehensive safety and health )] TJ ET BT 26.250 305.810 Td /F1 9.8 Tf [(program. OSHA also provided guidance for the development of a heat stress mitigation program and strongly encouraged BP to )] TJ ET BT 26.250 293.905 Td /F1 9.8 Tf [(keep a comprehensive incident-wide log to record the full spectrum of worker injuries and illnesses. This included traditional )] TJ ET BT 26.250 282.000 Td /F1 9.8 Tf [(OSHA recordable cases, which require treatment beyond first aid or lead to restricted duty or missed days of work, as well as )] TJ ET BT 26.250 270.096 Td /F1 9.8 Tf [(near misses and injuries that only required first aid. BP reported these OSHA recordable and non-recordable injuries and )] TJ ET BT 26.250 258.191 Td /F1 9.8 Tf [(illnesses during daily conference calls.)] TJ ET BT 26.250 238.786 Td /F1 9.8 Tf [(From May 3 through mid-August, NIOSH deployed over 100 staff to multiple locations in the five-state Gulf region and provided )] TJ ET BT 26.250 226.881 Td /F1 9.8 Tf [(subject matter expertise to the Unified Area Command. NIOSH activities included rostering over 55,000 workers, conducting on- )] TJ ET BT 26.250 214.977 Td /F1 9.8 Tf [(and off-shore health hazard evaluations, providing technical guidance and communication/educational materials, analyzing )] TJ ET BT 26.250 203.072 Td /F1 9.8 Tf [(health surveillance information, and performing toxicity testing on samples of the oil dispersant and the crude from the leaking )] TJ ET BT 26.250 191.167 Td /F1 9.8 Tf [(well. In total, close to 250 NIOSH staff participated in the response in some capacity.)] TJ ET BT 26.250 171.762 Td /F4 9.8 Tf [(Assessment and Control of Chemical Exposures.)] TJ ET BT 254.351 171.762 Td /F1 9.8 Tf [( From the start of the response, the Unified Command was concerned )] TJ ET BT 26.250 159.858 Td /F1 9.8 Tf [(about the potential health effects on workers from inhalation and skin exposure to crude oil, weathered oil, dispersants, solvents )] TJ ET BT 26.250 147.953 Td /F1 9.8 Tf [(used to clean boats, and other chemicals. OSHA provided input to help BP develop a sampling strategy to address these )] TJ ET BT 26.250 136.048 Td /F1 9.8 Tf [(hazards. OSHA also developed its own sampling protocol and strategy, based on a review of the specific tasks workers would )] TJ ET BT 26.250 124.143 Td /F1 9.8 Tf [(be performing, the chemicals of concern from the oil and dispersants, and available Occupational Exposure Limits \(OELs\). The )] TJ ET BT 26.250 112.239 Td /F1 9.8 Tf [(sampling strategy OSHA developed to support the Unified Command incorporated onshore zones, near-shore, and offshore )] TJ ET BT 26.250 100.334 Td /F1 9.8 Tf [(operations.)] TJ ET 0.267 0.267 0.267 rg BT 74.483 101.841 Td /F4 8.7 Tf [(5)] TJ ET 0.271 0.267 0.267 rg BT 26.250 80.929 Td /F1 9.8 Tf [(On May 6, OSHA deployed its specialized industrial hygienist team to Louisiana to provide technical support for the agencys )] TJ ET BT 26.250 69.024 Td /F1 9.8 Tf [(extensive air monitoring for potential worker chemical exposures at staging areas and on vessels.)] TJ ET BT 26.250 49.620 Td /F1 9.8 Tf [(A specialized committee convened each morning, consisting of the lead industrial hygienists from OSHA, NIOSH, USCG, EPA, )] TJ ET BT 26.250 37.715 Td /F1 9.8 Tf [(the U.S. Department of the Interior, and BP and its contractors to review and discuss the results of air monitoring conducted by )] TJ ET Q q 15.000 23.429 577.500 753.571 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(\(also known as the National Contingency Plan or NCP\), which establishes a multi-tiered National Response System. Under the )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(NCP, the National Response Team \(NRT\), a standing group of 16 federal agencies, is responsible for interagency )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(preparedness and response for oil and hazardous materials releases. The NRT, which includes the Occupational Safety and )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(Health Administration \(OSHA\) and the National Institute for Occupational Safety and Health \(NIOSH\), began meeting to plan the )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(response to the oil spill on April 22, 2010, the same day the rig sank.)] TJ ET BT 26.250 700.452 Td /F1 9.8 Tf [(After the oil spill was declared a Spill of National Significance on April 29, a National Incident Command \(NIC\) was established )] TJ ET BT 26.250 688.548 Td /F1 9.8 Tf [(to coordinate resources at the national level. The NIC was under the leadership of the United States Coast Guard \(USCG\) )] TJ ET BT 26.250 676.643 Td /F1 9.8 Tf [(because the spill occurred in coastal waters. Local incident/unified command posts were set up to coordinate multiagency )] TJ ET BT 26.250 664.738 Td /F1 9.8 Tf [(operations. These were supervised by the Unified Area Command, consisting of the On-Scene Coordinator \(from the USCG\) )] TJ ET BT 26.250 652.833 Td /F1 9.8 Tf [(and the responsible party \(in this case, BP\).)] TJ ET 0.267 0.267 0.267 rg BT 214.834 654.341 Td /F4 8.7 Tf [(2)] TJ ET 0.271 0.267 0.267 rg BT 219.653 652.833 Td /F1 9.8 Tf [( OSHA and NIOSH provided guidance and safety and health expertise to all levels )] TJ ET BT 26.250 640.929 Td /F1 9.8 Tf [(of the Unified Command: the local incident command posts; the Unified Area Command; and the National Incident Command.)] TJ ET BT 26.250 621.524 Td /F1 9.8 Tf [(The Unified Command provided a structure for agencies from across the federal government to work together, fostering )] TJ ET BT 26.250 609.619 Td /F1 9.8 Tf [(collaboration between a range of agencies with public health and worker protection responsibilities. These agencies included )] TJ ET BT 26.250 597.714 Td /F1 9.8 Tf [(OSHA, NIOSH, USCG, the National Institute of Environmental Health Sciences \(NIEHS\), the Environmental Protection Agency )] TJ ET BT 26.250 585.810 Td /F1 9.8 Tf [(\(EPA\), the National Oceanic and Atmospheric Administration \(NOAA\), the Department of Labors Employment and Training )] TJ ET BT 26.250 573.905 Td /F1 9.8 Tf [(Administration and Wage and Hour Division, the Food and Drug Administration, and the Substance Abuse and Mental Health )] TJ ET BT 26.250 562.000 Td /F1 9.8 Tf [(Services Administration.)] TJ ET BT 26.250 542.595 Td /F1 9.8 Tf [(Under the Occupational Safety and Health Act, BP was responsible as an employer for providing a safe and healthful workplace )] TJ ET BT 26.250 530.691 Td /F1 9.8 Tf [(for response workers hired by BP and its contractors.)] TJ ET 0.267 0.267 0.267 rg BT 255.463 532.198 Td /F4 8.7 Tf [(3)] TJ ET 0.271 0.267 0.267 rg BT 260.281 530.691 Td /F1 9.8 Tf [( BP was also obligated under the NCP to implement a safety and health )] TJ ET BT 26.250 518.786 Td /F1 9.8 Tf [(program consistent with OSHA standards.)] TJ ET 0.267 0.267 0.267 rg BT 207.775 520.293 Td /F4 8.7 Tf [(4)] TJ ET 0.271 0.267 0.267 rg BT 26.250 499.381 Td /F1 9.8 Tf [(OSHA began planning its operations in the Gulf within days of the explosion and invited NIOSH to join the interagency )] TJ ET BT 26.250 487.476 Td /F1 9.8 Tf [(operational effort. As the Unified Command opened staging areas and BP hired workers to prepare for cleanup activities, OSHA )] TJ ET BT 26.250 475.572 Td /F1 9.8 Tf [(assigned staff to ensure that BP adequately trained, equipped and protected the cleanup workers. OSHA recognized the need )] TJ ET BT 26.250 463.667 Td /F1 9.8 Tf [(to communicate with workers in their native languages, and deployed staff fluent in Vietnamese and Spanish to aid the oil spill )] TJ ET BT 26.250 451.762 Td /F1 9.8 Tf [(response.)] TJ ET BT 26.250 432.357 Td /F1 9.8 Tf [(Throughout the response, nearly 150 OSHA professionals were involved in protecting workers in the Gulf Region, with 25 to 40 )] TJ ET BT 26.250 420.453 Td /F1 9.8 Tf [(of them assigned full-time to the oil response cleanup. OSHA personnel were active in all 17 staging areas in Louisiana, )] TJ ET BT 26.250 408.548 Td /F1 9.8 Tf [(Mississippi, Alabama, and Florida. They visited worksites each day to assess whether BP was following OSHA guidance and )] TJ ET BT 26.250 396.643 Td /F1 9.8 Tf [(providing appropriate worker safety and health protections. OSHA staff made over 4,200 site visits, covering: staging areas; )] TJ ET BT 26.250 384.738 Td /F1 9.8 Tf [(decontamination, distribution, and deployment sites; and Vessels of Opportunity, the displaced fishing vessels involved in )] TJ ET BT 26.250 372.834 Td /F1 9.8 Tf [(defensive booming, transporting work crews, and other types of support. When OSHA identified safety and health hazards, )] TJ ET BT 26.250 360.929 Td /F1 9.8 Tf [(these concerns were communicated to the Unified Command. This approach helped ensure that hazards were identified and )] TJ ET BT 26.250 349.024 Td /F1 9.8 Tf [(fixed and that consistent incident-wide protective measures were implemented.)] TJ ET BT 26.250 329.619 Td /F1 9.8 Tf [(Well before the oil reached the shore, OSHA assisted the Unified Command with conducting Job Hazard Analyses for the tasks )] TJ ET BT 26.250 317.715 Td /F1 9.8 Tf [(it was anticipated workers would be performing and identified the protections required in a comprehensive safety and health )] TJ ET BT 26.250 305.810 Td /F1 9.8 Tf [(program. OSHA also provided guidance for the development of a heat stress mitigation program and strongly encouraged BP to )] TJ ET BT 26.250 293.905 Td /F1 9.8 Tf [(keep a comprehensive incident-wide log to record the full spectrum of worker injuries and illnesses. This included traditional )] TJ ET BT 26.250 282.000 Td /F1 9.8 Tf [(OSHA recordable cases, which require treatment beyond first aid or lead to restricted duty or missed days of work, as well as )] TJ ET BT 26.250 270.096 Td /F1 9.8 Tf [(near misses and injuries that only required first aid. BP reported these OSHA recordable and non-recordable injuries and )] TJ ET BT 26.250 258.191 Td /F1 9.8 Tf [(illnesses during daily conference calls.)] TJ ET BT 26.250 238.786 Td /F1 9.8 Tf [(From May 3 through mid-August, NIOSH deployed over 100 staff to multiple locations in the five-state Gulf region and provided )] TJ ET BT 26.250 226.881 Td /F1 9.8 Tf [(subject matter expertise to the Unified Area Command. NIOSH activities included rostering over 55,000 workers, conducting on- )] TJ ET BT 26.250 214.977 Td /F1 9.8 Tf [(and off-shore health hazard evaluations, providing technical guidance and communication/educational materials, analyzing )] TJ ET BT 26.250 203.072 Td /F1 9.8 Tf [(health surveillance information, and performing toxicity testing on samples of the oil dispersant and the crude from the leaking )] TJ ET BT 26.250 191.167 Td /F1 9.8 Tf [(well. In total, close to 250 NIOSH staff participated in the response in some capacity.)] TJ ET BT 26.250 171.762 Td /F4 9.8 Tf [(Assessment and Control of Chemical Exposures.)] TJ ET BT 254.351 171.762 Td /F1 9.8 Tf [( From the start of the response, the Unified Command was concerned )] TJ ET BT 26.250 159.858 Td /F1 9.8 Tf [(about the potential health effects on workers from inhalation and skin exposure to crude oil, weathered oil, dispersants, solvents )] TJ ET BT 26.250 147.953 Td /F1 9.8 Tf [(used to clean boats, and other chemicals. OSHA provided input to help BP develop a sampling strategy to address these )] TJ ET BT 26.250 136.048 Td /F1 9.8 Tf [(hazards. OSHA also developed its own sampling protocol and strategy, based on a review of the specific tasks workers would )] TJ ET BT 26.250 124.143 Td /F1 9.8 Tf [(be performing, the chemicals of concern from the oil and dispersants, and available Occupational Exposure Limits \(OELs\). The )] TJ ET BT 26.250 112.239 Td /F1 9.8 Tf [(sampling strategy OSHA developed to support the Unified Command incorporated onshore zones, near-shore, and offshore )] TJ ET BT 26.250 100.334 Td /F1 9.8 Tf [(operations.)] TJ ET 0.267 0.267 0.267 rg BT 74.483 101.841 Td /F4 8.7 Tf [(5)] TJ ET 0.271 0.267 0.267 rg BT 26.250 80.929 Td /F1 9.8 Tf [(On May 6, OSHA deployed its specialized industrial hygienist team to Louisiana to provide technical support for the agencys )] TJ ET BT 26.250 69.024 Td /F1 9.8 Tf [(extensive air monitoring for potential worker chemical exposures at staging areas and on vessels.)] TJ ET BT 26.250 49.620 Td /F1 9.8 Tf [(A specialized committee convened each morning, consisting of the lead industrial hygienists from OSHA, NIOSH, USCG, EPA, )] TJ ET BT 26.250 37.715 Td /F1 9.8 Tf [(the U.S. Department of the Interior, and BP and its contractors to review and discuss the results of air monitoring conducted by )] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 19.825 Td /F1 11.0 Tf [(2)] TJ ET BT 25.000 19.825 Td /F1 11.0 Tf [(PLOS Currents Disasters)] TJ ET Q endstream endobj 58 0 obj << /Type /Annot /Subtype /Link /A 59 0 R /Border [0 0 0] /H /I /Rect [ 214.8345 653.5389 219.6532 662.3573 ] >> endobj 59 0 obj << /Type /Action >> endobj 60 0 obj << /Type /Annot /Subtype /Link /A 61 0 R /Border [0 0 0] /H /I /Rect [ 255.4627 531.3962 260.2814 540.2145 ] >> endobj 61 0 obj << /Type /Action >> endobj 62 0 obj << /Type /Annot /Subtype /Link /A 63 0 R /Border [0 0 0] /H /I /Rect [ 207.7755 519.4914 212.5942 528.3097 ] >> endobj 63 0 obj << /Type /Action >> endobj 64 0 obj << /Type /Annot /Subtype /Link /A 65 0 R /Border [0 0 0] /H /I /Rect [ 74.4832 101.0394 79.3019 109.8577 ] >> endobj 65 0 obj << /Type /Action >> endobj 66 0 obj << /Type /Annot /Subtype /Link /A 67 0 R /Border [0 0 0] /H /I /Rect [ 214.8345 653.5389 219.6532 662.3573 ] >> endobj 67 0 obj << /Type /Action >> endobj 68 0 obj << /Type /Annot /Subtype /Link /A 69 0 R /Border [0 0 0] /H /I /Rect [ 255.4627 531.3962 260.2814 540.2145 ] >> endobj 69 0 obj << /Type /Action >> endobj 70 0 obj << /Type /Annot /Subtype /Link /A 71 0 R /Border [0 0 0] /H /I /Rect [ 207.7755 519.4914 212.5942 528.3097 ] >> endobj 71 0 obj << /Type /Action >> endobj 72 0 obj << /Type /Annot /Subtype /Link /A 73 0 R /Border [0 0 0] /H /I /Rect [ 74.4832 101.0394 79.3019 109.8577 ] >> endobj 73 0 obj << /Type /Action >> endobj 74 0 obj << /Type /Annot /Subtype /Link /A 75 0 R /Border [0 0 0] /H /I /Rect [ 214.8345 653.5389 219.6532 662.3573 ] >> endobj 75 0 obj << /Type /Action >> endobj 76 0 obj << /Type /Annot /Subtype /Link /A 77 0 R /Border [0 0 0] /H /I /Rect [ 255.4627 531.3962 260.2814 540.2145 ] >> endobj 77 0 obj << /Type /Action >> endobj 78 0 obj << /Type /Annot /Subtype /Link /A 79 0 R /Border [0 0 0] /H /I /Rect [ 207.7755 519.4914 212.5942 528.3097 ] >> endobj 79 0 obj << /Type /Action >> endobj 80 0 obj << /Type /Annot /Subtype /Link /A 81 0 R /Border [0 0 0] /H /I /Rect [ 74.4832 101.0394 79.3019 109.8577 ] >> endobj 81 0 obj << /Type /Action >> endobj 82 0 obj << /Type /Page /Parent 3 0 R /Annots [ 84 0 R 86 0 R 88 0 R 90 0 R 92 0 R 94 0 R 96 0 R 98 0 R 100 0 R 102 0 R 104 0 R 106 0 R 108 0 R 110 0 R 112 0 R 114 0 R 116 0 R 118 0 R 120 0 R 122 0 R 124 0 R 126 0 R 128 0 R 130 0 R ] /Contents 83 0 R >> endobj 83 0 obj << /Length 28861 >> stream 0.271 0.267 0.267 rg q 15.000 27.834 577.500 749.166 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(BP and the agencies. This group discussed anomalies from the previous days samples, reviewed updates to safe work )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(practices and administrative controls, coordinated their sampling activities for the day, and identified safety and health concerns )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(that needed to be addressed.)] TJ ET BT 26.250 724.262 Td /F1 9.8 Tf [(During the response, BP conducted more than 100,000 exposure assessments. OSHA reviewed these assessments and )] TJ ET BT 26.250 712.357 Td /F1 9.8 Tf [(validated them by performing more than 7,000 independent worker exposure measurements, both onshore and on marine )] TJ ET BT 26.250 700.452 Td /F1 9.8 Tf [(vessels. OSHA posted its data on the web,)] TJ ET 0.267 0.267 0.267 rg BT 211.052 701.960 Td /F4 8.7 Tf [(6)] TJ ET 0.271 0.267 0.267 rg BT 215.870 700.452 Td /F1 9.8 Tf [( and strongly encouraged BP to do the same, providing the public with )] TJ ET BT 26.250 688.548 Td /F1 9.8 Tf [(unprecedented access to exposure monitoring data.)] TJ ET 0.267 0.267 0.267 rg BT 250.617 690.055 Td /F4 8.7 Tf [(7)] TJ ET 0.271 0.267 0.267 rg BT 26.250 669.143 Td /F1 9.8 Tf [(Outside of the source of the crude oil discharge, the exposure monitoring data showed that chemical exposure levels were )] TJ ET BT 26.250 657.238 Td /F1 9.8 Tf [(mostly well below OELs. The source of the release was approximately 72 kilometers offshore. As the result of sun, water and )] TJ ET BT 26.250 645.333 Td /F1 9.8 Tf [(wave action, and other environmental factors, most of the toxic volatile components of the oil dissipated during the weeks it took )] TJ ET BT 26.250 633.429 Td /F1 9.8 Tf [(to reach the shoreline and other work areas of most cleanup workers. Based upon the monitoring data, OSHA and NIOSH )] TJ ET BT 26.250 621.524 Td /F1 9.8 Tf [(recommended that respirators should be considered the protection of last resort, as they can be physically taxing on the body )] TJ ET BT 26.250 609.619 Td /F1 9.8 Tf [(and therefore potentially dangerous, particularly for workers who have not used them before and in conditions of extreme heat.)] TJ ET BT 26.250 590.214 Td /F1 9.8 Tf [(However, for certain operations, such as decontamination or activities near the source to control the oil spill and cap the well, )] TJ ET BT 26.250 578.310 Td /F1 9.8 Tf [(the exposure monitoring data were more varied, and in some cases exceeded the most protective OELs. In anticipation of these )] TJ ET BT 26.250 566.405 Td /F1 9.8 Tf [(hazards, OSHA and NIOSH had encouraged the Unified Command to issue guidance recommending the use of respiratory )] TJ ET BT 26.250 554.500 Td /F1 9.8 Tf [(protection for workers involved in these operations.)] TJ ET 0.267 0.267 0.267 rg BT 246.259 556.007 Td /F4 8.7 Tf [(8)] TJ ET 0.271 0.267 0.267 rg BT 251.077 554.500 Td /F1 9.8 Tf [( The evidence from the sampling data supported the conclusion that )] TJ ET BT 26.250 542.595 Td /F1 9.8 Tf [(respiratory precautions were important for workers engaging in decontamination operations or working near the source of the oil )] TJ ET BT 26.250 530.691 Td /F1 9.8 Tf [(spill. OSHA confirmed that the respiratory protection recommendations were implemented.)] TJ ET BT 26.250 511.286 Td /F1 9.8 Tf [(On May 28, 2010, BP requested that NIOSH conduct Health Hazard Evaluations \(HHEs\) for Deepwater Horizon responders )] TJ ET BT 26.250 499.381 Td /F1 9.8 Tf [(involved in both on- and off-shore response activities. The objective of the HHEs was to collect independent exposure and )] TJ ET BT 26.250 487.476 Td /F1 9.8 Tf [(health symptom information from response workers in six work task categories: \(1\) source control activities; \(2\) off- shore )] TJ ET BT 26.250 475.572 Td /F1 9.8 Tf [(activities; \(3\) shoreline clean-up activities; \(4\) decontamination activities; \(5\) wildlife cleaning; and \(6\) waste stream )] TJ ET BT 26.250 463.667 Td /F1 9.8 Tf [(management activities. As part of the HHEs, NIOSH coordinated and conducted the analysis of hundreds of worker breathing )] TJ ET BT 26.250 451.762 Td /F1 9.8 Tf [(zone air samples and other industrial hygiene samples and obtained information on responder health symptoms and injuries. In )] TJ ET BT 26.250 439.857 Td /F1 9.8 Tf [(addition to obvious potential chemical exposures, other potential exposures such as heat stress, ergonomic factors, carbon )] TJ ET BT 26.250 427.953 Td /F1 9.8 Tf [(monoxide exposure, and psychological stress were also addressed. The findings and recommendations were reported and )] TJ ET BT 26.250 416.048 Td /F1 9.8 Tf [(posted to the NIOSH website.)] TJ ET 0.267 0.267 0.267 rg BT 154.687 417.555 Td /F4 8.7 Tf [(9)] TJ ET 0.271 0.267 0.267 rg BT 26.250 396.643 Td /F4 9.8 Tf [(Protecting Workers from the Hazards of Heat.)] TJ ET BT 236.996 396.643 Td /F1 9.8 Tf [( Perhaps the most serious health hazard faced by response and cleanup )] TJ ET BT 26.250 384.738 Td /F1 9.8 Tf [(workers was heat. Many people, some wearing chemical-resistant Tyvek coveralls, boots, and gloves, worked 12 hours a day, )] TJ ET BT 26.250 372.834 Td /F1 9.8 Tf [(seven days a week in the hot and humid weather. From the outset, OSHA insisted that BP implement a robust program to )] TJ ET BT 26.250 360.929 Td /F1 9.8 Tf [(protect workers from the heat illnesses; the program included work/rest requirements, shaded rest areas, hydration liquids, and )] TJ ET BT 26.250 349.024 Td /F1 9.8 Tf [(onsite heat monitoring. The application of work/rest requirements was one of the most controversial of approaches applied, as )] TJ ET BT 26.250 337.119 Td /F1 9.8 Tf [(some observers, unfamiliar with the heat/rest matrix, questioned why workers were often seen resting in shaded areas.)] TJ ET BT 26.250 317.715 Td /F1 9.8 Tf [(The Unified Area Command utilized existing USCG and the American Conference of Governmental Industrial Hygienists )] TJ ET BT 26.250 305.810 Td /F1 9.8 Tf [(\(ACGIH\) heat stress protocols to publish a Heat Stress Alert on June 8, 2010.)] TJ ET 0.267 0.267 0.267 rg BT 360.607 307.317 Td /F4 8.7 Tf [(10)] TJ ET 0.271 0.267 0.267 rg BT 370.244 305.810 Td /F1 9.8 Tf [( This Alert provided workload/rest cycles and )] TJ ET BT 26.250 293.905 Td /F1 9.8 Tf [(other recommendations for working in the heat. This Alert was followed-up with the Unified Area Commands Heat Stress )] TJ ET BT 26.250 282.000 Td /F1 9.8 Tf [(Management Plan which provided additional guidance for managing the effects of heat exposure.)] TJ ET 0.267 0.267 0.267 rg BT 445.178 283.508 Td /F4 8.7 Tf [(11)] TJ ET 0.271 0.267 0.267 rg BT 26.250 262.596 Td /F1 9.8 Tf [(Even though on many days the temperature reached above 100 F \(37.8 C\) no workers involved in the clean-up and response )] TJ ET BT 26.250 250.691 Td /F1 9.8 Tf [(developed serious heat illness. Heat did, however, pose a significant hazard: as of September 2, when OSHA began )] TJ ET BT 26.250 238.786 Td /F1 9.8 Tf [(transitioning out of the spill response, there were 978 heat stress incidents reported. The heat protection program likely )] TJ ET BT 26.250 226.881 Td /F1 9.8 Tf [(prevented serious heat illnesses and possible deaths among workers.)] TJ ET BT 26.250 207.477 Td /F4 9.8 Tf [(Training.)] TJ ET BT 67.424 207.477 Td /F1 9.8 Tf [( Worker training was an immediate priority because of the large number of workers engaged in the response, and the )] TJ ET BT 26.250 195.572 Td /F1 9.8 Tf [(wide variety of tasks these workers were performing. OSHA and NIEHS collaborated on training publications, materials, and )] TJ ET BT 26.250 183.667 Td /F1 9.8 Tf [(oversight of training programs.)] TJ ET 0.267 0.267 0.267 rg BT 157.924 185.174 Td /F4 8.7 Tf [(12)] TJ ET 0.271 0.267 0.267 rg BT 167.561 183.667 Td /F1 9.8 Tf [( Well before oil reached the shore, OSHA established requirements for training for all response )] TJ ET BT 26.250 171.762 Td /F1 9.8 Tf [(workers, and made it clear to BP that all workers would need to receive free training provided in a manner and language that )] TJ ET BT 26.250 159.858 Td /F1 9.8 Tf [(workers understood. This training included specific requirements for personal protective equipment \(PPE\) for the different job )] TJ ET BT 26.250 147.953 Td /F1 9.8 Tf [(tasks.)] TJ ET BT 26.250 128.548 Td /F1 9.8 Tf [(As the training requirements were identified, BP created a series of courses, including a one-hour orientation, a four-hour )] TJ ET BT 26.250 116.643 Td /F1 9.8 Tf [(shoreline course, and four and eight-hour marine cleanup courses. OSHA, NIOSH, NIEHS and USCG reviewed BPs proposed )] TJ ET BT 26.250 104.739 Td /F1 9.8 Tf [(training program. BP launched a multi-tiered training program on May 5.)] TJ ET BT 26.250 85.334 Td /F1 9.8 Tf [(By May 21, the day after the first tar balls washed ashore on coastal Louisiana,)] TJ ET 0.267 0.267 0.267 rg BT 366.584 86.841 Td /F4 8.7 Tf [(13)] TJ ET 0.271 0.267 0.267 rg BT 376.221 85.334 Td /F1 9.8 Tf [( approximately 10,000 workers along the )] TJ ET BT 26.250 73.429 Td /F1 9.8 Tf [(shoreline and in boats had been trained. Ultimately, in the course of the response, more than 100,000 workers along the Gulf )] TJ ET BT 26.250 61.524 Td /F1 9.8 Tf [(Coast received training on how to work safely.)] TJ ET BT 26.250 42.120 Td /F1 9.8 Tf [(Worker training was provided in English, Spanish, and Vietnamese. OSHA continually monitored training sessions, and )] TJ ET Q q 15.000 27.834 577.500 749.166 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(BP and the agencies. This group discussed anomalies from the previous days samples, reviewed updates to safe work )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(practices and administrative controls, coordinated their sampling activities for the day, and identified safety and health concerns )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(that needed to be addressed.)] TJ ET BT 26.250 724.262 Td /F1 9.8 Tf [(During the response, BP conducted more than 100,000 exposure assessments. OSHA reviewed these assessments and )] TJ ET BT 26.250 712.357 Td /F1 9.8 Tf [(validated them by performing more than 7,000 independent worker exposure measurements, both onshore and on marine )] TJ ET BT 26.250 700.452 Td /F1 9.8 Tf [(vessels. OSHA posted its data on the web,)] TJ ET 0.267 0.267 0.267 rg BT 211.052 701.960 Td /F4 8.7 Tf [(6)] TJ ET 0.271 0.267 0.267 rg BT 215.870 700.452 Td /F1 9.8 Tf [( and strongly encouraged BP to do the same, providing the public with )] TJ ET BT 26.250 688.548 Td /F1 9.8 Tf [(unprecedented access to exposure monitoring data.)] TJ ET 0.267 0.267 0.267 rg BT 250.617 690.055 Td /F4 8.7 Tf [(7)] TJ ET 0.271 0.267 0.267 rg BT 26.250 669.143 Td /F1 9.8 Tf [(Outside of the source of the crude oil discharge, the exposure monitoring data showed that chemical exposure levels were )] TJ ET BT 26.250 657.238 Td /F1 9.8 Tf [(mostly well below OELs. The source of the release was approximately 72 kilometers offshore. As the result of sun, water and )] TJ ET BT 26.250 645.333 Td /F1 9.8 Tf [(wave action, and other environmental factors, most of the toxic volatile components of the oil dissipated during the weeks it took )] TJ ET BT 26.250 633.429 Td /F1 9.8 Tf [(to reach the shoreline and other work areas of most cleanup workers. Based upon the monitoring data, OSHA and NIOSH )] TJ ET BT 26.250 621.524 Td /F1 9.8 Tf [(recommended that respirators should be considered the protection of last resort, as they can be physically taxing on the body )] TJ ET BT 26.250 609.619 Td /F1 9.8 Tf [(and therefore potentially dangerous, particularly for workers who have not used them before and in conditions of extreme heat.)] TJ ET BT 26.250 590.214 Td /F1 9.8 Tf [(However, for certain operations, such as decontamination or activities near the source to control the oil spill and cap the well, )] TJ ET BT 26.250 578.310 Td /F1 9.8 Tf [(the exposure monitoring data were more varied, and in some cases exceeded the most protective OELs. In anticipation of these )] TJ ET BT 26.250 566.405 Td /F1 9.8 Tf [(hazards, OSHA and NIOSH had encouraged the Unified Command to issue guidance recommending the use of respiratory )] TJ ET BT 26.250 554.500 Td /F1 9.8 Tf [(protection for workers involved in these operations.)] TJ ET 0.267 0.267 0.267 rg BT 246.259 556.007 Td /F4 8.7 Tf [(8)] TJ ET 0.271 0.267 0.267 rg BT 251.077 554.500 Td /F1 9.8 Tf [( The evidence from the sampling data supported the conclusion that )] TJ ET BT 26.250 542.595 Td /F1 9.8 Tf [(respiratory precautions were important for workers engaging in decontamination operations or working near the source of the oil )] TJ ET BT 26.250 530.691 Td /F1 9.8 Tf [(spill. OSHA confirmed that the respiratory protection recommendations were implemented.)] TJ ET BT 26.250 511.286 Td /F1 9.8 Tf [(On May 28, 2010, BP requested that NIOSH conduct Health Hazard Evaluations \(HHEs\) for Deepwater Horizon responders )] TJ ET BT 26.250 499.381 Td /F1 9.8 Tf [(involved in both on- and off-shore response activities. The objective of the HHEs was to collect independent exposure and )] TJ ET BT 26.250 487.476 Td /F1 9.8 Tf [(health symptom information from response workers in six work task categories: \(1\) source control activities; \(2\) off- shore )] TJ ET BT 26.250 475.572 Td /F1 9.8 Tf [(activities; \(3\) shoreline clean-up activities; \(4\) decontamination activities; \(5\) wildlife cleaning; and \(6\) waste stream )] TJ ET BT 26.250 463.667 Td /F1 9.8 Tf [(management activities. As part of the HHEs, NIOSH coordinated and conducted the analysis of hundreds of worker breathing )] TJ ET BT 26.250 451.762 Td /F1 9.8 Tf [(zone air samples and other industrial hygiene samples and obtained information on responder health symptoms and injuries. In )] TJ ET BT 26.250 439.857 Td /F1 9.8 Tf [(addition to obvious potential chemical exposures, other potential exposures such as heat stress, ergonomic factors, carbon )] TJ ET BT 26.250 427.953 Td /F1 9.8 Tf [(monoxide exposure, and psychological stress were also addressed. The findings and recommendations were reported and )] TJ ET BT 26.250 416.048 Td /F1 9.8 Tf [(posted to the NIOSH website.)] TJ ET 0.267 0.267 0.267 rg BT 154.687 417.555 Td /F4 8.7 Tf [(9)] TJ ET 0.271 0.267 0.267 rg BT 26.250 396.643 Td /F4 9.8 Tf [(Protecting Workers from the Hazards of Heat.)] TJ ET BT 236.996 396.643 Td /F1 9.8 Tf [( Perhaps the most serious health hazard faced by response and cleanup )] TJ ET BT 26.250 384.738 Td /F1 9.8 Tf [(workers was heat. Many people, some wearing chemical-resistant Tyvek coveralls, boots, and gloves, worked 12 hours a day, )] TJ ET BT 26.250 372.834 Td /F1 9.8 Tf [(seven days a week in the hot and humid weather. From the outset, OSHA insisted that BP implement a robust program to )] TJ ET BT 26.250 360.929 Td /F1 9.8 Tf [(protect workers from the heat illnesses; the program included work/rest requirements, shaded rest areas, hydration liquids, and )] TJ ET BT 26.250 349.024 Td /F1 9.8 Tf [(onsite heat monitoring. The application of work/rest requirements was one of the most controversial of approaches applied, as )] TJ ET BT 26.250 337.119 Td /F1 9.8 Tf [(some observers, unfamiliar with the heat/rest matrix, questioned why workers were often seen resting in shaded areas.)] TJ ET BT 26.250 317.715 Td /F1 9.8 Tf [(The Unified Area Command utilized existing USCG and the American Conference of Governmental Industrial Hygienists )] TJ ET BT 26.250 305.810 Td /F1 9.8 Tf [(\(ACGIH\) heat stress protocols to publish a Heat Stress Alert on June 8, 2010.)] TJ ET 0.267 0.267 0.267 rg BT 360.607 307.317 Td /F4 8.7 Tf [(10)] TJ ET 0.271 0.267 0.267 rg BT 370.244 305.810 Td /F1 9.8 Tf [( This Alert provided workload/rest cycles and )] TJ ET BT 26.250 293.905 Td /F1 9.8 Tf [(other recommendations for working in the heat. This Alert was followed-up with the Unified Area Commands Heat Stress )] TJ ET BT 26.250 282.000 Td /F1 9.8 Tf [(Management Plan which provided additional guidance for managing the effects of heat exposure.)] TJ ET 0.267 0.267 0.267 rg BT 445.178 283.508 Td /F4 8.7 Tf [(11)] TJ ET 0.271 0.267 0.267 rg BT 26.250 262.596 Td /F1 9.8 Tf [(Even though on many days the temperature reached above 100 F \(37.8 C\) no workers involved in the clean-up and response )] TJ ET BT 26.250 250.691 Td /F1 9.8 Tf [(developed serious heat illness. Heat did, however, pose a significant hazard: as of September 2, when OSHA began )] TJ ET BT 26.250 238.786 Td /F1 9.8 Tf [(transitioning out of the spill response, there were 978 heat stress incidents reported. The heat protection program likely )] TJ ET BT 26.250 226.881 Td /F1 9.8 Tf [(prevented serious heat illnesses and possible deaths among workers.)] TJ ET BT 26.250 207.477 Td /F4 9.8 Tf [(Training.)] TJ ET BT 67.424 207.477 Td /F1 9.8 Tf [( Worker training was an immediate priority because of the large number of workers engaged in the response, and the )] TJ ET BT 26.250 195.572 Td /F1 9.8 Tf [(wide variety of tasks these workers were performing. OSHA and NIEHS collaborated on training publications, materials, and )] TJ ET BT 26.250 183.667 Td /F1 9.8 Tf [(oversight of training programs.)] TJ ET 0.267 0.267 0.267 rg BT 157.924 185.174 Td /F4 8.7 Tf [(12)] TJ ET 0.271 0.267 0.267 rg BT 167.561 183.667 Td /F1 9.8 Tf [( Well before oil reached the shore, OSHA established requirements for training for all response )] TJ ET BT 26.250 171.762 Td /F1 9.8 Tf [(workers, and made it clear to BP that all workers would need to receive free training provided in a manner and language that )] TJ ET BT 26.250 159.858 Td /F1 9.8 Tf [(workers understood. This training included specific requirements for personal protective equipment \(PPE\) for the different job )] TJ ET BT 26.250 147.953 Td /F1 9.8 Tf [(tasks.)] TJ ET BT 26.250 128.548 Td /F1 9.8 Tf [(As the training requirements were identified, BP created a series of courses, including a one-hour orientation, a four-hour )] TJ ET BT 26.250 116.643 Td /F1 9.8 Tf [(shoreline course, and four and eight-hour marine cleanup courses. OSHA, NIOSH, NIEHS and USCG reviewed BPs proposed )] TJ ET BT 26.250 104.739 Td /F1 9.8 Tf [(training program. BP launched a multi-tiered training program on May 5.)] TJ ET BT 26.250 85.334 Td /F1 9.8 Tf [(By May 21, the day after the first tar balls washed ashore on coastal Louisiana,)] TJ ET 0.267 0.267 0.267 rg BT 366.584 86.841 Td /F4 8.7 Tf [(13)] TJ ET 0.271 0.267 0.267 rg BT 376.221 85.334 Td /F1 9.8 Tf [( approximately 10,000 workers along the )] TJ ET BT 26.250 73.429 Td /F1 9.8 Tf [(shoreline and in boats had been trained. Ultimately, in the course of the response, more than 100,000 workers along the Gulf )] TJ ET BT 26.250 61.524 Td /F1 9.8 Tf [(Coast received training on how to work safely.)] TJ ET BT 26.250 42.120 Td /F1 9.8 Tf [(Worker training was provided in English, Spanish, and Vietnamese. OSHA continually monitored training sessions, and )] TJ ET Q q 15.000 27.834 577.500 749.166 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(BP and the agencies. This group discussed anomalies from the previous days samples, reviewed updates to safe work )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(practices and administrative controls, coordinated their sampling activities for the day, and identified safety and health concerns )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(that needed to be addressed.)] TJ ET BT 26.250 724.262 Td /F1 9.8 Tf [(During the response, BP conducted more than 100,000 exposure assessments. OSHA reviewed these assessments and )] TJ ET BT 26.250 712.357 Td /F1 9.8 Tf [(validated them by performing more than 7,000 independent worker exposure measurements, both onshore and on marine )] TJ ET BT 26.250 700.452 Td /F1 9.8 Tf [(vessels. OSHA posted its data on the web,)] TJ ET 0.267 0.267 0.267 rg BT 211.052 701.960 Td /F4 8.7 Tf [(6)] TJ ET 0.271 0.267 0.267 rg BT 215.870 700.452 Td /F1 9.8 Tf [( and strongly encouraged BP to do the same, providing the public with )] TJ ET BT 26.250 688.548 Td /F1 9.8 Tf [(unprecedented access to exposure monitoring data.)] TJ ET 0.267 0.267 0.267 rg BT 250.617 690.055 Td /F4 8.7 Tf [(7)] TJ ET 0.271 0.267 0.267 rg BT 26.250 669.143 Td /F1 9.8 Tf [(Outside of the source of the crude oil discharge, the exposure monitoring data showed that chemical exposure levels were )] TJ ET BT 26.250 657.238 Td /F1 9.8 Tf [(mostly well below OELs. The source of the release was approximately 72 kilometers offshore. As the result of sun, water and )] TJ ET BT 26.250 645.333 Td /F1 9.8 Tf [(wave action, and other environmental factors, most of the toxic volatile components of the oil dissipated during the weeks it took )] TJ ET BT 26.250 633.429 Td /F1 9.8 Tf [(to reach the shoreline and other work areas of most cleanup workers. Based upon the monitoring data, OSHA and NIOSH )] TJ ET BT 26.250 621.524 Td /F1 9.8 Tf [(recommended that respirators should be considered the protection of last resort, as they can be physically taxing on the body )] TJ ET BT 26.250 609.619 Td /F1 9.8 Tf [(and therefore potentially dangerous, particularly for workers who have not used them before and in conditions of extreme heat.)] TJ ET BT 26.250 590.214 Td /F1 9.8 Tf [(However, for certain operations, such as decontamination or activities near the source to control the oil spill and cap the well, )] TJ ET BT 26.250 578.310 Td /F1 9.8 Tf [(the exposure monitoring data were more varied, and in some cases exceeded the most protective OELs. In anticipation of these )] TJ ET BT 26.250 566.405 Td /F1 9.8 Tf [(hazards, OSHA and NIOSH had encouraged the Unified Command to issue guidance recommending the use of respiratory )] TJ ET BT 26.250 554.500 Td /F1 9.8 Tf [(protection for workers involved in these operations.)] TJ ET 0.267 0.267 0.267 rg BT 246.259 556.007 Td /F4 8.7 Tf [(8)] TJ ET 0.271 0.267 0.267 rg BT 251.077 554.500 Td /F1 9.8 Tf [( The evidence from the sampling data supported the conclusion that )] TJ ET BT 26.250 542.595 Td /F1 9.8 Tf [(respiratory precautions were important for workers engaging in decontamination operations or working near the source of the oil )] TJ ET BT 26.250 530.691 Td /F1 9.8 Tf [(spill. OSHA confirmed that the respiratory protection recommendations were implemented.)] TJ ET BT 26.250 511.286 Td /F1 9.8 Tf [(On May 28, 2010, BP requested that NIOSH conduct Health Hazard Evaluations \(HHEs\) for Deepwater Horizon responders )] TJ ET BT 26.250 499.381 Td /F1 9.8 Tf [(involved in both on- and off-shore response activities. The objective of the HHEs was to collect independent exposure and )] TJ ET BT 26.250 487.476 Td /F1 9.8 Tf [(health symptom information from response workers in six work task categories: \(1\) source control activities; \(2\) off- shore )] TJ ET BT 26.250 475.572 Td /F1 9.8 Tf [(activities; \(3\) shoreline clean-up activities; \(4\) decontamination activities; \(5\) wildlife cleaning; and \(6\) waste stream )] TJ ET BT 26.250 463.667 Td /F1 9.8 Tf [(management activities. As part of the HHEs, NIOSH coordinated and conducted the analysis of hundreds of worker breathing )] TJ ET BT 26.250 451.762 Td /F1 9.8 Tf [(zone air samples and other industrial hygiene samples and obtained information on responder health symptoms and injuries. In )] TJ ET BT 26.250 439.857 Td /F1 9.8 Tf [(addition to obvious potential chemical exposures, other potential exposures such as heat stress, ergonomic factors, carbon )] TJ ET BT 26.250 427.953 Td /F1 9.8 Tf [(monoxide exposure, and psychological stress were also addressed. The findings and recommendations were reported and )] TJ ET BT 26.250 416.048 Td /F1 9.8 Tf [(posted to the NIOSH website.)] TJ ET 0.267 0.267 0.267 rg BT 154.687 417.555 Td /F4 8.7 Tf [(9)] TJ ET 0.271 0.267 0.267 rg BT 26.250 396.643 Td /F4 9.8 Tf [(Protecting Workers from the Hazards of Heat.)] TJ ET BT 236.996 396.643 Td /F1 9.8 Tf [( Perhaps the most serious health hazard faced by response and cleanup )] TJ ET BT 26.250 384.738 Td /F1 9.8 Tf [(workers was heat. Many people, some wearing chemical-resistant Tyvek coveralls, boots, and gloves, worked 12 hours a day, )] TJ ET BT 26.250 372.834 Td /F1 9.8 Tf [(seven days a week in the hot and humid weather. From the outset, OSHA insisted that BP implement a robust program to )] TJ ET BT 26.250 360.929 Td /F1 9.8 Tf [(protect workers from the heat illnesses; the program included work/rest requirements, shaded rest areas, hydration liquids, and )] TJ ET BT 26.250 349.024 Td /F1 9.8 Tf [(onsite heat monitoring. The application of work/rest requirements was one of the most controversial of approaches applied, as )] TJ ET BT 26.250 337.119 Td /F1 9.8 Tf [(some observers, unfamiliar with the heat/rest matrix, questioned why workers were often seen resting in shaded areas.)] TJ ET BT 26.250 317.715 Td /F1 9.8 Tf [(The Unified Area Command utilized existing USCG and the American Conference of Governmental Industrial Hygienists )] TJ ET BT 26.250 305.810 Td /F1 9.8 Tf [(\(ACGIH\) heat stress protocols to publish a Heat Stress Alert on June 8, 2010.)] TJ ET 0.267 0.267 0.267 rg BT 360.607 307.317 Td /F4 8.7 Tf [(10)] TJ ET 0.271 0.267 0.267 rg BT 370.244 305.810 Td /F1 9.8 Tf [( This Alert provided workload/rest cycles and )] TJ ET BT 26.250 293.905 Td /F1 9.8 Tf [(other recommendations for working in the heat. This Alert was followed-up with the Unified Area Commands Heat Stress )] TJ ET BT 26.250 282.000 Td /F1 9.8 Tf [(Management Plan which provided additional guidance for managing the effects of heat exposure.)] TJ ET 0.267 0.267 0.267 rg BT 445.178 283.508 Td /F4 8.7 Tf [(11)] TJ ET 0.271 0.267 0.267 rg BT 26.250 262.596 Td /F1 9.8 Tf [(Even though on many days the temperature reached above 100 F \(37.8 C\) no workers involved in the clean-up and response )] TJ ET BT 26.250 250.691 Td /F1 9.8 Tf [(developed serious heat illness. Heat did, however, pose a significant hazard: as of September 2, when OSHA began )] TJ ET BT 26.250 238.786 Td /F1 9.8 Tf [(transitioning out of the spill response, there were 978 heat stress incidents reported. The heat protection program likely )] TJ ET BT 26.250 226.881 Td /F1 9.8 Tf [(prevented serious heat illnesses and possible deaths among workers.)] TJ ET BT 26.250 207.477 Td /F4 9.8 Tf [(Training.)] TJ ET BT 67.424 207.477 Td /F1 9.8 Tf [( Worker training was an immediate priority because of the large number of workers engaged in the response, and the )] TJ ET BT 26.250 195.572 Td /F1 9.8 Tf [(wide variety of tasks these workers were performing. OSHA and NIEHS collaborated on training publications, materials, and )] TJ ET BT 26.250 183.667 Td /F1 9.8 Tf [(oversight of training programs.)] TJ ET 0.267 0.267 0.267 rg BT 157.924 185.174 Td /F4 8.7 Tf [(12)] TJ ET 0.271 0.267 0.267 rg BT 167.561 183.667 Td /F1 9.8 Tf [( Well before oil reached the shore, OSHA established requirements for training for all response )] TJ ET BT 26.250 171.762 Td /F1 9.8 Tf [(workers, and made it clear to BP that all workers would need to receive free training provided in a manner and language that )] TJ ET BT 26.250 159.858 Td /F1 9.8 Tf [(workers understood. This training included specific requirements for personal protective equipment \(PPE\) for the different job )] TJ ET BT 26.250 147.953 Td /F1 9.8 Tf [(tasks.)] TJ ET BT 26.250 128.548 Td /F1 9.8 Tf [(As the training requirements were identified, BP created a series of courses, including a one-hour orientation, a four-hour )] TJ ET BT 26.250 116.643 Td /F1 9.8 Tf [(shoreline course, and four and eight-hour marine cleanup courses. OSHA, NIOSH, NIEHS and USCG reviewed BPs proposed )] TJ ET BT 26.250 104.739 Td /F1 9.8 Tf [(training program. BP launched a multi-tiered training program on May 5.)] TJ ET BT 26.250 85.334 Td /F1 9.8 Tf [(By May 21, the day after the first tar balls washed ashore on coastal Louisiana,)] TJ ET 0.267 0.267 0.267 rg BT 366.584 86.841 Td /F4 8.7 Tf [(13)] TJ ET 0.271 0.267 0.267 rg BT 376.221 85.334 Td /F1 9.8 Tf [( approximately 10,000 workers along the )] TJ ET BT 26.250 73.429 Td /F1 9.8 Tf [(shoreline and in boats had been trained. Ultimately, in the course of the response, more than 100,000 workers along the Gulf )] TJ ET BT 26.250 61.524 Td /F1 9.8 Tf [(Coast received training on how to work safely.)] TJ ET BT 26.250 42.120 Td /F1 9.8 Tf [(Worker training was provided in English, Spanish, and Vietnamese. OSHA continually monitored training sessions, and )] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 19.825 Td /F1 11.0 Tf [(3)] TJ ET BT 25.000 19.825 Td /F1 11.0 Tf [(PLOS Currents Disasters)] TJ ET Q endstream endobj 84 0 obj << /Type /Annot /Subtype /Link /A 85 0 R /Border [0 0 0] /H /I /Rect [ 211.0515 701.1579 215.8702 709.9762 ] >> endobj 85 0 obj << /Type /Action >> endobj 86 0 obj << /Type /Annot /Subtype /Link /A 87 0 R /Border [0 0 0] /H /I /Rect [ 250.6170 689.2532 255.4357 698.0715 ] >> endobj 87 0 obj << /Type /Action >> endobj 88 0 obj << /Type /Annot /Subtype /Link /A 89 0 R /Border [0 0 0] /H /I /Rect [ 246.2587 555.2057 251.0774 564.0240 ] >> endobj 89 0 obj << /Type /Action >> endobj 90 0 obj << /Type /Annot /Subtype /Link /A 91 0 R /Border [0 0 0] /H /I /Rect [ 154.6867 416.7534 159.5054 425.5718 ] >> endobj 91 0 obj << /Type /Action >> endobj 92 0 obj << /Type /Annot /Subtype /Link /A 93 0 R /Border [0 0 0] /H /I /Rect [ 360.6067 306.5154 370.2441 315.3338 ] >> endobj 93 0 obj << /Type /Action >> endobj 94 0 obj << /Type /Annot /Subtype /Link /A 95 0 R /Border [0 0 0] /H /I /Rect [ 445.1782 282.7059 454.8156 291.5243 ] >> endobj 95 0 obj << /Type /Action >> endobj 96 0 obj << /Type /Annot /Subtype /Link /A 97 0 R /Border [0 0 0] /H /I /Rect [ 157.9238 184.3727 167.5611 193.1910 ] >> endobj 97 0 obj << /Type /Action >> endobj 98 0 obj << /Type /Annot /Subtype /Link /A 99 0 R /Border [0 0 0] /H /I /Rect [ 366.5835 86.0394 376.2208 94.8577 ] >> endobj 99 0 obj << /Type /Action >> endobj 100 0 obj << /Type /Annot /Subtype /Link /A 101 0 R /Border [0 0 0] /H /I /Rect [ 211.0515 701.1579 215.8702 709.9762 ] >> endobj 101 0 obj << /Type /Action >> endobj 102 0 obj << /Type /Annot /Subtype /Link /A 103 0 R /Border [0 0 0] /H /I /Rect [ 250.6170 689.2532 255.4357 698.0715 ] >> endobj 103 0 obj << /Type /Action >> endobj 104 0 obj << /Type /Annot /Subtype /Link /A 105 0 R /Border [0 0 0] /H /I /Rect [ 246.2587 555.2057 251.0774 564.0240 ] >> endobj 105 0 obj << /Type /Action >> endobj 106 0 obj << /Type /Annot /Subtype /Link /A 107 0 R /Border [0 0 0] /H /I /Rect [ 154.6867 416.7534 159.5054 425.5718 ] >> endobj 107 0 obj << /Type /Action >> endobj 108 0 obj << /Type /Annot /Subtype /Link /A 109 0 R /Border [0 0 0] /H /I /Rect [ 360.6067 306.5154 370.2441 315.3338 ] >> endobj 109 0 obj << /Type /Action >> endobj 110 0 obj << /Type /Annot /Subtype /Link /A 111 0 R /Border [0 0 0] /H /I /Rect [ 445.1782 282.7059 454.8156 291.5243 ] >> endobj 111 0 obj << /Type /Action >> endobj 112 0 obj << /Type /Annot /Subtype /Link /A 113 0 R /Border [0 0 0] /H /I /Rect [ 157.9238 184.3727 167.5611 193.1910 ] >> endobj 113 0 obj << /Type /Action >> endobj 114 0 obj << /Type /Annot /Subtype /Link /A 115 0 R /Border [0 0 0] /H /I /Rect [ 366.5835 86.0394 376.2208 94.8577 ] >> endobj 115 0 obj << /Type /Action >> endobj 116 0 obj << /Type /Annot /Subtype /Link /A 117 0 R /Border [0 0 0] /H /I /Rect [ 211.0515 701.1579 215.8702 709.9762 ] >> endobj 117 0 obj << /Type /Action >> endobj 118 0 obj << /Type /Annot /Subtype /Link /A 119 0 R /Border [0 0 0] /H /I /Rect [ 250.6170 689.2532 255.4357 698.0715 ] >> endobj 119 0 obj << /Type /Action >> endobj 120 0 obj << /Type /Annot /Subtype /Link /A 121 0 R /Border [0 0 0] /H /I /Rect [ 246.2587 555.2057 251.0774 564.0240 ] >> endobj 121 0 obj << /Type /Action >> endobj 122 0 obj << /Type /Annot /Subtype /Link /A 123 0 R /Border [0 0 0] /H /I /Rect [ 154.6867 416.7534 159.5054 425.5718 ] >> endobj 123 0 obj << /Type /Action >> endobj 124 0 obj << /Type /Annot /Subtype /Link /A 125 0 R /Border [0 0 0] /H /I /Rect [ 360.6067 306.5154 370.2441 315.3338 ] >> endobj 125 0 obj << /Type /Action >> endobj 126 0 obj << /Type /Annot /Subtype /Link /A 127 0 R /Border [0 0 0] /H /I /Rect [ 445.1782 282.7059 454.8156 291.5243 ] >> endobj 127 0 obj << /Type /Action >> endobj 128 0 obj << /Type /Annot /Subtype /Link /A 129 0 R /Border [0 0 0] /H /I /Rect [ 157.9238 184.3727 167.5611 193.1910 ] >> endobj 129 0 obj << /Type /Action >> endobj 130 0 obj << /Type /Annot /Subtype /Link /A 131 0 R /Border [0 0 0] /H /I /Rect [ 366.5835 86.0394 376.2208 94.8577 ] >> endobj 131 0 obj << /Type /Action >> endobj 132 0 obj << /Type /Page /Parent 3 0 R /Annots [ 134 0 R 136 0 R 138 0 R 140 0 R 142 0 R 144 0 R 146 0 R 148 0 R 150 0 R ] /Contents 133 0 R >> endobj 133 0 obj << /Length 26590 >> stream 0.271 0.267 0.267 rg q 15.000 21.991 577.500 755.009 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(compliance officers conducted on-site visits at staging areas and work sites to confirm that workers received appropriate training )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(in a format and language that the workers could understand.)] TJ ET BT 26.250 736.167 Td /F1 9.8 Tf [(At OSHAs request, BP instituted a credentialing program, whereby workers received certificates after completing training. All )] TJ ET BT 26.250 724.262 Td /F1 9.8 Tf [(workers engaged in response and cleanup activities had to possess a training certification card showing that they had )] TJ ET BT 26.250 712.357 Td /F1 9.8 Tf [(completed the BP-sponsored training program. During site visits, OSHA personnel interviewed workers about the training they )] TJ ET BT 26.250 700.452 Td /F1 9.8 Tf [(had received and verified that workers had training cards. This ensured that site control was maintained and that only )] TJ ET BT 26.250 688.548 Td /F1 9.8 Tf [(individuals with the proper training were present at worksites.)] TJ ET BT 26.250 669.143 Td /F4 9.8 Tf [(Rostering.)] TJ ET BT 74.464 669.143 Td /F1 9.8 Tf [( A lesson learned from the World Trade Center attack was the difficulty of retrospectively creating a listing of )] TJ ET BT 26.250 657.238 Td /F1 9.8 Tf [(response workers. During the Deepwater Horizon response, NIOSH developed a prospective roster of workers and volunteers )] TJ ET BT 26.250 645.333 Td /F1 9.8 Tf [(to: \(1\) record those who participated in response activities and the training received before engaging in response work; \(2\) serve )] TJ ET BT 26.250 633.429 Td /F1 9.8 Tf [(as a repository of information on the nature of each responders work assignments during the response; and \(3\) facilitate )] TJ ET BT 26.250 621.524 Td /F1 9.8 Tf [(contact with responders during and after the response about possible work-related symptoms of illness or injury, as needed.)] TJ ET 0.267 0.267 0.267 rg BT 560.024 623.031 Td /F4 8.7 Tf [(14)] TJ ET 0.271 0.267 0.267 rg BT 26.250 602.119 Td /F1 9.8 Tf [(Many workers were rostered during official safety training prior to being hired. However, by the time the roster was initiated, )] TJ ET BT 26.250 590.214 Td /F1 9.8 Tf [(many other workers had already been trained and sent to the field. This necessitated an intensive effort of deploying NIOSH )] TJ ET BT 26.250 578.310 Td /F1 9.8 Tf [(staff across the Gulf Coast to worker staging areas in Louisiana, Mississippi, Alabama, and Florida where rostering could also )] TJ ET BT 26.250 566.405 Td /F1 9.8 Tf [(be accomplished. Ultimately over 55,000 workers were successfully rostered.)] TJ ET BT 26.250 547.000 Td /F4 9.8 Tf [(Public and Community Outreach.)] TJ ET BT 180.115 547.000 Td /F1 9.8 Tf [( The Department of Labor \(DOL\) made a concerted effort to reach out to the communities )] TJ ET BT 26.250 535.095 Td /F1 9.8 Tf [(impacted by the spill to provide assistance. DOLs Employment and Training Administration worked with the One-Stop Career )] TJ ET BT 26.250 523.191 Td /F1 9.8 Tf [(Centers in the affected area to help facilitate the hiring and training of displaced workers. The Employment and Training )] TJ ET BT 26.250 511.286 Td /F1 9.8 Tf [(Administration published guidance and regularly communicated with state and local agencies. OSHA included information on )] TJ ET BT 26.250 499.381 Td /F1 9.8 Tf [(the One-Stop Career Centers in its communication materials and highlighted them during community meetings. OSHA ensured )] TJ ET BT 26.250 487.476 Td /F1 9.8 Tf [(that these workers, many of whom had no prior experience or training for cleaning up oil spills, were made aware of the )] TJ ET BT 26.250 475.572 Td /F1 9.8 Tf [(protective equipment and training they needed to safely perform response and cleanup operations.)] TJ ET BT 26.250 456.167 Td /F1 9.8 Tf [(Outreach staff, including Spanish and Vietnamese speaking OSHA personnel, attended town halls and smaller community )] TJ ET BT 26.250 444.262 Td /F1 9.8 Tf [(meetings; special efforts were made to meet with organizations representing immigrant residents and workers. In addition, )] TJ ET BT 26.250 432.357 Td /F1 9.8 Tf [(OSHAs area offices and its national call center fielded hundreds of calls and answered workers questions or directed them to )] TJ ET BT 26.250 420.453 Td /F1 9.8 Tf [(the proper resources. These outreach efforts identified issues and concerns, such as when there was a lack of training in the )] TJ ET BT 26.250 408.548 Td /F1 9.8 Tf [(workers primary languages.)] TJ ET BT 26.250 389.143 Td /F1 9.8 Tf [(OSHA and NIOSH also devoted significant resources toward maintaining constant communication with elected representatives, )] TJ ET BT 26.250 377.238 Td /F1 9.8 Tf [(community leaders and stakeholders. The agencies participated in daily intergovernmental conference calls to provide worker )] TJ ET BT 26.250 365.334 Td /F1 9.8 Tf [(safety and health updates to governors in the affected states, mayors and local elected officials, and members of Congress, and )] TJ ET BT 26.250 353.429 Td /F1 9.8 Tf [(hosted or joined in weekly conference calls with state health departments, environmental organizations, worker organizations, )] TJ ET BT 26.250 341.524 Td /F1 9.8 Tf [(and academic experts. In addition, OSHA and NIOSH personnel were interviewed by print and electronic media throughout the )] TJ ET BT 26.250 329.619 Td /F1 9.8 Tf [(response.)] TJ ET BT 26.250 310.215 Td /F1 9.8 Tf [(Overall, the efforts to ensure the safety and health of these cleanup workers were very effective. There were no work-related )] TJ ET BT 26.250 298.310 Td /F1 9.8 Tf [(fatalities. NIOSH reported that between April 23 and July 27 there were 1136 injuries and 994 illnesses. Of these, 175 injuries )] TJ ET BT 26.250 286.405 Td /F1 9.8 Tf [(and 106 illnesses were OSHA-recordable cases. Because protection efforts were so effective, few safety and health issues )] TJ ET BT 26.250 274.500 Td /F1 9.8 Tf [(emerged as significant concerns in the media at the national level. Although there is no evidence of significant short term health )] TJ ET BT 26.250 262.596 Td /F1 9.8 Tf [(effects, there is a possibility of long term effects, even with the low exposure levels. This is the subject of a study being )] TJ ET BT 26.250 250.691 Td /F1 9.8 Tf [(coordinated by NIEHS.)] TJ ET 0.267 0.267 0.267 rg BT 125.417 252.198 Td /F4 8.7 Tf [(15)] TJ ET 0.271 0.267 0.267 rg BT 135.055 250.691 Td /F1 9.8 Tf [( There were both successes and challenges in the Deepwater Horizon response and the )] TJ ET BT 26.250 238.786 Td /F1 9.8 Tf [(corresponding knowledge gained should be institutionalized for future emergency responses.)] TJ ET BT 26.250 202.184 Td /F4 12.0 Tf [(Observations)] TJ ET BT 26.250 182.229 Td /F4 9.8 Tf [(Planning and Quick Intervention.)] TJ ET BT 178.496 182.229 Td /F1 9.8 Tf [( Effective planning greatly contributed to the success of safety and health protections during )] TJ ET BT 26.250 170.325 Td /F1 9.8 Tf [(the response. In March 2010, the month before the oil spill, OSHA and other agencies participated in the Spill of National )] TJ ET BT 26.250 158.420 Td /F1 9.8 Tf [(Significance 2010 exercise. This exercise helped forge effective coordination among members of the NRT. In particular, the )] TJ ET BT 26.250 146.515 Td /F1 9.8 Tf [(exercise helped OSHA and USCG define their respective roles and responsibilities during an oil spill response. When the spill )] TJ ET BT 26.250 134.610 Td /F1 9.8 Tf [(occurred in April, the experience from the exercise resulted in OSHAs early activation and easier integration into the operational )] TJ ET BT 26.250 122.706 Td /F1 9.8 Tf [(command structure.)] TJ ET BT 26.250 103.301 Td /F1 9.8 Tf [(For several years prior to the Deepwater Horizon response, NIOSH led an interagency workgroup to develop national guidance )] TJ ET BT 26.250 91.396 Td /F1 9.8 Tf [(on protecting workers before, during, and after a response. The workgroup was a consortium of federal agencies, including )] TJ ET BT 26.250 79.491 Td /F1 9.8 Tf [(OSHA and the USCG, state health departments, and volunteer organizations. The group produced the Emergency Responder )] TJ ET BT 26.250 67.587 Td /F1 9.8 Tf [(Health Monitoring and Surveillance \(ERHMS\) draft guidance document, which was instrumental in building collaborations and )] TJ ET BT 26.250 55.682 Td /F1 9.8 Tf [(preparing agencies for a response of this magnitude.)] TJ ET 0.267 0.267 0.267 rg BT 253.864 57.189 Td /F4 8.7 Tf [(16)] TJ ET 0.271 0.267 0.267 rg BT 26.250 36.277 Td /F1 9.8 Tf [(Even before the disaster, some members of the NRT had plans and procedures to address some of the hazards that were )] TJ ET Q q 15.000 21.991 577.500 755.009 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(compliance officers conducted on-site visits at staging areas and work sites to confirm that workers received appropriate training )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(in a format and language that the workers could understand.)] TJ ET BT 26.250 736.167 Td /F1 9.8 Tf [(At OSHAs request, BP instituted a credentialing program, whereby workers received certificates after completing training. All )] TJ ET BT 26.250 724.262 Td /F1 9.8 Tf [(workers engaged in response and cleanup activities had to possess a training certification card showing that they had )] TJ ET BT 26.250 712.357 Td /F1 9.8 Tf [(completed the BP-sponsored training program. During site visits, OSHA personnel interviewed workers about the training they )] TJ ET BT 26.250 700.452 Td /F1 9.8 Tf [(had received and verified that workers had training cards. This ensured that site control was maintained and that only )] TJ ET BT 26.250 688.548 Td /F1 9.8 Tf [(individuals with the proper training were present at worksites.)] TJ ET BT 26.250 669.143 Td /F4 9.8 Tf [(Rostering.)] TJ ET BT 74.464 669.143 Td /F1 9.8 Tf [( A lesson learned from the World Trade Center attack was the difficulty of retrospectively creating a listing of )] TJ ET BT 26.250 657.238 Td /F1 9.8 Tf [(response workers. During the Deepwater Horizon response, NIOSH developed a prospective roster of workers and volunteers )] TJ ET BT 26.250 645.333 Td /F1 9.8 Tf [(to: \(1\) record those who participated in response activities and the training received before engaging in response work; \(2\) serve )] TJ ET BT 26.250 633.429 Td /F1 9.8 Tf [(as a repository of information on the nature of each responders work assignments during the response; and \(3\) facilitate )] TJ ET BT 26.250 621.524 Td /F1 9.8 Tf [(contact with responders during and after the response about possible work-related symptoms of illness or injury, as needed.)] TJ ET 0.267 0.267 0.267 rg BT 560.024 623.031 Td /F4 8.7 Tf [(14)] TJ ET 0.271 0.267 0.267 rg BT 26.250 602.119 Td /F1 9.8 Tf [(Many workers were rostered during official safety training prior to being hired. However, by the time the roster was initiated, )] TJ ET BT 26.250 590.214 Td /F1 9.8 Tf [(many other workers had already been trained and sent to the field. This necessitated an intensive effort of deploying NIOSH )] TJ ET BT 26.250 578.310 Td /F1 9.8 Tf [(staff across the Gulf Coast to worker staging areas in Louisiana, Mississippi, Alabama, and Florida where rostering could also )] TJ ET BT 26.250 566.405 Td /F1 9.8 Tf [(be accomplished. Ultimately over 55,000 workers were successfully rostered.)] TJ ET BT 26.250 547.000 Td /F4 9.8 Tf [(Public and Community Outreach.)] TJ ET BT 180.115 547.000 Td /F1 9.8 Tf [( The Department of Labor \(DOL\) made a concerted effort to reach out to the communities )] TJ ET BT 26.250 535.095 Td /F1 9.8 Tf [(impacted by the spill to provide assistance. DOLs Employment and Training Administration worked with the One-Stop Career )] TJ ET BT 26.250 523.191 Td /F1 9.8 Tf [(Centers in the affected area to help facilitate the hiring and training of displaced workers. The Employment and Training )] TJ ET BT 26.250 511.286 Td /F1 9.8 Tf [(Administration published guidance and regularly communicated with state and local agencies. OSHA included information on )] TJ ET BT 26.250 499.381 Td /F1 9.8 Tf [(the One-Stop Career Centers in its communication materials and highlighted them during community meetings. OSHA ensured )] TJ ET BT 26.250 487.476 Td /F1 9.8 Tf [(that these workers, many of whom had no prior experience or training for cleaning up oil spills, were made aware of the )] TJ ET BT 26.250 475.572 Td /F1 9.8 Tf [(protective equipment and training they needed to safely perform response and cleanup operations.)] TJ ET BT 26.250 456.167 Td /F1 9.8 Tf [(Outreach staff, including Spanish and Vietnamese speaking OSHA personnel, attended town halls and smaller community )] TJ ET BT 26.250 444.262 Td /F1 9.8 Tf [(meetings; special efforts were made to meet with organizations representing immigrant residents and workers. In addition, )] TJ ET BT 26.250 432.357 Td /F1 9.8 Tf [(OSHAs area offices and its national call center fielded hundreds of calls and answered workers questions or directed them to )] TJ ET BT 26.250 420.453 Td /F1 9.8 Tf [(the proper resources. These outreach efforts identified issues and concerns, such as when there was a lack of training in the )] TJ ET BT 26.250 408.548 Td /F1 9.8 Tf [(workers primary languages.)] TJ ET BT 26.250 389.143 Td /F1 9.8 Tf [(OSHA and NIOSH also devoted significant resources toward maintaining constant communication with elected representatives, )] TJ ET BT 26.250 377.238 Td /F1 9.8 Tf [(community leaders and stakeholders. The agencies participated in daily intergovernmental conference calls to provide worker )] TJ ET BT 26.250 365.334 Td /F1 9.8 Tf [(safety and health updates to governors in the affected states, mayors and local elected officials, and members of Congress, and )] TJ ET BT 26.250 353.429 Td /F1 9.8 Tf [(hosted or joined in weekly conference calls with state health departments, environmental organizations, worker organizations, )] TJ ET BT 26.250 341.524 Td /F1 9.8 Tf [(and academic experts. In addition, OSHA and NIOSH personnel were interviewed by print and electronic media throughout the )] TJ ET BT 26.250 329.619 Td /F1 9.8 Tf [(response.)] TJ ET BT 26.250 310.215 Td /F1 9.8 Tf [(Overall, the efforts to ensure the safety and health of these cleanup workers were very effective. There were no work-related )] TJ ET BT 26.250 298.310 Td /F1 9.8 Tf [(fatalities. NIOSH reported that between April 23 and July 27 there were 1136 injuries and 994 illnesses. Of these, 175 injuries )] TJ ET BT 26.250 286.405 Td /F1 9.8 Tf [(and 106 illnesses were OSHA-recordable cases. Because protection efforts were so effective, few safety and health issues )] TJ ET BT 26.250 274.500 Td /F1 9.8 Tf [(emerged as significant concerns in the media at the national level. Although there is no evidence of significant short term health )] TJ ET BT 26.250 262.596 Td /F1 9.8 Tf [(effects, there is a possibility of long term effects, even with the low exposure levels. This is the subject of a study being )] TJ ET BT 26.250 250.691 Td /F1 9.8 Tf [(coordinated by NIEHS.)] TJ ET 0.267 0.267 0.267 rg BT 125.417 252.198 Td /F4 8.7 Tf [(15)] TJ ET 0.271 0.267 0.267 rg BT 135.055 250.691 Td /F1 9.8 Tf [( There were both successes and challenges in the Deepwater Horizon response and the )] TJ ET BT 26.250 238.786 Td /F1 9.8 Tf [(corresponding knowledge gained should be institutionalized for future emergency responses.)] TJ ET BT 26.250 202.184 Td /F4 12.0 Tf [(Observations)] TJ ET BT 26.250 182.229 Td /F4 9.8 Tf [(Planning and Quick Intervention.)] TJ ET BT 178.496 182.229 Td /F1 9.8 Tf [( Effective planning greatly contributed to the success of safety and health protections during )] TJ ET BT 26.250 170.325 Td /F1 9.8 Tf [(the response. In March 2010, the month before the oil spill, OSHA and other agencies participated in the Spill of National )] TJ ET BT 26.250 158.420 Td /F1 9.8 Tf [(Significance 2010 exercise. This exercise helped forge effective coordination among members of the NRT. In particular, the )] TJ ET BT 26.250 146.515 Td /F1 9.8 Tf [(exercise helped OSHA and USCG define their respective roles and responsibilities during an oil spill response. When the spill )] TJ ET BT 26.250 134.610 Td /F1 9.8 Tf [(occurred in April, the experience from the exercise resulted in OSHAs early activation and easier integration into the operational )] TJ ET BT 26.250 122.706 Td /F1 9.8 Tf [(command structure.)] TJ ET BT 26.250 103.301 Td /F1 9.8 Tf [(For several years prior to the Deepwater Horizon response, NIOSH led an interagency workgroup to develop national guidance )] TJ ET BT 26.250 91.396 Td /F1 9.8 Tf [(on protecting workers before, during, and after a response. The workgroup was a consortium of federal agencies, including )] TJ ET BT 26.250 79.491 Td /F1 9.8 Tf [(OSHA and the USCG, state health departments, and volunteer organizations. The group produced the Emergency Responder )] TJ ET BT 26.250 67.587 Td /F1 9.8 Tf [(Health Monitoring and Surveillance \(ERHMS\) draft guidance document, which was instrumental in building collaborations and )] TJ ET BT 26.250 55.682 Td /F1 9.8 Tf [(preparing agencies for a response of this magnitude.)] TJ ET 0.267 0.267 0.267 rg BT 253.864 57.189 Td /F4 8.7 Tf [(16)] TJ ET 0.271 0.267 0.267 rg BT 26.250 36.277 Td /F1 9.8 Tf [(Even before the disaster, some members of the NRT had plans and procedures to address some of the hazards that were )] TJ ET Q q 15.000 21.991 577.500 755.009 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(compliance officers conducted on-site visits at staging areas and work sites to confirm that workers received appropriate training )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(in a format and language that the workers could understand.)] TJ ET BT 26.250 736.167 Td /F1 9.8 Tf [(At OSHAs request, BP instituted a credentialing program, whereby workers received certificates after completing training. All )] TJ ET BT 26.250 724.262 Td /F1 9.8 Tf [(workers engaged in response and cleanup activities had to possess a training certification card showing that they had )] TJ ET BT 26.250 712.357 Td /F1 9.8 Tf [(completed the BP-sponsored training program. During site visits, OSHA personnel interviewed workers about the training they )] TJ ET BT 26.250 700.452 Td /F1 9.8 Tf [(had received and verified that workers had training cards. This ensured that site control was maintained and that only )] TJ ET BT 26.250 688.548 Td /F1 9.8 Tf [(individuals with the proper training were present at worksites.)] TJ ET BT 26.250 669.143 Td /F4 9.8 Tf [(Rostering.)] TJ ET BT 74.464 669.143 Td /F1 9.8 Tf [( A lesson learned from the World Trade Center attack was the difficulty of retrospectively creating a listing of )] TJ ET BT 26.250 657.238 Td /F1 9.8 Tf [(response workers. During the Deepwater Horizon response, NIOSH developed a prospective roster of workers and volunteers )] TJ ET BT 26.250 645.333 Td /F1 9.8 Tf [(to: \(1\) record those who participated in response activities and the training received before engaging in response work; \(2\) serve )] TJ ET BT 26.250 633.429 Td /F1 9.8 Tf [(as a repository of information on the nature of each responders work assignments during the response; and \(3\) facilitate )] TJ ET BT 26.250 621.524 Td /F1 9.8 Tf [(contact with responders during and after the response about possible work-related symptoms of illness or injury, as needed.)] TJ ET 0.267 0.267 0.267 rg BT 560.024 623.031 Td /F4 8.7 Tf [(14)] TJ ET 0.271 0.267 0.267 rg BT 26.250 602.119 Td /F1 9.8 Tf [(Many workers were rostered during official safety training prior to being hired. However, by the time the roster was initiated, )] TJ ET BT 26.250 590.214 Td /F1 9.8 Tf [(many other workers had already been trained and sent to the field. This necessitated an intensive effort of deploying NIOSH )] TJ ET BT 26.250 578.310 Td /F1 9.8 Tf [(staff across the Gulf Coast to worker staging areas in Louisiana, Mississippi, Alabama, and Florida where rostering could also )] TJ ET BT 26.250 566.405 Td /F1 9.8 Tf [(be accomplished. Ultimately over 55,000 workers were successfully rostered.)] TJ ET BT 26.250 547.000 Td /F4 9.8 Tf [(Public and Community Outreach.)] TJ ET BT 180.115 547.000 Td /F1 9.8 Tf [( The Department of Labor \(DOL\) made a concerted effort to reach out to the communities )] TJ ET BT 26.250 535.095 Td /F1 9.8 Tf [(impacted by the spill to provide assistance. DOLs Employment and Training Administration worked with the One-Stop Career )] TJ ET BT 26.250 523.191 Td /F1 9.8 Tf [(Centers in the affected area to help facilitate the hiring and training of displaced workers. The Employment and Training )] TJ ET BT 26.250 511.286 Td /F1 9.8 Tf [(Administration published guidance and regularly communicated with state and local agencies. OSHA included information on )] TJ ET BT 26.250 499.381 Td /F1 9.8 Tf [(the One-Stop Career Centers in its communication materials and highlighted them during community meetings. OSHA ensured )] TJ ET BT 26.250 487.476 Td /F1 9.8 Tf [(that these workers, many of whom had no prior experience or training for cleaning up oil spills, were made aware of the )] TJ ET BT 26.250 475.572 Td /F1 9.8 Tf [(protective equipment and training they needed to safely perform response and cleanup operations.)] TJ ET BT 26.250 456.167 Td /F1 9.8 Tf [(Outreach staff, including Spanish and Vietnamese speaking OSHA personnel, attended town halls and smaller community )] TJ ET BT 26.250 444.262 Td /F1 9.8 Tf [(meetings; special efforts were made to meet with organizations representing immigrant residents and workers. In addition, )] TJ ET BT 26.250 432.357 Td /F1 9.8 Tf [(OSHAs area offices and its national call center fielded hundreds of calls and answered workers questions or directed them to )] TJ ET BT 26.250 420.453 Td /F1 9.8 Tf [(the proper resources. These outreach efforts identified issues and concerns, such as when there was a lack of training in the )] TJ ET BT 26.250 408.548 Td /F1 9.8 Tf [(workers primary languages.)] TJ ET BT 26.250 389.143 Td /F1 9.8 Tf [(OSHA and NIOSH also devoted significant resources toward maintaining constant communication with elected representatives, )] TJ ET BT 26.250 377.238 Td /F1 9.8 Tf [(community leaders and stakeholders. The agencies participated in daily intergovernmental conference calls to provide worker )] TJ ET BT 26.250 365.334 Td /F1 9.8 Tf [(safety and health updates to governors in the affected states, mayors and local elected officials, and members of Congress, and )] TJ ET BT 26.250 353.429 Td /F1 9.8 Tf [(hosted or joined in weekly conference calls with state health departments, environmental organizations, worker organizations, )] TJ ET BT 26.250 341.524 Td /F1 9.8 Tf [(and academic experts. In addition, OSHA and NIOSH personnel were interviewed by print and electronic media throughout the )] TJ ET BT 26.250 329.619 Td /F1 9.8 Tf [(response.)] TJ ET BT 26.250 310.215 Td /F1 9.8 Tf [(Overall, the efforts to ensure the safety and health of these cleanup workers were very effective. There were no work-related )] TJ ET BT 26.250 298.310 Td /F1 9.8 Tf [(fatalities. NIOSH reported that between April 23 and July 27 there were 1136 injuries and 994 illnesses. Of these, 175 injuries )] TJ ET BT 26.250 286.405 Td /F1 9.8 Tf [(and 106 illnesses were OSHA-recordable cases. Because protection efforts were so effective, few safety and health issues )] TJ ET BT 26.250 274.500 Td /F1 9.8 Tf [(emerged as significant concerns in the media at the national level. Although there is no evidence of significant short term health )] TJ ET BT 26.250 262.596 Td /F1 9.8 Tf [(effects, there is a possibility of long term effects, even with the low exposure levels. This is the subject of a study being )] TJ ET BT 26.250 250.691 Td /F1 9.8 Tf [(coordinated by NIEHS.)] TJ ET 0.267 0.267 0.267 rg BT 125.417 252.198 Td /F4 8.7 Tf [(15)] TJ ET 0.271 0.267 0.267 rg BT 135.055 250.691 Td /F1 9.8 Tf [( There were both successes and challenges in the Deepwater Horizon response and the )] TJ ET BT 26.250 238.786 Td /F1 9.8 Tf [(corresponding knowledge gained should be institutionalized for future emergency responses.)] TJ ET BT 26.250 202.184 Td /F4 12.0 Tf [(Observations)] TJ ET BT 26.250 182.229 Td /F4 9.8 Tf [(Planning and Quick Intervention.)] TJ ET BT 178.496 182.229 Td /F1 9.8 Tf [( Effective planning greatly contributed to the success of safety and health protections during )] TJ ET BT 26.250 170.325 Td /F1 9.8 Tf [(the response. In March 2010, the month before the oil spill, OSHA and other agencies participated in the Spill of National )] TJ ET BT 26.250 158.420 Td /F1 9.8 Tf [(Significance 2010 exercise. This exercise helped forge effective coordination among members of the NRT. In particular, the )] TJ ET BT 26.250 146.515 Td /F1 9.8 Tf [(exercise helped OSHA and USCG define their respective roles and responsibilities during an oil spill response. When the spill )] TJ ET BT 26.250 134.610 Td /F1 9.8 Tf [(occurred in April, the experience from the exercise resulted in OSHAs early activation and easier integration into the operational )] TJ ET BT 26.250 122.706 Td /F1 9.8 Tf [(command structure.)] TJ ET BT 26.250 103.301 Td /F1 9.8 Tf [(For several years prior to the Deepwater Horizon response, NIOSH led an interagency workgroup to develop national guidance )] TJ ET BT 26.250 91.396 Td /F1 9.8 Tf [(on protecting workers before, during, and after a response. The workgroup was a consortium of federal agencies, including )] TJ ET BT 26.250 79.491 Td /F1 9.8 Tf [(OSHA and the USCG, state health departments, and volunteer organizations. The group produced the Emergency Responder )] TJ ET BT 26.250 67.587 Td /F1 9.8 Tf [(Health Monitoring and Surveillance \(ERHMS\) draft guidance document, which was instrumental in building collaborations and )] TJ ET BT 26.250 55.682 Td /F1 9.8 Tf [(preparing agencies for a response of this magnitude.)] TJ ET 0.267 0.267 0.267 rg BT 253.864 57.189 Td /F4 8.7 Tf [(16)] TJ ET 0.271 0.267 0.267 rg BT 26.250 36.277 Td /F1 9.8 Tf [(Even before the disaster, some members of the NRT had plans and procedures to address some of the hazards that were )] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 19.825 Td /F1 11.0 Tf [(4)] TJ ET BT 25.000 19.825 Td /F1 11.0 Tf [(PLOS Currents Disasters)] TJ ET Q endstream endobj 134 0 obj << /Type /Annot /Subtype /Link /A 135 0 R /Border [0 0 0] /H /I /Rect [ 560.0235 622.2294 569.6608 631.0477 ] >> endobj 135 0 obj << /Type /Action >> endobj 136 0 obj << /Type /Annot /Subtype /Link /A 137 0 R /Border [0 0 0] /H /I /Rect [ 125.4172 251.3964 135.0546 260.2147 ] >> endobj 137 0 obj << /Type /Action >> endobj 138 0 obj << /Type /Annot /Subtype /Link /A 139 0 R /Border [0 0 0] /H /I /Rect [ 253.8638 56.3874 263.5011 65.2057 ] >> endobj 139 0 obj << /Type /Action >> endobj 140 0 obj << /Type /Annot /Subtype /Link /A 141 0 R /Border [0 0 0] /H /I /Rect [ 560.0235 622.2294 569.6608 631.0477 ] >> endobj 141 0 obj << /Type /Action >> endobj 142 0 obj << /Type /Annot /Subtype /Link /A 143 0 R /Border [0 0 0] /H /I /Rect [ 125.4172 251.3964 135.0546 260.2147 ] >> endobj 143 0 obj << /Type /Action >> endobj 144 0 obj << /Type /Annot /Subtype /Link /A 145 0 R /Border [0 0 0] /H /I /Rect [ 253.8638 56.3874 263.5011 65.2057 ] >> endobj 145 0 obj << /Type /Action >> endobj 146 0 obj << /Type /Annot /Subtype /Link /A 147 0 R /Border [0 0 0] /H /I /Rect [ 560.0235 622.2294 569.6608 631.0477 ] >> endobj 147 0 obj << /Type /Action >> endobj 148 0 obj << /Type /Annot /Subtype /Link /A 149 0 R /Border [0 0 0] /H /I /Rect [ 125.4172 251.3964 135.0546 260.2147 ] >> endobj 149 0 obj << /Type /Action >> endobj 150 0 obj << /Type /Annot /Subtype /Link /A 151 0 R /Border [0 0 0] /H /I /Rect [ 253.8638 56.3874 263.5011 65.2057 ] >> endobj 151 0 obj << /Type /Action >> endobj 152 0 obj << /Type /Page /Parent 3 0 R /Annots [ 154 0 R 156 0 R 158 0 R 160 0 R 162 0 R 164 0 R 166 0 R 168 0 R 170 0 R 172 0 R 174 0 R 176 0 R 178 0 R 180 0 R 182 0 R ] /Contents 153 0 R >> endobj 153 0 obj << /Length 29035 >> stream 0.271 0.267 0.267 rg q 15.000 30.929 577.500 746.071 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(present during the oil spill response. These protocols were useful as resources for tailoring protections to this response. For )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(example, USCG had a heat stress program, and their experience and expertise in this area was invaluable when making )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(recommendations to BP for creating its heat stress program.)] TJ ET 0.267 0.267 0.267 rg BT 286.351 745.174 Td /F4 8.7 Tf [(11)] TJ ET 0.271 0.267 0.267 rg BT 295.988 743.667 Td /F1 9.8 Tf [( After the spill occurred, members of the NRT developed )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(guidance specific to the response, including the OSHA/NIOSH guidance document addressing chemical hazards and the use of )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(respiratory protection.)] TJ ET 0.267 0.267 0.267 rg BT 120.532 721.364 Td /F4 8.7 Tf [(8)] TJ ET 0.271 0.267 0.267 rg BT 125.351 719.857 Td /F1 9.8 Tf [( To the extent that hazards can be anticipated, having prototype procedures and guidance would help )] TJ ET BT 26.250 707.952 Td /F1 9.8 Tf [(expedite the implementation of safety and health plans and worker protections.)] TJ ET BT 26.250 688.548 Td /F1 9.8 Tf [(In the Deepwater Horizon response, it took weeks for the oil to travel from the source to the shoreline, which gave responders )] TJ ET BT 26.250 676.643 Td /F1 9.8 Tf [(enough time to establish staging areas and to implement controls and safe work practices well before the oil reached the shore. )] TJ ET BT 26.250 664.738 Td /F1 9.8 Tf [(Response agencies will rarely have weeks to prepare for an emergency. However, it is clear that advance planning and rapid )] TJ ET BT 26.250 652.833 Td /F1 9.8 Tf [(deployment greatly contribute to the success of worker safety and health protections during a response.)] TJ ET BT 26.250 633.429 Td /F4 9.8 Tf [(Collaborative Efforts.)] TJ ET BT 124.852 633.429 Td /F1 9.8 Tf [( OSHA and NIOSHs efforts to protect workers would have not have been as successful without close )] TJ ET BT 26.250 621.524 Td /F1 9.8 Tf [(collaborations with other agencies. OSHA worked closely with USCG, BP, and local, state, and federal health agencies to jointly )] TJ ET BT 26.250 609.619 Td /F1 9.8 Tf [(plan and execute response actions and worker safety and health programs. These collaborations were highly beneficial in terms )] TJ ET BT 26.250 597.714 Td /F1 9.8 Tf [(of gaining situational awareness, coordinating response efforts, and ensuring that safety and health issues were identified and )] TJ ET BT 26.250 585.810 Td /F1 9.8 Tf [(effectively addressed.)] TJ ET BT 26.250 566.405 Td /F1 9.8 Tf [(Collaborations helped resolve deficiencies that OSHA observed in BPs safety and health program at several work sites and )] TJ ET BT 26.250 554.500 Td /F1 9.8 Tf [(staging areas throughout the Gulf Coast region. OSHA staff observed inconsistent implementation of safety measures, )] TJ ET BT 26.250 542.595 Td /F1 9.8 Tf [(including: gaps in BPs heat stress program; a lack of plans for addressing inclement weather, workplace violence, and site )] TJ ET BT 26.250 530.691 Td /F1 9.8 Tf [(control; and delays in abating worker hazards and in sharing worker injury and exposure data. Working through the Unified )] TJ ET BT 26.250 518.786 Td /F1 9.8 Tf [(Command, OSHA brought these issues and concerns to the attention of the USCG Federal On-Scene Coordinator and the NIC )] TJ ET BT 26.250 506.881 Td /F1 9.8 Tf [(Commander, provided timely feedback to BP on its incident-wide site safety and health plan, and made sure that BP )] TJ ET BT 26.250 494.976 Td /F1 9.8 Tf [(incorporated supplemental plans addressing specific worker hazards and corrected observed hazards. The USCG and OSHA )] TJ ET BT 26.250 483.072 Td /F1 9.8 Tf [(signed a Memorandum of Understanding to institutionalize this cooperative arrangement and demonstrate the commands )] TJ ET BT 26.250 471.167 Td /F1 9.8 Tf [(commitment to worker safety and health.)] TJ ET BT 26.250 451.762 Td /F1 9.8 Tf [(The agencies involved brought different expertise and resources to worker protection efforts. NIOSH staff, including its Epidemic )] TJ ET BT 26.250 439.857 Td /F1 9.8 Tf [(Intelligence Service officers, managed the rostering effort, analyzed illness and injury data and conducted Health Hazard )] TJ ET BT 26.250 427.953 Td /F1 9.8 Tf [(Evaluations of specific occupational risks, including investigation of reports of symptoms or exposure effects from exposed )] TJ ET BT 26.250 416.048 Td /F1 9.8 Tf [(workers.)] TJ ET 0.267 0.267 0.267 rg BT 63.086 417.555 Td /F4 8.7 Tf [(9)] TJ ET BT 67.904 417.555 Td /F4 8.7 Tf [(17)] TJ ET 0.271 0.267 0.267 rg BT 77.542 416.048 Td /F1 9.8 Tf [( OSHA and NIOSH published guidance on recommended personal protective equipment, exposure assessments, )] TJ ET BT 26.250 404.143 Td /F1 9.8 Tf [(heat stress, and medical care. OSHA and NIEHS provided oversight of the training that BP and its contractors conducted. This )] TJ ET BT 26.250 392.238 Td /F1 9.8 Tf [(collaborative effort extended to the development of training publications, including the widely distributed Safety and Health )] TJ ET BT 26.250 380.334 Td /F1 9.8 Tf [(Awareness for Oil Spill Cleanup Workers pocket booklet,)] TJ ET 0.267 0.267 0.267 rg BT 270.624 381.841 Td /F4 8.7 Tf [(12)] TJ ET 0.271 0.267 0.267 rg BT 280.261 380.334 Td /F1 9.8 Tf [( as well as the review of training materials.)] TJ ET BT 26.250 360.929 Td /F1 9.8 Tf [(OSHA assisted the Unified Command in assessing potential chemical exposures during off-shore operations. In addition, OSHA )] TJ ET BT 26.250 349.024 Td /F1 9.8 Tf [(provided assistance to USCGs Industrial Hygiene group, including providing sample media, equipment, sampling and analytical )] TJ ET BT 26.250 337.119 Td /F1 9.8 Tf [(methods, and laboratory analysis of USCGs samples \(including posting of the results on OSHAs website\). OSHA partnered )] TJ ET BT 26.250 325.215 Td /F1 9.8 Tf [(with NOAA for additional sampling for potential chemical exposures during NOAAs off-shore research.)] TJ ET BT 26.250 305.810 Td /F4 9.8 Tf [(Alternatives to OSHA Enforcement.)] TJ ET BT 189.865 305.810 Td /F1 9.8 Tf [( The response to the Deepwater Horizon oil spill also highlighted the benefits of using )] TJ ET BT 26.250 293.905 Td /F1 9.8 Tf [(what OSHA terms technical assistance, rather than enforcement as the primary approach during a response in which all )] TJ ET BT 26.250 282.000 Td /F1 9.8 Tf [(parties are committed to full implementation of worker protection protocols and measures. Under normal situations, OSHAs )] TJ ET BT 26.250 270.096 Td /F1 9.8 Tf [(compliance officers enforce the agencys Permissible Exposure Limit \(PEL\) standards, many of which are out of date, but have )] TJ ET BT 26.250 258.191 Td /F1 9.8 Tf [(the force of law. In the Deepwater Horizon response, instead of solely enforcing the OSHA PELs, OSHA used its technical )] TJ ET BT 26.250 246.286 Td /F1 9.8 Tf [(assistance role to encourage the Unified Command to base protection decisions on the most protective occupational exposure )] TJ ET BT 26.250 234.381 Td /F1 9.8 Tf [(limits available, such as the Recommended Exposure Limits \(RELs\) developed by NIOSH, and the Threshold Limit Values )] TJ ET BT 26.250 222.477 Td /F1 9.8 Tf [(\(TLVs\) recommended by the ACGIH. OSHA also worked with BP and USCG to implement a best-practice, comprehensive, )] TJ ET BT 26.250 210.572 Td /F1 9.8 Tf [(incident-wide heat stress plan, even though OSHA does not have a specific standard addressing the hazard of heat. In contrast, )] TJ ET BT 26.250 198.667 Td /F1 9.8 Tf [(OSHAs enforcement role would have only provided protections based on the existing PELs, and could have led to litigation and )] TJ ET BT 26.250 186.762 Td /F1 9.8 Tf [(potentially delayed the abatement of hazards.)] TJ ET BT 26.250 167.358 Td /F1 9.8 Tf [(While the agency retained the option of moving into an enforcement role, OSHA operated in a technical assistance role during )] TJ ET BT 26.250 155.453 Td /F1 9.8 Tf [(the Deepwater Horizon response and believes that was the most effective role for this particular response. During the oil spill )] TJ ET BT 26.250 143.548 Td /F1 9.8 Tf [(response, under the Unified Command, BP was required to immediately address worker safety and health issues. OSHA )] TJ ET BT 26.250 131.643 Td /F1 9.8 Tf [(believes this contributed to the low rate of injury among cleanup workers.)] TJ ET BT 26.250 112.239 Td /F4 9.8 Tf [(Openness and Transparency.)] TJ ET BT 162.799 112.239 Td /F1 9.8 Tf [( Environmental emergencies like the Deepwater Horizon oil spill can create a potential for great )] TJ ET BT 26.250 100.334 Td /F1 9.8 Tf [(misunderstanding. In the confusion and uncertainty after a disaster, fear and mistrust can be exacerbated if there is incomplete )] TJ ET BT 26.250 88.429 Td /F1 9.8 Tf [(data disclosure or if the data are not presented in an easily understood format. In this incident, stakeholders initial lack of )] TJ ET BT 26.250 76.524 Td /F1 9.8 Tf [(access to exposure monitoring data led to misconceptions regarding worker protections.)] TJ ET BT 26.250 57.120 Td /F1 9.8 Tf [(One example of how poorly presented information can affect the perception of a response involved BP sampling data. A )] TJ ET BT 26.250 45.215 Td /F1 9.8 Tf [(national newspaper published an article highlighting a BP report that stated that 80 percent of their samples showed no )] TJ ET Q q 15.000 30.929 577.500 746.071 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(present during the oil spill response. These protocols were useful as resources for tailoring protections to this response. For )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(example, USCG had a heat stress program, and their experience and expertise in this area was invaluable when making )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(recommendations to BP for creating its heat stress program.)] TJ ET 0.267 0.267 0.267 rg BT 286.351 745.174 Td /F4 8.7 Tf [(11)] TJ ET 0.271 0.267 0.267 rg BT 295.988 743.667 Td /F1 9.8 Tf [( After the spill occurred, members of the NRT developed )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(guidance specific to the response, including the OSHA/NIOSH guidance document addressing chemical hazards and the use of )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(respiratory protection.)] TJ ET 0.267 0.267 0.267 rg BT 120.532 721.364 Td /F4 8.7 Tf [(8)] TJ ET 0.271 0.267 0.267 rg BT 125.351 719.857 Td /F1 9.8 Tf [( To the extent that hazards can be anticipated, having prototype procedures and guidance would help )] TJ ET BT 26.250 707.952 Td /F1 9.8 Tf [(expedite the implementation of safety and health plans and worker protections.)] TJ ET BT 26.250 688.548 Td /F1 9.8 Tf [(In the Deepwater Horizon response, it took weeks for the oil to travel from the source to the shoreline, which gave responders )] TJ ET BT 26.250 676.643 Td /F1 9.8 Tf [(enough time to establish staging areas and to implement controls and safe work practices well before the oil reached the shore. )] TJ ET BT 26.250 664.738 Td /F1 9.8 Tf [(Response agencies will rarely have weeks to prepare for an emergency. However, it is clear that advance planning and rapid )] TJ ET BT 26.250 652.833 Td /F1 9.8 Tf [(deployment greatly contribute to the success of worker safety and health protections during a response.)] TJ ET BT 26.250 633.429 Td /F4 9.8 Tf [(Collaborative Efforts.)] TJ ET BT 124.852 633.429 Td /F1 9.8 Tf [( OSHA and NIOSHs efforts to protect workers would have not have been as successful without close )] TJ ET BT 26.250 621.524 Td /F1 9.8 Tf [(collaborations with other agencies. OSHA worked closely with USCG, BP, and local, state, and federal health agencies to jointly )] TJ ET BT 26.250 609.619 Td /F1 9.8 Tf [(plan and execute response actions and worker safety and health programs. These collaborations were highly beneficial in terms )] TJ ET BT 26.250 597.714 Td /F1 9.8 Tf [(of gaining situational awareness, coordinating response efforts, and ensuring that safety and health issues were identified and )] TJ ET BT 26.250 585.810 Td /F1 9.8 Tf [(effectively addressed.)] TJ ET BT 26.250 566.405 Td /F1 9.8 Tf [(Collaborations helped resolve deficiencies that OSHA observed in BPs safety and health program at several work sites and )] TJ ET BT 26.250 554.500 Td /F1 9.8 Tf [(staging areas throughout the Gulf Coast region. OSHA staff observed inconsistent implementation of safety measures, )] TJ ET BT 26.250 542.595 Td /F1 9.8 Tf [(including: gaps in BPs heat stress program; a lack of plans for addressing inclement weather, workplace violence, and site )] TJ ET BT 26.250 530.691 Td /F1 9.8 Tf [(control; and delays in abating worker hazards and in sharing worker injury and exposure data. Working through the Unified )] TJ ET BT 26.250 518.786 Td /F1 9.8 Tf [(Command, OSHA brought these issues and concerns to the attention of the USCG Federal On-Scene Coordinator and the NIC )] TJ ET BT 26.250 506.881 Td /F1 9.8 Tf [(Commander, provided timely feedback to BP on its incident-wide site safety and health plan, and made sure that BP )] TJ ET BT 26.250 494.976 Td /F1 9.8 Tf [(incorporated supplemental plans addressing specific worker hazards and corrected observed hazards. The USCG and OSHA )] TJ ET BT 26.250 483.072 Td /F1 9.8 Tf [(signed a Memorandum of Understanding to institutionalize this cooperative arrangement and demonstrate the commands )] TJ ET BT 26.250 471.167 Td /F1 9.8 Tf [(commitment to worker safety and health.)] TJ ET BT 26.250 451.762 Td /F1 9.8 Tf [(The agencies involved brought different expertise and resources to worker protection efforts. NIOSH staff, including its Epidemic )] TJ ET BT 26.250 439.857 Td /F1 9.8 Tf [(Intelligence Service officers, managed the rostering effort, analyzed illness and injury data and conducted Health Hazard )] TJ ET BT 26.250 427.953 Td /F1 9.8 Tf [(Evaluations of specific occupational risks, including investigation of reports of symptoms or exposure effects from exposed )] TJ ET BT 26.250 416.048 Td /F1 9.8 Tf [(workers.)] TJ ET 0.267 0.267 0.267 rg BT 63.086 417.555 Td /F4 8.7 Tf [(9)] TJ ET BT 67.904 417.555 Td /F4 8.7 Tf [(17)] TJ ET 0.271 0.267 0.267 rg BT 77.542 416.048 Td /F1 9.8 Tf [( OSHA and NIOSH published guidance on recommended personal protective equipment, exposure assessments, )] TJ ET BT 26.250 404.143 Td /F1 9.8 Tf [(heat stress, and medical care. OSHA and NIEHS provided oversight of the training that BP and its contractors conducted. This )] TJ ET BT 26.250 392.238 Td /F1 9.8 Tf [(collaborative effort extended to the development of training publications, including the widely distributed Safety and Health )] TJ ET BT 26.250 380.334 Td /F1 9.8 Tf [(Awareness for Oil Spill Cleanup Workers pocket booklet,)] TJ ET 0.267 0.267 0.267 rg BT 270.624 381.841 Td /F4 8.7 Tf [(12)] TJ ET 0.271 0.267 0.267 rg BT 280.261 380.334 Td /F1 9.8 Tf [( as well as the review of training materials.)] TJ ET BT 26.250 360.929 Td /F1 9.8 Tf [(OSHA assisted the Unified Command in assessing potential chemical exposures during off-shore operations. In addition, OSHA )] TJ ET BT 26.250 349.024 Td /F1 9.8 Tf [(provided assistance to USCGs Industrial Hygiene group, including providing sample media, equipment, sampling and analytical )] TJ ET BT 26.250 337.119 Td /F1 9.8 Tf [(methods, and laboratory analysis of USCGs samples \(including posting of the results on OSHAs website\). OSHA partnered )] TJ ET BT 26.250 325.215 Td /F1 9.8 Tf [(with NOAA for additional sampling for potential chemical exposures during NOAAs off-shore research.)] TJ ET BT 26.250 305.810 Td /F4 9.8 Tf [(Alternatives to OSHA Enforcement.)] TJ ET BT 189.865 305.810 Td /F1 9.8 Tf [( The response to the Deepwater Horizon oil spill also highlighted the benefits of using )] TJ ET BT 26.250 293.905 Td /F1 9.8 Tf [(what OSHA terms technical assistance, rather than enforcement as the primary approach during a response in which all )] TJ ET BT 26.250 282.000 Td /F1 9.8 Tf [(parties are committed to full implementation of worker protection protocols and measures. Under normal situations, OSHAs )] TJ ET BT 26.250 270.096 Td /F1 9.8 Tf [(compliance officers enforce the agencys Permissible Exposure Limit \(PEL\) standards, many of which are out of date, but have )] TJ ET BT 26.250 258.191 Td /F1 9.8 Tf [(the force of law. In the Deepwater Horizon response, instead of solely enforcing the OSHA PELs, OSHA used its technical )] TJ ET BT 26.250 246.286 Td /F1 9.8 Tf [(assistance role to encourage the Unified Command to base protection decisions on the most protective occupational exposure )] TJ ET BT 26.250 234.381 Td /F1 9.8 Tf [(limits available, such as the Recommended Exposure Limits \(RELs\) developed by NIOSH, and the Threshold Limit Values )] TJ ET BT 26.250 222.477 Td /F1 9.8 Tf [(\(TLVs\) recommended by the ACGIH. OSHA also worked with BP and USCG to implement a best-practice, comprehensive, )] TJ ET BT 26.250 210.572 Td /F1 9.8 Tf [(incident-wide heat stress plan, even though OSHA does not have a specific standard addressing the hazard of heat. In contrast, )] TJ ET BT 26.250 198.667 Td /F1 9.8 Tf [(OSHAs enforcement role would have only provided protections based on the existing PELs, and could have led to litigation and )] TJ ET BT 26.250 186.762 Td /F1 9.8 Tf [(potentially delayed the abatement of hazards.)] TJ ET BT 26.250 167.358 Td /F1 9.8 Tf [(While the agency retained the option of moving into an enforcement role, OSHA operated in a technical assistance role during )] TJ ET BT 26.250 155.453 Td /F1 9.8 Tf [(the Deepwater Horizon response and believes that was the most effective role for this particular response. During the oil spill )] TJ ET BT 26.250 143.548 Td /F1 9.8 Tf [(response, under the Unified Command, BP was required to immediately address worker safety and health issues. OSHA )] TJ ET BT 26.250 131.643 Td /F1 9.8 Tf [(believes this contributed to the low rate of injury among cleanup workers.)] TJ ET BT 26.250 112.239 Td /F4 9.8 Tf [(Openness and Transparency.)] TJ ET BT 162.799 112.239 Td /F1 9.8 Tf [( Environmental emergencies like the Deepwater Horizon oil spill can create a potential for great )] TJ ET BT 26.250 100.334 Td /F1 9.8 Tf [(misunderstanding. In the confusion and uncertainty after a disaster, fear and mistrust can be exacerbated if there is incomplete )] TJ ET BT 26.250 88.429 Td /F1 9.8 Tf [(data disclosure or if the data are not presented in an easily understood format. In this incident, stakeholders initial lack of )] TJ ET BT 26.250 76.524 Td /F1 9.8 Tf [(access to exposure monitoring data led to misconceptions regarding worker protections.)] TJ ET BT 26.250 57.120 Td /F1 9.8 Tf [(One example of how poorly presented information can affect the perception of a response involved BP sampling data. A )] TJ ET BT 26.250 45.215 Td /F1 9.8 Tf [(national newspaper published an article highlighting a BP report that stated that 80 percent of their samples showed no )] TJ ET Q q 15.000 30.929 577.500 746.071 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(present during the oil spill response. These protocols were useful as resources for tailoring protections to this response. For )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(example, USCG had a heat stress program, and their experience and expertise in this area was invaluable when making )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(recommendations to BP for creating its heat stress program.)] TJ ET 0.267 0.267 0.267 rg BT 286.351 745.174 Td /F4 8.7 Tf [(11)] TJ ET 0.271 0.267 0.267 rg BT 295.988 743.667 Td /F1 9.8 Tf [( After the spill occurred, members of the NRT developed )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(guidance specific to the response, including the OSHA/NIOSH guidance document addressing chemical hazards and the use of )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(respiratory protection.)] TJ ET 0.267 0.267 0.267 rg BT 120.532 721.364 Td /F4 8.7 Tf [(8)] TJ ET 0.271 0.267 0.267 rg BT 125.351 719.857 Td /F1 9.8 Tf [( To the extent that hazards can be anticipated, having prototype procedures and guidance would help )] TJ ET BT 26.250 707.952 Td /F1 9.8 Tf [(expedite the implementation of safety and health plans and worker protections.)] TJ ET BT 26.250 688.548 Td /F1 9.8 Tf [(In the Deepwater Horizon response, it took weeks for the oil to travel from the source to the shoreline, which gave responders )] TJ ET BT 26.250 676.643 Td /F1 9.8 Tf [(enough time to establish staging areas and to implement controls and safe work practices well before the oil reached the shore. )] TJ ET BT 26.250 664.738 Td /F1 9.8 Tf [(Response agencies will rarely have weeks to prepare for an emergency. However, it is clear that advance planning and rapid )] TJ ET BT 26.250 652.833 Td /F1 9.8 Tf [(deployment greatly contribute to the success of worker safety and health protections during a response.)] TJ ET BT 26.250 633.429 Td /F4 9.8 Tf [(Collaborative Efforts.)] TJ ET BT 124.852 633.429 Td /F1 9.8 Tf [( OSHA and NIOSHs efforts to protect workers would have not have been as successful without close )] TJ ET BT 26.250 621.524 Td /F1 9.8 Tf [(collaborations with other agencies. OSHA worked closely with USCG, BP, and local, state, and federal health agencies to jointly )] TJ ET BT 26.250 609.619 Td /F1 9.8 Tf [(plan and execute response actions and worker safety and health programs. These collaborations were highly beneficial in terms )] TJ ET BT 26.250 597.714 Td /F1 9.8 Tf [(of gaining situational awareness, coordinating response efforts, and ensuring that safety and health issues were identified and )] TJ ET BT 26.250 585.810 Td /F1 9.8 Tf [(effectively addressed.)] TJ ET BT 26.250 566.405 Td /F1 9.8 Tf [(Collaborations helped resolve deficiencies that OSHA observed in BPs safety and health program at several work sites and )] TJ ET BT 26.250 554.500 Td /F1 9.8 Tf [(staging areas throughout the Gulf Coast region. OSHA staff observed inconsistent implementation of safety measures, )] TJ ET BT 26.250 542.595 Td /F1 9.8 Tf [(including: gaps in BPs heat stress program; a lack of plans for addressing inclement weather, workplace violence, and site )] TJ ET BT 26.250 530.691 Td /F1 9.8 Tf [(control; and delays in abating worker hazards and in sharing worker injury and exposure data. Working through the Unified )] TJ ET BT 26.250 518.786 Td /F1 9.8 Tf [(Command, OSHA brought these issues and concerns to the attention of the USCG Federal On-Scene Coordinator and the NIC )] TJ ET BT 26.250 506.881 Td /F1 9.8 Tf [(Commander, provided timely feedback to BP on its incident-wide site safety and health plan, and made sure that BP )] TJ ET BT 26.250 494.976 Td /F1 9.8 Tf [(incorporated supplemental plans addressing specific worker hazards and corrected observed hazards. The USCG and OSHA )] TJ ET BT 26.250 483.072 Td /F1 9.8 Tf [(signed a Memorandum of Understanding to institutionalize this cooperative arrangement and demonstrate the commands )] TJ ET BT 26.250 471.167 Td /F1 9.8 Tf [(commitment to worker safety and health.)] TJ ET BT 26.250 451.762 Td /F1 9.8 Tf [(The agencies involved brought different expertise and resources to worker protection efforts. NIOSH staff, including its Epidemic )] TJ ET BT 26.250 439.857 Td /F1 9.8 Tf [(Intelligence Service officers, managed the rostering effort, analyzed illness and injury data and conducted Health Hazard )] TJ ET BT 26.250 427.953 Td /F1 9.8 Tf [(Evaluations of specific occupational risks, including investigation of reports of symptoms or exposure effects from exposed )] TJ ET BT 26.250 416.048 Td /F1 9.8 Tf [(workers.)] TJ ET 0.267 0.267 0.267 rg BT 63.086 417.555 Td /F4 8.7 Tf [(9)] TJ ET BT 67.904 417.555 Td /F4 8.7 Tf [(17)] TJ ET 0.271 0.267 0.267 rg BT 77.542 416.048 Td /F1 9.8 Tf [( OSHA and NIOSH published guidance on recommended personal protective equipment, exposure assessments, )] TJ ET BT 26.250 404.143 Td /F1 9.8 Tf [(heat stress, and medical care. OSHA and NIEHS provided oversight of the training that BP and its contractors conducted. This )] TJ ET BT 26.250 392.238 Td /F1 9.8 Tf [(collaborative effort extended to the development of training publications, including the widely distributed Safety and Health )] TJ ET BT 26.250 380.334 Td /F1 9.8 Tf [(Awareness for Oil Spill Cleanup Workers pocket booklet,)] TJ ET 0.267 0.267 0.267 rg BT 270.624 381.841 Td /F4 8.7 Tf [(12)] TJ ET 0.271 0.267 0.267 rg BT 280.261 380.334 Td /F1 9.8 Tf [( as well as the review of training materials.)] TJ ET BT 26.250 360.929 Td /F1 9.8 Tf [(OSHA assisted the Unified Command in assessing potential chemical exposures during off-shore operations. In addition, OSHA )] TJ ET BT 26.250 349.024 Td /F1 9.8 Tf [(provided assistance to USCGs Industrial Hygiene group, including providing sample media, equipment, sampling and analytical )] TJ ET BT 26.250 337.119 Td /F1 9.8 Tf [(methods, and laboratory analysis of USCGs samples \(including posting of the results on OSHAs website\). OSHA partnered )] TJ ET BT 26.250 325.215 Td /F1 9.8 Tf [(with NOAA for additional sampling for potential chemical exposures during NOAAs off-shore research.)] TJ ET BT 26.250 305.810 Td /F4 9.8 Tf [(Alternatives to OSHA Enforcement.)] TJ ET BT 189.865 305.810 Td /F1 9.8 Tf [( The response to the Deepwater Horizon oil spill also highlighted the benefits of using )] TJ ET BT 26.250 293.905 Td /F1 9.8 Tf [(what OSHA terms technical assistance, rather than enforcement as the primary approach during a response in which all )] TJ ET BT 26.250 282.000 Td /F1 9.8 Tf [(parties are committed to full implementation of worker protection protocols and measures. Under normal situations, OSHAs )] TJ ET BT 26.250 270.096 Td /F1 9.8 Tf [(compliance officers enforce the agencys Permissible Exposure Limit \(PEL\) standards, many of which are out of date, but have )] TJ ET BT 26.250 258.191 Td /F1 9.8 Tf [(the force of law. In the Deepwater Horizon response, instead of solely enforcing the OSHA PELs, OSHA used its technical )] TJ ET BT 26.250 246.286 Td /F1 9.8 Tf [(assistance role to encourage the Unified Command to base protection decisions on the most protective occupational exposure )] TJ ET BT 26.250 234.381 Td /F1 9.8 Tf [(limits available, such as the Recommended Exposure Limits \(RELs\) developed by NIOSH, and the Threshold Limit Values )] TJ ET BT 26.250 222.477 Td /F1 9.8 Tf [(\(TLVs\) recommended by the ACGIH. OSHA also worked with BP and USCG to implement a best-practice, comprehensive, )] TJ ET BT 26.250 210.572 Td /F1 9.8 Tf [(incident-wide heat stress plan, even though OSHA does not have a specific standard addressing the hazard of heat. In contrast, )] TJ ET BT 26.250 198.667 Td /F1 9.8 Tf [(OSHAs enforcement role would have only provided protections based on the existing PELs, and could have led to litigation and )] TJ ET BT 26.250 186.762 Td /F1 9.8 Tf [(potentially delayed the abatement of hazards.)] TJ ET BT 26.250 167.358 Td /F1 9.8 Tf [(While the agency retained the option of moving into an enforcement role, OSHA operated in a technical assistance role during )] TJ ET BT 26.250 155.453 Td /F1 9.8 Tf [(the Deepwater Horizon response and believes that was the most effective role for this particular response. During the oil spill )] TJ ET BT 26.250 143.548 Td /F1 9.8 Tf [(response, under the Unified Command, BP was required to immediately address worker safety and health issues. OSHA )] TJ ET BT 26.250 131.643 Td /F1 9.8 Tf [(believes this contributed to the low rate of injury among cleanup workers.)] TJ ET BT 26.250 112.239 Td /F4 9.8 Tf [(Openness and Transparency.)] TJ ET BT 162.799 112.239 Td /F1 9.8 Tf [( Environmental emergencies like the Deepwater Horizon oil spill can create a potential for great )] TJ ET BT 26.250 100.334 Td /F1 9.8 Tf [(misunderstanding. In the confusion and uncertainty after a disaster, fear and mistrust can be exacerbated if there is incomplete )] TJ ET BT 26.250 88.429 Td /F1 9.8 Tf [(data disclosure or if the data are not presented in an easily understood format. In this incident, stakeholders initial lack of )] TJ ET BT 26.250 76.524 Td /F1 9.8 Tf [(access to exposure monitoring data led to misconceptions regarding worker protections.)] TJ ET BT 26.250 57.120 Td /F1 9.8 Tf [(One example of how poorly presented information can affect the perception of a response involved BP sampling data. A )] TJ ET BT 26.250 45.215 Td /F1 9.8 Tf [(national newspaper published an article highlighting a BP report that stated that 80 percent of their samples showed no )] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 19.825 Td /F1 11.0 Tf [(5)] TJ ET BT 25.000 19.825 Td /F1 11.0 Tf [(PLOS Currents Disasters)] TJ ET Q endstream endobj 154 0 obj << /Type /Annot /Subtype /Link /A 155 0 R /Border [0 0 0] /H /I /Rect [ 286.3508 744.3722 295.9881 753.1905 ] >> endobj 155 0 obj << /Type /Action >> endobj 156 0 obj << /Type /Annot /Subtype /Link /A 157 0 R /Border [0 0 0] /H /I /Rect [ 120.5325 720.5627 125.3512 729.3810 ] >> endobj 157 0 obj << /Type /Action >> endobj 158 0 obj << /Type /Annot /Subtype /Link /A 159 0 R /Border [0 0 0] /H /I /Rect [ 63.0855 416.7534 67.9042 425.5718 ] >> endobj 159 0 obj << /Type /Action >> endobj 160 0 obj << /Type /Annot /Subtype /Link /A 161 0 R /Border [0 0 0] /H /I /Rect [ 67.9042 416.7534 77.5415 425.5718 ] >> endobj 161 0 obj << /Type /Action >> endobj 162 0 obj << /Type /Annot /Subtype /Link /A 163 0 R /Border [0 0 0] /H /I /Rect [ 270.6240 381.0392 280.2613 389.8575 ] >> endobj 163 0 obj << /Type /Action >> endobj 164 0 obj << /Type /Annot /Subtype /Link /A 165 0 R /Border [0 0 0] /H /I /Rect [ 286.3508 744.3722 295.9881 753.1905 ] >> endobj 165 0 obj << /Type /Action >> endobj 166 0 obj << /Type /Annot /Subtype /Link /A 167 0 R /Border [0 0 0] /H /I /Rect [ 120.5325 720.5627 125.3512 729.3810 ] >> endobj 167 0 obj << /Type /Action >> endobj 168 0 obj << /Type /Annot /Subtype /Link /A 169 0 R /Border [0 0 0] /H /I /Rect [ 63.0855 416.7534 67.9042 425.5718 ] >> endobj 169 0 obj << /Type /Action >> endobj 170 0 obj << /Type /Annot /Subtype /Link /A 171 0 R /Border [0 0 0] /H /I /Rect [ 67.9042 416.7534 77.5415 425.5718 ] >> endobj 171 0 obj << /Type /Action >> endobj 172 0 obj << /Type /Annot /Subtype /Link /A 173 0 R /Border [0 0 0] /H /I /Rect [ 270.6240 381.0392 280.2613 389.8575 ] >> endobj 173 0 obj << /Type /Action >> endobj 174 0 obj << /Type /Annot /Subtype /Link /A 175 0 R /Border [0 0 0] /H /I /Rect [ 286.3508 744.3722 295.9881 753.1905 ] >> endobj 175 0 obj << /Type /Action >> endobj 176 0 obj << /Type /Annot /Subtype /Link /A 177 0 R /Border [0 0 0] /H /I /Rect [ 120.5325 720.5627 125.3512 729.3810 ] >> endobj 177 0 obj << /Type /Action >> endobj 178 0 obj << /Type /Annot /Subtype /Link /A 179 0 R /Border [0 0 0] /H /I /Rect [ 63.0855 416.7534 67.9042 425.5718 ] >> endobj 179 0 obj << /Type /Action >> endobj 180 0 obj << /Type /Annot /Subtype /Link /A 181 0 R /Border [0 0 0] /H /I /Rect [ 67.9042 416.7534 77.5415 425.5718 ] >> endobj 181 0 obj << /Type /Action >> endobj 182 0 obj << /Type /Annot /Subtype /Link /A 183 0 R /Border [0 0 0] /H /I /Rect [ 270.6240 381.0392 280.2613 389.8575 ] >> endobj 183 0 obj << /Type /Action >> endobj 184 0 obj << /Type /Page /Parent 3 0 R /Annots [ 186 0 R 188 0 R 190 0 R 192 0 R 194 0 R 196 0 R 198 0 R 200 0 R 202 0 R 204 0 R 206 0 R 208 0 R ] /Contents 185 0 R >> endobj 185 0 obj << /Length 21982 >> stream 0.271 0.267 0.267 rg q 15.000 33.115 577.500 743.885 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(detectable level of the dispersant component 2-butoxyethanol, and that the other 20 percent of the samples were detected at a )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(level below 10 ml/m3.)] TJ ET 0.267 0.267 0.267 rg BT 119.987 757.079 Td /F4 8.7 Tf [(18)] TJ ET 0.271 0.267 0.267 rg BT 129.624 755.571 Td /F1 9.8 Tf [( The articles headline read alarmingly New BP Data Show 20% of Gulf Spill Responders Exposed to )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(Chemical That Sickened Valdez Workers. OSHA reviewed the data and found that of that 20 percent, the highest level )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(recorded was 0.8 ml/m3 and that 90 percent of the samples were at or below 0.2 ml/m3. These levels were well below the )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(lowest OEL for 2-butoxyethanol, NIOSHs REL of 5 ppm. OSHAs independent samples were all below the limit of detection for )] TJ ET BT 26.250 707.952 Td /F1 9.8 Tf [(2-butoxyethanol. Despite the fact that all of the samples were well below the lowest OEL, BPs choice of words to report the )] TJ ET BT 26.250 696.048 Td /F1 9.8 Tf [(data led to a misleading interpretation of the data.)] TJ ET BT 26.250 676.643 Td /F1 9.8 Tf [(The Deepwater Horizon response also demonstrated the importance of presenting data with a description of the precautions )] TJ ET BT 26.250 664.738 Td /F1 9.8 Tf [(being used in the area where a sample was taken. For example, 89 percent of the 2-butoxyethanol results above the detectable )] TJ ET BT 26.250 652.833 Td /F1 9.8 Tf [(level were taken near the source of the oil spill where dispersants were being sprayed. Controls, including respiratory protection, )] TJ ET BT 26.250 640.929 Td /F1 9.8 Tf [(were implemented to protect workers near the source. Because protections were in place, these exposure measurements did )] TJ ET BT 26.250 629.024 Td /F1 9.8 Tf [(not reflect doses absorbed by workers.)] TJ ET BT 26.250 609.619 Td /F1 9.8 Tf [(Although the context could have been more clearly communicated, OSHA made a large amount of exposure data available to )] TJ ET BT 26.250 597.714 Td /F1 9.8 Tf [(the public and insisted that BP post its sampling results on the Internet. Encouraging the parties involved in a response to make )] TJ ET BT 26.250 585.810 Td /F1 9.8 Tf [(their data readily accessible is a simple way to promote transparency and foster trust with the affected community.)] TJ ET BT 26.250 566.405 Td /F4 9.8 Tf [(Communication.)] TJ ET BT 102.632 566.405 Td /F1 9.8 Tf [( Although the agencies successfully reached out to members of the impacted communities, they faced )] TJ ET BT 26.250 554.500 Td /F1 9.8 Tf [(challenges getting their message out to the public as a whole. This is a classic public health communications problem )] TJ ET BT 26.250 542.595 Td /F1 9.8 Tf [(successful public health work has no victims, while media stories tend to focus on victims, mistakes and scandals. Even though )] TJ ET BT 26.250 530.691 Td /F1 9.8 Tf [(worker safety and health efforts, such as the heat stress mitigation program, likely prevented injuries and deaths, there is no )] TJ ET BT 26.250 518.786 Td /F1 9.8 Tf [(way to identify or quantify the workers whose lives were saved. There was significant media attention on initial reports regarding )] TJ ET BT 26.250 506.881 Td /F1 9.8 Tf [(seven fishermen who reported symptoms that potentially could have been related to chemical exposures. However, there was )] TJ ET BT 26.250 494.976 Td /F1 9.8 Tf [(little attention paid to NIOSHs investigation, which found that it was unlikely that exposure to dispersants caused the )] TJ ET BT 26.250 483.072 Td /F1 9.8 Tf [(fishermens symptoms. The media also did not focus on the lack of symptoms among the thousands of cleanup workers )] TJ ET BT 26.250 471.167 Td /F1 9.8 Tf [(employed for the duration of the response; as a result, many Americans were left with the false impression that chemical-related )] TJ ET BT 26.250 459.262 Td /F1 9.8 Tf [(symptoms were common among workers employed in the cleanup.)] TJ ET BT 26.250 422.660 Td /F4 12.0 Tf [(Conclusion)] TJ ET BT 26.250 402.705 Td /F1 9.8 Tf [(Several factors contributed to the successful efforts to protect workers during the Deepwater Horizon oil spill response. Advance )] TJ ET BT 26.250 390.801 Td /F1 9.8 Tf [(planning and immediate deployment, collaboration across agencies, more protective safety and health protections than required )] TJ ET BT 26.250 378.896 Td /F1 9.8 Tf [(by regulation, and community outreach helped ensure that BP implemented controls to protect workers and properly trained )] TJ ET BT 26.250 366.991 Td /F1 9.8 Tf [(workers to perform their jobs safely. For future responses, improvements should be made in how safety and health information, )] TJ ET BT 26.250 355.086 Td /F1 9.8 Tf [(and the bases for safety and health decisions, are communicated to the public. OSHA and NIOSHs efforts alongside other )] TJ ET BT 26.250 343.182 Td /F1 9.8 Tf [(agencies helped ensure that the response and cleanup operations resulted in no worker fatalities, and relatively few injuries and )] TJ ET BT 26.250 331.277 Td /F1 9.8 Tf [(illnesses.)] TJ ET BT 26.250 294.674 Td /F4 12.0 Tf [(Acknowledgements)] TJ ET BT 26.250 274.720 Td /F1 9.8 Tf [(This report is a product of the efforts of hundreds of federal employees who worked tirelessly to protect the health and safety of )] TJ ET BT 26.250 262.815 Td /F1 9.8 Tf [(the oil spill cleanup workers on the Gulf Coast in the Spring and Summer of 2010. The opinions expressed in this review do not )] TJ ET BT 26.250 250.911 Td /F1 9.8 Tf [(necessarily represent the views of the U.S. Department of Labor or of the U.S. Department of Health and Human Services.)] TJ ET BT 26.250 221.808 Td /F4 12.0 Tf [(References)] TJ ET BT 26.250 194.354 Td /F1 9.8 Tf [(1.)] TJ ET BT 38.132 194.354 Td /F1 9.8 Tf [(United States Coast Guard National Incident Command. National Incident Commanders Report: MC252 Deepwater Horizon. )] TJ ET BT 26.250 182.449 Td /F1 9.8 Tf [(2010. )] TJ ET 0.267 0.267 0.267 rg BT 26.250 173.963 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 155.413 Td /F1 9.8 Tf [(2.)] TJ ET BT 38.132 155.413 Td /F1 9.8 Tf [(National Commission on the BP Deepwater Horizon Oil Spill and Offshore Drilling. Decision-Making Within the Unified )] TJ ET BT 26.250 143.508 Td /F1 9.8 Tf [(Command. 2010.)] TJ ET 0.267 0.267 0.267 rg BT 26.250 135.022 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 116.472 Td /F1 9.8 Tf [(3.)] TJ ET BT 38.132 116.472 Td /F1 9.8 Tf [(Occupational Safety and Health Act of 1970. 1970. Public Law 91-596.)] TJ ET BT 26.250 97.068 Td /F1 9.8 Tf [(4.)] TJ ET BT 38.132 97.068 Td /F1 9.8 Tf [(National Oil and Hazardous Substances Pollution Contingency Plan. 1994. 40 C.F.R. 300.)] TJ ET BT 26.250 77.663 Td /F1 9.8 Tf [(5.)] TJ ET BT 38.132 77.663 Td /F1 9.8 Tf [(OSHA \(Occupational Safety and Health Administration\). Emergency Response to Oil Spill Initial Sampling Strategy. 2010.)] TJ ET 0.267 0.267 0.267 rg BT 26.250 69.177 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET Q q 15.000 33.115 577.500 743.885 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(detectable level of the dispersant component 2-butoxyethanol, and that the other 20 percent of the samples were detected at a )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(level below 10 ml/m3.)] TJ ET 0.267 0.267 0.267 rg BT 119.987 757.079 Td /F4 8.7 Tf [(18)] TJ ET 0.271 0.267 0.267 rg BT 129.624 755.571 Td /F1 9.8 Tf [( The articles headline read alarmingly New BP Data Show 20% of Gulf Spill Responders Exposed to )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(Chemical That Sickened Valdez Workers. OSHA reviewed the data and found that of that 20 percent, the highest level )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(recorded was 0.8 ml/m3 and that 90 percent of the samples were at or below 0.2 ml/m3. These levels were well below the )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(lowest OEL for 2-butoxyethanol, NIOSHs REL of 5 ppm. OSHAs independent samples were all below the limit of detection for )] TJ ET BT 26.250 707.952 Td /F1 9.8 Tf [(2-butoxyethanol. Despite the fact that all of the samples were well below the lowest OEL, BPs choice of words to report the )] TJ ET BT 26.250 696.048 Td /F1 9.8 Tf [(data led to a misleading interpretation of the data.)] TJ ET BT 26.250 676.643 Td /F1 9.8 Tf [(The Deepwater Horizon response also demonstrated the importance of presenting data with a description of the precautions )] TJ ET BT 26.250 664.738 Td /F1 9.8 Tf [(being used in the area where a sample was taken. For example, 89 percent of the 2-butoxyethanol results above the detectable )] TJ ET BT 26.250 652.833 Td /F1 9.8 Tf [(level were taken near the source of the oil spill where dispersants were being sprayed. Controls, including respiratory protection, )] TJ ET BT 26.250 640.929 Td /F1 9.8 Tf [(were implemented to protect workers near the source. Because protections were in place, these exposure measurements did )] TJ ET BT 26.250 629.024 Td /F1 9.8 Tf [(not reflect doses absorbed by workers.)] TJ ET BT 26.250 609.619 Td /F1 9.8 Tf [(Although the context could have been more clearly communicated, OSHA made a large amount of exposure data available to )] TJ ET BT 26.250 597.714 Td /F1 9.8 Tf [(the public and insisted that BP post its sampling results on the Internet. Encouraging the parties involved in a response to make )] TJ ET BT 26.250 585.810 Td /F1 9.8 Tf [(their data readily accessible is a simple way to promote transparency and foster trust with the affected community.)] TJ ET BT 26.250 566.405 Td /F4 9.8 Tf [(Communication.)] TJ ET BT 102.632 566.405 Td /F1 9.8 Tf [( Although the agencies successfully reached out to members of the impacted communities, they faced )] TJ ET BT 26.250 554.500 Td /F1 9.8 Tf [(challenges getting their message out to the public as a whole. This is a classic public health communications problem )] TJ ET BT 26.250 542.595 Td /F1 9.8 Tf [(successful public health work has no victims, while media stories tend to focus on victims, mistakes and scandals. Even though )] TJ ET BT 26.250 530.691 Td /F1 9.8 Tf [(worker safety and health efforts, such as the heat stress mitigation program, likely prevented injuries and deaths, there is no )] TJ ET BT 26.250 518.786 Td /F1 9.8 Tf [(way to identify or quantify the workers whose lives were saved. There was significant media attention on initial reports regarding )] TJ ET BT 26.250 506.881 Td /F1 9.8 Tf [(seven fishermen who reported symptoms that potentially could have been related to chemical exposures. However, there was )] TJ ET BT 26.250 494.976 Td /F1 9.8 Tf [(little attention paid to NIOSHs investigation, which found that it was unlikely that exposure to dispersants caused the )] TJ ET BT 26.250 483.072 Td /F1 9.8 Tf [(fishermens symptoms. The media also did not focus on the lack of symptoms among the thousands of cleanup workers )] TJ ET BT 26.250 471.167 Td /F1 9.8 Tf [(employed for the duration of the response; as a result, many Americans were left with the false impression that chemical-related )] TJ ET BT 26.250 459.262 Td /F1 9.8 Tf [(symptoms were common among workers employed in the cleanup.)] TJ ET BT 26.250 422.660 Td /F4 12.0 Tf [(Conclusion)] TJ ET BT 26.250 402.705 Td /F1 9.8 Tf [(Several factors contributed to the successful efforts to protect workers during the Deepwater Horizon oil spill response. Advance )] TJ ET BT 26.250 390.801 Td /F1 9.8 Tf [(planning and immediate deployment, collaboration across agencies, more protective safety and health protections than required )] TJ ET BT 26.250 378.896 Td /F1 9.8 Tf [(by regulation, and community outreach helped ensure that BP implemented controls to protect workers and properly trained )] TJ ET BT 26.250 366.991 Td /F1 9.8 Tf [(workers to perform their jobs safely. For future responses, improvements should be made in how safety and health information, )] TJ ET BT 26.250 355.086 Td /F1 9.8 Tf [(and the bases for safety and health decisions, are communicated to the public. OSHA and NIOSHs efforts alongside other )] TJ ET BT 26.250 343.182 Td /F1 9.8 Tf [(agencies helped ensure that the response and cleanup operations resulted in no worker fatalities, and relatively few injuries and )] TJ ET BT 26.250 331.277 Td /F1 9.8 Tf [(illnesses.)] TJ ET BT 26.250 294.674 Td /F4 12.0 Tf [(Acknowledgements)] TJ ET BT 26.250 274.720 Td /F1 9.8 Tf [(This report is a product of the efforts of hundreds of federal employees who worked tirelessly to protect the health and safety of )] TJ ET BT 26.250 262.815 Td /F1 9.8 Tf [(the oil spill cleanup workers on the Gulf Coast in the Spring and Summer of 2010. The opinions expressed in this review do not )] TJ ET BT 26.250 250.911 Td /F1 9.8 Tf [(necessarily represent the views of the U.S. Department of Labor or of the U.S. Department of Health and Human Services.)] TJ ET BT 26.250 221.808 Td /F4 12.0 Tf [(References)] TJ ET BT 26.250 194.354 Td /F1 9.8 Tf [(1.)] TJ ET BT 38.132 194.354 Td /F1 9.8 Tf [(United States Coast Guard National Incident Command. National Incident Commanders Report: MC252 Deepwater Horizon. )] TJ ET BT 26.250 182.449 Td /F1 9.8 Tf [(2010. )] TJ ET 0.267 0.267 0.267 rg BT 26.250 173.963 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 155.413 Td /F1 9.8 Tf [(2.)] TJ ET BT 38.132 155.413 Td /F1 9.8 Tf [(National Commission on the BP Deepwater Horizon Oil Spill and Offshore Drilling. Decision-Making Within the Unified )] TJ ET BT 26.250 143.508 Td /F1 9.8 Tf [(Command. 2010.)] TJ ET 0.267 0.267 0.267 rg BT 26.250 135.022 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 116.472 Td /F1 9.8 Tf [(3.)] TJ ET BT 38.132 116.472 Td /F1 9.8 Tf [(Occupational Safety and Health Act of 1970. 1970. Public Law 91-596.)] TJ ET BT 26.250 97.068 Td /F1 9.8 Tf [(4.)] TJ ET BT 38.132 97.068 Td /F1 9.8 Tf [(National Oil and Hazardous Substances Pollution Contingency Plan. 1994. 40 C.F.R. 300.)] TJ ET BT 26.250 77.663 Td /F1 9.8 Tf [(5.)] TJ ET BT 38.132 77.663 Td /F1 9.8 Tf [(OSHA \(Occupational Safety and Health Administration\). Emergency Response to Oil Spill Initial Sampling Strategy. 2010.)] TJ ET 0.267 0.267 0.267 rg BT 26.250 69.177 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET Q q 15.000 33.115 577.500 743.885 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(detectable level of the dispersant component 2-butoxyethanol, and that the other 20 percent of the samples were detected at a )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(level below 10 ml/m3.)] TJ ET 0.267 0.267 0.267 rg BT 119.987 757.079 Td /F4 8.7 Tf [(18)] TJ ET 0.271 0.267 0.267 rg BT 129.624 755.571 Td /F1 9.8 Tf [( The articles headline read alarmingly New BP Data Show 20% of Gulf Spill Responders Exposed to )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(Chemical That Sickened Valdez Workers. OSHA reviewed the data and found that of that 20 percent, the highest level )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(recorded was 0.8 ml/m3 and that 90 percent of the samples were at or below 0.2 ml/m3. These levels were well below the )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(lowest OEL for 2-butoxyethanol, NIOSHs REL of 5 ppm. OSHAs independent samples were all below the limit of detection for )] TJ ET BT 26.250 707.952 Td /F1 9.8 Tf [(2-butoxyethanol. Despite the fact that all of the samples were well below the lowest OEL, BPs choice of words to report the )] TJ ET BT 26.250 696.048 Td /F1 9.8 Tf [(data led to a misleading interpretation of the data.)] TJ ET BT 26.250 676.643 Td /F1 9.8 Tf [(The Deepwater Horizon response also demonstrated the importance of presenting data with a description of the precautions )] TJ ET BT 26.250 664.738 Td /F1 9.8 Tf [(being used in the area where a sample was taken. For example, 89 percent of the 2-butoxyethanol results above the detectable )] TJ ET BT 26.250 652.833 Td /F1 9.8 Tf [(level were taken near the source of the oil spill where dispersants were being sprayed. Controls, including respiratory protection, )] TJ ET BT 26.250 640.929 Td /F1 9.8 Tf [(were implemented to protect workers near the source. Because protections were in place, these exposure measurements did )] TJ ET BT 26.250 629.024 Td /F1 9.8 Tf [(not reflect doses absorbed by workers.)] TJ ET BT 26.250 609.619 Td /F1 9.8 Tf [(Although the context could have been more clearly communicated, OSHA made a large amount of exposure data available to )] TJ ET BT 26.250 597.714 Td /F1 9.8 Tf [(the public and insisted that BP post its sampling results on the Internet. Encouraging the parties involved in a response to make )] TJ ET BT 26.250 585.810 Td /F1 9.8 Tf [(their data readily accessible is a simple way to promote transparency and foster trust with the affected community.)] TJ ET BT 26.250 566.405 Td /F4 9.8 Tf [(Communication.)] TJ ET BT 102.632 566.405 Td /F1 9.8 Tf [( Although the agencies successfully reached out to members of the impacted communities, they faced )] TJ ET BT 26.250 554.500 Td /F1 9.8 Tf [(challenges getting their message out to the public as a whole. This is a classic public health communications problem )] TJ ET BT 26.250 542.595 Td /F1 9.8 Tf [(successful public health work has no victims, while media stories tend to focus on victims, mistakes and scandals. Even though )] TJ ET BT 26.250 530.691 Td /F1 9.8 Tf [(worker safety and health efforts, such as the heat stress mitigation program, likely prevented injuries and deaths, there is no )] TJ ET BT 26.250 518.786 Td /F1 9.8 Tf [(way to identify or quantify the workers whose lives were saved. There was significant media attention on initial reports regarding )] TJ ET BT 26.250 506.881 Td /F1 9.8 Tf [(seven fishermen who reported symptoms that potentially could have been related to chemical exposures. However, there was )] TJ ET BT 26.250 494.976 Td /F1 9.8 Tf [(little attention paid to NIOSHs investigation, which found that it was unlikely that exposure to dispersants caused the )] TJ ET BT 26.250 483.072 Td /F1 9.8 Tf [(fishermens symptoms. The media also did not focus on the lack of symptoms among the thousands of cleanup workers )] TJ ET BT 26.250 471.167 Td /F1 9.8 Tf [(employed for the duration of the response; as a result, many Americans were left with the false impression that chemical-related )] TJ ET BT 26.250 459.262 Td /F1 9.8 Tf [(symptoms were common among workers employed in the cleanup.)] TJ ET BT 26.250 422.660 Td /F4 12.0 Tf [(Conclusion)] TJ ET BT 26.250 402.705 Td /F1 9.8 Tf [(Several factors contributed to the successful efforts to protect workers during the Deepwater Horizon oil spill response. Advance )] TJ ET BT 26.250 390.801 Td /F1 9.8 Tf [(planning and immediate deployment, collaboration across agencies, more protective safety and health protections than required )] TJ ET BT 26.250 378.896 Td /F1 9.8 Tf [(by regulation, and community outreach helped ensure that BP implemented controls to protect workers and properly trained )] TJ ET BT 26.250 366.991 Td /F1 9.8 Tf [(workers to perform their jobs safely. For future responses, improvements should be made in how safety and health information, )] TJ ET BT 26.250 355.086 Td /F1 9.8 Tf [(and the bases for safety and health decisions, are communicated to the public. OSHA and NIOSHs efforts alongside other )] TJ ET BT 26.250 343.182 Td /F1 9.8 Tf [(agencies helped ensure that the response and cleanup operations resulted in no worker fatalities, and relatively few injuries and )] TJ ET BT 26.250 331.277 Td /F1 9.8 Tf [(illnesses.)] TJ ET BT 26.250 294.674 Td /F4 12.0 Tf [(Acknowledgements)] TJ ET BT 26.250 274.720 Td /F1 9.8 Tf [(This report is a product of the efforts of hundreds of federal employees who worked tirelessly to protect the health and safety of )] TJ ET BT 26.250 262.815 Td /F1 9.8 Tf [(the oil spill cleanup workers on the Gulf Coast in the Spring and Summer of 2010. The opinions expressed in this review do not )] TJ ET BT 26.250 250.911 Td /F1 9.8 Tf [(necessarily represent the views of the U.S. Department of Labor or of the U.S. Department of Health and Human Services.)] TJ ET BT 26.250 221.808 Td /F4 12.0 Tf [(References)] TJ ET BT 26.250 194.354 Td /F1 9.8 Tf [(1.)] TJ ET BT 38.132 194.354 Td /F1 9.8 Tf [(United States Coast Guard National Incident Command. National Incident Commanders Report: MC252 Deepwater Horizon. )] TJ ET BT 26.250 182.449 Td /F1 9.8 Tf [(2010. )] TJ ET 0.267 0.267 0.267 rg BT 26.250 173.963 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 155.413 Td /F1 9.8 Tf [(2.)] TJ ET BT 38.132 155.413 Td /F1 9.8 Tf [(National Commission on the BP Deepwater Horizon Oil Spill and Offshore Drilling. Decision-Making Within the Unified )] TJ ET BT 26.250 143.508 Td /F1 9.8 Tf [(Command. 2010.)] TJ ET 0.267 0.267 0.267 rg BT 26.250 135.022 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 116.472 Td /F1 9.8 Tf [(3.)] TJ ET BT 38.132 116.472 Td /F1 9.8 Tf [(Occupational Safety and Health Act of 1970. 1970. Public Law 91-596.)] TJ ET BT 26.250 97.068 Td /F1 9.8 Tf [(4.)] TJ ET BT 38.132 97.068 Td /F1 9.8 Tf [(National Oil and Hazardous Substances Pollution Contingency Plan. 1994. 40 C.F.R. 300.)] TJ ET BT 26.250 77.663 Td /F1 9.8 Tf [(5.)] TJ ET BT 38.132 77.663 Td /F1 9.8 Tf [(OSHA \(Occupational Safety and Health Administration\). Emergency Response to Oil Spill Initial Sampling Strategy. 2010.)] TJ ET 0.267 0.267 0.267 rg BT 26.250 69.177 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 19.825 Td /F1 11.0 Tf [(6)] TJ ET BT 25.000 19.825 Td /F1 11.0 Tf [(PLOS Currents Disasters)] TJ ET Q endstream endobj 186 0 obj << /Type /Annot /Subtype /Link /A 187 0 R /Border [0 0 0] /H /I /Rect [ 119.9865 756.2769 129.6238 765.0952 ] >> endobj 187 0 obj << /Type /Action >> endobj 188 0 obj << /Type /Annot /Subtype /Link /A 189 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 173.2695 91.2600 180.9008 ] >> endobj 189 0 obj << /Type /Action /S /URI /URI (https://www.nrt.org/production/NRT/NRTWeb.nsf/AllAttachmentsByTitle/SA-1065NICReport/$File/Binder1.pdf) >> endobj 190 0 obj << /Type /Annot /Subtype /Link /A 191 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 134.3287 91.2600 141.9600 ] >> endobj 191 0 obj << /Type /Action /S /URI /URI (https://www.oilspillcommission.gov/sites/default/files/documents/Updated Unified Command Working Paper.pdf) >> endobj 192 0 obj << /Type /Annot /Subtype /Link /A 193 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 68.4832 91.2600 76.1145 ] >> endobj 193 0 obj << /Type /Action /S /URI /URI (https://www.osha.gov/oilspills/oil_samplingstrategy.html.) >> endobj 194 0 obj << /Type /Annot /Subtype /Link /A 195 0 R /Border [0 0 0] /H /I /Rect [ 119.9865 756.2769 129.6238 765.0952 ] >> endobj 195 0 obj << /Type /Action >> endobj 196 0 obj << /Type /Annot /Subtype /Link /A 197 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 173.2695 91.2600 180.9008 ] >> endobj 197 0 obj << /Type /Action /S /URI /URI (https://www.nrt.org/production/NRT/NRTWeb.nsf/AllAttachmentsByTitle/SA-1065NICReport/$File/Binder1.pdf) >> endobj 198 0 obj << /Type /Annot /Subtype /Link /A 199 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 134.3287 91.2600 141.9600 ] >> endobj 199 0 obj << /Type /Action /S /URI /URI (https://www.oilspillcommission.gov/sites/default/files/documents/Updated Unified Command Working Paper.pdf) >> endobj 200 0 obj << /Type /Annot /Subtype /Link /A 201 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 68.4832 91.2600 76.1145 ] >> endobj 201 0 obj << /Type /Action /S /URI /URI (https://www.osha.gov/oilspills/oil_samplingstrategy.html.) >> endobj 202 0 obj << /Type /Annot /Subtype /Link /A 203 0 R /Border [0 0 0] /H /I /Rect [ 119.9865 756.2769 129.6238 765.0952 ] >> endobj 203 0 obj << /Type /Action >> endobj 204 0 obj << /Type /Annot /Subtype /Link /A 205 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 173.2695 91.2600 180.9008 ] >> endobj 205 0 obj << /Type /Action /S /URI /URI (https://www.nrt.org/production/NRT/NRTWeb.nsf/AllAttachmentsByTitle/SA-1065NICReport/$File/Binder1.pdf) >> endobj 206 0 obj << /Type /Annot /Subtype /Link /A 207 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 134.3287 91.2600 141.9600 ] >> endobj 207 0 obj << /Type /Action /S /URI /URI (https://www.oilspillcommission.gov/sites/default/files/documents/Updated Unified Command Working Paper.pdf) >> endobj 208 0 obj << /Type /Annot /Subtype /Link /A 209 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 68.4832 91.2600 76.1145 ] >> endobj 209 0 obj << /Type /Action /S /URI /URI (https://www.osha.gov/oilspills/oil_samplingstrategy.html.) >> endobj 210 0 obj << /Type /Page /Parent 3 0 R /Annots [ 212 0 R 214 0 R 216 0 R 218 0 R 220 0 R 222 0 R 224 0 R 226 0 R 228 0 R 230 0 R 232 0 R 234 0 R 236 0 R 238 0 R 240 0 R 242 0 R 244 0 R 246 0 R 248 0 R 250 0 R 252 0 R 254 0 R 256 0 R 258 0 R 260 0 R 262 0 R 264 0 R 266 0 R 268 0 R 270 0 R 272 0 R 274 0 R 276 0 R 278 0 R 280 0 R 282 0 R ] /Contents 211 0 R >> endobj 211 0 obj << /Length 13405 >> stream 0.267 0.267 0.267 rg q 15.000 334.830 577.500 442.170 re W n 0.271 0.267 0.267 rg BT 26.250 759.976 Td /F1 9.8 Tf [(6.)] TJ ET BT 38.132 759.976 Td /F1 9.8 Tf [(OSHA \(Occupational Safety and Health Administration\). Assessing Worker Exposures. 2010.)] TJ ET 0.267 0.267 0.267 rg BT 26.250 751.490 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 732.940 Td /F1 9.8 Tf [(7.)] TJ ET BT 38.132 732.940 Td /F1 9.8 Tf [(BP p.l.c. Health monitoring. 2010. )] TJ ET 0.267 0.267 0.267 rg BT 26.250 724.454 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 705.904 Td /F1 9.8 Tf [(8.)] TJ ET BT 38.132 705.904 Td /F1 9.8 Tf [(NIOSH \(National Institute for Occupational Safety and Health\) and OSHA \(Occupational Safety and Health Administration\). )] TJ ET BT 26.250 693.999 Td /F1 9.8 Tf [(Interim Guidance for Protecting Deepwater Horizon Response Workers and Volunteers. 2010. )] TJ ET 0.267 0.267 0.267 rg BT 26.250 685.514 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 666.963 Td /F1 9.8 Tf [(9.)] TJ ET BT 38.132 666.963 Td /F1 9.8 Tf [(NIOSH \(National Institute for Occupational Safety and Health\). Deepwater Horizon Response NIOSH Health Hazard )] TJ ET BT 26.250 655.059 Td /F1 9.8 Tf [(Evaluation. 2010. )] TJ ET 0.267 0.267 0.267 rg BT 26.250 646.573 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 628.023 Td /F1 9.8 Tf [(10.)] TJ ET BT 43.553 628.023 Td /F1 9.8 Tf [(Deepwater Horizon MC252 New Orleans, LA \(NOLA\) Unified Area Command \(UAC\). 208 Heat Stress Safety Alert. 2010. )] TJ ET 0.267 0.267 0.267 rg BT 26.250 619.537 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 600.987 Td /F1 9.8 Tf [(11.)] TJ ET BT 43.553 600.987 Td /F1 9.8 Tf [(Deepwater Horizon MC252 New Orleans, LA \(NOLA\) Unified Area Command \(UAC\). Heat Stress Management Plan. 2010. )] TJ ET 0.267 0.267 0.267 rg BT 26.250 592.501 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 573.951 Td /F1 9.8 Tf [(12.)] TJ ET BT 43.553 573.951 Td /F1 9.8 Tf [(OSHA \(Occupational Safety and Health Administration\) and NIEHS \(Nationial Institute for Environmental Health Sciences\). )] TJ ET BT 26.250 562.046 Td /F1 9.8 Tf [(Safety and Health Awareness for Oil Spill Cleanup. 2010.)] TJ ET 0.267 0.267 0.267 rg BT 26.250 553.560 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 535.010 Td /F1 9.8 Tf [(13.)] TJ ET BT 43.553 535.010 Td /F1 9.8 Tf [(Grand Isle Sees First Oil As Tar Balls Wash Ashore: Heavy Crude Seen In Elmer's Island.)] TJ ET 0.267 0.267 0.267 rg BT 26.250 526.524 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 507.974 Td /F1 9.8 Tf [(14.)] TJ ET BT 43.553 507.974 Td /F1 9.8 Tf [(Kitt MM, Decker JA, Delaney L, et al. Protecting workers in large-scale emergency responses: NIOSH experience in the )] TJ ET BT 26.250 496.069 Td /F1 9.8 Tf [(deepwater horizon response. J Occup Environ Med. 2011;53\(7\):711-715.)] TJ ET BT 26.250 476.664 Td /F1 9.8 Tf [(15.)] TJ ET BT 43.553 476.664 Td /F1 9.8 Tf [(Gulf Long-Term Follow-Up Study for Oil Spill Clean-Up Workers and Volunteers.)] TJ ET 0.267 0.267 0.267 rg BT 26.250 468.179 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 449.628 Td /F1 9.8 Tf [(16.)] TJ ET BT 43.553 449.628 Td /F1 9.8 Tf [(NIOSH \(National Institute for Occupational Safety and Health\). Emergency Responder Health Monitoring and Surveillance: )] TJ ET BT 26.250 437.724 Td /F1 9.8 Tf [(Draft 1.2. 2010.)] TJ ET 0.267 0.267 0.267 rg BT 26.250 429.238 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 410.688 Td /F1 9.8 Tf [(17.)] TJ ET BT 43.553 410.688 Td /F1 9.8 Tf [(NIOSH \(National Institute for Occupational Safety and Health\). NIOSH Report of Deepwater Horizon Response/Unified Area )] TJ ET BT 26.250 398.783 Td /F1 9.8 Tf [(Command Illness and Injury Data \(April 23 July 27, 2010\).)] TJ ET 0.267 0.267 0.267 rg BT 26.250 390.297 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 371.747 Td /F1 9.8 Tf [(18.)] TJ ET BT 43.553 371.747 Td /F1 9.8 Tf [(Schor, Elana. New BP Data Show 20% of Gulf Spill Responders Exposed to Chemical That Sickened Valdez Workers. New )] TJ ET BT 26.250 359.842 Td /F1 9.8 Tf [(York Times. July 9, 2010. )] TJ ET 0.267 0.267 0.267 rg BT 26.250 351.356 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET Q q 15.000 334.830 577.500 442.170 re W n 0.271 0.267 0.267 rg BT 26.250 759.976 Td /F1 9.8 Tf [(6.)] TJ ET BT 38.132 759.976 Td /F1 9.8 Tf [(OSHA \(Occupational Safety and Health Administration\). Assessing Worker Exposures. 2010.)] TJ ET 0.267 0.267 0.267 rg BT 26.250 751.490 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 732.940 Td /F1 9.8 Tf [(7.)] TJ ET BT 38.132 732.940 Td /F1 9.8 Tf [(BP p.l.c. Health monitoring. 2010. )] TJ ET 0.267 0.267 0.267 rg BT 26.250 724.454 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 705.904 Td /F1 9.8 Tf [(8.)] TJ ET BT 38.132 705.904 Td /F1 9.8 Tf [(NIOSH \(National Institute for Occupational Safety and Health\) and OSHA \(Occupational Safety and Health Administration\). )] TJ ET BT 26.250 693.999 Td /F1 9.8 Tf [(Interim Guidance for Protecting Deepwater Horizon Response Workers and Volunteers. 2010. )] TJ ET 0.267 0.267 0.267 rg BT 26.250 685.514 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 666.963 Td /F1 9.8 Tf [(9.)] TJ ET BT 38.132 666.963 Td /F1 9.8 Tf [(NIOSH \(National Institute for Occupational Safety and Health\). Deepwater Horizon Response NIOSH Health Hazard )] TJ ET BT 26.250 655.059 Td /F1 9.8 Tf [(Evaluation. 2010. )] TJ ET 0.267 0.267 0.267 rg BT 26.250 646.573 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 628.023 Td /F1 9.8 Tf [(10.)] TJ ET BT 43.553 628.023 Td /F1 9.8 Tf [(Deepwater Horizon MC252 New Orleans, LA \(NOLA\) Unified Area Command \(UAC\). 208 Heat Stress Safety Alert. 2010. )] TJ ET 0.267 0.267 0.267 rg BT 26.250 619.537 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 600.987 Td /F1 9.8 Tf [(11.)] TJ ET BT 43.553 600.987 Td /F1 9.8 Tf [(Deepwater Horizon MC252 New Orleans, LA \(NOLA\) Unified Area Command \(UAC\). Heat Stress Management Plan. 2010. )] TJ ET 0.267 0.267 0.267 rg BT 26.250 592.501 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 573.951 Td /F1 9.8 Tf [(12.)] TJ ET BT 43.553 573.951 Td /F1 9.8 Tf [(OSHA \(Occupational Safety and Health Administration\) and NIEHS \(Nationial Institute for Environmental Health Sciences\). )] TJ ET BT 26.250 562.046 Td /F1 9.8 Tf [(Safety and Health Awareness for Oil Spill Cleanup. 2010.)] TJ ET 0.267 0.267 0.267 rg BT 26.250 553.560 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 535.010 Td /F1 9.8 Tf [(13.)] TJ ET BT 43.553 535.010 Td /F1 9.8 Tf [(Grand Isle Sees First Oil As Tar Balls Wash Ashore: Heavy Crude Seen In Elmer's Island.)] TJ ET 0.267 0.267 0.267 rg BT 26.250 526.524 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 507.974 Td /F1 9.8 Tf [(14.)] TJ ET BT 43.553 507.974 Td /F1 9.8 Tf [(Kitt MM, Decker JA, Delaney L, et al. Protecting workers in large-scale emergency responses: NIOSH experience in the )] TJ ET BT 26.250 496.069 Td /F1 9.8 Tf [(deepwater horizon response. J Occup Environ Med. 2011;53\(7\):711-715.)] TJ ET BT 26.250 476.664 Td /F1 9.8 Tf [(15.)] TJ ET BT 43.553 476.664 Td /F1 9.8 Tf [(Gulf Long-Term Follow-Up Study for Oil Spill Clean-Up Workers and Volunteers.)] TJ ET 0.267 0.267 0.267 rg BT 26.250 468.179 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 449.628 Td /F1 9.8 Tf [(16.)] TJ ET BT 43.553 449.628 Td /F1 9.8 Tf [(NIOSH \(National Institute for Occupational Safety and Health\). Emergency Responder Health Monitoring and Surveillance: )] TJ ET BT 26.250 437.724 Td /F1 9.8 Tf [(Draft 1.2. 2010.)] TJ ET 0.267 0.267 0.267 rg BT 26.250 429.238 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 410.688 Td /F1 9.8 Tf [(17.)] TJ ET BT 43.553 410.688 Td /F1 9.8 Tf [(NIOSH \(National Institute for Occupational Safety and Health\). NIOSH Report of Deepwater Horizon Response/Unified Area )] TJ ET BT 26.250 398.783 Td /F1 9.8 Tf [(Command Illness and Injury Data \(April 23 July 27, 2010\).)] TJ ET 0.267 0.267 0.267 rg BT 26.250 390.297 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 371.747 Td /F1 9.8 Tf [(18.)] TJ ET BT 43.553 371.747 Td /F1 9.8 Tf [(Schor, Elana. New BP Data Show 20% of Gulf Spill Responders Exposed to Chemical That Sickened Valdez Workers. New )] TJ ET BT 26.250 359.842 Td /F1 9.8 Tf [(York Times. July 9, 2010. )] TJ ET 0.267 0.267 0.267 rg BT 26.250 351.356 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET Q q 15.000 334.830 577.500 442.170 re W n 0.271 0.267 0.267 rg BT 26.250 759.976 Td /F1 9.8 Tf [(6.)] TJ ET BT 38.132 759.976 Td /F1 9.8 Tf [(OSHA \(Occupational Safety and Health Administration\). Assessing Worker Exposures. 2010.)] TJ ET 0.267 0.267 0.267 rg BT 26.250 751.490 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 732.940 Td /F1 9.8 Tf [(7.)] TJ ET BT 38.132 732.940 Td /F1 9.8 Tf [(BP p.l.c. Health monitoring. 2010. )] TJ ET 0.267 0.267 0.267 rg BT 26.250 724.454 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 705.904 Td /F1 9.8 Tf [(8.)] TJ ET BT 38.132 705.904 Td /F1 9.8 Tf [(NIOSH \(National Institute for Occupational Safety and Health\) and OSHA \(Occupational Safety and Health Administration\). )] TJ ET BT 26.250 693.999 Td /F1 9.8 Tf [(Interim Guidance for Protecting Deepwater Horizon Response Workers and Volunteers. 2010. )] TJ ET 0.267 0.267 0.267 rg BT 26.250 685.514 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 666.963 Td /F1 9.8 Tf [(9.)] TJ ET BT 38.132 666.963 Td /F1 9.8 Tf [(NIOSH \(National Institute for Occupational Safety and Health\). Deepwater Horizon Response NIOSH Health Hazard )] TJ ET BT 26.250 655.059 Td /F1 9.8 Tf [(Evaluation. 2010. )] TJ ET 0.267 0.267 0.267 rg BT 26.250 646.573 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 628.023 Td /F1 9.8 Tf [(10.)] TJ ET BT 43.553 628.023 Td /F1 9.8 Tf [(Deepwater Horizon MC252 New Orleans, LA \(NOLA\) Unified Area Command \(UAC\). 208 Heat Stress Safety Alert. 2010. )] TJ ET 0.267 0.267 0.267 rg BT 26.250 619.537 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 600.987 Td /F1 9.8 Tf [(11.)] TJ ET BT 43.553 600.987 Td /F1 9.8 Tf [(Deepwater Horizon MC252 New Orleans, LA \(NOLA\) Unified Area Command \(UAC\). Heat Stress Management Plan. 2010. )] TJ ET 0.267 0.267 0.267 rg BT 26.250 592.501 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 573.951 Td /F1 9.8 Tf [(12.)] TJ ET BT 43.553 573.951 Td /F1 9.8 Tf [(OSHA \(Occupational Safety and Health Administration\) and NIEHS \(Nationial Institute for Environmental Health Sciences\). )] TJ ET BT 26.250 562.046 Td /F1 9.8 Tf [(Safety and Health Awareness for Oil Spill Cleanup. 2010.)] TJ ET 0.267 0.267 0.267 rg BT 26.250 553.560 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 535.010 Td /F1 9.8 Tf [(13.)] TJ ET BT 43.553 535.010 Td /F1 9.8 Tf [(Grand Isle Sees First Oil As Tar Balls Wash Ashore: Heavy Crude Seen In Elmer's Island.)] TJ ET 0.267 0.267 0.267 rg BT 26.250 526.524 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 507.974 Td /F1 9.8 Tf [(14.)] TJ ET BT 43.553 507.974 Td /F1 9.8 Tf [(Kitt MM, Decker JA, Delaney L, et al. Protecting workers in large-scale emergency responses: NIOSH experience in the )] TJ ET BT 26.250 496.069 Td /F1 9.8 Tf [(deepwater horizon response. J Occup Environ Med. 2011;53\(7\):711-715.)] TJ ET BT 26.250 476.664 Td /F1 9.8 Tf [(15.)] TJ ET BT 43.553 476.664 Td /F1 9.8 Tf [(Gulf Long-Term Follow-Up Study for Oil Spill Clean-Up Workers and Volunteers.)] TJ ET 0.267 0.267 0.267 rg BT 26.250 468.179 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 449.628 Td /F1 9.8 Tf [(16.)] TJ ET BT 43.553 449.628 Td /F1 9.8 Tf [(NIOSH \(National Institute for Occupational Safety and Health\). Emergency Responder Health Monitoring and Surveillance: )] TJ ET BT 26.250 437.724 Td /F1 9.8 Tf [(Draft 1.2. 2010.)] TJ ET 0.267 0.267 0.267 rg BT 26.250 429.238 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 410.688 Td /F1 9.8 Tf [(17.)] TJ ET BT 43.553 410.688 Td /F1 9.8 Tf [(NIOSH \(National Institute for Occupational Safety and Health\). NIOSH Report of Deepwater Horizon Response/Unified Area )] TJ ET BT 26.250 398.783 Td /F1 9.8 Tf [(Command Illness and Injury Data \(April 23 July 27, 2010\).)] TJ ET 0.267 0.267 0.267 rg BT 26.250 390.297 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET 0.271 0.267 0.267 rg BT 26.250 371.747 Td /F1 9.8 Tf [(18.)] TJ ET BT 43.553 371.747 Td /F1 9.8 Tf [(Schor, Elana. New BP Data Show 20% of Gulf Spill Responders Exposed to Chemical That Sickened Valdez Workers. New )] TJ ET BT 26.250 359.842 Td /F1 9.8 Tf [(York Times. July 9, 2010. )] TJ ET 0.267 0.267 0.267 rg BT 26.250 351.356 Td /F1 7.5 Tf [(REFERENCE LINK)] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 19.825 Td /F1 11.0 Tf [(7)] TJ ET BT 25.000 19.825 Td /F1 11.0 Tf [(PLOS Currents Disasters)] TJ ET Q endstream endobj 212 0 obj << /Type /Annot /Subtype /Link /A 213 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 750.7965 91.2600 758.4278 ] >> endobj 213 0 obj << /Type /Action /S /URI /URI (https://www.osha.gov/oilspills/index_sampling.html. ) >> endobj 214 0 obj << /Type /Annot /Subtype /Link /A 215 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 723.7605 91.2600 731.3918 ] >> endobj 215 0 obj << /Type /Action /S /URI /URI (https://usresponse.bp.com/go/doc/2911/963787/.) >> endobj 216 0 obj << /Type /Annot /Subtype /Link /A 217 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 684.8197 91.2600 692.4510 ] >> endobj 217 0 obj << /Type /Action /S /URI /URI (https://cdc.gov/niosh/topics/oilspillresponse/protecting/pdfs/DeepwaterHorizonNIOSHRec072610.pdf.) >> endobj 218 0 obj << /Type /Annot /Subtype /Link /A 219 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 645.8790 91.2600 653.5103 ] >> endobj 219 0 obj << /Type /Action /S /URI /URI (https://www.cdc.gov/niosh/topics/oilspillresponse/gulfspillhhe.html. ) >> endobj 220 0 obj << /Type /Annot /Subtype /Link /A 221 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 618.8430 91.2600 626.4742 ] >> endobj 221 0 obj << /Type /Action /S /URI /URI (https://www.osha.gov/oilspills/mc252heatstressplan.pdf.) >> endobj 222 0 obj << /Type /Annot /Subtype /Link /A 223 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 591.8070 91.2600 599.4382 ] >> endobj 223 0 obj << /Type /Action /S /URI /URI (https://www.osha.gov/oilspills/mc252heatstressplan.pdf.) >> endobj 224 0 obj << /Type /Annot /Subtype /Link /A 225 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 552.8662 91.2600 560.4975 ] >> endobj 225 0 obj << /Type /Action /S /URI /URI (https://www.osha.gov/Publications/Oil_Spill_Booklet_05.11_v4.pdf) >> endobj 226 0 obj << /Type /Annot /Subtype /Link /A 227 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 525.8302 91.2600 533.4615 ] >> endobj 227 0 obj << /Type /Action /S /URI /URI (https://www.wdsu.com/news/23619849/detail.html#ixzz1uZjjbtZH) >> endobj 228 0 obj << /Type /Annot /Subtype /Link /A 229 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 467.4848 91.2600 475.1160 ] >> endobj 229 0 obj << /Type /Action /S /URI /URI (https://nihgulfstudy.org/) >> endobj 230 0 obj << /Type /Annot /Subtype /Link /A 231 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 428.5440 91.2600 436.1753 ] >> endobj 231 0 obj << /Type /Action /S /URI /URI (https://www.cdc.gov/niosh/docket/review/docket223/pdfs/ERHMSDocumentDraft1_31.pdf.) >> endobj 232 0 obj << /Type /Annot /Subtype /Link /A 233 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 389.6033 91.2600 397.2345 ] >> endobj 233 0 obj << /Type /Action /S /URI /URI (https://www.cdc.gov/niosh/topics/oilspillresponse/pdfs/NIOSHrot-BPilnessAndInjuryDataApril23-july27-2010.pdf.) >> endobj 234 0 obj << /Type /Annot /Subtype /Link /A 235 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 350.6625 91.2600 358.2938 ] >> endobj 235 0 obj << /Type /Action /S /URI /URI (https://www.nytimes.com/gwire/2010/07/09/09greenwire-new-bp-data-show-20-of-gulf-spill-responders-e-82494.html.) >> endobj 236 0 obj << /Type /Annot /Subtype /Link /A 237 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 750.7965 91.2600 758.4278 ] >> endobj 237 0 obj << /Type /Action /S /URI /URI (https://www.osha.gov/oilspills/index_sampling.html. ) >> endobj 238 0 obj << /Type /Annot /Subtype /Link /A 239 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 723.7605 91.2600 731.3918 ] >> endobj 239 0 obj << /Type /Action /S /URI /URI (https://usresponse.bp.com/go/doc/2911/963787/.) >> endobj 240 0 obj << /Type /Annot /Subtype /Link /A 241 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 684.8197 91.2600 692.4510 ] >> endobj 241 0 obj << /Type /Action /S /URI /URI (https://cdc.gov/niosh/topics/oilspillresponse/protecting/pdfs/DeepwaterHorizonNIOSHRec072610.pdf.) >> endobj 242 0 obj << /Type /Annot /Subtype /Link /A 243 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 645.8790 91.2600 653.5103 ] >> endobj 243 0 obj << /Type /Action /S /URI /URI (https://www.cdc.gov/niosh/topics/oilspillresponse/gulfspillhhe.html. ) >> endobj 244 0 obj << /Type /Annot /Subtype /Link /A 245 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 618.8430 91.2600 626.4742 ] >> endobj 245 0 obj << /Type /Action /S /URI /URI (https://www.osha.gov/oilspills/mc252heatstressplan.pdf.) >> endobj 246 0 obj << /Type /Annot /Subtype /Link /A 247 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 591.8070 91.2600 599.4382 ] >> endobj 247 0 obj << /Type /Action /S /URI /URI (https://www.osha.gov/oilspills/mc252heatstressplan.pdf.) >> endobj 248 0 obj << /Type /Annot /Subtype /Link /A 249 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 552.8662 91.2600 560.4975 ] >> endobj 249 0 obj << /Type /Action /S /URI /URI (https://www.osha.gov/Publications/Oil_Spill_Booklet_05.11_v4.pdf) >> endobj 250 0 obj << /Type /Annot /Subtype /Link /A 251 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 525.8302 91.2600 533.4615 ] >> endobj 251 0 obj << /Type /Action /S /URI /URI (https://www.wdsu.com/news/23619849/detail.html#ixzz1uZjjbtZH) >> endobj 252 0 obj << /Type /Annot /Subtype /Link /A 253 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 467.4848 91.2600 475.1160 ] >> endobj 253 0 obj << /Type /Action /S /URI /URI (https://nihgulfstudy.org/) >> endobj 254 0 obj << /Type /Annot /Subtype /Link /A 255 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 428.5440 91.2600 436.1753 ] >> endobj 255 0 obj << /Type /Action /S /URI /URI (https://www.cdc.gov/niosh/docket/review/docket223/pdfs/ERHMSDocumentDraft1_31.pdf.) >> endobj 256 0 obj << /Type /Annot /Subtype /Link /A 257 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 389.6033 91.2600 397.2345 ] >> endobj 257 0 obj << /Type /Action /S /URI /URI (https://www.cdc.gov/niosh/topics/oilspillresponse/pdfs/NIOSHrot-BPilnessAndInjuryDataApril23-july27-2010.pdf.) >> endobj 258 0 obj << /Type /Annot /Subtype /Link /A 259 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 350.6625 91.2600 358.2938 ] >> endobj 259 0 obj << /Type /Action /S /URI /URI (https://www.nytimes.com/gwire/2010/07/09/09greenwire-new-bp-data-show-20-of-gulf-spill-responders-e-82494.html.) >> endobj 260 0 obj << /Type /Annot /Subtype /Link /A 261 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 750.7965 91.2600 758.4278 ] >> endobj 261 0 obj << /Type /Action /S /URI /URI (https://www.osha.gov/oilspills/index_sampling.html. ) >> endobj 262 0 obj << /Type /Annot /Subtype /Link /A 263 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 723.7605 91.2600 731.3918 ] >> endobj 263 0 obj << /Type /Action /S /URI /URI (https://usresponse.bp.com/go/doc/2911/963787/.) >> endobj 264 0 obj << /Type /Annot /Subtype /Link /A 265 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 684.8197 91.2600 692.4510 ] >> endobj 265 0 obj << /Type /Action /S /URI /URI (https://cdc.gov/niosh/topics/oilspillresponse/protecting/pdfs/DeepwaterHorizonNIOSHRec072610.pdf.) >> endobj 266 0 obj << /Type /Annot /Subtype /Link /A 267 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 645.8790 91.2600 653.5103 ] >> endobj 267 0 obj << /Type /Action /S /URI /URI (https://www.cdc.gov/niosh/topics/oilspillresponse/gulfspillhhe.html. ) >> endobj 268 0 obj << /Type /Annot /Subtype /Link /A 269 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 618.8430 91.2600 626.4742 ] >> endobj 269 0 obj << /Type /Action /S /URI /URI (https://www.osha.gov/oilspills/mc252heatstressplan.pdf.) >> endobj 270 0 obj << /Type /Annot /Subtype /Link /A 271 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 591.8070 91.2600 599.4382 ] >> endobj 271 0 obj << /Type /Action /S /URI /URI (https://www.osha.gov/oilspills/mc252heatstressplan.pdf.) >> endobj 272 0 obj << /Type /Annot /Subtype /Link /A 273 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 552.8662 91.2600 560.4975 ] >> endobj 273 0 obj << /Type /Action /S /URI /URI (https://www.osha.gov/Publications/Oil_Spill_Booklet_05.11_v4.pdf) >> endobj 274 0 obj << /Type /Annot /Subtype /Link /A 275 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 525.8302 91.2600 533.4615 ] >> endobj 275 0 obj << /Type /Action /S /URI /URI (https://www.wdsu.com/news/23619849/detail.html#ixzz1uZjjbtZH) >> endobj 276 0 obj << /Type /Annot /Subtype /Link /A 277 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 467.4848 91.2600 475.1160 ] >> endobj 277 0 obj << /Type /Action /S /URI /URI (https://nihgulfstudy.org/) >> endobj 278 0 obj << /Type /Annot /Subtype /Link /A 279 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 428.5440 91.2600 436.1753 ] >> endobj 279 0 obj << /Type /Action /S /URI /URI (https://www.cdc.gov/niosh/docket/review/docket223/pdfs/ERHMSDocumentDraft1_31.pdf.) >> endobj 280 0 obj << /Type /Annot /Subtype /Link /A 281 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 389.6033 91.2600 397.2345 ] >> endobj 281 0 obj << /Type /Action /S /URI /URI (https://www.cdc.gov/niosh/topics/oilspillresponse/pdfs/NIOSHrot-BPilnessAndInjuryDataApril23-july27-2010.pdf.) >> endobj 282 0 obj << /Type /Annot /Subtype /Link /A 283 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 350.6625 91.2600 358.2938 ] >> endobj 283 0 obj << /Type /Action /S /URI /URI (https://www.nytimes.com/gwire/2010/07/09/09greenwire-new-bp-data-show-20-of-gulf-spill-responders-e-82494.html.) >> endobj xref 0 284 0000000000 65535 f 0000000008 00000 n 0000000073 00000 n 0000000119 00000 n 0000000389 00000 n 0000000426 00000 n 0000000697 00000 n 0000000919 00000 n 0000019727 00000 n 0000019834 00000 n 0000019942 00000 n 0000020053 00000 n 0000020166 00000 n 0000020554 00000 n 0000024439 00000 n 0000024566 00000 n 0000024782 00000 n 0000024909 00000 n 0000025125 00000 n 0000025251 00000 n 0000025467 00000 n 0000025594 00000 n 0000025711 00000 n 0000025837 00000 n 0000025947 00000 n 0000026074 00000 n 0000026181 00000 n 0000026309 00000 n 0000026345 00000 n 0000026472 00000 n 0000026688 00000 n 0000026815 00000 n 0000027031 00000 n 0000027157 00000 n 0000027373 00000 n 0000027500 00000 n 0000027617 00000 n 0000027743 00000 n 0000027853 00000 n 0000027980 00000 n 0000028087 00000 n 0000028215 00000 n 0000028251 00000 n 0000028378 00000 n 0000028594 00000 n 0000028721 00000 n 0000028937 00000 n 0000029063 00000 n 0000029279 00000 n 0000029406 00000 n 0000029523 00000 n 0000029649 00000 n 0000029759 00000 n 0000029886 00000 n 0000029993 00000 n 0000030121 00000 n 0000030157 00000 n 0000030318 00000 n 0000058252 00000 n 0000058380 00000 n 0000058416 00000 n 0000058544 00000 n 0000058580 00000 n 0000058708 00000 n 0000058744 00000 n 0000058870 00000 n 0000058906 00000 n 0000059034 00000 n 0000059070 00000 n 0000059198 00000 n 0000059234 00000 n 0000059362 00000 n 0000059398 00000 n 0000059524 00000 n 0000059560 00000 n 0000059688 00000 n 0000059724 00000 n 0000059852 00000 n 0000059888 00000 n 0000060016 00000 n 0000060052 00000 n 0000060178 00000 n 0000060214 00000 n 0000060475 00000 n 0000089390 00000 n 0000089518 00000 n 0000089554 00000 n 0000089682 00000 n 0000089718 00000 n 0000089846 00000 n 0000089882 00000 n 0000090010 00000 n 0000090046 00000 n 0000090174 00000 n 0000090210 00000 n 0000090338 00000 n 0000090374 00000 n 0000090502 00000 n 0000090538 00000 n 0000090664 00000 n 0000090700 00000 n 0000090830 00000 n 0000090867 00000 n 0000090997 00000 n 0000091034 00000 n 0000091164 00000 n 0000091201 00000 n 0000091331 00000 n 0000091368 00000 n 0000091498 00000 n 0000091535 00000 n 0000091665 00000 n 0000091702 00000 n 0000091832 00000 n 0000091869 00000 n 0000091997 00000 n 0000092034 00000 n 0000092164 00000 n 0000092201 00000 n 0000092331 00000 n 0000092368 00000 n 0000092498 00000 n 0000092535 00000 n 0000092665 00000 n 0000092702 00000 n 0000092832 00000 n 0000092869 00000 n 0000092999 00000 n 0000093036 00000 n 0000093166 00000 n 0000093203 00000 n 0000093331 00000 n 0000093368 00000 n 0000093519 00000 n 0000120164 00000 n 0000120294 00000 n 0000120331 00000 n 0000120461 00000 n 0000120498 00000 n 0000120626 00000 n 0000120663 00000 n 0000120793 00000 n 0000120830 00000 n 0000120960 00000 n 0000120997 00000 n 0000121125 00000 n 0000121162 00000 n 0000121292 00000 n 0000121329 00000 n 0000121459 00000 n 0000121496 00000 n 0000121624 00000 n 0000121661 00000 n 0000121860 00000 n 0000150950 00000 n 0000151080 00000 n 0000151117 00000 n 0000151247 00000 n 0000151284 00000 n 0000151412 00000 n 0000151449 00000 n 0000151577 00000 n 0000151614 00000 n 0000151744 00000 n 0000151781 00000 n 0000151911 00000 n 0000151948 00000 n 0000152078 00000 n 0000152115 00000 n 0000152243 00000 n 0000152280 00000 n 0000152408 00000 n 0000152445 00000 n 0000152575 00000 n 0000152612 00000 n 0000152742 00000 n 0000152779 00000 n 0000152909 00000 n 0000152946 00000 n 0000153074 00000 n 0000153111 00000 n 0000153239 00000 n 0000153276 00000 n 0000153406 00000 n 0000153443 00000 n 0000153618 00000 n 0000175655 00000 n 0000175785 00000 n 0000175822 00000 n 0000175950 00000 n 0000176104 00000 n 0000176232 00000 n 0000176390 00000 n 0000176516 00000 n 0000176625 00000 n 0000176755 00000 n 0000176792 00000 n 0000176920 00000 n 0000177074 00000 n 0000177202 00000 n 0000177360 00000 n 0000177486 00000 n 0000177595 00000 n 0000177725 00000 n 0000177762 00000 n 0000177890 00000 n 0000178044 00000 n 0000178172 00000 n 0000178330 00000 n 0000178456 00000 n 0000178565 00000 n 0000178932 00000 n 0000192392 00000 n 0000192520 00000 n 0000192625 00000 n 0000192753 00000 n 0000192851 00000 n 0000192979 00000 n 0000193128 00000 n 0000193256 00000 n 0000193377 00000 n 0000193505 00000 n 0000193612 00000 n 0000193740 00000 n 0000193847 00000 n 0000193975 00000 n 0000194091 00000 n 0000194219 00000 n 0000194331 00000 n 0000194459 00000 n 0000194536 00000 n 0000194664 00000 n 0000194798 00000 n 0000194926 00000 n 0000195087 00000 n 0000195215 00000 n 0000195378 00000 n 0000195506 00000 n 0000195611 00000 n 0000195739 00000 n 0000195837 00000 n 0000195965 00000 n 0000196114 00000 n 0000196242 00000 n 0000196363 00000 n 0000196491 00000 n 0000196598 00000 n 0000196726 00000 n 0000196833 00000 n 0000196961 00000 n 0000197077 00000 n 0000197205 00000 n 0000197317 00000 n 0000197445 00000 n 0000197522 00000 n 0000197650 00000 n 0000197784 00000 n 0000197912 00000 n 0000198073 00000 n 0000198201 00000 n 0000198364 00000 n 0000198492 00000 n 0000198597 00000 n 0000198725 00000 n 0000198823 00000 n 0000198951 00000 n 0000199100 00000 n 0000199228 00000 n 0000199349 00000 n 0000199477 00000 n 0000199584 00000 n 0000199712 00000 n 0000199819 00000 n 0000199947 00000 n 0000200063 00000 n 0000200191 00000 n 0000200303 00000 n 0000200431 00000 n 0000200508 00000 n 0000200636 00000 n 0000200770 00000 n 0000200898 00000 n 0000201059 00000 n 0000201187 00000 n trailer << /Size 284 /Root 1 0 R /Info 5 0 R >> startxref 201350 %%EOF