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Many workers are exposed to the effects of heat and often to extreme temperatures. Heat stress has been further aggravated during the COVID-19 pandemic by the use of personal protective equipment to prevent SARS-CoV-2 infection. However, workers’ risk perception of heat stress is often low, with negative effects on their health and productivity. The study aims to identify workers’ needs and gaps in knowledge, suggesting the adaptation of measures that best comply with the needs of both workers and employers. A cross-sectional online questionnaire survey was conducted in Italy in the hottest months of 2020 (June–October) through different multimedia channels. The data collected were analyzed using descriptive statistics; analytical tests and analysis of variance were used to evaluate differences between groups of workers. In total, 345 questionnaires were collected and analyzed. The whole sample of respondents declared that heat is an important contributor to productivity loss and 83% of workers did not receive heat warnings from their employer. In this context, the internet is considered as the main source of information about heat-related illness in the workplace. Results highlight the need to increase workers’ perception of heat stress in the workplace to safeguard their health and productivity. About two-thirds of the sample stated that working in the sun without access to shaded areas, working indoors without adequate ventilation, and nearby fire, steam, and hot surfaces, represent the main injuries’ risk factors.

Purpose. Currents methods for the evaluation and control of optical radiation hazards at workplaces are presented. Methods. Safe exposure criteria that may be readily applied to practical situations are discussed. Hazard evaluation techniques are discussed for a number of intense optical radiation sources. Examples include arc welding, germicidal lamps in medical and laboratories activities, metal and glass melting. Results. Hazard data and PPE choice criteria are provided, taking account of varied critical aspects from the case studies discussed. Conclusions. Some critical aspects in the optical radiation safety management have been discussed. The improvement of protection programmes is needed to raise awareness of the health hazards of optical radiation, and to achieve the application of simple engineering controls and/or administrative controls aimed at ensuring that workers are made aware of the presence of potentially harmful optical radiation and providing information to avoid such harmful exposure, according to AOR Directive.Obiettivi. Il lavoro presenta alcuni elementi utili ai fini della valutazione del richio da radiazioni ottiche negli ambienti di lavoro e alcune criticità emerse in attività ove tale rischio è rilevante. Metodi. Vengono illustrate le principali metodiche per la valutazione ed il controllo del rischio in presenza di sorgenti in grado di esporre a radiazioni ottiche di elevata intensità, quali ad esempio saldatrici ad arco, forni di fusione di vetro o metalli, impiego di lampade germicida in cappe sterili e per la sterilizzazione di ambienti. Risultati. Per i casi studio esaminati vengono presentati i principali risultati ottenuti in differenti scenari espositivi e le principali criticità riscontrate nell’attuazione delle misure di prevenzione e protezione. Conclusioni. Alla luce delle criticità emerse nei casi studio illustrati, ove il rischio espositivo può essere rilevante, anche dal punto di vista degli infortuni causati da esposizioni accidentali ed incontrollate, appare indispensabile che gli attori aziendali della prevenzione acquisiscano un crescente grado di consapevolezza e competenza sul rischio da radiazioni ottiche e sulle appropriate misure di tutela da mettere in atto ai fini della prevenzione dello stesso.

Purpose. The work illustrates useful elements for the risk assessment for workers exposed to electromagnetic fields, also in reference to sensitive subjects such as those with active implantable medical devices (AIMD). Methods. The approach introduced by Legislative Decree 81/08 for risk assessment does not explicitly include operational criteria and specific measures for the protection of sensitive subjects. In the case of workers with DMIA, the employer may refer to relevant harmonized technical standards. Results. They are shown the results of in vitro tests performed on pacemakers following the indications of the technical reference standard and employing sources of electromagnetic fields that, due to the type of signal emitted, do not allow to exclude an a priori influence on the operation of the device. Conclusions. Workers at particular risk are generally protected if the requirements established for the population are respected. This measure may, under certain conditions, not be sufficient,making it necessary to carry out more in-depth and individual assessments. However, the cases illustrated here for AIMD showed interference phenomena only in limited experimental configurations despite the levels of the electric and magnetic fields generated by the sources exceeding the limits for the general population.Obiettivi. La relazione illustra elementi utili alla valutazione del rischio per esposizione ai campi elettromagnetici in ambito occupazionale, anche in riferimento ai soggetti sensibili quali i portatori di dispositivi medici impiantabili attivi (DMIA). Metodi. L’approccio introdotto dal D.lgs 81/08 per la valutazione del rischio non include esplicitamente criteri operativi e misure specifiche per la protezione dei soggetti sensibili. Nel caso dei portatori di DMIA, il datore di lavoro può fare riferimento a pertinenti norme tecniche armonizzate. Risultati. Vengono illustrati i risultati di una sperimentazione in vitro su pacemaker condotta seguendo le indicazioni della norma tecnica di riferimento e impiegando sorgenti di campi elettromagnetici che, per tipologia del segnale emesso, non consentono di escludere un’influenza a priori sul funzionamento del dispositivo. Conclusioni. I lavoratori particolarmente sensibili al rischio sono tutelati, in genere, se sono rispettati i requisiti di protezione stabiliti per la popolazione. Tale misura può, in alcune condizioni, non essere sufficiente rendendo necessario effettuare valutazioni più approfondite e individuali. Tuttavia i casi qui illustrati per i DMIA hanno evidenziato fenomeni di interferenza solo in limitate configurazioni sperimentali, nonostante i livelli dei campi elettrici e magnetici generati dalle sorgenti fossero superiori ai limiti per la popolazione generale.

PURPOSE: To provide an updated epidemiological validation for a supplementary method for assessing the risk of vascular disorders from hand-transmitted vibration. METHODS: The occurrence of vibration-induced white finger (VWF) in the vibration-exposed workers of the Italian cohort of the EU VIBRISKS study was related to measures of daily vibration exposure expressed in terms of r.m.s. acceleration magnitude normalised to an 8-h day, frequency weighted according to either the frequency weighting Wh defined in international standard ISO 5349-1:2001 [Ah(8) in ms- 2] or the hand-arm vascular frequency weighting Wp proposed in the ISO technical report (TR) 18570:2017 [Ap(8) in ms- 2]. To estimate a threshold value for vascular hand-arm vibration risk, the Wp-weighted vibration exposure value Ep,d (in ms- 1.5) was calculated according to the ISO/TR document. The difference in the predictions of VWF between the exposure measures calculated with the frequency weightings Wh or Wp was investigated by means of logistic modelling. RESULTS: Measures of daily vibration exposure constructed with the frequency weighting Wp [Ap(8) and Ep,d], which gives more importance to intermediate- and high-frequency vibration, were better predictors of the occurrence of VWF in the vibration-exposed workers than the metric derived from the conventional ISO frequency weighting Wh [Ah(8)]. There was some epidemiological evidence for a threshold value of Ep,d for the onset of VWF in the vibration-exposed workers. CONCLUSIONS: Measures of daily vibration exposure evaluated with the vascular weighting Wp performed better for the predictions of VWF than those obtained with the frequency weighting Wh recommended in ISO 5349-1.

Objective The aim of this study was to investigate the performance of four frequency weightings for hand-transmitted vibration to predict the incidence of vibration-induced white finger (VWF). Methods In a longitudinal study of vibration-exposed forestry and stone workers (N=206), the incidence of VWF was related to measures of vibration exposure expressed in terms of 8-hour frequency-weighted energy-equivalent root-mean-square (rms) acceleration magnitude [A(8)] and years of follow-up. To calculate A(8), the rms acceleration magnitudes of vibration were weighted by means of four frequency weightings: (i) W(subscript h) (the frequency weighting specified in ISO 5349-1:2001); (ii) W(subscript h-bl) (the band-limiting component of W(subscript h)); (iii) W(subscript hf) (a frequency weighting based on finger vibration power absorption); and (iv) W(subscript hT) (a frequency weighting based on a Japanese study of VWF prevalence). The relations of VWF to alternative measures of vibration exposure were assessed by the generalized estimating equations (GEE) method to account for the within-subject dependency of the observations over time. Results Data analysis with a GEE logistic model and a measure of statistical fit suggested that calculating A(8) by weighting the tool rms accelerations with W(subscript h-bl) gave better predictions of the cumulative incidence of VWF than the other alternative measures of daily vibration exposure. Values of A(8) derived from the currently recommended ISO frequency weighting W(subscript h) produced poorer predictions of the incidence of VWF than those obtained with frequency weightings W(subscript hf) or W(subscript hT). Conclusions This prospective cohort study suggests that measures of daily vibration exposure which give relatively more weight to intermediate and high frequency vibration are more appropriate for assessing the probability of VWF.

The Italian vibration database is presented. It is hosted by a web server at the National Institute of Occupational Prevention and Safety (ISPESL) in Rome, Italy (http: / /www.ispesl.it/vibrationdatabase). It supports in risk assessment employers who have to comply with Legislative Decree 187/05, now replaced by Legislative Decree 81/08, which transposes into law Vibration Directive 2002/44/EC. The database currently contains measurements and EC-declared values from over 980 hand-held power tools (such as pneumatic and electric hammers, chainsaws, grinders, drills, sanders and saws) and from over 420 vehicles (such as buses, forklifts and wheel tractors). The database is continuously updated as soon as new experimental and declared data are acquired.

Phototherapy is the use of light for reducing the concentration of bilirubin in the body of infants. Although it has become a mainstay since its introduction in 1958, a better understanding of the efficacy and safety of phototherapy applications seems to be necessary for improved clinical practices and outcomes. This study was initiated to evaluate workers' exposure to Optical Radiation from different types of phototherapy devices in clinical use in Italy. During infant phototherapy the staff monitors babies periodically for around 10 min every hour, and fixation of the phototherapy beam light frequently occurs: almost all operators work within 30 cm of the phototherapy source during monitoring procedures, with most of them commonly working at ≤25 cm from the direct or reflected radiation beam. The results of this study suggest that there is a great variability in the spectral emission of equipments investigated, depending on the types of lamps used and some phototherapy equipment exposes operators to blue light photochemical retinal hazard. Some of the equipment investigated presents relevant spectral emission also in the UVA region. Taking into account that the exposure to UV in childhood has been established as an important contributing factor for melanoma risk in adults and considering the high susceptibility to UV-induced skin damage of the newborn, related to his pigmentary traits, the UV exposure of the infant during phototherapy should be "as low as reasonably achievable," considering that it is unnecessary to the therapy. It is recommended that special safety training be provided for the affected employees: in particular, protective eyewear can be necessary during newborn assistance activities carried out in proximity of some sources. The engineering design of phototherapy equipment can be optimized. Specific requirements for photobiological safety of lamps used in the phototherapy equipment should be defined in the safety product standard for such equipment.

The present study aimed to (1) employ the method for evaluation of vibration containing multiple shocks according to ISO/CD 2631-5:2014 (Model 1) and DIN SPEC 45697:2012 in a cohort of 537 professional drivers, (2) deliver the results for a re-analysis of epidemiological data obtained in the VIBRISKS study, (3) clarify the extent to which vibration acceleration and individual variables influence risk values, such as the daily compressive dose S(ed) and the risk factor R, and (4) compare the results with in vivo measurements and those obtained in previous studies with similar models. The risk factor R was influenced by the acceleration, lifetime exposure duration, sitting posture, age at the start of exposure and body mass/body mass index in order of decreasing effect. Age and annual and daily exposure duration had only a marginal effect. The daily compressive dose S(ed) and the risk factor R showed weak linear association with the daily vibration exposure A(8) and the vibration dose value VDV. The study revealed high shear forces in the lumbar spine.In a re-analysis of an epidemiological study of professional drivers, a software tool available with standards DIN SPEC 45697:2012 and ISO/CD 2631–5:2014 Model 1 was used to calculate the risk to the lumbar spine in terms of daily compressive dose S(ed) and risk factor R. The tool was found to be suitable for risk assessment in a large cohort.

This article presents the new Italian database of physical agents, which is available at http://www.portaleagentifisici.it. It supports in risk assessment employers who have to comply with Italy's Legislative Decree 81/2008 (transposing into law European Union Directives 2003/10/EC, 2002/44/EC, 2004/40/EC and 2006/25/EC). The database currently contains measurements and declared European Community (EC) values from over 2540 machines; in particular, the database hosts data on mechanical vibration from over 1430 hand-held power tools (e.g., pneumatic and electric hammers, chainsaws, grinders, drills, sanders and saws) and from over 1020 whole-body machines (e.g., buses, fork lifts and wheel tractors). The database is continuously updated as soon as new experimental and declared data are acquired.

In this paper, a procedure is described for the assessment of human exposure to magnetic fields with complex waveforms generated by arc-welding equipment. The work moves from the analysis of relevant guidelines and technical standards, underlining their strengths and their limits. Then, the procedure is described with particular attention to the techniques used to treat complex waveform fields. Finally, the procedure is applied to concrete cases encountered in the workplace. The discussion of the results highlights the critical points in the procedure, as well as those related to the evolution of the technical and exposure standards.

This article reports on a general method of evaluating exposure to infrared radiation (IR-A, IR-B, IR-C) from high temperature (T1000 degrees C) black body sources, simply by performing measurements with a luxometric and/or near IR detector. The method, which may be applied to any black body source, uses the universality of the Planck formula for the black body spectrum, which allows estimation of the radiated power in any wavelength range by measuring the power radiated in another range. This capability may be very useful when the range of interest is one in which radiometers are expensive and difficult to calibrate, as for the IR-B and IR-C ranges, because a more commonly available luxometer can be used instead. The results of measurements and evaluations in two traditional Italian glass factories are reported and compared with the threshold limit value given by the American Conference of Governmental Industrial Hygienists. Intense exposures in the IR-B and IR-C ranges has been found for some workers, exceeding the limit by a large factor. This exposure must be reduced, as it has been shown by epidemiologic studies that there is indeed a correlation between cataractogenesis and work with fused glass and metals.

Whole Body Vibration (WBV) is the shaking or jolting of the human body through a supporting surface, usually a seat or floor. The risk from vibration is related to the overall time the operator or driver is exposed to the vibration and the number of shocks and jolts they experience each day. In the 27 countries of Europe the EC Physical Agents Directive, effective 6th July 2010, requires all employers to control exposure to a number of hazards including noise and vibration. The EC Vibration Directive sets out regulations for the control of health and safety risks from the exposure of workers to hand arm vibration (HAV) and whole body vibration (WBV) in the workplace. The maritime sector needs to comply: high exposure WBV levels can be found when operating RIBs and High Speed Craft. Marine sectors affected by Whole Body Vibration (WBV) include military, searchrescue, government agencies, local authorities, police, water sports, oilgas, thrill ride, charter and all organisations operating boats, RIBs (Rigid Inflatable Boat) and High Speed Craft.

With the aim of investigating the capability of otoacoustic emission (OAE) in the detection of low levels of noise-induced hearing loss, audiometric and otoacoustic data of young workers (age: 18-35) exposed to different levels of industrial noise have been recorded. These subjects are participating in a long-term longitudinal study, in which audiometric, exposure (both professional and extra-professional), and OAE data (transient evoked and distortion product) will be collected for a period of several years. All measurements have been performed, during routine occupational health surveillance, with a standard clinical apparatus and acquisition procedure, which can be easily used in the occupational safety practice. The first study was focused on the correlation between transient evoked OAE signal-to-noise ratio and distortion product (DPOAE) OAE level and the audiometric threshold, investigating the causes of the rather large intersubject variability of the OAE levels. The data analysis has shown that, if both OAE data and audiometric data are averaged over a sufficiently large bandwidth, the correlation between DPOAE levels and audiometric hearing threshold is sufficient to design OAE-based diagnostic tests with good sensitivity and specificity also in a very mild hearing loss range, between 10 and 20 dB.