王爱红, 冷朋波, 李晓海, 高超, 毛国传, 张丹丹. “用人单位职业病危害综合风险评估方法”在木质家具企业职业卫生分类管理中的应用[J]. 环境与职业医学, 2023, 40(6): 634-640, 647. DOI: 10.11836/JEOM22438
引用本文: 王爱红, 冷朋波, 李晓海, 高超, 毛国传, 张丹丹. “用人单位职业病危害综合风险评估方法”在木质家具企业职业卫生分类管理中的应用[J]. 环境与职业医学, 2023, 40(6): 634-640, 647. DOI: 10.11836/JEOM22438
WANG Aihong, LENG Pengbo, LI Xiaohai, GAO Chao, MAO Guochuan, ZHANG Dandan. Application of a comprehensive risk assessment method for occupational disease hazards of employers in occupational health classification management of wooden furniture manufacturing factories[J]. Journal of Environmental and Occupational Medicine, 2023, 40(6): 634-640, 647. DOI: 10.11836/JEOM22438
Citation: WANG Aihong, LENG Pengbo, LI Xiaohai, GAO Chao, MAO Guochuan, ZHANG Dandan. Application of a comprehensive risk assessment method for occupational disease hazards of employers in occupational health classification management of wooden furniture manufacturing factories[J]. Journal of Environmental and Occupational Medicine, 2023, 40(6): 634-640, 647. DOI: 10.11836/JEOM22438

“用人单位职业病危害综合风险评估方法”在木质家具企业职业卫生分类管理中的应用

Application of a comprehensive risk assessment method for occupational disease hazards of employers in occupational health classification management of wooden furniture manufacturing factories

  • 摘要: 背景

    职业卫生分类监管模式中科学性和可操作性的矛盾一直存在,“用人单位职业病危害综合风险评估方法”基于风险分级开展职业卫生分类管理,是探索分类监督执法的一次新尝试。

    目的

    应用“用人单位职业病危害综合风险评估方法”对木质家具企业开展综合风险评估,探讨其优缺点,为职业卫生分类管理方法的改进提出依据。

    方法

    在宁波市木质家具企业分布较多的区(县)选择7家典型的企业作为调查对象,通过职业卫生调查和检测获得各用人单位职业病危害风险等级,依据《用人单位职业卫生管理自查表》逐条检查用人单位职业卫生管理状况,并根据得分评定职业卫生管理状况等级,根据职业病危害风险等级(Ⅰ、Ⅱ、Ⅲ)和管理状况等级(A、B、C)的矩阵得到综合风险类别(甲、乙、丙),以用人单位近3年职业健康监护发现的体检异常情况进行风险验证。

    结果

    7家用人单位均存在职业卫生管理缺陷,其中6家出现关键不符合项,职业卫生管理状况等级为C级(差),剩余1家为B级(良)。6家用人单位出现了不同程度的职业病危害因素浓(强)度不合格,岗位超标率分别为:噪声26.09%(12/46)、木粉尘(硬)14.71%(5/34)、二甲苯12.50%(1/8);5家用人单位职业病危害风险等级为Ⅱ级(中),2家为Ⅲ级(高)。职业病危害综合风险评估结果显示7家均为丙类(高风险)。职业健康监护结果显示,7家用人单位共组织636人次在岗体检,共有37人次出现体检异常,分布在5家用人单位,其中3人次为接触粉尘,34人次为接触噪声。

    结论

    “用人单位职业病危害综合风险评估方法”尚未能有效区分木质家具生产企业的职业病综合风险类别。将该评估方法推广应用于职业卫生分类管理前仍需扩大试点加以改进,并配套出台良好的监管机制确保数据的真实性。

     

    Abstract: Background

    The contradiction between science and operability has always existed in the model of classified occupational health supervision and management. Comprehensive risk assessment method for occupational disease hazards of employers provides risk grading and classification for occupational health management, and it's a new attempt to explore classification supervision and law enforcement.

    Objective

    To apply a comprehensive risk assessment method for occupational disease hazards of employers to estimate health risk level of wood furniture enterprises, discuss its advantages and disadvantages, and provide a basis for improving the classified management of occupational health.

    Methods

    Seven typical factories were selected in counties with highly concentrated wooden furniture manufacturing. Occupational health field investigation and testing were carried out to estimate occupational disease hazard risk level (Ⅰ, Ⅱ, and Ⅲ). A self-rated checklist was applied to score occupational health management status by interviewing employers, one by one, and to determine occupational health management status grade (A, B, and C) by the score. Thus, a comprehensive risk level (Class A, Class B, and Class C) of a specific factory was obtained from a matrix of occupational disease hazard risk level and management status grade. Risk verification was carried out based on any abnormality reported by regular occupational physical examination in past 3 years.

    Results

    Defects in occupational health management were identified in all 7 factories, among which 6 were grade C with key nonconformities (poor), and 1 was grade B (medium). Disqualified occupational disease hazards were found in 6 of 7 factories, and the workstation-specific disqualified rates were 26.09% (12/46) for noise, 14.71% (5/34) for wood dust (hard), and 12.50% (1/8) for xylene. Level Ⅱ (medium) of occupational disease hazard risk was estimated in 5 of 7 factories, while level Ⅲ (high) in 2 factories. All 7 factories were class C (high risk) accessed by the comprehensive risk assessment method for occupational disease hazards. The occupational health surveillance documents showed 636 batches of regular occupational physical examination were ordered by the 7 employers, and a total of 37 workers from 5 factories reported abnormalities in physical examination, among which 3 workers reported dust exposure and 34 workers reported noise exposure.

    Conclusion

    The comprehensive risk assessment method for occupational disease hazards of employers is not able to perform with satisfaction in occupational health classification of wooden furniture manufacturing factories yet. It is necessary to expand the pilot to improve this assessment method and develop an efficient supervision mechanism to ensure the authenticity of the data before it is popularized and applied in classified occupational health management.

     

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