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jmaclaughlin  
#1 Posted : 27 February 2020 11:40:57(UTC)
Rank: Forum user
jmaclaughlin

Appreciate that we currently do not protect against seasonal flu, and Covid-19 might not be a lot different, in terms of effect, but as employers does anyone know if we are obliged to provide face masks (Am assuming N95/FP3 standard )In the workplace if asked for by our employees?

CptBeaky  
#2 Posted : 27 February 2020 11:52:52(UTC)
Rank: Super forum user
CptBeaky

Why would we supply them? They mainly stop people from infecting others. If I had someone at work suspected of having COVID-19 they would be sent home, not given a mask.

Masks are NOT effective at stopping you from contracting viruses, in fact they can make it worse. The main entry point for COVID-19 is through mucous membranes i.e. contaminated hands touching mouth, nose, eyes etc. Viruses can survive a long time in a damp, warm enviroment i.e the mask when you breathe through it. Therefore you are just collecting the virus, ready to get it onto your hands and into your body.

From the goverment advise section 7 

Employees are not recommended to wear facemasks (also known as surgical masks or respirators) to protect against the virus. Facemasks are only recommended to be worn by symptomatic individuals (advised by a healthcare worker) to reduce the risk of transmitting the infection to other people.​​​​​​​

https://www.gov.uk/government/publications/guidance-to-employers-and-businesses-about-covid-19/guidance-for-employers-and-businesses-on-covid-19#guidance-on-facemasks

thanks 1 user thanked CptBeaky for this useful post.
jmaclaughlin on 27/02/2020(UTC)
grim72  
#3 Posted : 27 February 2020 11:52:53(UTC)
Rank: Super forum user
grim72

See link for latest government guidance to employers:

https://www.gov.uk/government/publications/guidance-to-employers-and-businesses-about-covid-19/guidance-for-employers-and-businesses-on-covid-19

It states "Employees are not currently recommended to wear facemasks to protect against the virus, which are only recommended to be worn by symptomatic individuals to reduce the risk of transmitting the infection to other people".

Basically just encourage good hand washing and disposal of tissues etc.

thanks 1 user thanked grim72 for this useful post.
jmaclaughlin on 27/02/2020(UTC)
A Kurdziel  
#4 Posted : 27 February 2020 14:07:48(UTC)
Rank: Super forum user
A Kurdziel

No because Covid-19, is not a workplace hazard and so there is no risk assessment which decides that wearing a face mask is the optimum control to manage the risk from that hazard.  So Section 9 of the Health and Safety at Work Act does not apply(duty to provide stuff for H&S purposes for free to employees) .The only exception is if you work in place where you either deal with the virus or people infected with it eg a hospital or a laboratory type set up.

thanks 2 users thanked A Kurdziel for this useful post.
jmaclaughlin on 27/02/2020(UTC), jwk on 27/02/2020(UTC)
jmaclaughlin  
#5 Posted : 27 February 2020 15:17:05(UTC)
Rank: Forum user
jmaclaughlin

I do understand the limitations of both the masks and the  virus/propagation.

Am facing two challenges, some employees are asking for them, so am probably going to decline using A Kurdziel line of reasoning.

The 2nd challenge is that I have to advise my employers as to, if someone brings the infection into the workplace, dose this then become a workplace hazard?, this is what I am struggling with.

I get that the most likely outcome is a site shutdown, but it’s presumably too late by then and was wondering if regular hand washing briefs, alcohol wipes freely available throughout the site,posters etc  would be considered “suitable and sufficient” control measures.

Kate  
#6 Posted : 27 February 2020 15:50:19(UTC)
Rank: Super forum user
Kate

The answers to all your questions are in the government guidance linked above.

Roundtuit  
#7 Posted : 27 February 2020 20:17:35(UTC)
Rank: Super forum user
Roundtuit

Workplace issue NOT a workplace hazard.

The source will more likely be someone not associated with site on a daily basis e.g. delivery driver, architect, fellow passenger on public transport etc... so you as an employer have no direct control and therefore only by elimination through site closure would truly be "suitable and sufficient" but then we all appreciate that is highly unlikely.

thanks 2 users thanked Roundtuit for this useful post.
jmaclaughlin on 02/03/2020(UTC), jmaclaughlin on 02/03/2020(UTC)
Roundtuit  
#8 Posted : 27 February 2020 20:17:35(UTC)
Rank: Super forum user
Roundtuit

Workplace issue NOT a workplace hazard.

The source will more likely be someone not associated with site on a daily basis e.g. delivery driver, architect, fellow passenger on public transport etc... so you as an employer have no direct control and therefore only by elimination through site closure would truly be "suitable and sufficient" but then we all appreciate that is highly unlikely.

thanks 2 users thanked Roundtuit for this useful post.
jmaclaughlin on 02/03/2020(UTC), jmaclaughlin on 02/03/2020(UTC)
chris.packham  
#9 Posted : 27 February 2020 21:38:24(UTC)
Rank: Super forum user
chris.packham

As already explained, the type of mask you see on television is actually worse than useless! It can actually increase the risk of the wearer inhaling the virus. The optimum, as explained in official guidance, is good hand hygiene. Optimum here is an alcohol sanitising rub. Whilst there is no legal duty to supply this, as a gesture of goodwill you could supply a personal issue alcohol hand sanitiser. Companies such as GOJO and DEB can supply these. For many years I have carried these in my bag and in my car. When I stop at a motorway service area at lieast I know that my hands are properly decontaminated before I touch any food!

There is also a lot of misinformation being spread. For example on Radion 2 someone advised that hands should be washed in the hotest water that a person could tolerate. This would only make things worse. Water about 35 deg. C damages the skin's natural barrier, making it easier for transient micro-organisms, e.g. the COVID-19 virus, to colonise the skin and increase the risk of infection. Water for washing should be no more than lukewarm. The concept that hot water for washing will kill bacteria is nonsense. To have any effect it would need to be so hot that it would scald and would need to be in contact with the skin for much longer than would be tolerable. 

thanks 5 users thanked chris.packham for this useful post.
SNS on 27/02/2020(UTC), RVThompson on 28/02/2020(UTC), Kate on 28/02/2020(UTC), CptBeaky on 28/02/2020(UTC), A Kurdziel on 28/02/2020(UTC)
craigroberts76  
#10 Posted : 28 February 2020 10:38:34(UTC)
Rank: Forum user
craigroberts76

Originally Posted by: chris.packham Go to Quoted Post

As already explained, the type of mask you see on television is actually worse than useless! It can actually increase the risk of the wearer inhaling the virus. The optimum, as explained in official guidance, is good hand hygiene. Optimum here is an alcohol sanitising rub. Whilst there is no legal duty to supply this, as a gesture of goodwill you could supply a personal issue alcohol hand sanitiser. Companies such as GOJO and DEB can supply these. For many years I have carried these in my bag and in my car. When I stop at a motorway service area at lieast I know that my hands are properly decontaminated before I touch any food!

There is also a lot of misinformation being spread. For example on Radion 2 someone advised that hands should be washed in the hotest water that a person could tolerate. This would only make things worse. Water about 35 deg. C damages the skin's natural barrier, making it easier for transient micro-organisms, e.g. the COVID-19 virus, to colonise the skin and increase the risk of infection. Water for washing should be no more than lukewarm. The concept that hot water for washing will kill bacteria is nonsense. To have any effect it would need to be so hot that it would scald and would need to be in contact with the skin for much longer than would be tolerable. 


Well said, only this morning on Radio 4 they had a "scientist" who said anti-bac was useless as it was "virus" so didnt work, soap and water did.... then in the next breath said make sure your Anti-bac is at least 60% alcochol and use regulary... god help the public..

A Kurdziel  
#11 Posted : 28 February 2020 10:42:30(UTC)
Rank: Super forum user
A Kurdziel

I keep seeing pictures on the telly of people wearing their masks wrong. There is a photo of Carabinieri detachment guarding one of the restricted areas in Italy. Every single one of them is wearing their mask upside down!

thanks 2 users thanked A Kurdziel for this useful post.
CptBeaky on 28/02/2020(UTC), jwk on 28/02/2020(UTC)
jwk  
#12 Posted : 28 February 2020 10:57:23(UTC)
Rank: Super forum user
jwk

OK, so I've had a question about gel. Many of our sites can't use alcohol gels as the service users might drink them. How effective (in relative terms) are the non-alcohol based alternatives? I know that soap and water is the best option and that's the message we're pushing, but the gel rubs are useful if there's no nearby sink,

John

Roundtuit  
#13 Posted : 28 February 2020 11:08:09(UTC)
Rank: Super forum user
Roundtuit

Originally Posted by: A Kurdziel Go to Quoted Post
I keep seeing pictures on the telly of people wearing their masks wrong. There is a photo of Carabinieri detachment guarding one of the restricted areas in Italy. Every single one of them is wearing their mask upside down! 

Just to pick at another perennial post a lot of them have beards!

thanks 2 users thanked Roundtuit for this useful post.
CptBeaky on 28/02/2020(UTC), CptBeaky on 28/02/2020(UTC)
Roundtuit  
#14 Posted : 28 February 2020 11:08:09(UTC)
Rank: Super forum user
Roundtuit

Originally Posted by: A Kurdziel Go to Quoted Post
I keep seeing pictures on the telly of people wearing their masks wrong. There is a photo of Carabinieri detachment guarding one of the restricted areas in Italy. Every single one of them is wearing their mask upside down! 

Just to pick at another perennial post a lot of them have beards!

thanks 2 users thanked Roundtuit for this useful post.
CptBeaky on 28/02/2020(UTC), CptBeaky on 28/02/2020(UTC)
chris.packham  
#15 Posted : 28 February 2020 11:15:37(UTC)
Rank: Super forum user
chris.packham

Firstly, soap and water is not the best option. The alcohol sanitiser is the option that is recommended in current government guidance, with soap and water only to be used when hands are visibly soiled. Most proprietary alcohol gels and foams are at least 60% alcohol and effective against most viruses. I never recommend the anti-bacterial skin cleansers as they can actually be counter-productive. The are too slow-acting for general use and the active (a biocide) can actually deplete the skin's own commensal flora and thus reduce the skin's ability to inhibit the colonisation of the skin by transient (potentially pathogenic) micro-organisms.

I would also not recommend the non-alcohol hand sanitisers as they are a leave-on product that will contain a biocide. This will be both irritant and almost certainly a skin sensitiser. In 2010 the Clinical Services Review published a paper on this that reviewed the evidence on these sansitisers and came to the conclusion that the alcohol based ones should be used. This is also the NICE accredited guidance in their paper on infection prevenetion (epic3 - downloadable from the Internet) where recommendation SP7 is to use an alcohol sanitiser with certain defined exceptions.

If anyone wants more on this PM me with a contact address.

thanks 1 user thanked chris.packham for this useful post.
stevedm on 28/02/2020(UTC)
jwk  
#16 Posted : 28 February 2020 12:06:01(UTC)
Rank: Super forum user
jwk

Originally Posted by: chris.packham Go to Quoted Post

Firstly, soap and water is not the best option. The alcohol sanitiser is the option that is recommended in current government guidance, with soap and water only to be used when hands are visibly soiled. Most proprietary alcohol gels and foams are at least 60% alcohol and effective against most viruses. I never recommend the anti-bacterial skin cleansers as they can actually be counter-productive. The are too slow-acting for general use and the active (a biocide) can actually deplete the skin's own commensal flora and thus reduce the skin's ability to inhibit the colonisation of the skin by transient (potentially pathogenic) micro-organisms.

I would also not recommend the non-alcohol hand sanitisers as they are a leave-on product that will contain a biocide. This will be both irritant and almost certainly a skin sensitiser. In 2010 the Clinical Services Review published a paper on this that reviewed the evidence on these sansitisers and came to the conclusion that the alcohol based ones should be used. This is also the NICE accredited guidance in their paper on infection prevenetion (epic3 - downloadable from the Internet) where recommendation SP7 is to use an alcohol sanitiser with certain defined exceptions.

If anyone wants more on this PM me with a contact address.

Thanks Chris: Maybe we have to consider personal dispensers worn on a carbiner, the type used by many NHS community professionals,

John

Ian Bell2  
#17 Posted : 28 February 2020 14:24:36(UTC)
Rank: Super forum user
Ian Bell2

Unbelievable...

chris.packham  
#18 Posted : 28 February 2020 14:31:01(UTC)
Rank: Super forum user
chris.packham

Ian - managing skin in the working environment is an aspect of health and safety where there are many myths and a great deal of misinformation. Some of this is promoted by suppliers and, unfortunately, then believed by those who do not have sufficient understanding of the real facts. When a major supplier of skin care products can make the following statement: “The onset of occupational skin diseases can, in many cases, be entirely prevented, or the extent of damage mitigated, simply by adopting the right skin care regime.” (in other words don't worry about the worker putting their hands into the sulphuric acid tank if you have my products in your washroom!) what chance do we have?

Ian Bell2  
#19 Posted : 28 February 2020 14:41:34(UTC)
Rank: Super forum user
Ian Bell2

I'm not querying work related skin care advice

jwk  
#20 Posted : 28 February 2020 15:41:05(UTC)
Rank: Super forum user
jwk

Originally Posted by: chris.packham Go to Quoted Post

Firstly, soap and water is not the best option. The alcohol sanitiser is the option that is recommended in current government guidance, with soap and water only to be used when hands are visibly soiled.

Chris, I do understand your level of expertise in these matters, and I did think the comment above must be correct. However, PHE (and similar bodies in the other UK countries) says 'wash your hands with soap and water often – use hand sanitiser gel if soap and water are not available' which is the guidance I have been following,

John

chris.packham  
#21 Posted : 28 February 2020 15:56:27(UTC)
Rank: Super forum user
chris.packham

John

If you look at the NICE accredited guidance for the healthcare sector what their recommendation SP7 states:

"" Use an alcohol-based hand rub for decontamination of hands before and after direct patient contact and clinical care, except in the following situations when soap and water must be used:

= when hands are visibly soiled or potentially contaminated with body fluids ; and

= when caring for patients with vomiting or diarrhoeal illness, regardless of whether or not gloves have been worn.

I have a list of studies published in journals such as the Journal of Hospital Infection, Contact Dermatitis (the official journal of the European Society of Contact Dermatitis, etc., which all show that alcohol sanitisersa are, sith certain exceptions, more effective than soap and water and less damaging to the skin. Excessive hand washing is a well-established cause of a high incidence of irritant contact dermatitis among nurses.

Kate  
#22 Posted : 28 February 2020 16:02:02(UTC)
Rank: Super forum user
Kate

Right, but what goes for healthcare workers needn't necessarily go for everyone else.

chris.packham  
#23 Posted : 28 February 2020 21:37:33(UTC)
Rank: Super forum user
chris.packham

What's different in nurses' skin? Actually, much of the studies I have that confirm the alcohol sanitiser approach is the more effective are not from the healthcare sector, but from dermatologists, toxicologists, etc. The guidance for health care is just one of the many that I have on file and they all take the same approach.

Kate  
#24 Posted : 29 February 2020 16:59:39(UTC)
Rank: Super forum user
Kate

There is nothing different in nurses' skin.  What is different is the work that nurses do, their working environment,  and the mix of hazards that they are exposed to.

thanks 1 user thanked Kate for this useful post.
jwk on 02/03/2020(UTC)
jmaclaughlin  
#25 Posted : 02 March 2020 09:12:25(UTC)
Rank: Forum user
jmaclaughlin

Originally Posted by: Kate Go to Quoted Post

The answers to all your questions are in the government guidance linked above.

Not true, The question was if an employee asks for a mask is the employer obliged to provide one & in the forums opinion would my current controls be deemed "suitable & sufficient" in the event of say a visit by the ORR(Office of Rail & Road) or HSE.

Both questions fully answered by A Kurdziel   &  Roundtuit , for which I thank them.

Invictus  
#26 Posted : 02 March 2020 12:47:11(UTC)
Rank: Super forum user
Invictus

Originally Posted by: jmaclaughlin Go to Quoted Post
Originally Posted by: Kate Go to Quoted Post

The answers to all your questions are in the government guidance linked above.

Not true, The question was if an employee asks for a mask is the employer obliged to provide one & in the forums opinion would my current controls be deemed "suitable & sufficient" in the event of say a visit by the ORR(Office of Rail & Road) or HSE.

Both questions fully answered by A Kurdziel   &  Roundtuit , for which I thank them.


I wouldn't supply them, because then your stuck with face fit, informing all staff who are not clean shaven to shave and as stated not a workplace hazard. To be honest if it comes my way then it comes. I won't be worrying.
Invictus  
#27 Posted : 02 March 2020 13:01:36(UTC)
Rank: Super forum user
Invictus

Try the IOSH mag.

Kate  
#28 Posted : 02 March 2020 13:14:56(UTC)
Rank: Super forum user
Kate

Originally Posted by: jmaclaughlin Go to Quoted Post
Originally Posted by: Kate Go to Quoted Post

The answers to all your questions are in the government guidance linked above.

Not true, The question was if an employee asks for a mask is the employer obliged to provide one & in the forums opinion would my current controls be deemed "suitable & sufficient" in the event of say a visit by the ORR(Office of Rail & Road) or HSE.

Both questions fully answered by A Kurdziel   &  Roundtuit , for which I thank them.

The guidance explains that masks are ineffective and not recommended.  In which case, you can't possibly be under any obligation to provide them.

chris.packham  
#29 Posted : 02 March 2020 13:33:40(UTC)
Rank: Super forum user
chris.packham

If you are providing the masks to protect your workforce what about fit testing?

jwk  
#30 Posted : 02 March 2020 14:37:29(UTC)
Rank: Super forum user
jwk

Originally Posted by: chris.packham Go to Quoted Post

If you are providing the masks to protect your workforce what about fit testing?

I remember Avian Flu and having to get the whole of my team trained as fit-testers (clinical care environments). Ah, the smell of bergamot!

John

jmaclaughlin  
#31 Posted : 02 March 2020 14:58:57(UTC)
Rank: Forum user
jmaclaughlin

Originally Posted by: chris.packham Go to Quoted Post

If you are providing the masks to protect your workforce what about fit testing?

As some of our worksite involves tunnelling , all staff are face fit tested on induction/prior to employment and once a year thereafter.

There is also a clean shaven policy for tunnel works, the supervisors ensure correct usage throughout their shifts in the relevant areas.

I fully appreciate that masks are likely to be not particularly effective, they are also impracticable to wear for any length of time as breathing gets progressively harder until you break the seal amongst other drawbacks.

My question was solely for the purpose of ascertaining employer obligations, not the practicalities of providing masks.

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