A Brief Guide to Mold in the Workplace Safety and Health Information Bulletins

1. A Brief Guide to Mold in the Workplace U.S. Department of LaborOccupational Safety and Health AdministrationDirectorate of Science, Technology and MedicineOffice of Science and Technology Assessment A Brief Guide to Mold in the Workplace Safety and Health Information Bulletins

2. Visible mold growth • On structural materials • That will be disrupted – cut, drilled, removed

3. Health effects of air-borne mold on healthy persons • Respiratory irritation • Allergies • Asthma • Rarely, allergic lung disease

4. Mold and mold spores are part of our everyday environment

6. There are many types of mold. Most typical indoor air exposures to mold do not present a risk of adverse health effects. Molds can cause adverse effects by producing allergens (substances that can cause allergic reactions).

7. Molds may cause localized skin or mucosal infections but, in general, do not cause systemic infections in humans, except for persons with impaired immunity, AIDS, uncontrolled diabetes, or those taking immune suppressive drugs.

11. Molds can also cause asthma attacks in some individuals who are allergic to mold. In addition, exposure to mold can irritate the eyes, skin, nose and throat in certain individuals. Symptoms other than allergic and irritant types are not commonly reported as a result of inhaling mold in the indoor environment.

12. Current scientific evidence does not support the proposition that human health has been adversely affected by inhaled mycotoxins in home, school, or office environments. ACOEM 2003

13. Toxic Mold = Moldy food or agricultural product Toxic if eaten!

17. Farmer’s lung Or Hypersensitivity pneumonitis

18. OSHA Level I: Small Isolated Areas (10 sq. ft or less) – e.g., ceiling tiles, small areas on walls • Remediation can be conducted by the regular building maintenance staff • N-95 disposable respirator • The work area should be unoccupied • Should be cleaned • Dust suppression recommended • Containment is not necessary

19. Level II: Mid-Sized Isolated Areas(10-30 sq. ft.) – e.g., individual wallboard panels • Remediation can be conducted by the regular building maintenance staff • N-95 disposable respirator • The work area should be unoccupied. Removing people from spaces adjacent to the work area is not necessary but is recommended for infants (less than 12 months old), chronic inflammatory lung diseases (e.g., asthma, hypersensitivity, pneumonitis, and severe allergies). • Dust suppression methods, such as misting (not soaking) surfaces prior to remediation, are recommended. • Containment recommended

20. Level III: Large Isolated Areas (30-100 sq ft) – e.g., several wallboard panels • Industrial hygienists or other environmental health and safety professionals with experience performing microbial investigations and/or mold remediation should be consulted prior to remediation activities to provide oversight for the project. The following procedures may be implemented depending upon the severity of the contamination: • It is recommended that personnel be trained in the handling of hazardous materials and equipped with respiratory protection (e.g., N-95 disposable respirator). Respirators must be used in accordance with the OSHA respiratory protection standard (29 CFR 1910.134). Gloves and eye protection should be worn. • Surfaces in the work area and areas directly adjacent that could become decontaminated should be covered with a secured plastic sheet(s) before remediation to contain dust/ debris and prevent further contamination. • Seal ventilation ducts/grills in the work area and areas directly adjacent with plastic sheeting. • The work area and areas directly adjacent should be unoccupied. Removing people from spaces near the work area is recommended for infants, persons having undergone recent surgery, immunesuppressed people, or people with chronic inflammatory lung diseases. (e.g., asthma, hypersensitivity pneumonitis, and severe allergies). • Dust suppression methods, such as misting (not soaking) surfaces prior to mediation, are recommended. • Contaminated materials that cannot be cleaned should be removed from the building in sealed impermeable plastic bags. These materials may be disposed of as ordinary waste. • The work area and surrounding areas should be HEPA vacuumed and cleaned with a damp cloth or mop and a detergent solution. • All areas should be left dry and visibly free from contamination and debris. • Note: If abatement procedures are expected to generate a lot of dust (e.g., abrasive cleaning of contaminated surfaces, demolition of plaster walls) or the visible concentration of the mold is heavy (blanket coverage as opposed to patchy), it is recommended that the remediation procedures for Level IV be followed.

21. Personal Protective Equipment (PPE) • Minimum: Gloves, N-95 respirator, goggles/eye protection • Limited: Gloves, N-95 respirator or half-face respirator with HEPA filter, disposable overalls, goggles/eye protection • Full: Gloves, disposable full body clothing, head gear, foot coverings full-face respirator with HEPA filter

22. + work gloves I & II

23. III & over

24. Containment • Limited: Use polyethylene sheeting ceiling to floor around affected area with a slit entry and covering flap; maintain area under negative pressure with HEPA filtered fan unit. Block supply and return air vents within containment area. • Full: Use two layers of fire-retardant polyethylene sheeting with one airlock chamber. Maintain area under negative pressure with HEPA filtered fan exhausted outside of building. Block supply and return air vents within containment area.

29. Use N-95 mask to prevent • Aggravate allergies • Aggravate asthma • Sinus infection if diabetes out of control or immune suppressed • Systemic infection if immune suppressed • Rare allergic lung reactions • Rare fungal growth in scarred lungs/cortisone drug use

32. Use full mask and protective suit for extensive work > 30 ft sq in a single contagious area with dust containment and industrial hygiene oversight of “outside contractor?”

33. Minor surface cleaning which does not disrupt structural material does not require protective equipment.

34. Toxic Mold Media Hype?