Individual Fit Testing of Hearing-Protection Devices Based on Microphones in Real Ears among Workers in Industries with High-Noise-Level Manufacturing.

Hearing-protection devices (HPDs) are particularly important in protecting the hearing of workers. The aim of this study was to prevent hearing damage in workplaces in Taiwan. It was conducted to determine the actual sound attenuation of the personal attenuation rating (PAR) values when wearing HPDs via measurements from field microphones in workers' real ears (F-MIRE). Across 105 measurement trials for the Classic™ roll-down foam earplug HPDs worn by the workers, there were 23 cases of ineffective protection (including caution and fail); the proportion was 20% (including the first measurement and re-wear of HPDs after education and training). In addition, re-education and training in how to wear the HPDs was provided, improving wearing skills. A total of 29 testees wearing the Classic™ roll-down foam earplug HPDs failed to meet the pass standard for the first PAR test, and 6 of them improved and subsequently passed the PAR test. The improvement rate was 20%. These 23 testees switched to another HPD, namely Kneading-Free Push-Ins™ earplugs. From this group, 16 effective sound attenuation values were obtained, with an improvement rate of 70%. However, seven testees failed to pass the PAR test, and after education, training, and replacement of HPDs with different types, they still could not pass the PAR test. At that time, even if the UltraFit™ pre-molded earplugs were adopted again for wear and replacement, they were still unable to pass the PAR test. This HPD was eventually replaced with the PELTOR X4A Earmuff HPD and then tested again, with these HPDs finally passing the PAR test. In Taiwan, the use of fit testing has been increasing but it is not a common practice, and few studies on hearing-protection fit testing have been conducted in this country. The goal of this study was to gain more insight into the current hearing protection situation, including field attenuation of HPDs obtained by workers, the effects of training on improving the attenuation of HPDs after F-MIRE measurements, and the awareness of hearing health and motivation on the use of HPDs in a high-noise-level environment.

Characteristic Analysis of Occupational Confined Space Accidents in Taiwan and Its Prevention Strategy.

According to the US Bureau of Labor Statistics (BLS), 882 people were killed or injured due to confined space accidents in 2011-2017. Occupational accident statistics published in 2008-2018 by the Taiwan Occupational Safety and Health Administration (OSHA, Taiwan) show that 70 people suffered from disasters and 52 were injured in the 64 accident reports involving confined spaces. In the US, on average, 126 people die each year in accidents related to confined spaces, and in Taiwan, an average of 8 people per year are casualties of accidents involving confined spaces, proving that it is an area of concern that cannot be neglected. When misjudgments occur in confined spaces, not only can people be hurt, but they can even lose their lives, and the risks associated with confined spaces can subsequently result in rescue personnel also being killed or injured. This study was conducted via the systematic causal analysis technique (SCAT), which was proposed and developed by the International Loss Control Institute (ILCI), with the intention of identifying the critical basic causes of the confined space accidents that have occurred over the years in the Taiwan area, in order to propose corresponding improvement strategies. After investigating the statistics in Taiwan, it was determined that hydrogen sulfide was involved in 45% of accidental deaths in confined spaces, followed by 11% involving carbon dioxide, 9% involving carbon monoxide, and 7% involving toluene. Additional analysis of non-standard acts identified "failure of operating procedures" as being involved in 27% of accidents, followed by 25% involving "improper personal protective equipment" and 23% involving "incorrect position". The analysis of non-standard conditions revealed that "dangerous workplace" was involved in 39% of accidents, "improper protective measures" in 30%, and "inadequate ventilation" in 27%. In accordance with our analysis results, it could be suggested that hazard prevention strategies for confined spaces, in addition to encouraging avoidance of non-standard acts by personnel, should also strive to improve these non-standard conditions. Otherwise, if not prevented deliberately and in a fundamental, relevant accidents will remain inevitable.