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    2543 2546

    2547 2550

    2548 2549 CKE Engineering Co., Ltd. 2553 2556 2550

    30000

    : 044-223926 : 044-223920 : [email protected] , [email protected]

    Facebook: kiattisak batsungnoen

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    618101

    Basic Occupational Health and Safety

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    618101 (Basic OccupationalHealth and Safety)

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    1 The Denition and Scope of Occupational Health and Safety

    1. 2 2. 2 3. 4 4. 10 5. 11 6. 13 7. 13

    8. 14 14 15 16

    2 Occupational Health and Safety Teamwork and Organization

    1. 18

    2. 18 3. 22 4. 27 5. 28 6. 32 37 38 40

    3 Situation of Injuries and Occupational Disease in The Workplace

    1. 42 2. 44 3. 45 4. 1,000 45 5. 46

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    3 Situation of Injuries and Occupational Disease in The Workplace

    6. 47 7. 47 8. 48 9. 2554 49 10. .. 2545 - 2551 53 11. .. 2544 - 2555 55 12. 100,000 55

    57 58 59

    4 Environmental Hazards in The Workplaces

    1. 62 2. 62

    2.1 Noise 62 2.2 Vibration 69 2.3 Heat 74

    2.4 Cold 82 2.5 Radiation 84 2.6 Pressure 89 2.7 Light 90 3. 93

    3.1 94 3.2 95 3.3 97 3.4 97 3.5 98 3.6 99

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    4 Environmental Hazards in The Workplaces

    4. 101 5. 103 105 106 108

    5 Industrial Safety

    1. 110 2. 110 3. Accident Ratio Study 111 4. Domino Theory 112 5. Loss Causation Model 114 6. 116 7. Accident loss 120

    8. 122 129 130 131

    6 Principle of Hazard Control in the Workplace

    1. 134 2. 134 3. 136 4. Personal Protective Equipment (PPE) 140 4.1 141 4.2 141 4.3 143 4.4 145

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    6 Principle of Hazard Control in the Workplace

    4.5 149 4.6 152 4.7 154 4.8 155 4.9 157 5. 3 E 157 6. 158

    6.1 158 6.2 159 6.3 160 6.4 160 6.5 161 6.6 162 6.7 162 6.8 163

    6.9 164 6.10 165 6.11 166 6.12 167 6.13 169 171 172 173

    7 Occupational Diseases

    1. 176 2. 176 3. 177 4. 179 5. 183

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    7 Occupational Diseases

    - 183 - 184 - 185 - 186 - 187 - 188 - 189

    - 190 - 191 - 192 - (Asbestosis) 193 - 194 6. 195 7. 196 198

    199 200

    8 Physical Examination for Occupational Health Risk Factor

    1. 202 2. 202 3. 203 3.1 203 3.2 204 3.3 205 - 205 - 206 - 206 - 207

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    8 Physical Examination for Occupational Health Risk Factor

    - 207 - 207 - 207 - 208 - 209 3.4 209 4. 210

    5. 211 212 213 214

    9 Principles of Occupational Health and Safety Services in the Workplace

    1. 216 2. 216 3. 217 4. 218 5. 225 1 225 2 226 3 227

    4 227 5 227 6 228 7 229 8 230 9 230 6. 231 233

    234 235

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    618101 (Basic OccupationalHealth and Safety)

    1.

    2.

    3. 4. 5. 6. 7. 8. 9. 10. 11. 12. () 13. 12

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    |.3 1

    (.)

    .3

    //

    1

    1. 618 101 (Basic Occupational Health and Safety)

    2. () 3 3 (3-0-6)3. 4. 5. / 3 / 1

    6. (pre-requisite) () 7. (co-requisites) () 8. B 3101 1 9.

    1 2554

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    2

    1.

    1. 2. 3.

    4.

    5. 6. 7.

    2. / 2.1

    2.2

    3

    1.

    3. 3.1

    3.3 2

    2.

    /

    /

    3 - - - 6

    |.3 2

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    4

    1. 1.1

    - - - -

    - 1.2

    (1)

    (2)

    (3)

    (4) /

    (5)

    1.3 (1)

    (2)

    (3) (4) (5)

    |.3 3

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    4

    2. 2.1

    2.2

    (1)

    (2)

    2.3 (1)

    (2) (3)

    2. / 2.1

    2.2

    3. 3.1

    |.3 4

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    4

    3.2 (1)

    (2) (3)

    (4) / 3.3 (1)

    (2) (3)

    4. 4.1

    4.2

    4.3 (1) (2)

    |.3 5

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    4

    5. 5.1

    5.2 (1)

    (2)

    (3) (4)

    5.3 (1) (2) (3)

    (4)

    |.3 6

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    5

    1.

    ()

    /

    1 1

    3 1. 2.

    3. 4. 5.

    -

    2 2

    3 1. 2.

    -

    |.3 7

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    1.

    ()

    /

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    |.3 8

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    1.

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    1.

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    |.3 10

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    1.

    ()

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    3 1. 2.

    3. 4.

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    |.3 11

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    2.

    4

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    1-12 10 %

    - 1 1-5 40 %- 2 6, 8-12 45 %-

    3, 5, 8 5 %

    5

    6

    1. 1. , .

    . 2544 2. . Industrial Hygiene.

    . , 2545 3. 1-73.. . 2552

    4. . IndustrialSafety.

    5. . 711201 (Introduction toOccupational Health). . . 2543

    6. .

    80 5 2550.

    7. . . . 2542

    8. . .12. .. . . 2551.

    9. . 618 101 (Basic Occupational Health and Safety).

    |.3 12

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    6

    2. - Microsoft Power Point

    3. 1. Herbert William Heinrich. Industrial accident prevention: a scientic approach. McGraw-Hill.

    1931. 2. Joseph LaDou. Current Occupational & Environmental Medicine. Third Edition. Lange

    Medical Books. McGraw-Hill 3. U.S. Department of Labor, Informational Booklet on Industrial Hygiene, U.S. Department

    of Labor Occupational Safety and Health Administration OSHA 3143 1998 (Revised)4. . .. 2541. 12 .. 2541

    53 . 115 8 5. . ..

    2554. 12 .. 2554 66 . 5 128 4

    6. . .. 2549. 5 123 65 21 2549

    7. http://www.labour.go.th/th 8. http://www.oshthai.org/index.php 9. () http://www.shawpat.or.th 10. http://www.industry.go.th/page/index.aspx 11. http://www.pcd.go.th 12. http://msds.pcd.go.th 13. http://www.chemtrack.org 14. NIOSH Pocket Guide to Chemical Hazards http://www.cdc.gov/niosh/npg

    15. NIOSH Manual of Analytical Methods http://www.cdc.gov/niosh/docs/2003-154 16. Chemical and Laboratory Equipment http://www.sciencelab.com

    |.3 13

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    |.3 14

    7

    1. -

    2. - -

    3. -

    - -

    4. -

    -

    5.

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    1

    -

    -

    -

    -

    -

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    .. 1750 .. 1850

    1.

    2.

    400 Hippocrates .. 100 Pliny .. 200 Galen .. 1556 Agricola De Re Metallica

    ..1700 Bernardo Ramazzini (father of industrial medicine) De Morbis Articum Diatriba (The Diseases of Workmen) Bernardo Ramazzini

    2 |

    [1,2,3]

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    .. 1743 Ulrich Ellenborg Pocketbook , ,

    18

    Percival Pott (Chimney-Sweepers Acts) .. 1978 .. 1983 (Factory Acts)

    20 Alice Hamilton

    .. 1908 .. 1911 (Workers Compensation Laws) .. 1913 (Department of Labor) (Department of Health) .. 1948 .. 1919 (International Labour Organization; ILO)

    3 .. 1966 (The Metal and Nonmetallic Mines SafetyAct) .. 1969 (The FederalCoal Mine Safety and Health Act) .. 1970 (The Occupational Safety and Health Act)

    | 3

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    3.

    3.1 24 2475 .. 2475 .. 2475

    1 (.. 2504 2509) .. 2505 .. 2508 .. 2533 28 2535 2

    23 .. 2536 3 2545 ( 5).. 2545 .. 2545

    4 |

    [4]

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    | 5

    3.2 .. 2477

    [5]

    1) .. 2477 2) .. 2484 3) .. 2495 4) .. 2497 5) .. 2505 6) .. 2527

    7) .. 25358) (2) ..2550

    .. 2510 2 .. 2516 29 .. 2535 10 [6]

    1) 2) 3) 4) 5) 6) 7) 8)

    9) 10)

    .. 2512 [7] 2 2518 3 2522 2 2535

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    6 |

    .. 2515 15 2 (7) 103 16 2515

    1) 2) 3) () 4) 5) () 6) 7)

    8)

    9) 10) 11) 12) 13)

    14) 15)

    .. 2536 3 1)

    2)

    3) .. 2515 18 18

    12 .. 2541 2541 [8] 3 103 16 .. 2515 103 16 .. 2515 ( 1).. 2533

    18

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    | 7

    166 2541 103 16 .. 2515 .. 2541 [8]

    16

    103

    1) .. 2547

    2) .. 2547

    3)

    .. 2547 4)

    .. 2548 5)

    .. 2549 6)

    .. 2549

    7) .. 2551

    8) .. 2552

    9) (2) ..2553

    10) .. 2554

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    8 |

    12 2554 [9] 180 16 2554 3 (

    .. 2549) 8 ( ) .. 2541

    3 74 8 .. 2541 103 3 3

    1) () 2)

    3)

    7 2555 2555 22 2556 1

    .. 2556 1 ( 1 2557)

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    | 9

    3.3

    8 .. 2512 [10] ()

    29 [11]

    1). 139 ( 185 ) 3 30 103 6

    2). 3 (.) 3). 1. 6 -

    22 12 2. 6

    (.)

    3. (.) 4. 2 3 22 12 4 60

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    10 |

    4. [1,2]

    4). 20 1 5). 4

    1. , 2. 3. 4.

    29 38 [11] ( 2 2556) http://www.oshthai.org/index.php

    Occupational Health and Safety 3 Occupational () Health () Safety ()

    (Occupational)

    (Health) (Physical Health) (Mental Health) (Social well-being) ()

    (Safety) (Hazard) (Danger) (Risk) (Loss) (Acceptable Risk) (Hazard)

    (Danger)

    (Risk)

    (Loss)

    (Occupational Health and Safety)

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    | 11

    5. [12]

    3 (Recognition) (Evaluation) (Control)

    5.1 (Recognition) H.W. Heinrich 2 (Unsafe Action) (Unsafe Condition)

    5.2 (Evaluation) 2

    Checklist , What if analysis, Fault Tree Analysis, Event Tree Analysis, FMEA HAZOP (Electromyography, EMG) Rapid Upper Limb Assessment (RULA) Rapid Entire Body Assessment (REBA) Pain Scale

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    12 |

    1 1

    1 - 1

    (Sound Level Meter) .. 2549 8 90 (dBA) 90 dBA

    Audio Meter 25 - 40 dBA

    5.3 (Control)

    1) (Source)

    2) (Part)

    3) (Receiver)

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    | 13

    6. [1,2]

    7.

    (International Labor Organization; ILO) (World Health Organization; WHO) 5

    1) (promotion and maintenance)

    2) (prevention)

    3) (protection)

    4) (placing)

    5) (adaptation)

    3

    1) (Worker)

    2) (Working Environment) 4

    3)

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    14 |

    8.

    1) 2) 3)

    4) 5) 6) 7) 8) 9)

    400 Hippocrates .. 1700 Bernardo Ramazzini (father ofindustrial medicine) De Morbis Articum Diatriba (The Diseases of Workmen)

    20 .. 1970 (Occupational Health and Safety)

    3 (Recognition) (Evaluation) (Control) 5 (promotion and maintenance) (prevention) (protection) (placing) (adaptation) 3

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    16 |

    1. 2. (Occupational Health

    and Safety) 3. 4. ILO WHO 5.

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    2

    -

    -

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    1.

    2. [1,2,3]

    (OccupationalHealth and Safety Teamwork) 2.1 (Safety Ofcer Safety Professional)[1,3] .. 2549

    5 1) 2) 3) 4) 5) 5

    2.1.1 [3]

    12

    1)

    2)

    18 |

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    3) 4)

    5)

    6) 7) 8)

    9)

    10)

    11)

    12)

    2.2 (Industrial Hygienist) [1,4]

    (Industrial Hygiene Program) Threshold Limit Value(TLV) Biological Exposure Indices (BEI)

    .. 1995 American Academy of Industrial Hygiene (AAIH), AmercanBoard of Industrial Hygiene (ABIH), American Conference of Industrial Hygienists (ACGIH)

    American Industrial Hygiene Association (AIHA) 4 (Hygienist) 6 1)

    2)

    | 19

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    3)

    4)

    5)

    6)

    2.3 (Occupational Health Nurse)[1] 4

    2.4 (Occupational Physician) [1]

    2.5 (Ergonomist)

    2.6 (Toxicologists)

    20 |

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    2.7 (Engineer)

    2.8 (Employer) [3]

    2.9 (Employee) [3] 1)

    2)

    3) 4)

    5) 6)

    7)

    8)

    | 21

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    1). 1. 2. 3.

    4. 5. 6. 7. 8. 9.

    2).

    1. 2. 3. 4. 5. 6.

    7. 8.

    22 |

    3.

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    2 1

    4 1) 2)

    3) 4)

    11 2552 1) 2)

    3)

    3.1 Ministry of Labour [5,6]

    2 - 1

    |

    23

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    24 |

    4) 5) 6)

    7) 8)

    [6] 12 1) 1 ( ) 2) 2 ()

    3) 3 () 4) 4 () 5) 5 () 6) 6 () 7) 7 () 8) 8 () 9) 9 ()

    10) 10 () 11) 11 () 12) 12 ()

    (.) 3

    3.2 Ministry of Industry [7] 8 3

    1. 2.

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    | 25

    3. 4. 5. 6.

    7. 8.

    3.2.1 [9]

    3.2.2 [10] 3.2.3 [11]

    3.2.4 (Eastern Industrial EnvironmentMonitoring Center : EIMC) [12] 3.2.5 [13] . 3 1)

    2)

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    26 |

    3) . 18001-2554 . 368-2554

    . 1. . ISO 2. 3. 4.

    (.17025-2543 ISO/IEC 17025) 5. 6.

    7. 8. 9.

    3.2.6 (Industrial Estate Authority of Thailand) [14]

    47

    3.3 [8,15]

    1) 2) 3)

    4) / 5) 6) 12

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    | 27

    3.4 [16]

    3.5. [17]

    1) 2) 3)

    4) 5)

    6)

    7) 8) 9) Material Safety DataSheets (MSDS)

    1) () SHAWPAT(Safety and Health At Work Promotion Association Thailand )

    2) (..)

    4.

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    28 |

    3) (.) 4) 5) 6)

    400

    ACGIH , OSHA, NIOSH

    5.1 American Conference of Governmental Industrial Hygienists (ACGIH) [1,4,18] ACGIH .. 1938

    1. 2. 3. ACGIH Threshold Limits .. 1941 Technical Standards

    Industrial Ventilation Threshold Limit Values (TLVs) ACGIH TLV TLV ACGIH 1. (Industrial Hygiene) TLVs , BEIs 2. 3. 4.

    5.

    5.

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    30 |

    5.4 American National Standard Institute (ANSI) 19 .. 1918

    5.5 American Industrial Hygiene Association (AIHA)

    American Board of Industrial Hygiene (certication)

    5.6 Environmental Protection Agency (EPA)

    EPA

    5.7 American Society of Heating, Refrigerating, and Air-Conditioning Engineers (ASHRAE)

    5.8 World Health Organization (WHO) (United Nation)

    5.9 International Labour Organization (ILO) ILO ILO-OSH 2001

    5.10 International Organization for Standardization (ISO)

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    1) ISO 9000 (Quality Management System : QMS) 2) ISO 14000 (Environment Management System : EMS) 3) ISO/IEC 17025

    5.11 National Fire Protection Association (NFPA )

    .. 1896

    5.12 DeutschesInstitut fur Normung (DIN) [The German Industrial Standard]

    .. 1917

    (.) 5.13 Japanese Industrial Standards (JIS)

    .. 1922 JIS JIS

    5.14 The British Standard Institution (BSI) British Standard (BS)

    (.)

    5.15 Commission Internationale De LEclairage (CIE) International Commission on Illumination .. 1931

    5.16 Underwriters Laboratories Inc. (UL) .. 1894 UL

    | 31

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    5.17 Australia Standards / New Zealand Standards (AS/NZS)

    ..1922

    (.) 5.18 European Standards (EN)

    .. 1961 EN

    2-2

    2-2

    6.1

    CEO (Chief Executive Ofcer) (General Manager)

    6.

    CEO

    1

    HR

    QC

    Occ.Health Safety & Envi

    2

    3

    32 |

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    6.2

    1) (Occupational HealthSafety and Environment Department)

    2) (Human Resource Department: HR) 3) (Financial and Accounting Department)

    4) (Purchasing Department) 5) (Marketing Department) 6) (Quality Control Department: QC)

    7) (Store Department) 8) (Production Department)

    9) (Maintenance Department)

    (Preventative Maintenance)

    | 33

    6.3

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    34 |

    2-3

    2-3

    2-3 4 1) (Corporate Social Responsibility Division: CSR)

    2) (Occupational Health and safety Division) 3) (Environmental Health Divis ion)

    Environmental Impact Assessment (EIA) Health ImpactAssessment (HIA)

    CSR

    EIA/HIA

    Occ.Health Safety Environmental Security & Emergency

    Occ.Health Safety & Envi

    -

    -

    -

    -

    -

    -

    -

    -

    -

    -

    -

    -

    -

    -

    -

    -

    -

    -

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    | 35

    6.4

    [3] 50 (.)

    2- 1 (.)

    50 - 99 5

    100 - 499 7

    500 11

    80 . 5 . 1 1 2 1

    10,000 20 30 . . . .

    1) 30 50 2) 3) 4) 5) . .

    1 6) . 1 7) . 2

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    | 37

    ACGIH , OSHA, NIOSH,

    50 (.)

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    38 |

    1. . Industrial Hygiene. . , 2545

    2. 1-7 3. . . 2552

    3. .. 2549. 5 123 65 21 2549

    4. Code of Ethics for the Professional Practice of Industrial Hygiene (1995). 3 2556. http://ethics.iit.edu/ecodes/node/4275

    5. Ministry of Labour. 10 2556. http://www.mol.go.th/

    anonymouse/home 6. . 10 2556. http://www.oshthai.org/index.php

    7. . 10 2556. http://www.industry.go.th8. .

    (Basic Occupational Health and Safety). . 2547

    9. Department of Industrial Works. 10 2556.

    http://www.diw.go.th/hawk/default.php 10. . 10 2556. http://eis.diw.go.th/haz/Law.asp 11. . 10 2556. http://oaep.diw.go.th/cms 12. . 10 2556.

    http://www.eimcdiw.com 13. . 10 2556. http://www.tisi.go.th/

    index.php 14. . 10 2556. http://www.ieat.go.th/

    15. . 10 2556. http://www.moph.go.th/ 16. . 10 2556. http://www.bangkok.go.th/

    envsanitation/ 17. . . 10 2556.

    http://www.pcd.go.th/ 18. American Conference of Governmental Industrial Hygienists (ACGIH).

    10 2556. http://www.acgih.org/

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    | 39

    18. American Conference of Governmental Industrial Hygienists (ACGIH). 10 2556. http://www.acgih.org

    19. Occupational Safety and Health Administration (OSHA), Department of Labour,United State. 10 2556. https://www.osha.gov

    20. The National Institute for Occupational Safety and Health (NIOSH), Centers forDisease Control and Prevention, U.S. Department of Health and Human Services.10 2556. http://www.cdc.gov/niosh/

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    1.

    2. 3. 4. (.)

    3 5. OSHA, NIOSH, ACGIH

    6. JIS, DIN, AS/NZS

    7. 400 . .

    40 |

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    3

    -

    -

    -

    - 2554

    - .. 2545 - 2551

    - .. 2544 - 2555

    - 100,000

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    Situation of Injury and Occupational Disease in the Workplace

    1. [1]

    .. 2555 64 15 54.66 39.49 39.21 2.33 5.8 15.17 39.21 14.87 24.34 3 -1

    3-1 15

    .. 2555

    15 54.62 54.66 26.54 28.12

    1. 39.44 39.49 21.37 18.12

    1.1 39.15 39.21 21.22 17.99

    1.2 0.25 0.22 0.12 0.10

    1.3 0.04 0.058 0.03 0.03

    2. 15.18 15.17 5.17 10.00

    :

    .. 2555 39.21 14.87 24.34 5.72 2.56 3 2

    42 |

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    103 16 2515

    3 2533 . .. 2533 1 338,270 .. 2535 .. 2554 .. 2535 3.02 .. 2554 8.22 3 - 1

    2541 2540 .. 2541 .. 2544 .. 2545

    1 : 1,000,000

    3 - 1

    44 |

    2. [2,3,4,5,6]

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    .. 2535 .. 2554 .. 2535 1.32 .. 2554 1.30

    .. 2539 2.46 .. 2554 1.30 3 - 2

    1 : 100,000

    3 - 2

    |

    45

    3.

    4. 1,000

    1,000 .. 2535 1,000 43.64 1,000 43.64 ..2554 1,000 15.76 3 - 3

    .. 2535 .. 2540

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    .. 2541 .. 2541 18 .. 2554

    3 - 3

    3 - 3 1,000

    .. 2542 2554 .. 2548 1,444 .. 2554 590 3-4

    3 4

    46 |

    5.

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    .. 2542 2554

    .. 2547 23 .. 2554 4 3 - 5

    3 5

    |

    47

    6.

    .. 2546 3,821 .. 2554 1,630 3 6

    3 6

    7.

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    48 |

    3

    2 3 3 3 3 .. 2547 3 157,982 .. 2554 91,699 3 3

    .. 2548 3 53,641 .. 2554 35,709 3 3

    3 3 3

    8.

    .. 3 3

    2542 50,239 117,739

    2543 48,338 127,076

    2444 48,077 137,407

    2545 49,102 137,879

    2546 52,364 153,684

    2547 52,893 157,982

    2548 53,641 155,706

    2549 51,901 148,114

    2550 50,525 144,111

    2551 45,719 127,059

    2552 39,850 106,598

    2553 39,919 103,813

    2554 35,709 91,699

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    |

    49

    2554 129,632 8,222,960

    37,177 22,818 9,104 28.68, 17.60 7.02 10 3 - 7

    10

    1,000 34.90

    1,000 25.31 1,000 23.30 1,000 3 - 8 1,000

    x 1,000

    3 7 10 : 2554

    9. 2554 [6]

    9.1 10 [6]

    9.2 1,000 [6]

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    50 |

    1,000 () 1,000

    1,000 10

    3 8 1,000 : 2554

    // 29,382 / 20,537

    19,471 22.67, 15.84 15.02 3 9 10

    3 9 10 : 2554

    9.3 10 [6]

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    |

    51

    29,157 23,087 8,851

    22.49,17.81 6.83 3 11 10

    59,326 16,946 16,591 45.76, 13.07 12.80 3 10

    10

    3 10 10 : 2554

    3 11 10

    : 2554

    9.5 10 [6]

    9.4 10 [6]

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    52 |

    25 - 29 24,971 30 - 34 24,831 20 - 24 20,023 19.26 ,19.15 15.45

    1,000 15 - 19 28.69 20 - 24 19.08

    35 - 39 15.28 3 12

    9,275

    7,373 6,978 7.15, 5.69 5.38 3 13

    3 12 : 2554

    9.6 [6]

    9.7 10

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    |

    53

    10

    .. 2545 .. 2551

    3 - 4

    3 4 .. 2545 - 2551

    .. /

    2545 2546 2547 2548 2549 2550 2551

    1. 29 15 33 55 35 94 68

    2. 1 - - - - - -

    3. 3 4 - - - - -

    4. 2 - - - - - -

    5. 1 - - - - - -

    3 13 10 : 2554

    10. .. 2545 - 2551

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    |

    55

    .. 2544 - 2555 .. 2547 70 .. 2547 12 3 - 14

    .. 2544 - 2555

    11. .. 2544 - 2555

    3 - 14 .. 2544 - 2555

    Jukka Takala 100,000

    3 - 15

    12. 100,000 [9,10]

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    56 |

    FI = Finland; SE = Sweden; NO = Norway; DK = Denmark; BE = Belgium; US = USA; CA = Canada;

    AU = Australia; JP = Japan; MY = Myanmar; TH = Thailand; KR = Republic of Korea; ID = Indonesia; FJ = Fiji

    3 - 15 100,000 : Jukka Takala.1992. Safety and health information system: Analysis of local, nationaland global methods (doctoral thesis). Tampere University of Technology, Tampele, Finland.

    Annual incidence of fatal occupational

    accidents per 100,000 workers in selected countries

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    |

    57

    ..2555 64 15

    54.66 39.21

    2.33 .. 2535 3.02 .. 2554 8.22 .. 2554 1.30

    1,000 .. 2554 1,000 15.76

    1,000 15 - 19 .. 2547 70 Jukka Takala 100,000

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    58 |

    1. ( .. 2555),

    . 20 2555. http://service.nso.go.th/nso/nsopublish/themes/les/lfs55/reportOct.pdf

    2. . 20 2555. Available from: http://www.sso.go.th/wpr/home.jsp

    3. 2551. 4. 2552. 5. 2553. 6. 2554. (Annual Report 2011) , 7. .. 2545 2551.

    8. 2544-2555 . 20 2555. http://oaep.diw.go.th/cms/

    9. Jukka Takala.1992. Safety and health information system: Analysis of local, nationaland global methods (doctoral thesis). Tampere University of Technology, Tampele,Finland.

    10. . . .

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    1. .. 2. .. 2554 3. 1,000

    2 4. .. 2554 5. .. 2554 6.

    |

    59

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    60 |

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    4

    -

    -

    -

    -

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    1.

    2. Environmental Physical Hazards

    5 4

    7

    1. Noise 2. Vibration

    3. Heat 4. Cold 5. Ionizing Radiation Non-Ionizing Radiation 6. Pressure 7. Light

    62 |

    2.1 Noise [1,2,3]

    2 (Noise) (Sound) Noise Sound

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    4 1

    3 (Malleus) (Incus) (Stapes) 3 (Hair Cells)

    85 4 - 1

    4 - 1

    64 |

    (/.)

    (.)

    200

    63

    140

    130

    30

    20

    6.3

    2.0

    0.63

    120

    110

    100

    90

    -

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    : , . . 2544

    4 - 1 ()

    | 65

    (/.)

    (.)

    0.2

    0.063

    0.02

    80

    70

    60

    0.0063

    0.002

    0.00063

    50

    40

    30

    0.0002

    0.0000630.00002

    20

    100

    -

    2.1.4 [1,2,3]

    1. 2. 3. 4.

    5.

    6.

    2.1.5 [2,3]

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    2.1.5.1 Sound Level Meter 40-140

    (Weighting Networks) 3 A B C (Sound level meter) 4 - 2

    1) Weighting Networks A Weighting Networks A (dBA)

    2) Weighting Networks B Weighting Networks B

    (dBB) 3) Weighting Networks C

    Weighting Networks C (dBC)

    (Sound Level Meter) [3,4] (International ElectrotechnicalCommission: IEC) IEC 651 Type 2 ANSI S 1.4, BS EN 60651, AS/NZS 1259.1 IEC 60804, IEC 61672, BS EN 60804, AS/NZS 1259.2

    4 - 2 Sound Level Meter

    2.1.5.2 (Noise Dosimeter) (NoiseDosimeter) 4 - 3 (Noise Dosimeter) [3,4] IEC 61252

    ANSI S1.25

    66 |

    External calibrator

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    2.1.5.3 (Impulse or Impact Noise Meter) (Impact Noise Meter) [3,4] IEC 61672 IEC 60804 ANSI S 1.43

    2.1.5.4 Octave band analyzer (Ear muffs) (Ear plugs) (Calibration)

    (Noise Calibrator) IEC 60942

    2.1.6 [5] .. 2549 1 4 2 OSHA [6]

    |

    67

    4 - 3 (Noise Dosimeter)

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    68 |

    4 2

    () (TWA)

    ()

    12

    8

    7

    6

    5

    4

    3

    2

    1 30 1

    30

    15

    87

    90

    91

    92

    93

    95

    97

    100

    102105

    110

    115

    (TWA)

    T () L ()

    (time-weighted average; TWA)

    (Peak) 140 4 2 8

    90 ACGIH [7] 8 85 85

    ( L 90 ) / 5

    8T

    2 =

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    | 69

    2.2 Vibration [8,9]

    (Vibration) (Oscillatory Motion)

    2.2.1 2 1) (Whole Body Vibration :WBV) 1. (Forklift) (Tractor) 2.

    3. 4.

    2) (Hand Arm Vibration : HAV)

    2.2.2 (Response) 2.2.2.1 [9] NIOSH (National Institute for OccupationalSafety and Health)

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    (Motion Sickness)

    Hyperventilation Syndrome Vibration sickness

    2.2.2.2 [9]

    Vibration White Finger Deads Finger

    Raynauds Phenomenon Carpal Tunnel Syndrome

    2.2.3 (Vibration Meter)

    2 (Probe) (Meter) 4 -4

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    2.2.4 [10] ACGIH TLV

    1) TLV X, Y

    Numerical values for vibration acceleration in the transverse, axor a

    ydirection [back-to-chest or side-

    to-side] . Values define the TLV in terms of rms value of pure (sinusoidal) single-frequency vibration orof RMS value in one-third-octave band for distributed vibration. (Adapted from ISO 2631)

    : TLVs and BEIs 2013, Vibration, ACGIH

    Frequency

    Hz

    Acceleration,m/s2

    Exposure times

    24 h 16 h 8 h 4 h 2.5 h 1 h 25 min 16 min 1 min

    1.0

    1.25

    1.6

    2.0

    2.5

    3.15

    4.05.0

    6.3

    8.0

    10.0

    12.5

    16.0

    20.0

    25.0

    31.5

    40.0

    50.0

    63.0

    80.0

    0.100

    0.100

    0.100

    0.100

    0.125

    0.160

    0.2000.250

    0.315

    0.40

    0.50

    0.63

    0.80

    1.00

    1.25

    1.60

    2.00

    2.50

    3.15

    4.00

    0.135

    0.135

    0.135

    0.135

    0.171

    0.212

    0.2700.338

    0.428

    0.54

    0.675

    0.855

    1.06

    1.35

    1.71

    2.12

    2.70

    3.38

    4.28

    5.4

    0.224

    0.224

    0.224

    0.224

    0.280

    0.355

    0.4500.560

    0.710

    0.900

    1.12

    1.40

    1.80

    2.24

    2.80

    3.55

    4.50

    5.60

    7.10

    9.00

    0.355

    0.355

    0.355

    0.355

    0.450

    0.560

    0.7100.900

    1.12

    1.40

    1.80

    2.24

    2.80

    3.55

    4.50

    5.60

    7.10

    9.00

    11.2

    14.0

    0.50

    0.50

    0.50

    0.50

    0.63

    0.8

    1.01.25

    1.6

    2.0

    2.5

    3.15

    4.0

    5.0

    6.3

    8.0

    10.0

    12.5

    16.0

    20.0

    0.85

    0.85

    0.85

    0.85

    1.06

    1.32

    1.702.12

    2.65

    3.35

    4.25

    5.30

    6.70

    8.5

    10.6

    13.2

    17.0

    21.2

    26.5

    33.5

    1.25

    1.25

    1.25

    1.25

    1.6

    2.0

    2.53.15

    4.0

    5.0

    6.3

    8.0

    10.0

    12.5

    15.0

    20.0

    25.0

    31.5

    40.0

    50.0

    1.50

    1.50

    1.50

    1.50

    1.9

    2.36

    3.03.75

    4.75

    6.0

    7.5

    9.5

    11.8

    15.0

    19.0

    23.6

    30.0

    37.5

    45.7

    60.0

    2.0

    2.0

    2.0

    2.0

    2.5

    3.15

    4.05.0

    6.3

    8.0

    10.0

    12.5

    16.0

    20.0

    25.0

    31.5

    40.0

    50.0

    63.0

    80.0

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    | 73

    X, Y 8 5 Hz 0.560 m/s2

    TLV Z

    Z 4 5 Hz

    0.53 m/s2

    Numerical values for vibration acceleration in the longitudital, az, direction [foot-to-head direction].

    Values define the TLV in terms of RMS value of pure (sinusoidal) single-frequency vibration or of RMSvalue in one-third-octave band for distributed vibration.(Adapted from ISO 2631)

    : TLVs and BEIs 2013, Vibration, ACGIH

    Frequency

    Hz

    Acceleration,m/s2

    Exposure times

    24 h 16 h 8 h 4 h 2.5 h 1 h 25 min 16 min 1 min

    1.0

    1.25

    1.6

    2.0

    2.5

    3.15

    4.0

    5.0

    6.3

    8.0

    10.0

    12.5

    16.0

    20.0

    25.0

    31.5

    40.050.0

    63.0

    80.0

    0.280

    0.250

    0.224

    0.200

    0.180

    0.160

    0.140

    0.140

    0.140

    0.140

    0.180

    0.224

    0.280

    0.355

    0.450

    0.560

    0.7100.900

    1.120

    1.400

    0.383

    0.338

    0.302

    0.270

    0.239

    0.212

    0.192

    0.192

    0.192

    0.192

    0.239

    0.302

    0.383

    0.477

    0.605

    0.765

    0.9551.19

    1.53

    1.91

    0.63

    0.56

    0.50

    0.45

    0.40

    0.355

    0.315

    0.315

    0.315

    0.315

    0.40

    0.50

    0.63

    0.80

    1.0

    1.25

    1.602.0

    2.5

    3.15

    1.06

    0.95

    0.85

    0.75

    0.67

    0.60

    0.53

    0.53

    0.53

    0.53

    0.67

    0.85

    1.06

    1.32

    1.70

    2.12

    2.653.35

    4.25

    5.30

    1.40

    1.26

    1.12

    1.00

    0.90

    0.80

    0.71

    0.71

    0.71

    0.71

    0.90

    1.12

    1.40

    1.80

    2.24

    2.80

    3.554.50

    5.60

    7.10

    2.36

    2.12

    1.90

    1.70

    1.50

    1.32

    1.18

    1.18

    1.18

    1.18

    1.50

    1.90

    2.36

    3.00

    3.75

    4.75

    6.007.50

    9.50

    11.8

    3.55

    3.15

    2.80

    2.50

    2.24

    2.00

    1.80

    1.80

    1.80

    1.80

    2.24

    2.80

    3.55

    4.50

    5.60

    7.10

    9.0011.2

    14.0

    18.0

    4.25

    3.75

    3.35

    3.00

    2.65

    2.35

    2.12

    2.12

    2.12

    2.12

    2.65

    3.35

    4.25

    5.30

    6.70

    8.50

    10.613.2

    17.0

    21.2

    5.60

    5.00

    4.50

    4.00

    3.55

    3.15

    2.80

    2.80

    2.80

    2.80

    3.55

    4.50

    5.60

    7.10

    9.00

    11.2

    14.018.0

    22.4

    28.0

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    74 |

    2) (RMS) 4 - 3

    4 - 3 TLV X, Y, Z

    (Total Daily Exposure)

    (RMS)

    m/s2

    4 8 4

    2 4 6

    1 2 8

    1 12

    : TLVs and BEIs 2010, Vibration, ACGIH

    (TotalDaily Exposure) TLV

    (Heat stress) 2 4 - 4

    -

    -

    -

    - -

    -

    -

    1 3.96 1 0.252

    2.3 Heat [2,11]

    1 (1 Cal) 1 1

    4 4

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    | 75

    45 (BasalMetabolism) 1

    45

    /

    -

    -

    -

    -

    0.3

    0.6

    2.0 3.0

    0.8 1

    /

    (/)

    (/)

    :

    - ( )

    - ( /)

    0.4

    0.90.2 1.2

    :

    - ( )

    - ()

    1.0

    1.70.7 2.5

    2 :

    - ( )

    - ()

    1.5

    2.51.0 3.5

    :

    - ()

    - ( )

    - ( )

    - ( )

    3.5

    5.0

    7.0

    9.0

    2.5 15.0

    1.0

    70 1.8 :U.S. Department of Labor, Occupational Safety and Health Administration, OSHA TechnicalManual Section III [11]

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    76 |

    1. (Evaporation) 22 %

    (Heat Strain) (Fever) (Heat Stroke) (Heat Exhaustion) ( Heat Cramp) (Heat Rash)

    2.3.1 [2,11] 37 1oC 97 % (Heat Strain) 4 - 7

    Work at hot Environment

    Hight Body Temperature

    Must Rehydrate & Replace Body Salts

    EvaporationRadiation

    Convection

    Conduction

    Heat Strain

    Increase Body Temperature

    4 - 7

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    | 77

    2. (Radiation)

    10 %3. (Convection)

    12 %

    4. (Conduction)

    3 %

    2.3.2 [2,11] (Hypothalamus)

    37 1oC

    H = (Body Heat Storage) M = (Metabolic Heat)

    R = (Radiation) C = (Convection) E = (Evaporation) D = (Conduction)

    H = M R C - E D

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    | 79

    (Acclimatization)

    2.3.4 WBGT Wet Bulb GlobeTemperature 3 4 - 8

    WBGT1. (Dry Bulb Thermometer : DB)

    0.5 0.5

    2. (Natural Wet Bulb Thermometer : NWB) 3. (Globe Thermometer : GT) -5 100 15

    3 0.5 oC WBGT ISO 7243 DIN EN 27243

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    80 |

    4 - 8 WBGT

    2) WBGT

    2.3.5 [4,5] .. 2549 .. 2550

    2.3.6 WBGT

    1) WBGT

    WBGT Manual WBGT

    WBGT indoor = 0.7 WBT + 0.3 GT

    WBGT outdoor = 0.7 WBT + 0.2 GT + 0.1 DT

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    3) WBGT

    DT (Dry Bulb Thermometer : DT) WBT (Natural Wet Bulb Thermometer : WBT) GT (Globe Thermometer : GT)

    t

    .. 2549

    2 WBGT WBGT 4)

    WBGT 2 4 5

    M ( 4 - 5)

    t

    2.3.7 [5]

    .. 2549

    200 WBGT 34oC

    WBGT Avg= (WBGT1t1)+(WBGT

    2t2)++(WBGT

    ntn)

    t1+t

    2+. +t

    n

    Metabolism Avg = M1t1+M

    2t2++M

    ntn

    t1+t

    2+. +t

    n

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    4) Chilblains Pernio chronic pernio blue toes

    2.4.1

    4 - 7

    Cooling Power of Wind on Exposed Flesh Expressed as Equivalent Temperature (under calm conditions)

    EstimatedWind Speed

    (in mph)

    Actual Temperature Reading (oF)

    50 40 30 20 10 0 -10 -20 -30 -40 -50 -60

    Equivalent Chill Temperature (oF)

    Calm 50 40 30 20 10 0 -10 -20 -30 -40 -50 -60

    8 48 37 27 16 6 -5 -15 -26 -36 -47 -57 -68

    16 40 28 16 4 -9 -24 -33 -46 -58 -70 -83 -95

    24 36 22 9 -5 -18 -32 -45 -58- -72 -85 -99 -112

    32 32 18 4 -10 -25 -39 -53 -67 -82 -96 -110 -121

    40 30 16 0 -15 -29 -44 -59 -74 -88 -104 -118 -133

    48 28 13 -2 -18 -33 -48 -63 -79 -94 -109 -125 -140

    56 27 11 -4 -20 -35 -51 -67 -82 -98 -113 -129 -145

    64 26 10 -6 -21 -37 -53 -69 -85 -100 -116 -132 -148

    (wind speeds greater

    than 40 mph have

    little additional effect.)

    LITTLE DANGER

    In < hr with dry skin.

    Maximum danger of false

    sense of security.

    INCREASING DANGER

    danger from freezing of

    exposed flesh within one

    minute.

    GREAT DANGER

    Flesh may freeze within

    30 seconds.

    Trenchfoot and immersion foot may occur at any point on this chart.

    :TLVs and BEIs 2013, Thermal stress (ACGIH) [12]

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    4 - 7 [13]

    : 80 5 2550

    4 - 9 : Physical Principles of Ionizing Radiations, Online Radiography Continuing Education for

    Radiologic X ray Technologist [14]

    -1oC -17oC

    -17o

    C -34o

    C

    4 1

    1 ( 1 1 )

    -37oC -56oC

    30 4

    1

    (1) 15 4

    (2) 1 4 Low chill factor

    -56oC -73oC 5 8

    84 |

    2.5 Radiation [2]

    2

    4 - 9

    THE ELECTROMAGNETIC SPECTRUM

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    DNA, RNA, , Teratogen

    4 - 9

    4 - 9 [2]

    1.

    2.

    3.

    4.

    (Rad)

    0-25

    25-50

    50-150

    150-300

    300-500

    500

    : . Industrial Hygiene. ., 2545

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    Survey Meter Alpha Survey Meter, Gamma Survey Meter Nuclear survey meter

    2.5.5 [15] .. 2547

    4 10 (Film Badge)

    (Film Ring) (TLD Badge) (TLD Ring) (TLD Capsule) (Pocket Chamber)

    (Pocket Dosimeter)

    88 |

    4 - 10

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    4 10

    : .. 2547

    * :

    [15,16] .. 2547 4 - 10

    ( mSv)

    *

    *

    20 5

    ( 50 )

    150

    500

    5

    10%

    2.6 Pressure [1]

    760

    1) 2)

    Decompression Sickness

    3) (Conned Space) [17]

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    1. 19.5 % 23.5 % 2. 10 (Lower Flammable Limit Lower Explosive Limit) 3.

    4.

    90 |

    2.7 Light [1,2,18]

    (Retina) 380 770

    2 (Natural Lighting) (Articial Lighting)

    2.7.1 [18]

    3 4 11 3

    4 11

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    (Iris) (Pupil)

    (Retina Light Sensitive Layer) (Visual Receptors) (Rod Cells) (Cone Cells)

    (ActionPotential) Rod Cells

    Cone Cells Cerebral Cortex

    2.7.2 [1,2,18] 2

    1)

    2) (glare) (Temporary Blindness)

    2.7.3 [18] .. 2550 1 Lux Meter CIE 1931 (International Commission on Illumination) ISO/CIE 10527 (Photometer Zeroing)

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    4 - 13 1) (Inhalation) Mucous 10 Alveoli

    Macrophage Macrophage

    3.1 [2]

    (Metabolite)

    3 4 - 13

    , , , , ,

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    3.3

    3

    1) (Acute Toxicity) 24 2) (Chronic Toxicity) 3 3) (Sub chronic Toxicity) 1-3

    3.4 [2,19]

    1) (Irritant) 2) (Asphyxiants) 21 19.5 16 2

    (Simple Asphyxiants)[2,19] (Chemical Asphyxiants)[2,19] Carboxyhemoglobin 200

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    3) (Effect to Target Organ) [19]

    4) (Cancer)

    5) (Teratogenic) [19] 6) (Mutagenic) [19] DNA

    Ethylene Oxide,Hydrogen Peroxide

    3.5

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    3.6

    () 2554 . . OSHA,NIOSH, ACGIH

    OSHA, NIOSH, ACGIH Center forDisease Control and Prevention [20]

    1. NIOSH Manual of Analytical Methods (NIOSH Methods)

    OSHA, NIOSH, ACGIH

    http://www.cdc.gov/niosh/docs/2003-154

    2. Find a Method: Chemical Name Chemical CAS Number Method Number Chemical Name (Particulates) Total dust P

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    100 |

    3. Particulates NIOSH Method 0500

    4. OSHA, NIOSH, ACGIH

    8 4 12

    4 12 8

    OSHA NIOSH ACGIH

    (Total dust) 15 mg/m3 15 mg/m3 - 10 mg/m3

    (Respirable dust)5 mg/m3 5 mg/m3 - 3 mg/m3

    (Lead) 0.2 mg/m3 0.05 mg/m3 0.1 mg/m3 0.05 mg/m3

    (Cadmium dust) 0.2 mg/m3 0.05 mg/m3 - 0.01 mg/m3

    (Benzene) 10 ppm 1 ppm 0.1 ppm 10 ppm

    (Toluene) 200 ppm 200 ppm 100 ppm 50 ppm

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    | 101

    4 12 8 ()

    Bacterial infections

    Tuberculosis (TB)

    Mycobacterium

    tuberculosis

    AntraxBacillus anthracis

    Leptospirosis

    Leptospira

    interrogans

    TetanusClostridium tetani

    OSHA NIOSH ACGIH

    (Carbontetrachloride)10 ppm 10 ppm 2 ppm 5 ppm

    (Chloroform) 50 ppm 50 ppm 2 ppm 10 ppm

    (Ammonia) 50 ppm 50 ppm 25 ppm 25 ppm

    (Chlorine) 1 ppm 0.1 ppm 0.1 ppm 0.1 ppm

    4. Environmental Biological Hazards [1,2,19]

    5 1)

    4 - 13

    4 - 13

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    Viral infections

    Rabies

    Rabies virus

    Acute hepatitis BHepatitis B virus

    AIDS

    Human

    immunodeficiency

    virus (HIV)

    Avian influenza

    Influenza virus

    H5N1

    2009

    Influenza virus type

    A H1N1

    4 - 13 ()

    2)

    3) 4) 5) Lichen

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    5. Environmental Ergonomics Hazards [2,21]

    Ergonomics Ergo Nomous

    (Anthropology) (Anatomy) (Physiology) (Medicine) (Psychology) (Engineering)

    1) 2) 3)

    4) (Shift Work)

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    104 |

    5) OT (Over Time)

    6) (Low Back Pain) 7) 8)

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    106 |

    1. , . . 2544

    2. . Industrial Hygiene. . . 2545 3. ( Noise Measurement).

    .. 2549 4. .

    .. 2550.

    18 124 67 22 2550 5. . .. 2549. 13 123 23 6 2549

    6. Occupational noise exposure, Standard Number: 1910.95, Occupational Safety andHealth Administration (OSHA), Department of Labour, United State.

    7. TLVs and BEIs 2010, Noise, American Conference of Governmental Industrial Hygienists(ACGIH)

    8. . .2. . 2552. 9. Vibration Syndrome, The National Institute for Occupational Safety and Health (NIOSH),

    Centers for Disease Control and Prevention, U.S. Department of Health and HumanServices.

    10. TLVs and BEIs 2013, Vibration, American Conference of Governmental IndustrialHygienists (ACGIH)

    11. (Hot Environment Measurement) .

    .. 2549

    12. TLVs and BEIs 2013, Thermal stress, American Conference of Governmental IndustrialHygienists (ACGIH)

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    13. 80 5 2550 14. Physical Principles of Ionizing Radiations, Online Radiography Continuing Education

    Education for Radiologic X ray Technologist, 20 2555. http://www.ceessentials.net/article2.html

    15. . .. 2547. 16 121 42 20 2547

    16. 80 5 2550

    17. . .. 2547.

    18 121 35 10 2547 18. (Illumination Measurement).

    .. 2549

    19. . Chemical Emergency Response. . 2545

    20. NIOSH Manual of Analytical Methods, Centers for Disease Control and Prevention, U.S.Department of Health and Human Services. 10 2556. http://www.cdc.gov/niosh/docs/2003-154/

    21. . Ergonomics. . 2543

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    108 |

    1.

    2.

    3.

    4. 3

    5. 3

    6. 2 7. 8. 3

    9. 3

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    110 |

    1. [1]

    2. [2,3]

    3 [1]

    7 1.

    2. 3. 4. 5.

    6. 7.

    2.1 (Accident)

    2.2 (Near Miss) 2.3 (Incident)

    3 (Accident) (Near Miss) (Incident) 5

    (Accident)

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    3. Accident Ratio Study [3,4] Frank E. Bird 1 : 10 : 30 : 600 5 - 1

    1 (Serious or Major Injury) 10 (Minor Injury) 30 (Property Damage Accidents)

    600 (Near Miss)

    1 10 30 600

    (Near Miss) (Incident) 5

    Accident Ratio

    Serious or Major Injury

    Minor Injury

    Property Damage Accidents

    Near Miss

    5 1

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    4. Domino Theory [3,4,5]

    Domino Theory H.W. Heinrich .. 1931 5 5 -2

    5 - 1

    5 2

    * Unsafe Mechanical or Physical Conditions Unsafe Conditions

    1. Social and Environment

    2. Fault of Person

    3. Unsafe Act & Unsafe Mechanical

    or Physical Conditions*

    4. Accident

    5. Injury

    5 1

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    Domino Theory 5 4 3 2 1

    5 3 5 - 2

    3 1 2 3 4 5 5 3

    5 3 3

    1. Social and Environment

    2. Fault of Person

    3. Unsafe Act & Unsafe Condition

    4. Accident

    5. Injury 3

    5 - 2

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    5. Loss Causation Model [4]

    Frank. E. bird H.W. Heinrich 5 5 - 45 - 3 Frank. E. bird

    Domino H.W. Heinrich Frank. E. bird (Multiple Causes) (Sub-Standard Act or Practice) (Unsafe Act) (Sub-Standard Condition) (UnsafeCondition)

    Lack ofControl

    Inadequate System

    Standards

    Compliance

    Factor Personal

    Job

    Substandard Act/Practice

    Condition

    (Event) Contact Substance

    Energy

    People

    Property

    Process

    Environment

    etc.

    BasicCauses Immediate

    Causes Incident Loss

    Threshold

    Limit

    2 2

    5 - 4 Loss Causation Model

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    Loss Causation Model 5 (Loss)

    4 (Incident) (Threshold Limit) ()

    3 (Immediate Cause) (Sub-Standard Act) (Sub-Standard Condition) (Symptom)

    2 (Basic Cause) (Personal Factor) (Job Factor) 1 (Lack of Control)

    1.

    (Lack of Control)

    2.

    (Basic Cause)

    (Personal Factor)

    (Job Factor)

    3.

    (Immediate Causes)

    (Substandard Act/Practice)

    (Substandard Condition)

    4. (Incident)

    5. (Loss)

    :

    : :

    :

    :

    5-3

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    118 |

    9. 10. 11.

    12. 13.

    2) (Unsafe Conditions)

    1. 2. 3. 4. 5.

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    6. 7. 8. (Phys ical Hazard)

    9. (Chemical Hazard) 10. (Biological Hazard)

    11. (Ergonomics)

    H.W. Heinrich

    (Unsafe Acts) (Unsafe Conditions) 4M + 1E Man Machines Materials

    Methods

    Environment

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    8. [2,3]

    1,000,000 IFR , ISR Safe-T-Score 1,000,000

    200,000

    OSHA 200,000 ANSI 1,000,000

    Safe-T-Score

    Safe-T-Score

    2

    +2.00 - 2.00

    - 2.00

    1. Injury Frequency Rate (IFR)

    2. Injury Severity Rate (ISR)

    3. Average Severity of the Injury

    4. Safe-T-Score S.T.S.

    I.F.R. =

    I.S.R. =

    S.T.S =

    1,000,000

    1,000,000

    I.F.R. [] - I.F.R. []

    I.F.R. []

    /1,000,000

    I.S.R.

    I.F.R.

    = x

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    1 () .. 2551 2553 150,000 16,500 9,000 28,250 96,250 9 8 304

    1.1 1

    16,5008304 = 40,128,000 9,0008304 = 21,888,000 28,2508304 = 68,704,000 96,2509304 = 263,340,000 = 394,060,000

    1.2 .. 2552 8,650 91,690

    .. 2553 12,425 178,920 I.F.R., I.S.R. .. 2552 2553

    2552

    2552 1,000,000 21.95

    2553

    2553 1,000,000 31.53

    I.F.R. =

    I.F.R. =

    I.F.R. =

    = 21.95

    = 31.53

    1,000,000

    8,650 1,000,000

    394,060,00

    12,425 1,000,000394,060,00

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    1.3 ..2551 6,972 59,262 5

    1 115 2 1 150 3 90 4 110 5 180

    I.S.R. =

    I.S.R. =

    =

    =

    =

    I.S.R. =

    = 232.68

    = 454.04

    = 10.60

    = 14.40

    1,000,000

    91,690 1,000,000394,060,00

    I.S.R.I.F.R.

    232.68

    21.95

    454.0431.53

    178,920 1,000,000394,060,00

    2552

    2552

    2553

    2553

    2552 1,000,000 232.68

    2553 1,000,000 454.04

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    5 (115+150+90+110+180) = 645 6,967 = 59,262 645 = 58,617

    1 (600+3,000) = 3,600 2 (600+600) = 1,200 3 (600+1,250) = 1,850 4 (600+1,800) = 2,400 5 = 6,000 = 58,617 + 3,600 + 1,200 + 1,850 + 2,400 + 6,000

    = 73,667

    1.4 Safe T Score 2552 2553

    Safe T Score Safe T Score 2 2553

    1,000,000 186.94

    I.S.R. = = 186.94

    = 40.59

    73,667 1,000,000394,060,00

    S.T.S =

    S.T.S =

    I.F.R. [] - I.F.R. []I.F.R. []

    /1,000,000

    31.53- 21.9521.95

    394,060,000/1,000,000

    : 128

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    2 () 450 .. 2550 6 1 30 36 300 1

    2 30 48 1 52

    2.2 (I.S.R)

    2.1 (I.F.R)

    1,000,000 64.1

    = 450 x 48 x 26

    = 561,600 = 36

    = 450 x 48 x 26= 561,600

    = 300

    I.F.R. =

    I.F.R. =

    I.S.R. =

    = 64.10

    = 534.19

    1,000,000

    36 1,000,000561,600

    300 1,000,000

    561,600

    I.S.R. = 1,000,000

    1,000,000 534.19

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    2.3 1 = 30 35 300 30 = 270

    1 ( 2 ) = 750

    270+750 = 1,020

    2.4

    3 104 8 6 48 6 1 30 10

    400 48 6 17

    (1 52 )

    1,000,000 1,816.24

    2.26

    I.S.R. = = 1816.24

    =

    =

    =

    1,020 1,000,000561,600

    I.F.R. =

    I.F.R.=

    = 77.05

    = 2.26

    = 34.05

    10 1,000,000104 x 48 x 26

    17 1,000,000400 x 48 x 26

    =

    =

    = 8.33I.S.R.I.F.R.

    300

    36

    77.0534.05

    534.1964.10

    I.F.R. = 1,000,000

    I.F.R.

    I.F.R.

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    [3,4](American Standard of Industrial Injury Rate)

    ()

    4,500

    3,600

    3,000

    1

    2

    3

    4 1

    2

    3

    4

    600

    300

    750

    1,250

    1,8001,200

    1,500

    2,000

    2,400

    4,500

    3,000

    2,400

    600

    2 600

    1 1,800

    2 6,000

    1 600

    3,000

    6,000

    6,000

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    (Accidents)

    (Near Miss) (Incident) Frank E. Bird 1 : 10 : 30 : 600

    1 10 30 600 H.W. Heinrich 3 (Unsafe Acts) (Unsafe Conditions)

    (Unpreventable) 88 H.W. Heinrich (Domino Theory) 5 3 2

    (Direct loss)

    (Indirect loss) (IFR) (ISR) Safety-T-Score 1,000,000 200,000

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    1. . . 10 2556. http://www.oshthai.org

    2. , . . 2544

    3. . IndustrialSafety.

    4. Herbert William Heinrich.Industrial accident prevention: a scientic approach .McGraw-Hill. 1931.

    5. . Loss Control Management.

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    1. (Near Miss) 2. 1 : 10 : 30 : 600 10 3. Domino Theory

    4.

    5 5. () .. 2555 2556

    28,000 500 200 12,300 15,000 8 / 6 5.1 1

    5.2 .. 2555 200 550 .. 2556 250 650 I.F.R., I.S.R. .. 2555 2556

    6. (Unsafe Act) (Unsafe Condition)

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    6

    -

    -

    -

    -

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    1.

    2. [1]

    6-1

    6-1

    134 |

    Control

    Source

    Path

    Receivers

    Engineering Control

    Administrative Control

    Personal Protective Equipment

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    6-2 (Source Controls)

    6-3 (Path Controls)

    | 135

    1) (Source Controls)

    (Engineering Control) 6-2

    2) (Path Controls)

    (Administrative Control) 6-3

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    6-4 (Receiver Controls)

    136 |

    3) (Receiver Controls)

    (Personal Protective Equipment : PPE) 6-4

    3. [2]

    8

    3

    3.1 Engineering Controls [2]

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    | 137

    1)

    2)

    3)

    4)

    5) (Interlock Guard)

    6)

    7) 2 (Local Exhaust Ventilation) (General or Dilute Ventilation)

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    6-5 (Local Exhaust Ventilation)

    138 |

    (Local Exhaust Ventilation) 6-5

    5

    1) (Hoods Inlet)

    2) (Ducts)

    3) (Exhaust Fan Blower)

    4) (Air Cleaning Devices)

    5) (Outlet Stack)

    (General or Dilute Ventilation) 6-6

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    6-6 (General or Dilute ventilation)

    | 139

    3.2 Administrative Control [2]

    1)

    2)

    3) 90 8 4

    4) 5

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    5) 3

    6)

    3.3 Personal Protective Equipment (PPE)

    7

    4. Personal Protective Equipment (PPE) [1,2,3]

    7

    1. 2.

    3. 4. 5. 6. 7.

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    4.1 [4]

    .. 2554

    . (Thai Industrial Standards : TIS) (International Organization for Standardization : ISO)

    (European Standards : EN) (Australia Standards/New Zealand Standards

    : AS/NZS) (American National Standards Institute

    : ANSI)

    (Japanese Industrial Standards : JIS) (The national Institute forOccupational Safety and Health : NIOSH)

    (Occupational Safety and Health Administration : OSHA) (National Fire Protection Association : NFPA)

    4.2 Head Protection Devices [4]

    (Safety Helmet)

    4.2.1 ANSI Z89.1-2003 EN 397 - 1995 . 368-2554

    4.2.2 [5]

    . 368-2538 4 A B C D ..2554 . 368-2538 . 368-2554 3 1) E (Electrical) 20,000

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    2) G (General) 2,200 3) C (Conductive)

    4.2.3 6-7

    6-7

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    4.2.4 . 368-2554

    4.2.4

    2-3

    6-8 (spectacles or Glasses)

    4.3 Eyes and face Protection Devices

    4.3.1 ANSI Z87.1-2003

    EN 166-20014.3.2

    4

    1) (spectacles or Glasses) 6-8 2

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    2) (Goggles) 6-9

    3) (Face Shield) 6-10

    4) (Welding Shields) 6-11

    6-9 (Goggles)

    6-10 (Face shield)

    6-11 Welding Shields

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    4.3.3

    4.3.4

    4.4 Respiratory protection devices [2]

    (Immediately dangerous to life and health : IDLH)

    4.4.1 NIOSH respiratory regulations 42 CFR Part 84

    AS/NZS 1716:2012 ANSI Z88.2-1992 EN 137 , EN 145 SCBA self-contained breathing apparatus

    EN149 Respiratory protective devices EN 405, EN 140 EN 141, EN 143, EN 371, EN 372 EN 136 (lters)

    4.4.2 (Quarter Mask) (Half Mask) (Full-face mask) 6-12

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    3 (Air-purifying) (Supplied-air)

    (Combination) 1) (Air-purifying) (IDLH) N95 Chemical Cartridge Respirator

    N95 0.3 95% 10% NIOSH 6-13

    6-12 (* : Fire Engineering, http://www.reengineering.com)

    6-13 N95

    Quarter Mask Half Mask * Full-face mask [6]

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    | 147

    Chemical Cartridge Respirator Cartridge Cartridge 6-14

    6-14 Chemical Cartridge Respirator

    Cartridge

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    2) (Supplied-air) 16 (IDLH)

    SCBA (Self ContainedBreathing Apparatus) 6-15 SCBA

    6-15 SCBA (Self Contained Breathing Apparatus) : Fire Engineering, http://www.reengineering.com [6]

    4.4.3

    (Air-purifying)

    Cartridge

    (Supplied-air) SCBA

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    4.4.4

    4.5 Hearing Protection

    85 2 (Ear Plugs) (Ear Muffs)

    4.5.1 ANSI S12.60-2002

    ANSI S3.19-1974 EN 352-2002

    4.5.2 1) (Ear plugs)

    400 15 - 30 6-16 6-1

    6-1

    6-16 Ear plugs

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    150 |

    2) (Ear Muffs) 400 6-17 6-2

    6-2

    6-17 Ear Muffs

    6-18

    4.5.3

    (Ear plugs) 6-18 1.

    2. 3.

    1 2 3

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    4.6 Hand and Skin Protection

    4.6.1 (gloves)

    6-20 EN 420: 2003 General requirements for protective gloves EN 374: 2003 Gloves giving protection from chemicals and micro organisms

    EN 388: 2003 Gloves giving protection from mechanical risks EN 407: 2004 Gloves giving protection from thermal hazards EN 511: 2006 Gloves giving protection from cold EN 421: 2010 Gloves giving protection from ionizing radiation EN 1149 Electrostatic properties EN 12477: 2001 Gloves giving protection from manual metal welding

    4.6.2 1)

    2) 3) 4) 5) 6)

    7)

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    6-20

    6-21 Body Protection Devices

    4.6.3 Body Protection Devices 6-21

    1) (Plastic) (Vinyl) EN13982-1, EN13034, EN1149-1, EN1073-2, EN14605, EN 14126 2) (glass ber fabric)

    nomex NFPA 1971-2007 3) 4)

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    4.6.4

    10-15

    4.6.5

    4.7 Foot Protection Devices [7]

    (Lather Safety Footwear Safety Shoe) 6-22 EN 345-1, ANSI Z41.1-1991. 523-2554 . 523-2554

    1. (Toecap) 15 ( 3,372.14 )

    2. (Penetration Resistance insert) 3. 100 1,000,000

    6-22 (Lather Safety Footwear Safety Shoe)

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    4.7.1

    6-23

    4.8 Falling Protection Devices

    6-23 EN-361, EN353, EN358, EN813 OSHA 1926.104

    2 4

    4.8.1 1) Safety Belt Safety Harness

    Safety Harness Safety Belt

    2) (Lanyards)

    3. (Lifelines)

    Safety Harness

    Lanyards

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    4.8.2 4

    6-24

    (Lanyards) 2 2 2 1

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    6.1 Principles of Noise Control [1,2,9]

    1)

    2)

    3) Personal Protective Equipment (PPE) (Ear plugs) (Ear Muffs)

    6.

    3

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    6.2 Principles of Heat Control [1,2,10]

    1) 2 1

    1

    (Spot Cooling) (Chiller)

    (Roof Ventilator)

    2) Acclimatization Program

    3) Personal Protective Equipment (PPE) Face shield 40

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    6.3 [1,2]

    Raynauds phenomenon

    Heater

    6.4

    1)

    (Shock Absorber)

    2)

    Acclimatization

    3) Personal Protective Equipment (PPE)

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    6.5 [1,2]

    6-25

    6-25

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    6.6

    (Work permit)

    19.5

    (Explosion Proof)

    6.7 [2,11]

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    6.9 [2]

    (Containment) (Design of workplace)

    Biological safety cabinet HEPA Filter (HighEfciency Particulate Air)

    (Good work practice)

    (Decontamination) SodiumHypochlorite (Autoclave)

    Biosafety Program Management

    3) Personal Protective Equipment (PPE) (Face Shield) (Glasses) (Goggle)

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    6.11 [13]

    2

    1. 2.

    6-3 1. 2. 3. 4.

    (Safety Guard) (Grounding) Safety Guard

    (Tag Out) (Lock Out) (Preventive Maintenance)

    6-3 [13]

    1

    5

    625 ()

    930 ()

    50150

    166 |

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    1) (Precision Work)

    2) (Light Work) (Elbow Height)

    3) (Heavy Work)

    6-27 : Element of Ergonomics Program; NIOSH [14]

    4) (Anthropometry)

    5)

    6) 1-2

    7)

    168 |

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    1. 1 2.

    3. 4. 5.

    6-29

    1 2 3

    4 5

    170 |

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    1) (Source Controls)

    2) (Path Controls)

    3) (Receiver Controls)

    | 171

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    1. , . , 2544

    2. . Industrial Hygiene. . , 2545 3. . Industrial

    Safety. . 4. .

    .. 2554. 36 128 112 27 2554

    5. .

    . 368-2554, 2554 6. Fire Engineering, SCBA: U.S. vs. International Standards and Procedures. 10 2556. http://www.reengineering.com

    7. . . 523-2554, 2554 8. .

    Industrial Safety. 9. ( Noise Measurement) .

    .. 2549 10. ( Hot Environment Measurement).

    .. 2549 11. (Illumination Measurement).

    .. 2549 12. Basics of Machine Safeguarding, Occupational Safety and Health Administration (OSHA),

    Department of Labour, United State. 13. Electrical Safety, National Institute for Occupational Safety and Health (NIOSH),

    Department of Health and Human Service, Center for Disease Control and Prevention, 2002. 14. Element of Ergonomics Program. The National Institute for Occupational Safety and

    Health (NIOSH), Centers for Disease Control and Prevention, U.S. Department of Healthand Human Services.

    172 |

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    7

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    1. [1]

    Asbestosis

    Byssinosis

    Silicosis

    7-1

    2. [1,2]

    (Disease)

    (Occupational diseases) 7-1

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    (Work-related diseases) (Multi-factorial disease)

    7-2

    3. [1,2]

    4

    1) (Noise) (Vibration) (Heat) (Cold) (Ionizing Radiation) (Non-Ionizing Radiation) (Pressure) (Light)

    3.1

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    2) (Dust) (Fume) (Smoke) (Mist) (Fiber) (Gas) (Vapor) (Heavy Metal) 3)

    4)

    1)

    2) 3) 4) 5)

    3.2 [1, 2]

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    1) 2) 3) 4) 5) 6) 7)

    3.3 [1, 2]

    4. [3]

    .. 2550 .. 2537 14 8

    1 38 1) 2) 3) 4) 5) 6)

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    7) 8) 9) 10)

    11) 12) 13) 14) 15) 16) 17) 18)

    19) 20) 21) 22) 23) 24) 25) 26)

    27) 28) 29) 30) 31) 32) 33) 34) 35) 36) 37) 38)

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    2 10 1) 2) 3)

    4) 5) 6) 7) 8) 9) 10)

    3

    4 10 1) 2) 3) 4) 5) 6)

    7) 8) 9) 10)

    5 3 1) 2) 3)

    6

    7 1) () 2) 3)

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    4) 5)

    6) - 7)

    8) 9) 10) 11) 12) 13) 14)

    15) 16)

    8

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    5.

    5.1 [4, 5, 6]

    -

    - -

    -

    -

    -

    -

    (Metal fume fever)

    (ITAI ITAI)

    = 0.1 mg/m3 (fume)

    = 0.2 mg/m 3 (dust)

    OSHA = 0.005 mg/m3

    ACGIH = 0.002 mg/m3

    NIOSH = 9 mg/m3 (IDLH)

    VC FEV1

    (X-ray)

    3 /

    5 /

    beta 2 microglobulin

    750 / 300

    /

    : ()

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    5.2 [4, 5, 6]

    -

    -

    -

    -

    -

    -

    -

    -

    -

    - (Metal fume fever)

    -

    (Parkinsons

    disease)

    = 5 mg/m3

    OSHA = 5 mg/m3

    ACGIH = 0.2 mg/m3

    NIOSH = 1 mg/m3

    NIOSH = 500 mg/m3 (IDLH)

    3 /

    1 /

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    5.3 [4, 5, 6]

    -

    -

    -

    -

    -

    -

    -

    -

    - (Metal fume fever)

    -

    -

    -

    2-3

    = 0.05 mg/m3

    OSHA = 0.1 mg/m3 (Ceiling)

    ACGIH = 0.025 mg/m3

    NIOSH = 0.05 mg/m3

    NIOSH = 10 mg/m3 (IDLH)

    ACGIH

    35 /

    15 /

    (EK G)

    Occipi tal lobe

    (blue line)

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    5.4 [4, 5, 6]

    -

    -

    -

    -

    -

    -

    -

    -

    Lead Colic

    = 0.2 mg/m3

    OSHA = 0.05 mg/m3

    NIOSH = 0.05 mg/m3

    30 /10 / ( ACGIH)

    ( lead line)

    : http://www.couriermail.com.au/news/queensland

    /sue-threat-over-lead-poisoning/story-e6freoof-1111116032592

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    5.7 [4]

    -

    -

    -

    -

    -

    -

    -

    -

    = 0.2 mg/m3

    OSHA = 1 ppm (Ceiling)

    ACGIH = 0.5 ppm

    NIOSH = 0.5 ppm (STEL)

    NIOSH = 10 ppm (IDLH)

    (X-ray)

    (Lung function Test)

    (obstructive

    pattern)

    : http://diarylove.com/forum_posts.asp?TID=14210&PID=120841&title=12#120841

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    5.8 [4]

    -

    -

    -

    -

    -

    -

    = 50 ppmOSHA = 50 ppm

    ACGIH = 25 ppm

    NIOSH = 25 ppm

    NIOSH = 300 ppm (IDLH)

    ( X - r a y ) restrictive pattern

    : http://vatchainan2.blogspot.com/2012/10/copd.html

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    5.9 Noise Induce Hearing loss [4, 7]

    -

    -

    -

    -

    -

    -

    -

    -

    -

    -

    (Acoustic Trauma)

    140 dBA

    (Temporary hearing

    loss Temporary Thresholds shift : TTS )

    (Auditory fatigue)

    (tinnitus)

    70 dBA

    48

    (Permanent hearing loss)

    (Hair Cells)

    3,000 - 6,000 Hz

    = 90 dBA

    OSHA = 90 dBA

    ACGIH = 85 dBA

    NIOSH = 85 dBA

    ( A u d i o m e t e r T e s t )

    500-8,000 Hz.

    4,000 Hz. V-Shave

    4,000 Hz.

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    5.10 (Silicosis) [4, 7]

    -

    -

    -

    -

    -

    -

    (Silica)

    (Alveoli)

    macrophage

    (Pneumoconiosis)

    ACGIH = 0.025 mg/m3

    NIOSH = 6 mg/m3

    NIOSH = 3,000 mg/m3 (IDLH)

    OSHA = 20 mppcf (80 mg/m3

    SiO2)

    (CT scan)

    : http://radiopaedia.org/cases/silicosis-with-progressive-massive-brosis

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    5.11 (Asbestosis) [4, 7]

    -

    -

    -

    -

    -

    (Asbestos Fiber) 2-3

    10

    (Pneumoconiosis)

    = 5 1 OSHA = 1 fiber / cc

    ACGIH = 0.1 fiber / cc

    (High Resolution Computed Tomography ; HRCT)

    1 : http://jmmonitoring.com/indoorairquality.html 2 : http://www.atsdr.cdc.gov/asbestos/asbestos/health_effects

    - (Byssinosis) - (Bagassosis) - (Siderosis)

    1 2

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    5.12 [4]

    (Carpal Tunnel Syndrome)

    1 : http://www.thaiclinic.com/images/carpal_tunnel.jpg 2 : http://thaittips.com/health/?p=177

    ( L o w B a c k P a i n )

    L1-L5 (lumbar spine: L1-L5)

    1 : http://www.npr.org/blogs/health/2010/07/06/128341490/glucosamine-doesn-t-ease-back-pain-study-says

    1 2

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    1) 2)

    3)

    4) (Inspection) (Palpation) (Percussion) (Auscultation) 5)

    (hippuric acid) 6) OSHA NIOSH ACGIH

    6. [1, 2]

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    7)

    1) 2)

    3)

    4) 5)

    6) 10

    1)

    7. [1, 2]

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    2)

    3)

    4)

    5)

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    198 |

    (Occupational diseases)

    (Work-related diseases) (Multi-factorial disease)

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    1. 1-7 5.. . 2542

    2. . 711201 (Introduction to

    Occupational Health). . . 2543 3. . .. 2550. 9 124

    97 15 2550 4. . 80 5 2550 .

    5. . .

    . 2542 6. Joseph LaDou. Current Occupational & Environmental Medicine.Third Edition. Lange

    Medical Books. McGraw-Hill 7. , .

    . 2544

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    200 |

    1. 3

    2. 3

    3. (Parkinsons disease)

    4. 5. / 6. (Mees line) 7.

    8. 9. 10.

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    1.

    202 |

    2. [1, 2, 3]

    [1,2] 3

    2.1 (Pre-Placement Physical Examination) [1,3]

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    (Post Injury or Post Illness Physical Examination)

    2.2 (Periodic Physical Examination) [1,3]

    2.3 (Pre retirement examination)

    3.1 [1, 4, 5]

    3. [3]

    4

    1) -

    2)

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    3)

    4)

    5)

    204 |

    3.2 [1]

    (Inspection) (Palpation) (Percussion) (Auscultation) (Sign)

    1) (Body Mass Index : BMI) BMI 8-1

    (BMI)

    18.50

    18.5-22.90

    23-24.90

    25-29.90

    30

    (BMI) = () / ()2

    8-1 BMI

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    2) (Vital Signs) 8-2

    | 205

    36.7-37

    60-100

    16-20

    systolic 140 mm. Hg.

    diastolic 90 mm. Hg.

    systolic 90 mm. Hg.

    diastolic 60 mm. Hg

    3) (Stethoscope) (Tuning Fork)

    3.3 [6, 7, 8]

    1) (Complete Blood Count: CBC) 8-3

    (Red Blood Count) 4.6 6.2

    4.2 5.4

    (Hematocrit) 40 54

    37 47

    (Hemoglobin) 14 18

    12 16

    (White Blood Count) 5,000 10,000

    8-2

    8-3 [6]

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    206 |

    Neutrophils 40 75

    Eosinophils 1 6

    Basophils 0 1

    Lymphocytes 20 50

    Monocytes 2-10

    (Platele t) 150,000 - 450,000

    2) (Liver Function Test)

    (Bilirubin) 8-4

    (Bilirubin) 0.1 1.2

    Alkaline Phosphatase (ALP) 39 179 IU/L ()

    Serum Glutamic Oxaloacetic Transaminase (SGOT) 0 36 IU/L ()

    Serum Glutamic Pyruvic Transaminase (SGPT) 0 48 IU/L ()

    3) 8-5

    Blood Urea Nitrogen (BUN) 8 20

    Creatinine (Cr) 0.6 1.3

    1.001 1.035

    (pH) 4 8

    8-3 [6] ()

    8-4 [6]

    8-5 [6]

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    4) 8-6

    | 207

    5) (Electrocardiography : ECG EKG) (Electrical activity)

    6)

    14x17 17x17

    7) (Lung Function Test) Spirometer

    (Fasting Blood Sugar) 70 120

    (Cholesterol) 150 250

    HDL High Density Lipoprotein () 32-68

    LDL Low Density Lipoprotein () 150

    (Triglyceride) 20 25 120

    26 29 140

    30 39 150

    40 49 160

    50 190

    8-6 [6]

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    208 |

    Forced vital capacity (FVC)

    Forced expiratory volume in 1 second (FEV1) 1

    3

    1. Obstructive FVC 80 % FEV1 80% FEV1 / FVC 70 % 8-7

    2. Restrictive FVC FEV1 80 % FEV1 / FVC 70 %

    3. Combine 2

    (Obstruction)

    (Restriction)

    FVC

    FEV1

    FEV1/FVC

    [1]

    FVC FEV1 80

    FEV1/FVC 70

    8) (Audiometry)[1] 85 dBA (Audiometer) (Background Noise) 40 dBA 500-8,000 Hz.

    8-7

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    9) [1]

    3

    | 209

    25 dBA

    3.4 [9,10]

    8-8

    - -

    -

    -

    -

    -

    -

    -

    -

    -

    -

    8-8

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    210 |

    -

    -

    -

    -

    -

    -

    -

    - Creatine Phosphokinase

    - Creatine

    -

    -

    -

    - Pain Scale

    4. [2]

    .. 2547

    30 1

    8-8 ()

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    | 211

    2 3

    7

    30

    5.

    1)

    2) 3) 4) 5) 6) 7) 8) 9) 10) 11)

    12) 13)

    14)

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    212 |

    3

    4

    (Inspection) (Palpation) (Percussion) (Auscultation)

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    | 213

    1. .

    . 2547-2555, 2555 2. .

    .. 2547. 19 122 4 13 2548

    3. . 1-7 5.. . 2542

    4. . / 280 . 3. . 2544

    5. . (Introduction to Clinical

    Medicine). . 2. 2546 6. . .12. .. . . 2551.

    7. Anthony S. Fauci ed. al. Principles of International Medicine. Edition 17 th Harroson.McGraw-Hill

    8. Stephen J. Mcphee and Maxin A. Papadakis. Current diagnosis & Treatment.McGraw-Hill. 2011

    9. .

    .. 2551 .

    36 125 30 11 2551 10. .

    80 5 2550 .

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    1. 2.

    3. (Body Mass Index : BMI) 4. 5. Obstructive 6. 7. 8.

    9. 10.

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    9

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    216 |

    1. [1, 2]

    .. 2541 .. 2554

    2.

    1)

    2)

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    | 217

    3. [3]

    .. 2548 . .. 2541

    1) 1 40 1 40 40 20 40 2) 3) 10 29 9-1

    1.

    2.

    3. -

    4. -

    5. 6.

    7.

    8.

    9.

    10.

    11.

    12.

    13. 14.

    15.

    16.

    17.

    18.

    1.

    2.

    3.

    4.

    5. 6.

    7.

    8.

    9.

    10.

    11.

    9-1

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    218 |

    200 1) 9-1 2) 1

    3) 1

    4) 1 2 6

    1,000 1) 9-1 2) 2

    3) 1 4) 1 3

    12

    24

    4. [4, 5, 6]

    (Occupational Health and Safety ManagementSystem: OHSMS) 8 9-1

    9-1 (OHSMS)

    OHSMS

    Policy

    Evaluation

    Audlt

    Improvement Implementation

    Planning

    OrganizingContinuous Improvement

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    | 219

    1. 2. 3.

    4. 5.

    6.

    4.1 (Policy)

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    220 |

    ()

    ()

    1. 2. 3.

    4. 5. 6.

    2 2555

    .................................................................... ( )

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    | 221

    1.

    4.2 (Organizing)

    4.3 (Planning)

    . . .

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    : 5

    2556

    (Objective)

    1. 4.

    2. 5.

    3. 6.

    1 2 3 4 5 6 7 8 9 10 11 12

    1 10,000 3

    2 1,000,000

    3 30,000

    4 500,000

    5 20,000

    6 1,000,000

    7 10,000

    8 100,000

    9 50,000

    2,720,000

    | 223

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    224 |

    KPI

    2 (Internal Audit) (external Audit)

    4.4 (Implementation)

    4.5 (Evaluation)

    4.6 (Improvement)

    4.7 (Audit)

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    | 225

    4.8 (Continuous Improvement)

    5.

    1

    9-2

    9-2

    1. . (.) 3 /

    2.

    1 /

    3. (.1)

    1 /

    4.

    (.2) 1 /

    5. (.1) /

    6.

    (.2) 1 /

    7. (.3)

    6 /

    8.

    (.4) 1 /

    9.

    (.5) 6 /

    10.

    (.16) /

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    226 |

    9-2 ()

    11.

    ( ./.7) 6

    12. 1 /

    13. 1 /

    14. 1 /

    2

    On the job training Out the job training

    (Basic Fire Fighting)

    (Job safety Analysis : JSA) 5. BBS (Behavior Based Safety) KYT ( Kiken Yoshi Training )

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    | 227

    3

    Safety Talk Morning Talk

    4

    1

    5

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    228 |

    Smoke Detector

    Heat detector Sprinkle

    6

    . 18001 , OHSAS 18001, ILO-OSH2001

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    | 229

    (Safety Sign) (Work Permit)

    (Hot work Permit) (Conne Space Work Permit) (High Work Permit )

    7

    Zero Accident (Green and Clean Factory)

    Safety Kaizen 5.

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    230 |

    8

    9

    (Near Miss Report) (Safety Suggestion) CSR (Corporate Social Responsibility)

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    | 231

    6.

    1) 2) 3) 4) 5) 6) 7)

    8)

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    | 233

    2

    8 9

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    234 |

    1. . .. 2541 . 12 .. 2541 53 . 115 8

    2. . .. 2554. 12 .. 2554 66 . 5 128 4

    3. . .. 2548. 14 122 29 29 2548

    4. . 18001. . 2543

    5. International Labour Organization.Guidelines on Occupational Safety and Health

    Management Systems ILO-OSH 2001. 2001 6. . . 8001-2553. . . 2553

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