Risk-Based Exposure Assessment & Control Guideline
Risk-Based Exposure Assessment & Control Guideline
The “Risk-Based Exposure Assessment and Control” guideline has been developed to assist
Environmental Health & Safety and Engineering professionals in the understanding of the
The process begins with a qualitative risk assessment that includes the collection and
organization of basic information needed to characterize occupational exposure risk associated
with the workplace, workforce, and chemical agents of the process being evaluated. This
information is used to understand the tasks being performed, raw materials and chemicals being
used, processes being run, and the controls in place so the potential inhalation/dermal exposure
risk ranking can be assigned.
The outcome of the qualitative risk assessment will determine whether or not a quantitative risk
assessment, requiring the collection of industrial hygiene personal monitoring data, is needed. If
the qualitative risk assessment is given a low ranking and the process does not require the use
of respiratory protection, the risk assessment and conclusion are documented and filed.
However, if the qualitative risk assessment ranking is high or inconclusive, or if respiratory
protection is required, a quantitative risk assessment must be performed.
The quantitative risk assessment, which includes that collection of industrial hygiene personal
monitoring data, is used to determine whether the risk posed by the exposure is acceptable.
Several samples must be collected (minimum of three) following validated sampling and
analytical methods. The sample analysis data results must be analyzed using Bayesian or
Descriptive statistics and compared to the Occupational Exposure Limit (OEL). Excursions
above the OEL require the use of exposure controls to manage the risk.
The primary objective of selecting the exposure control option is to reduce the exposure risk of
the workers below the Occupational Exposure Limit. There are numerous exposure control
options in which to choose. The decision may be to control the airborne contaminants at the
source, control the airborne contaminants within the room where the process is located, or rely
on personal protective equipment. Whatever control method is selected, industrial hygiene
personal monitoring data must be collected to confirm the exposure risk is below the OEL.
This guideline can be applied to all chemical risk assessments and exposure control and is
applicable to all Johnson & Johnson businesses worldwide. This guideline replaces the former
“Controlling Occupational Exposure to Active Pharmaceutical Ingredients (API) and Isolated
Process Intermediates (IPI)” standard operating procedure and guideline, which focused
primarily on active pharmaceutical ingredients.
Executive Summary.................................................................................................. 2
Introduction.................................................................................................................... 6
2.2.3 Product.................................................................................................................. 11
2.2.4 Facility................................................................................................................... 12
2.2.5 Process................................................................................................................. 14
2.2.8 Cleaning................................................................................................................ 19
2.4 Tools....................................................................................................................... 23
3.3 Facility..................................................................................................................... 41
3.3.5 HVAC.................................................................................................................... 46
4.0 Forms..................................................................................................................... 50
Section 1 is an overview designed for the first time reader, management and to get an overview
of the process.
Section 2 provides a risk-based exposure assessment, and is intended for those embarking on
a project to get a better understanding of the process and to highlight key factors to review. This
exercise is conducted using qualitative and quantitative risk assessments.
Section 3 provides a list of exposure control options that can be selected based on the outcome
of the quantitative risk assessment completed in section 2.
For new processes where historical IH data have not been collected, a qualitative assessment
can be made of the potential exposure risk.
If the results are below the limit then the risk assessment and exposure control process is used
to record, document the results. If the results do not show conformance to the statistical OEL,
then additional controls to modify the existing controls are required in an effort to reduce
exposures below the OEL and/or the required level of respiratory protection needs to be
assigned and verified.
In many instances, decisions for new equipment must be made in the absence of industrial
hygiene data since the set-up is not yet operational. In this case the IH data from similar
equipment, e.g. Containment Solution Guides, from the same site or a different J&J site, may be
considered.
Controls offered in the Containment Solution section of this document can be selected based on
the OEL or Design Exposure Limit (DEL) to ensure the exposure risk will be properly managed.
The EHS professional needs to understand what controls are currently in place for the unit
operation as well as the room where the unit operation is located.
If the project involves a new facility, working with the project engineer in the early stages (Basis
of Design A) is required to ensure proper controls are included to manage the exposure risk
potential.
It is important that the risk assessment information is well documented (see attached forms) and
that the process is conducted in a consistent manner. By doing so, the documentation can be
easily interpreted by other EHS professionals within the Operating Company as well as stand
the test of time. The recommended information to be collected is listed below.
2.2.1Data Gathering
It is essential that a clear definition of the scope is achieved and that the process is conducted
to avoid duplication. Much of the basic data are used in various ways and duplication of effort
has to be avoided if the process is to be efficient. It is also important to separate the data
2.2.2Basic Information
This should include all the relevant information to describe when, where, and by whom the
assessment (analysis, evaluation, gap statement) or exposure control was conducted. Items to
be included:
Date & Time
Location (Bldg., Floor, Room)
Unit Operation (Equipment)
Assessor’s Name
Assessor’s Contact Information (Phone & Email)
2.2.3 Product
2.2.3.2 Product Information The chemical information should be provided, when applicable,
for each product handled. It is necessary to evaluate the physical and chemical
properties of the chemicals to be able to identify and prioritize potential exposure risks
and process safety risks. Many times a product Safety Data Sheet may provide valuable
chemical product information being sought. This includes:
Chemical Name & Synonyms Different names are used for the same chemical, but
each chemical has a unique CAS number. A CAS (Chemical Abstracts Service)
Registry Number is a unique identifier that tells you, for example, that acetone and
dimethyl ketone is actually the same substance.
Applicable OEL or TLV in Micrograms per Cubic Meter (g/M3) or Parts Per
Million (ppm) The OEL, identified for Active Pharmaceutical Ingredients and the TLV,
developed for other chemicals; give a classification with regard to toxicity. The monthly
updated J&J Global Occupational Toxicology HHR/OEL list should be consulted to find
the OEL, and/or HHR. The annually updated TLV and BEI booklet of the American
Conference of Governmental Industrial Hygienists (ACGIH) and local regulation should
be used to find the TLV value. List any particular characteristic, route of exposure or
warning properties.
Batch Size (mass) in Kilograms The amount of the API used will vary depending on
the production activity (laboratory activities, pharmaceutical or chemical production).
The batch size range should be stated with the volume.
% of Active Ingredient e.g. % API in the Batch The percentage of active ingredient in
the mixture that is handled can vary. In a pharmaceutical production environment the
API can be present for only a small percentage (for example 0.05% during compression
of tablets) where as in a chemical production environment the API is usually 100%
pure, not mixed. Many times the % of active is greatly reduced in the downstream
processing.
Particle Size Particle size (microns) is a critical parameter for the determination of the
exposure risk to dust. Depending on the size, particles are divided into an inhalable
(50% cut point of 100μm), thoracic (50% cut point of 10 μm) or respirable fraction (50%
cut point of 4 μm). This will determine where particles will settle down in the respiratory
system: the head airways region, the trachobronchial region or gas exchange region.
Dustiness Relative to Sugar Versus Flour Dustiness is the most important property
for the determination of the exposure risk to dust. This determines how easily and for
how long the dust will be airborne. Large dust particles tend to fall out of the air faster
than small ones. This is due to their relative size and density as compared to air. Small
dust particles flow with the air and can remain airborne for a long period increasing the
chance of being inhaled. Dustiness can vary from high (baby powder, flour) to low
(sugar, sand).
Vapor Pressure For chemical liquids, vapor pressure is the most important property
that will determine how easily vapors will be generated and become airborne when
handling the compound. Together with the vapor pressure, the process temperature
should be evaluated because vapor pressure and boiling point have an intimate
relationship.
2.2.4 Facility
Describe the facility, use diagrams and photographs and describe the surface finishes.
Describe the HVAC system using diagrams and indicating pressure regimen, zones for air
handling units (AHUs), air changes per hour and whether the room air is once through (100%
exhausted to the outdoors) or partially recirculated, etc.
Indicate facility issues that need addressing. (e.g. absence of airlocks, finishes, etc.)
What is the philosophy for the facility design?
What is the intended use of the facility?
What design concepts were used to meet occupational health and safety
requirements?
Degowning space including respirator and/or Powered Air Purifying Respirator
(PAPR) storage & cleaning?
Drawings and diagrams are also helpful in understanding how a facility works. The types of
diagrams that best convey this information are listed below.
Material & Product Flow Diagram This diagram traces the flow path of materials and
product to the point of use. It is useful in evaluating plausible pathways for any fugitive
emission from critical areas. This diagram also helps pinpoint potential mechanical transfer
routes, decontamination locations as well as waste flows. Decontamination points should be
shown and the means of conveyance stated such as intermediate bulk containers (IBC’s).
Personnel Flow Diagram This diagram shows the “clean” and “dirty” flow of personnel into
and out of the facility. It identifies the gown and de-gown points. A brief narrative should
describe the gown/de-gown protocols.
Clean and Dirty Equipment Flow Diagram This diagram tracks the route for clean and dirty
equipment as well as personal protective equipment (PPE) and identifies where the
equipment/PPE is decontaminated and where it is cleaned.
HVAC Zone Diagram This diagram indicates the air handling unit (AHU) zones which
should provide a clear picture of which AHU serves which room, group of rooms or general
area (zone). The HVAC zone diagram should also indicate which system is re-circulation or
once through as well as room air changes per hour (ACPH).
Finishes and Surfaces The finishes and features are described in outline with particular
reference to cleanability and penetration issues.
HVAC Pressure Cascade This diagram shows the pressure cascade within the facility.
Pressure differentials should also be shown.
2.2.5.3 Charging/Discharging
Type of charge? Bags, bins, drums, or totes, etc.
Height of free fall? (i.e. the distance from the source to the target),
How Performed? Scoop and dump. Flexible materials used, etc.
Nature of charge, dustiness?
The static charge of the particles?
Total batch size?
% of active pharmaceutical ingredient in the formulation?
Procedure and work practices, etc.?
Airborne vapors?
Safety features present?
Interventions
2.2.5.4 Blending/Mixing
The severity of dust exposure?
Wet or dry blend?
Dustiness of material?
Employee work practices?
Airborne vapors?
Interventions
2.2.5.7 Spraying
Rate of the spray?
The size of the nozzle?
The pattern of the spray?
2.2.5.8 Weighing
Type of container? Bags, Bins, drums, or totes, etc.
How Performed? Scoop and Dump. Flexible materials used?
Dustiness?
The static charge of the particles?
Total batch size?
Procedure and work practices, etc.?
Airborne vapors?
Safety features present?
2.2.5.9 Dipping
Properties of the chemical(s)? (e.g. vapor pressure)
The operating temperature of the container?
Entry and exit rate of the products being dipped?
Procedure and work practices, etc?
2.2.5.10 Compression
Charging method?
Current controls if any?
Discharge dustiness?
Nature of de-duster and metal checker?
Tablet testing describe
Total batch size?
Procedure and work practices?, etc:
Interventions
2.2.5.16 Cleaning
Describe the current cleaning process with reference to exposure risk.
2.2.5.17 Interventions
Record all the interventions that occur:
For set up
For re-calibration
For sampling or end point determination
For recovery
For cleaning
The following reviews of the manufacturing process examples (not all inclusive) are intended to
aid and prompt the qualitative risk evaluation process. In undertaking the evaluation the data
collected are carefully reviewed to identify where emissions occur and if those emissions
contribute to exposure risk that may require exposure controls.
2.2.6.3 Transfer
Transfer takes place from one process to another. The current or proposed transfer system
should be described and any data on performance recorded. Not only the transfer device but
also the transfer container has to be described. A picture is often worth a thousand words. Can
the transfer be eliminated or improved?
2.2.6.4 Charging/Discharging
Charging bags, drums, or totes of dry powder will generate airborne dust. The severity of dust
exposure potential depends on the height of the freefall of dust (i.e. the distance from the source
to the target), the static charge of the particles, the total batch size, the % of active
pharmaceutical ingredient in the formulation, employee work practices, etc. Charging liquid
chemicals (solvents, acids, bases) may generate airborne vapors depending on the vapor
pressure of the chemical, the temperature of the liquid in the vessel, whether a nitrogen blanket
is present or not, etc.
2.2.6.5 Blending/Mixing
Blending/mixing of dry powders and excipients during the formulation process will generate
airborne dust. The severity of dust exposure potential depends on the static charge of the
particles, the % of active in the formulation, whether it is a wet or dry blend, dustiness of
material, the physical/chemical properties of the powders, employee work practices, etc.
Blending/mixing liquid chemicals (solvents, acids, bases) may generate airborne vapors
depending on the vapor pressure of the chemicals, the temperature of the liquid in the vessel,
whether a nitrogen blanket is present or not, employee work practices, etc.
2.2.6.8 Spraying
Spraying chemicals can be controlled, however any open system has the chance of leading to
an airborne exposure potential. An example of a common spraying operation is a paint booth.
Although built to capture the paint particles that do not hit the target object, paint vapors require
the use of PPE. When a spray operation is being assessed, we need to understand the rate of
the spray, the size of the nozzle, the pattern of the spray, the distance between the target and
the nozzle, and the properties of the chemicals. Spray operations can be controlled with local
2.2.6.9 Dipping
This task is defined as the process of moving a product into a container (tank, vessel, bath, etc.)
that contains a chemical. Plating and cleaning operations in a maintenance shop is a good
example. We need to understand the properties of the chemical(s) (e.g. vapor pressure), the
operating temperature of the container, and the entry and exit rate of the products being dipped.
A higher temperature and/or a higher “drag-out” rate will increase the likelihood of airborne
exposure. Exhaust ventilation can be effective. However, the larger the container the more
exhaust air is required to ensure capture velocities are effective.
2.2.6.10 Compression (Tablet Press) It is the means by which powders are pressed into a
tablet. The age of the unit is a critical factor since newer units are more contained.
There are four main areas of focus:
Charging – Adding materials to a compression tool can be done using gravity feed,
usually from a tote, via a closed system directly into the unit. Other operations may
involve open handling where operators scoop powder directly into the compression
hopper. The more open the operation, the more potential for airborne exposure of the
powder.
Operation - These operations are very dusty in nature and can be equipped with
exhaust ventilation to minimize the dust accumulation in the tablet press cabinet. For
products with higher hazard ratings these units can also be equipped with a glove-box
type cabinet with alpha-beta connections and wash-in-place*. Another exposure
potential related to this equipment is maintenance work, including compression plate
removal and cleaning.
Discharge – As the tablets leave the press an area of concern is the containment
controls on receiving vessels, de-duster, and metal detector. The more open the
operation, the more potential for airborne exposure of the powder.
In-Process Control Samples - May be destructive or non destructive and a potential
source of airborne exposure.
* Bear in mind that most interventions for adjustment do not involve washing since the
adjustment will be made during a run to correct a critical parameter.
2.2.7.1 Corrective Action and Adjustment In many cases, intervention is required for
adjustment and correction during the process. It is imperative to solicit feedback from
the operators on interventions they have experienced to understand the exposures that
may result. In the case of a new process it is essential to fully debrief the supplier on
interventions and question any assertion that no intervention is required.
2.2.7.2 Upset Normally not reviewed under a normal risk assessment since this is an
unplanned event. A HAZOP or similar analysis should be undertaken to identify any
upsets that may occur and to describe mitigation in place to minimize the effects if
upsets occur.
2.2.7.3 Heel Recovery Most process equipment fails to achieve 100% discharge of the
product. In many cases the value of the “heel” (or remaining product) is such that it has
to be recovered. All interventions for heel recovery and the exposure created by such
intervention should be evaluated.
2.2.7.4 Raw Material Containers Another opportunity includes working with customers to alter
packaging to suit the needs of equipment.
If the upstream process is the responsibility of an external partner (e.g. raw material
supplier, external manufacturer), can we make agreements on the packaging material to
be used to increase containment?
Does the upstream process determine the packaging or are we free to choose an
optimum package for both processes?
Raw material containers should be suitable for charging and discharging at the right
containment level, but also be secure and save transportation. Cleanability of the
material is to be considered.
2.2.8 Cleaning
The key issue with cleaning from an exposure point of view is to understand the potential
contamination of the equipment to be cleaned. Also whether the “dirty” equipment needs to be
moved to another area for cleaning. Opening up the equipment to allow partial disassembly may
also be a contributing factor to exposure risk.
When evaluating the equipment to be cleaned, consider the impact of the following items being
used in the cleaning process:
2.2.11.4 Characterize Each Contributor The EHS Professional needs to understand the
characteristics of each exposure source. This includes information such as the
chemicals involved, the operating temperature & pressure, the duration and frequency
of the operation, as well as specifics related to the actual emission source(s). This
information will prove helpful when exposure controls are being considered and when
evaluating the risk of exposure.
o Chemical Composition What is the physical state of the compound and how does
this impact the evaluation?
o Rate of Emission If possible, determine the rate of emission in unit terms of mass
per time (e.g. lbs/hr, mg/min). This also equates to product loss and need evaluation.
o Direction of Emission Define the direction (N, S, E, W) of the emission from the
point of origin to determine the risk of exposure.
o Velocity Determine the speed of the emission from the point of origin (e.g. m/s, ft/sec)
and evaluate its impact.
o Duration Define the length of time the operation being evaluated runs on a normal
workday. The degree of detail required in the qualitative assessment is to be
proportional to the hazard. If at the outset of the qualitative assessment it is clear that
the OEL is not a challenge and the processes are well controlled. There is little point
in conducting an exhaustive assessment so long as sufficient review is carried out to
identify any issues. One issue will be with high volume products with medium OELs,
if in doubt conduct a quantitative assessment.
2.2.12 Conclusion The conclusion to the qualitative risk assessment should: List all the issues
that potentially lead to exposure risk.
When conducting a quantitative risk assessment it is very important that the items identified as
critical in the qualitative analysis are incorporated in the sampling plan and that statistically
relevant data are collected.
2.4 Tools
A number of tools have been developed to aid and standardize the risk assessment process.
The value of these tools is that they provide a consistent format and provide a means to capture
data so that others can review it at a later date.
2.4.1.1 Define the unit operation and the different products and chemicals used for that
process. The chemicals/products (e.g. solvents, APIs, active ingredients, etc.) handled
for each unit operation are assessed to determine which chemicals have the greatest
potential to cause airborne concentrations and subsequent inhalation exposure risk
potential. This allows prioritization of sampling activities and surveys. The primary
factors that are considered in determining the RBEAP include:
% of chemical in the batch
Batch size (mass)
Solid, liquid, gel, or cream matrix
Particle size (if data available)
Dustiness
Vapor pressure
Process safety information
OEL/TLV
Operating temperature
2.4.1.2 Based on the above product characteristics, each chemical/product is classified as high,
medium or low risk for airborne exposure potential. In addition to the exposure potential
characteristics, there are additional details recorded on the RBEAP form such as OEL,
type of respirators worn, etc.
2.4.1.4 Once all the sampling is completed, the data are statistically analyzed and the 95%
upper confidence level determined and compared to the OEL for each of the chemicals
handled. A determination of the type of respiratory protection required, if any, is
assigned. Based on the RBEAP assessment, the type of respirator required must be
assigned resulting in a level of protection that will be equivalent to or exceed the actual
protection required. If the IH data indicates the exposure risk is beyond the protection
factor of the respirator, engineering controls may be necessary.
The RBEAP should be re-evaluated in the event there are any changes to the process,
regulatory standard, procedures or chemicals/products that are handled for the unit operation
(linkage with existing “Management of Change”).
Introduction: The exposure control section of this document is intended to provide guidance to
the exposure control team based on the results of the quantitative risk assessment. Utilizing this
information, these technical details will provide the tools and direction necessary for selecting
control options that will help manage the risk identified. The exposure control solutions section
includes: reliance on personal protective equipment (i.e. respirators) options for engineering
controls at the unit operation (i.e. at the source), infrastructure considerations (room airlocks and
people/material flows), and design/filtration for HVAC systems.
Obviously some members will only attend relevant meetings. The team appoints a project
manager and at the initial meeting the team agrees to the scope and a timeline for the project.
In undertaking the evaluation it is worth starting at the processes and working outwards to the
facility.
It is essential to consider the following factors when selecting exposure control options.
Function; is the function possible with the controls in place?
Can all the actions required for:
o Set up
o Operation
o Intervention
o Recovery from upset
o Sampling
In many cases the material handling aspects have to be considered to minimize the effort
required in performing the task. The processes should be carefully reviewed to see if they can
be simplified without impact to the product.
Transfer into and out of the process is often the key issue and a practical method that meets the
goals is required.
Finally, review the process in detail, preferably with the operators that have to perform the
process tasks so the issues are fully understood and addressed.
A key component of the selection of the exposure control options is the use of the Containment
Solutions Guide (CSG).
o The CSGs will provide J&J sites and our external manufacturing partners with guidance and
information to:
Design and install cost effective engineering controls based on proven technologies
Use generic solutions for common unit operations: weighing, dispensing, compression,
reactor charging
Help manage risks associated with chemical exposures
Provide order of magnitude cost estimates and support capital planning
A general practice is to maintain a boundary between the room(s) in which the compound is
processed and the common corridors defined as areas where people, equipment and product
could inadvertently be contaminated. If the chemical exposure is not contained at the source
(i.e. the OEL is exceeded) then measures to control transfer of people, equipment and materials
are required.
3.1.3.1 Reduction at the Source, which gives the opportunity to eliminate or reduce the use of
PPE. Examples include the following:
Containment: the process itself is completely closed and already contained by using
containment technology. Examples are isolator technology (both rigid and flexible),
contained connection systems (e.g. split butterfly valve and endless liner system) and
hard piped connections, (closed processes) including the right gaskets and fittings.
Product Modification: the product is modified in formulation so that exposure is
minimized. Examples are wetting a powder (decreasing dustiness) or using solvents
at lower temperatures (decreasing the vapor pressure) and wetting a powder and/or
equipment (WIP) before opening/dismantling.
Process Change: reducing the energy in the process. Examples are dipping versus
spraying, lowering internal pressure, changing an order of addition, increasing
packaging volume in order to reduce number of transfers.
Substitution: In this case the hazard component is changed to a less hazardous one
so exposure will be removed or reduced. Examples are using less hazardous cleaning
solvents (if possible).
Process Automation: By automating the process, operator intervention will be
reduced and the process can be controlled from a distance (e.g. control room). An
example is the automated dispensing of powders so no manual weight correction
needs to be executed.
Local Extraction: If there is a single point or zone of emission, local extraction can be
used for capturing the emission at the source. Effectiveness of this exposure control
depends heavily on the design of the system. Capture velocity and hood design are
important parameters. These should be both aligned with the emission source and
emission velocity. Example is an air hood around the charging point and the
extraction on a bag discharge cabinet or a charge funnel. They can also be used to
augment the performance of simple split butterfly valves.
3.1.3.3 Reduction in the Surrounding Area Utilizing the facility design to keep the area of the
exposure to a minimum e.g., HVAC and compartments accomplish this. Use of PPE is
still required. Examples include the following:
For all these engineering solutions it is important to review the exposure controls
during manufacturing, cleaning, dismantling and maintenance. Also check if the
current exposure controls perform as intended.
3.1.4.1 Personal Protective Equipment: Personal protective equipment (PPE) such as safety
eye glasses, gloves, coveralls and respirators help protect a worker by providing a
barrier from a chemical or work task. PPE is not a substitute for engineering controls.
PPE is normally considered a secondary control measure to protect the worker from the
environment when it is not possible to enclose or isolate a process or equipment,
provide local exhaust ventilation, or other engineering control. PPE may also be used
as a precaution to protect the worker from a potential spill and for short duration tasks
where engineering controls are not feasible.
3.1.4.3 Use of PPE Does Not Eliminate the Risk. Selection of PPE must be carefully
considered and is dependent on many factors such as exposure level, compatibility,
durability and movement of the employee. Failure of PPE can result in exposure to the
contaminant. Chemicals providing a greater risk of absorption through the skin, such as
”skin notation” chemicals, must be factored into the PPE selection process to minimize
contact with exposed skin including the hands, forearms, face, and neck areas.
Bringing materials and equipment outside the work areas before proper cleaning may
result in contamination of the clean areas.
3.1.4.6 Training in gowning and degowning protocols and the safe removal and disposal of
gloves is essential to minimize exposure & carry over.
3.1.5.2 Housekeeping: Good housekeeping practices play another key role in preventing the
dispersion of contaminants and in maintaining a safe work environment. Clean up
immediately after working with chemicals or when a spill occurs will minimize spread of
contaminants. Use of certain cleaning techniques such as wet wiping and/or use of a
HEPA vacuum will better control the spread of powders and is more effective at
reducing exposure than dry sweeping. Another consideration is the proper wipe down,
cleanup and storage of PPE such as respirators, reusable gloves and coveralls.
Equipment and tools should be cleaned before removing from the work environment
and stored in a location to prevent contamination or damage to the equipment.
If ventilation systems are not well maintained it can lead to unnecessary exposure of
employees using the equipment as well as inadvertent exposures downstream of the
equipment. Maintenance of engineering controls and other equipment used in
production offer an additional source of exposure to personnel who maintain it. Routine
maintenance on dust collection systems, servicing of filters and other components can
result in significant short-term exposures if respirators and other controls are not in
place during servicing. Maintenance and other production support tasks should be
considered as part of your overall risk assessment.
The periodic testing of filters for integrity and a safe filter change out procedure for
expired filters is essential.
3.1.5.4 Employee Work Practices - A critical role is played by the operators with respect to
impacting the potential risk posed by chemical exposures in the workplace. When
performing a risk assessment, the EHS professional must note whether the operator
being observed is following the procedures and work practices that have been put in
place to minimize exposure risk. The following questions will assist in identifying
potential gaps in the area of employee work practices.
3.1.5.5 Are Controls Being Used as Intended? – Often there is a need for operator
involvement in order for exposure control devices to work as intended. For example, a
ventilated charge chute that is used to control dust when charging a vessel or reactor
will not be effective in reducing the potential exposure unless it is utilized. The dust
collector that is providing the exhaust from the ventilated charge chute will not be
effective unless it is turned on.
Another example involves using a DoverPak without securing the bag as required to
minimize dust leakage during a product transfer. A minor oversight can lead to major
exposure risks simply by not utilizing controls as intended.
3.1.5.6 Are Procedures Being Followed? – Many procedures are put in place to reduce
potential exposure risk and during a risk assessment the EHS professional must note
whether these are being followed. A procedure may require that parts are removed from
a chemical bath slowly so as not to drag out solvent vapors. The exposure risk is
minimized when the procedure is followed.
In a weighing operation, the procedure requires the scoop to be lowered to the powder
level in the “transfer to” drum in order to prevent a dust cloud. When this procedure is
followed, the exposure risk is minimized. When conducting the risk assessment the
EHS professional must be aware of the required procedures and ensure they are
followed and noted.
When conducting the risk assessment the EHS professional must be aware of the
required PPE, ensure it’s worn properly and utilized when required.
Is the operator satisfactorily trained to use the containment equipment and the PPE?
3.1.5.9 Procedural
o Proper work practices should be established, workers trained and work practices
enforced.
o SOPs including required safety provisions should be developed. Good work practices
should be established, taught and enforced.
o Deviations from established work practices that result in increased airborne dust
levels and any potential for carryout of product beyond the processing area should not
be tolerated. Defined material and personnel flows should be established as part of
the control scheme.
o Training is required in the use of specialized containment equipment.
3.2.1.1 Isolators - Consult generic User Requirement Specification (URS) and decision logic
for isolators
3.2.1.4.1 Bagging – can be in an enclosure if not utilizing a continuous liner and also in a
downflow booth with good work practices. Secondary bagging with continuous liner is
possible. Used with local exhaust ventilation (LEV) may achieve good results, but
difficult.
3.2.1.4.2 Dover Pacs & Hecht Bags– Flexible, detachable device is more cost effective than
solid wall isolator. Good results with low OEL materials are possible with good
operator technique.
Capture velocity is the air velocity at any point in front of the hood or at the hood opening
necessary to overcome opposing air currents plus the opposing momentum of the contaminant
dispersion to capture the contaminated air or dust particles at the dispersion zone and causing it
to flow into the hood. The lower values of the capture velocities listed above can be used if a
push-pull arrangement is designed. Down flow booths are an example of a push-pull design. In
the case of a downflow booth, air from the ceiling is supplied down through the dispersion zone
during solids transfer and captured by exhaust openings on the opposite end of the supply air.
The advantage of push-pull is that the push air will maintain velocity over larger distances than
the suction end. Push jet nozzles for example can maintain velocities for 20 to 30 feet per
minute whereas the velocity in front of an exhaust hood decays very rapidly as the distance from
the hood increases.
The table below summarizes the recommended duct transport velocities per Industrial
Ventilation. Maintaining appropriate transfer velocities is critical to avoid dust/contaminant
accumulation in ductwork.
In applications where the contaminant is being captured from a dispersion zone (dust cloud),
capture velocity and duct transport velocity are determined using the tables above. Consult the
ACGIH Industrial Ventilation Manual that provides formulas and diagrams to determine the
required exhaust airflow volumes based on the following variables:
Distance from the hood face to the farthest point of contaminant release
Hood opening face area
Capture velocity required at the farthest point of contaminant release
3.2.5 Processes
Where possible, process steps, transfer containers and equipment should be integrated
to minimize transfer points.
Sampling should also be considered with the design of the equipment and facilities.
Try to avoid open processes or equipment/activities that generate high dust levels or that
are difficult to contain. These may include open mixers, mills, tray dryers, sieves and
other equipment without enclosures and/or ventilation controls. Substitute
processes/activities that generate less dust or that are well contained.
Eliminate unnecessary/redundant handling and processing steps consistent with lean
manufacturing techniques. Parts should be pre-cleaned and/or bagged in the
manufacturing area prior to removal.
3.2.5.4 Weighing/Dispensing
Weighing should be done with the aid of engineering controls: glovebox (rigid or flexible),
downflow booth, LEV, etc.
Typically screening or milling of material is required during the weighing process. Ensure
the equipment utilized is capable of containing this process and exposure during cleaning
of the equipment can be controlled.
Rooms should be set up for this particular unit operation. Proper material flows to and
from storage through staging needs to be considered.
Depending on level of containment being used, batch or weighing paperwork flows need
to be protected.
Note incoming material container type & size, method to perform transfer, (scooping vs.
Vacuum Transfer).
Flexible materials can be used for weighing and dispensing solutions – Incorporate drum
turner and continuous liner to maintain containment.
Vacuum transfers for higher volume dispensing – Still may have to be done in a downflow
booth. Breakdown & cleaning of vacuum transfer unit needs to be thought out before
implementing. Depending on volume, several options exist.
3.2.5.6 Granulation
Consider the type of technology (e.g. wet, spray, fluid bed).
Tasks to consider include: charging, discharging, sampling, cleaning & filter changing.
System to wet interior of chamber before opening equipment will assist in controlling
levels.
Cleaning area for filters needs to be considered in room design. How to get to cleaning
area if not contiguous to room also needs to be considered.
Closed system for charging and discharging.
System may include vacuum transfers.
Bottom discharge is helpful.
Closed sampling techniques preferred.
Techniques to remove and clean filters required.
Glove bag techniques can be used for filter removal.
Maintenance & cleaning of remote explosion relief valve needs to be considered.
For fluid bed dryers, procedures that allow for adequate time to allow airborne particulate
to settle. Using a device to create vibration in the shell to loosen retained material is also
useful to minimize exposure when open.
3.2.5.7 Filtration
Controls that can be considered include isolators, glove bag or downflow booth.
Local exhaust ventilation (LEV) may be appropriate for material wet with solvent.
Charging should be by direct connection.
Discharge should be directly into a bag using a bag connection, rapid transfer port (RTP)
or intermediate bulk container (IBC).
Heel should be removed safely with the use of engineering controls, (e.g. glove bag).
Screens should be removed and cleaned while contained.
3.2.5.12 Coating
Dust levels should be very low for charging tablets that have passed through a de-duster.
Depending on friability and static characteristics for the tablets to hold dust.
If tablets are not de-dusted, then some closed connection between tablet container and
coating pan may be appropriate
Risk during discharging should be very low given the fact that the tablets have been
coated.
Need to consider the cleaning operations after coating, (e.g. cleaning of the discharge
filters).
3.2.5.15 Parenteral
Parenteral compounding
o Under laminar airflow (LAF) or other control.
o Consider closed transfer for lower OEL compounds.
Parenteral solution filling
o General statement that only needed in situations where the OELs are very low and
when substantial aerosols can be generated.
o The potential for aerosols to be generated will be dependant upon the fill rate, the
type of filling equipment and material characteristics.
o External vial washing – consider regulatory and cGMP requirements.
Parenteral powder filling
o Isolators and bulk RTP can be used to contain the powder filling area.
o Specialized LAF unit to contain fugitive dust generated during filling.
o Sampling & testing to be considered.
o Control of container exterior contamination.
o External vial washing – consider regulatory and cGMP requirements.
3.2.5.19 Maintenance
Main issue is risk transfer to other areas during cleaning (equipment movement in and
out of contained area to cleaning/maintenance areas)
3.3 Facility
This guideline addresses room containment design, as opposed to cGMP requirements for
cleanliness and contamination control of facilities or processes. While containment and cGMP
cleanliness design for rooms share several design solutions, and many production operations
within J&J that require containment are also subject to cGMP regulatory requirements, the
containment requirements for a room should be identified and documented independently of
requirements related to the room’s cGMP requirements.
If the risk assessment of the process equipment and operations in a room indicate that
engineering controls cannot control the source to a level below the OEL then the room, as well
as the HVAC system, has to serve as a secondary containment. The risk assessment should
describe the key factors related to containment design of the room (see Risk Assessment
section):
Level of contamination expected within the room for maintenance and/or abnormal
conditions such as spills or isolator failure.
Probability of abnormal conditions such as spills or isolator failure as analyzed at each
process step.
Level of risk from airborne contamination to facilities and environment outside of the
room.
JJ-III (ISO 8)
Corridor Containment
0"wc Room
0.06"wc (15 Pa)
JJ-III (ISO 8)
Airlock B
0.09"wc (22.5 Pa)
JJ-III (ISO 8)
Airlock A
0.03"wc (7.5 Pa)
Airlock Figure 1
Where the process is closed and controlled to the OEL, consideration could be given to a single
airlock B to maintain the pressure differential.
An airlock can be used for both material and personnel access to a containment room
where traffic into the room is low and simple respiratory protection is used. Separate
gowning areas, however, should be considered wherever respiratory protection is
required, especially where there is lots of material and/or personnel movement into the
space.
Separate gowning areas should be provided where over-gowning or PAPR use is
required within the room.
Gowning areas should be sized to accommodate the level of gowning and respiratory
protection used as well as the number of people entering the room. Gowns and
respiratory protection that are worn more than once before cleaning should be stored
separate from clothing or personal effects. Mirrors should be provided to allow visual self-
inspection of gowning and respiratory devices.
Personnel should remove used gowns and respiratory protection before leaving the
containment suite. A de-gown area outside of the contained process room should be
provided for this purpose. Degowning and decontamination of personnel exiting the
containment room should be designed based on the risk level in the room. Consider
providing a separate degown room where there is a high risk of surface contamination on
the gown from processes generating dust or aerosols.
Degown
-0.03"wc (-7.5 Pa)
Misting Shower
-0.06"wc (-15 Pa)
JJ-III (ISO 8)
Containment
JJ-III (ISO 8) Room
Gown 0.03"wc (7.5 Pa)
Corridor 0.03"wc (7.5 Pa)
0"wc
JJ-III (ISO 8)
Airlock B
0.06"wc (15 Pa)
JJ-III (ISO 8)
Airlock A
0.03"wc (7.5 Pa)
Airlock Figure 2
Where PAPR use is required, a separate room for cleaning and servicing of PAPRs
should be provided.
3.3.5 HVAC
The HVAC system is an integral part of the facility infrastructure that provides secondary
containment to the process operation in a contained room. If the risk assessment of the process
equipment and operations in a room indicate that there is a high enough risk that the exposure
is not controlled at source to a level below the OEL, then the room as well the HVAC system,
has to serve as a secondary containment boundary. This section provides design considerations
for the HVAC system when required from the risk assessment to function as secondary
containment
Refer to J&J Guideline 01042-03, Guideline for Clean Room Pressurization Design (see link
below) for guidelines on airlock applications.
Monitoring and alarm requirements for containment room differential pressures should be
established. Local room alarms that will alert the operator (inside and outside of the room) in
the event that the required pressures are not being maintained may be required.
Negative differential air pressure in manufacturing rooms relative to surrounding rooms is
needed when secondary containment is required. Use of airlocks/gowning rooms for entry to
process rooms should be considered.
HEPA filters should be housed in a safe change (bag in/bag out) system or be able to be
changed into the controlled area safely without occupational exposure.
Both supply and exhaust ductwork should be considered contaminated up to a HEPA filter.
High hazard rooms should have HEPA filtration at the room boundary if feasible.
Where low wall installation is used provide enough wall space such that filters can be
replaced from within the contained area. See figure 3 for a typical side view installation
of a wall mounted terminal HEPA housing. It should be noted that the figure is just a
typical example. This figure shows two filter boxes, one with a HEPA and one empty to
allow for a second HEPA installation. This was done to provide flexibility in the event
where there is a concern of break-through of the first HEPA. Another recommendation is
to install a pre-filter to extend the life of the HEPA filter.
The figure shows a break line that indicates the material of construction – stainless steel
on one side and galvanized on the other side. Contrary to what is shown on the figure, it
is advisable to save cost by minimizing stainless steel to only where it is necessary. For
example, stainless steel can be used from the bottom plenum and below to avoid
corrosion when exposed to cleaning agents and to meet cGMP industry practices
(stainless if exposed to the room).
Definitions
Inevitably phrases and synonyms are used throughout that you may not know or where sharing
a common definition is beneficial to understanding in a multi-disciplinary environment.
Basic Characterization:
A process used to identify the agents handled by every employee in the workplace. The purpose
of the basic characterization is to have a complete inventory of chemical agents / hazardous
substances; the Health effects; OEL/TLVs; tasks/activities or unit operations and list of workers
or job titles.
Bubble-tight Damper
A bubble-tight damper is an isolation damper used primarily for isolation of a filter or filter bank
during the filter change-out process. The damper is tested for providing a "bubble-tight" seal
(zero leakage) at a differential pressure of 10"WC (2.5 kPa) at the damper's fully closed
position.
Exposure
Contact with a compound. It is variable and can be modified by a wide range of measures to
control risk.
Flash point
A flash point is the lowest temperature at which a liquid can form an ignitable mixture in air near
the surface of the liquid. The lower the flash point, the easier it is to ignite the material.
Hazard
Hazard is the potential for any compound to cause harm. Understanding the hazard allows risk
levels to be set. Every substance has some hazard. The terms hazard and risk are often used
interchangeably, this is incorrect since hazard is specific to the compound (s) of concern.
Risk
Risk is the probability that a compound will produce harm under specified conditions of
exposure. Risk can be limited to safe levels by controlling exposure
Risk-Based
A risk-based evaluation utilizes many different aspects with regard to the decision making
process. For exposure potential, a risk-based decision would take into consideration the
chemical hazard, its physical form (solid, liquid and gas), quantity, current controls utilized,
duration of exposure, dustiness for powders/vapor pressure for liquids, etc. A risk-based
decision looks at all the possibilities that could potentially lead to exposure and takes them into
consideration when evaluating the controls used to manage the risk.
Unit Operation
A unit operation includes the equipment required to produce a specific product as part of the
entire production process. Some examples include: a tablet press, a Sanpro machine, a
blender, and a filter press.
Vapor pressure
The vapor pressure of a liquid is the pressure exerted by its vapor when the liquid and vapor are
in dynamic equilibrium. It is important to specify the temperature when stating a vapor pressure
because vapor pressures increase with temperature. Also, be aware that there are several
different units of pressure. Vapor pressure and boiling point have an intimate relationship. The
boiling point is the temperature at which the vapor pressure of the liquid equals the external
pressure.