Rank: Forum user
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Recently we have had a number of reports from a number of fitters reporting of skin on their hands, arms and some on their face has become red and itchy. On investigation of the substances used, even the dry painted items they assembly we have identified no obvious culprit, nor have we identified any synergistic effect from use of multiple substances. Substances used are predominantly, Standard mineral oils, hydraulic oils and greases, Loctite for screw threads. We have looked at the dusts created from sanding painted areas; however the people affected wouldn't even come close to come into contact, although some will. We have asked the usual domestic questions etc, including that all individuals washing their own overalls etc and live in different parts of the region. On this basis, we are at a loss to identify what the cause is for the skin issues reported. Has anyone come across a similar issue to this in a mechanical assembly environment with the array of substances an environment like this uses?
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Rank: Super forum user
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Can oils and mineral oils (whilst not being irritant per se) cause foliculitis?
Just a thought
Des
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Rank: New forum user
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You could have a look at the type of hand cleaner the workforce uses (try introducing barrier creams and some type of moisturising cream), do you have problems with pigeons? as their nests have small insects in them that irritate your skin, if so contact a pest control company who can carry out various tests to see if this is the case
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Rank: New forum user
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Sound like a typical case of Contact Dermititis
Mineral Oils can clog the pores and eliminate the skins ability to breath causing allergic reactions such as contact dermatitis. Touching the face with contaminated hands will transfer the problem. Try improving your hygiene regieme and use gloves where possible (not latex) Barrier creams can also help as can after work moisturising creams. Ensure individuals wash their hands before eating etc and at the end of their shift. You may find that the condition of individuals improves when they are abscent from work (i.e on holiday) but reoccur readily on their return, (another indicator of contact dermititis) You may also want to review your policy in respect to workers washing their own overalls at home.
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Rank: Super forum user
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Also look at gloves and other consumables - possible change of supplier or spec. which may have gone unnoticed - even on the finished parts they are routinely handling.
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Rank: Super forum user
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Fom the descripton given it is simply impossible to determine whether we are dealing with an irritant or allergic reaction, or possibly a combination of both. In general when investigating such a case the first step would be to investigate and try to identify what actual skin contact is occurring. This requires a workplace visit to study how the actual work is being done and to identify what the real chemical hazards are (not necessarily what is on the safety data sheet) and what skin exposure is actually occurring. Probably then, if the answer is not immediately apparent, it will need a clinical investigation by a dermatologist (with experience in contact dermatitis), including a patch test to identify any sensitisation and to what substances. This will then guide the subsequent investigation and methods for managing the problem.
I would not encourage reliance upon so-called barrier creams. The evidence based British Occupational Health Research Forum review investigated these and commented: "Employers and their health and safety personnel should not promote the use of pre-work (barrier) creams, since this may confer on workers a false sense of security and encourage them to be complacent in following more effective preventative measures." There are several studies that have shown an increased potential for skin problems as a result of the use of these products.
Quite often the cause of a skin complaint can be a combination of several factors, including contact with irritants and sensitisers, physical trauma, psychosomatic effects, ambient conditions, possibly combined with a condition such as atopy that has not been identified.
Investigating a suspected case of occupational skin disease can be a complex affair. If you need to know more take a look at the NHS Plus website where there is a document on managing dermatitis.
Chris
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Rank: Super forum user
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Doobrifurkin - If the work includes contact with nickel-plated components, it is possible that sensitivity to nickel might be involved. I've no direct experience of this particular cause, but do recall years ago seeing a video film about people developing such sensitivity through working in a large cash office for a public transport organisation. Their work involved handling large volumes of cash, including nickel silver coins taken as fares on buses and perhaps at railway stations as well.
As previous responders have indicated, identifying and dealing with occupational skin irritation is far from easy. One of my standard questions in vehicle repair garages during my decade with HSE was about skin irritation which could be provoked by contact with any of the various substances (oil grease, petrol, etc) which employees encountered. HSE training included the fact that a relatively small proportion of people react badly to even small quantities of such substances, with the result that wearing medical gloves or barrier creams was of little use and the only real protection came from ceasing to work with vehicles. This would be extremely bad news for garage apprentices who were learning the trade they had probably dreamed of doing. I didn't encounter any such people myself but recall that occasionally other inspectors and EMAS colleagues did.
Anyhow, hope the cause of the problem - and a solution - can be identified soon for the benefit and relief of the affected ermployees. As with other types of problems raised on this forum, if you are successful, it would be good if you could share with us the cause and solution/s in due course. This might well help others with similar situations as well as demonstrate just how constructive this forum can be at times.
p.s. The spell checker wasn't happy with your name and suggested "debriefing" as an alternative!
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Rank: Super forum user
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A couple of ideas. Appologies if not applicable.
New cleaning products in use?
Do you have a contractor who replaces the hand roller towel in the gents. If yes have they changed their laundry detergent?
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