Industrial Safety & Hygiene News December 2011 by Dave Johnson

By Dave Johnson

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The attendant did not force the management to read MSDS sheets, as outlined by OSHA standards, or ensure that they examined the “as built” documents before implementing a procedure. Had the confined space attendant been cross-trained and objectively stated proper procedure, multiple deaths — including his own — could have been prevented. Third-party attendants In many industries, confined space entry is a routine part of the job. In others, it may only be an occasional necessity. Sadly, bid awards for confined space attendants are not based upon the training and skill development of these professionals, but on those who are the lowest paid.

Nonetheless, the heart will only have activity for about 10 minutes before it leads to asystole (flat-line) and then the AED will not shock the victim. This is why it’s so critically important for bystanders to start CPR and use an AED before EMTs arrive. The AEDs can be used on adults and on children. Special pediatric pads must be used for children one to eight years old to deliver less energy to their smaller hearts. Children over eight years old will need the larger adult pads to work effectively.

The plan should identify all potential hazards and related rescue scenarios. Confined space deaths often happen during rescue situations because rescuers are put at considerable risk. There are three categories of confined space rescue: t Self-rescue: Although not always possible, selfrescue is always the fastest and safest option. When a worker senses danger, he/she should remove themselves from the space immediately. t Non-entry rescue: This method involves another worker but without having anyone else enter the confined space.

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