Formaldehyde - CDPH Home

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FormaldehydeOverexposure to formaldehyde irritates the eyes, nose,throat, and skin. Formaldehyde can cause allergic reactionsof the skin (dermatitis) and the lungs (asthma). Formaldehydeis a known cause of cancer in humans.How to find out ifSome synonymsyou are working withformaldehydeand trade names offormaldehyde productsYour employer must tell you if you are workingwith formaldehyde, and must train you to use itsafely, under California's Formaldehyde Standardand the Hazard Communication Standard (seepage 8). If you think you may be exposed toformaldehyde on the job, ask to see the MaterialSafety Data Sheets (MSDSs) for the products youare using. The MSDS must identify formaldehydein Section 2, by the Chemical Abstract Service(CAS) number 50-00-0.Formaldehyde is commonly used as formalin, amixture of 30-50% formaldehyde and 10-20%methyl alcohol in water. Formalin readily givesoff irritating vapors with a strong odor.formalinmethaldehydemethanalmethyl aldehydemethylene glycolmethylene rmMorbicidHow formaldehyde isused and where it’s foundFormaldehyde is used as a FACTSHEETHESISFEBRUARY 2011 (revised) disinfectant and sterilant,*fumigant,preservative, and in embalming fluid,some keratin-based hair smoothing treatments.* (other aldehydes used include glutaraldehyde andortho-phthalaldehyde)HAZARD EVALUATION SYSTEM & INFORMATION SERVICECalifornia Department of Public HealthOccupational Health Branch850 Marina Bay Parkway, Building P, 3rd Floor, Richmond, CA 94804510-620-5757 www.cdph.ca.gov/programs/ohbCalifornia Department of Public Health California Department of Industrial Relations

It is used in making chemical resins wrinkle-proof fabrics rubber products latex paints dyes plastics paper products, and cosmetics.It is found in insulation materials plywood particle board adhesives glues paint primers, and fingernail products.Any of these materials may give off formaldehydevapors.Formaldehyde is also present in combustionproducts, such as vehicle exhaust and tobaccosmoke.Some workers whomay have substantialexposure toformaldehydechemical and rubber workersembalmerslaboratory workershealth care workersclothing and textile workersfurniture or wood product makersfoundry workersinsulation workersH ow formaldehydeaffects your bodyFormaldehyde can affect you when you breatheits vapors or touch the liquid. Becauseformaldehyde reacts quickly with body tissues,it mainly affects the place of direct contact, suchas the eyes, nose, and skin. The most commoneffect of overexposure is irritation of the eyes,nose, and throat.2Eyes, Nose, and Throat. The eyes, nose, andthroat are irritated by formaldehyde vapors at levelsas low as about 0.3 part formaldehyde per millionparts of air (0.3 part per million, or 0.3 “ppm" — see“Legal Exposure Limits"). This exposure can causered, teary, burning eyes, sneezing and coughing, andsore throat. Some people have irritant symptoms atthese very low exposure levels, while others cantolerate levels as high as a few ppm with little or noreaction.Liquid formaldehyde solutions contacting the eyescan damage the cornea, possibly causing blindness.Lungs. High levels (5-30 ppm and higher) canseverely irritate the lungs, causing chest pain andshortness of breath.Repeated exposure to formaldehyde can causeallergic asthma. Symptoms of asthma includechest tightness, shortness of breath, wheezing, andcoughing. Formaldehyde's long-term effects on thelungs are not fully understood.Skin. Formaldehyde solutions can destroy your skin'snatural protective oils, causing dryness, flaking,cracking, and dermatitis (skin rash). Skin contact canalso cause an allergic reaction (redness, itching, hives,and blisters). As many as one in twenty workers whoare regularly exposed to formaldehyde develop anallergic skin reaction.Cancer. Formaldehyde exposure can cause cancer ofthe nose and sinuses in humans, as well as sometypes of leukemia and lymphoma. Formaldehyde isregulated as a carcinogen by Cal/OSHA and Cal/EPA.Reproductive System. Formaldehyde’s effect onpregnancy and the reproductive system has beenstudied in both humans and in laboratory animals.Formaldehyde has been shown to decrease fertilityand increase the risk of spontaneous abortion(miscarriage) in humans. In laboratory animals,formaldehyde can harm the developing fetus anddamage sperm. In order to avoid risk to pregnancyand the reproductive system, HESIS recommendsminimizing workplace exposures to formaldehydeprior to and during pregnancy.

Legal exposure limits Re-test the air for formaldehyde each time thereis a change that may result in new or additionalexposure.Permissible Exposure Limits. TheOccupational Safety and Health Standards Board setsPermissible Exposure Limits (PELs) for the amountsof chemicals in workplace air. PELs are intended toprotect the health of most workers who are exposedevery day over a working lifetime. Determine exposures promptly, if employees arehaving formaldehyde-related respiratory or skinsymptoms. Allow employees or their designatedrepresentatives to observe any required exposuremonitoring.The PEL for formaldehyde is 0.75 part offormaldehyde per million parts of air (0.75 part permillion, or 0.75 ppm). Legally, your exposure maybe above the PEL at times, but only if it is belowthe PEL at other times, so that your average exposurefor any 8-hour workshift is no more than 0.75 ppm. Notify employees in writing within 15 days afterreceiving the exposure monitoring results.The Short-Term Exposure Limit (STEL) forformaldehyde is 2 ppm. Your average exposureduring any 15-minute period must not exceed2 ppm. Exposure at or above the STEL triggersspecial requirements.The Action Level for formaldehyde is 0.5 ppmaveraged over an 8-hour period. Air monitoring,medical surveillance, and other special requirementsare triggered at or above this level.Cal/OSHA's formaldehyde standard, California Codeof Regulations, Title 8, Section 5217, contains manyother specific requirements (see information onpage 8).Monitoring yourexposureTo reduce your risk of developing health problemsfrom exposure to formaldehyde, your employermust Identify employees who may be exposed at orabove the action level or STEL. Test the air to accurately determine how muchformaldehyde each identified employee isbreathing. Test the air periodically if the first tests showthat exposures are at or above the action level orSTEL.See the formaldehyde standard (information on page8) for additional exposure monitoring requirements.Tests for exposure andmedical effectsBlood or urine tests. Formaldehyde does notstay in your body. No medical or laboratory test canaccurately measure the amount of formaldehyde towhich you have previously been exposed. There is nomedical reason to do blood or urine tests forformaldehyde.Medical Surveillance. If you are exposed toformaldehyde at or above the action level or abovethe STEL, your employer must have a medicalsurveillance program to monitor effects on yourhealth.Your employer also must Provide the medical surveillance program if youdevelop signs and symptoms of overexposure toformaldehyde, or if you are exposed toformaldehyde during an emergency. Provide a medical disease questionnaire beforeassignment to jobs where exposures are at orabove the action level or above the STEL, andpromptly when you experience signs andsymptoms that indicate overexposure toformaldehyde.3

Ensure a medical examination if evaluation of the questionnaireindicates that you may be at increasedrisk for health effects; at the time you first start using arespirator (if you are required to wearone) and then once a year;By law, employers must provide a safe and healthyworkplace. Here are some ways employers andworkers can work together to reduce exposures toformaldehyde. See the formaldehyde regulation forspecific Cal/OSHA requirements (information onpage 8). as soon as possible if you are exposedto formaldehyde in an emergency.Use safer substitutes whenever possible Provide the medical exam at a reasonabletime and place, at no cost to you, andwithout loss of pay. Have a licensed physician or someone underthe physician’s supervision perform all medicalprocedures, including administration of themedical disease questionnaire. Provide specific information about your job, anda copy of the formaldehyde standardand the appendices, to the health care provider. Provide you with a copy of the physician’swritten opinion within 15 days afterreceiving it.Medical Removal. If you experience significantirritation of the eyes, throat, or lungs, orasthma-like symptoms such as chest tightness,shortness of breath, coughing, or wheezing, aphysician must determine whether you need tobe removed from exposure to formaldehyde.A physician must also evaluate skin irritationor skin allergies caused by products that containat least 0.1% formaldehyde.See the Cal/OSHAformaldehyderegulation forother specificmedical removalrequirements includingjob transfer or job trainingwith retention of currentearnings, seniority andother benefits, and provisions formultiple physician review ofevaluation results.4Reducing exposure Hydrogen peroxide-based solutions often can beused as disinfectants. Ethyl alcohol, polyethylene glycol, orphenoxyethanol can be used as fixatives orpreservatives.Ventilate the work area Install professionallydesigned ventilationsystems to maintainformaldehyde exposuresbelow legal exposure limits. Conduct regularmaintenance on ventilationsystems and ensure that theyare functioning properly. Do not allow ventilationsystems to recirculateformaldehyde vapors.Use personal protective equipment Protective clothing and equipment must beprovided at no cost to prevent skin and eyecontact with liquids containing 1% or moreformaldehyde. Employers must ensure thatemployees use it. Change rooms as specified in Title 8, Section3367 must be provided for employees whoare required to change from work clothes toprotective clothing. Gloves made of nitrile, neoprene, butyl rubberor polyethylene laminate protect againstincidental hand or skin contact withformaldehyde. Gloves made of latex may notprovide adequate protection and can causeallergic reactions.

Chemical resistant aprons protect againstsplashes to the body. Chemical safety goggles protect eyes fromsplashes. Face shields with chemical safety gogglesprotect the entire face from splashes. Respirators should be used as specified in theformaldehyde regulation, only if ventilationand other control methods are not effective orfeasible. Employers also must comply withthe Cal/OSHA Respiratory Protection Standard(Title 8, Section 5144).Inform and train workers Provide eyewash facilities in areas wheresplashing may occur with solutions thatcontain 0.1% or more formaldehyde. Provideemergency showers in areas where solutions of1% or more formaldehyde are used. Whereboth are required, locate them together within10 seconds of the splash area (Title 8,Section 5162). Use laboratory fume hoods when workingwith open containers of formaldehyde andspecimens preserved in formaldehyde. Label all containers as specified in theformaldehyde regulation. Cap storage containers immediately whenformaldehyde is not in use.Do not use formaldehyde on surfaces likecarpets that can’t be cleaned easily. Explain and discuss the formaldehyderegulation and MSDSs. Educate employees about formaldehydehealth hazards and symptoms of overexposure.Emphasize the importance of reportingsymptoms early.Minimize exposure from spills andcontaminated material Instruct employees on the use of safe workprocedures. Demonstrate the proper use and maintenanceof fume hoods and other local exhaustventilation systems. Explain the purpose and limitations ofpersonal protective clothing and equipmentand demonstrate how to use them properly. Instruct employees on how to respond tospills and emergencies, and on safe clean-upprocedures. Conduct drills on emergency procedures thatinclude each employee’s specific duties. Ensure that employees understand theinformation and training. Perform preventive maintenance on equipmentand inspect frequently to detect leaks and spills. Develop procedures to contain spills,decontaminate work areas, and dispose ofwaste in work areas where spills may occur. Use formaldehyde neutralization pads or sheetswhere small spills or drips may occur on worksurfaces. Repair all leaks and clean up spills promptly.Ensure that employees are wearing suitableprotective equipment and are trained. Use formaldehyde neutralization productsthat neutralize quickly and don’t generatehazardous by-products. Promptly remove contaminated material, suchas towels, clothing, and sponges from thework area. Ventilate contaminated clothing and equipmentin properly labeled and established storage areas.Have only persons trained in formaldehydehazards remove them. Place contaminated waste and debris fordisposal in sealed, labeled containers thatwarn of formaldehyde hazards.Establish and use safe work procedures Identify regulated areas where formaldehydeconcentrations exceed the PEL or the STEL.Post with signs required by the regulation, andlimit access to persons trained on the hazardsof formaldehyde.5

SPECIFIC WAYS TO REDUCE EXPOSURESFOR VARIOUS INDUSTRIESFUNERALAPPAREL AND TEXTILE Use low formaldehyde-containing cross-linkingagents in textile manufacturing processes, whenpossible. Use a roof exhaust fan or other ventilationsystems to remove formaldehyde vapors fromstored apparel and to provide a continuoussupply of fresh air.Use embalming fluid substitutes that containethyl alcohol, polyethylene glycol, orphenoxyethanol. Be aware that embalmingcreams and drying and hardening powdersmay also contain formaldehyde. Use embalming tables with local exhaustventilation that draws air down at the sides andcarries it out of the room through ducts. Thesesystems are sold for existing tables. Use small quantities for easy and safe handling.Use personal protective equipment such asgloves, chemical safety goggles, face shields,and aprons.AirflowTo exhaustCross section as viewedfrom end of table6

MEDICAL AND HEALTH SERVICES Use other sterilization methods, such as lowtemperature plasma or autoclaving, insteadof formaldehydewheneverpossible. Use dsolutions maybe suitable. Useformaldehydefree fixativesfor histopathological procedures, whenpossible. Use formaldehyde-based fixatives with thelowest concentration of formaldehyde possible. Incorporate automatic dispensing systemsto replace manual formaldehyde handlingprocedures, such as washing, disinfecting,or dispensing. Conduct work with open containers inlaboratory fume hoods or using other localexhaust ventilation systems. Ensure that hemodialysis drain line connectionsare airtight to prevent formaldehyde vapors fromescaping into treatment rooms. Spend as little time as possible in areas wherehemodialyzers are reprocessed.FOUNDRY AND FURNITUREELECTRONICS Convert to low-emitting formaldehyde resins,when possible. Use formaldehyde-free wood products.Provide a continuous supply of fresh airwhere furniture is stored.Consider switching to formaldehyde-freealternatives in printed circuit boards. Carbon,graphite, organic-palladium, tin-palladium,sodium hypophosphite electroless copper, andconductive polymer technology are examples.7

RESOURCESREGULATIONS THAT HELPTO PROTECT WORKERS Formaldehyde Standard. This comprehensivestandard, California Code of Regulations (CCR),(Title 8, Section 5217) requires employers to takespecific actions to protect workers from allergicreactions, irritation, and cancer that can resultfrom exposure to formaldehyde.See www.dir.ca.gov/title8/5217.html. Hazard Communication Standard.Under this standard (Title 8, Section 5194), youremployer must tell you if you are working withany hazardous substances, must train you to usethem safely, and must make Material Safety DataSheets available.See www.dir.ca.gov/title8/5194.html. Injury and Illness Prevention Program.Every employer must have an effective, writtenInjury and Illness Prevention Program (IIPP) thatidentifies a person with the authority andresponsibility to run the program (Title 8,Section 3203). The IIPP must include methodsfor identifying workplace hazards, methods forcorrecting hazards quickly, health and safetytraining at specified times, a system forcommunicating clearly with all employees abouthealth and safety matters (including safe ways foremployees to tell the employer about hazards),and recordkeeping to document the steps takento comply with the IIPP.See www.dir.ca.gov/title8/3203.html.Access to Medical and Exposure Records.You have the right to see and copy your ownmedical records, and any records of toxicsubstance exposure monitoring (Title 8,Section 3204). These records are important indetermining whether your health has beenaffected by your work. Employers who have suchrecords must keep them and make them availableto you for at least 30 years after the end of youremployment.See www.dir.ca.gov/title8/3204.html.WHERE TO GET HELP HESIS. Answers questions about formaldehyde andother workplace hazards for California workers,employers, and health care professionals. Call 866-282-5516. HESIS also has many freepublications available. To request publications, leavea message at (866) 627-1586, visit our website atwww.cdph.ca.gov/ohb, or write to HESIS at 850Marina Bay Parkway, Building P,3rd Floor, Richmond, CA 94804. National Institute for Occupational Safety and Health (NIOSH). Hazard Control 26 /Controlling Formaldehyde Exposures DuringEmbalming: www.cdc.gov/niosh/hc26.html. California Division of Occupational Safety and Health (Cal/OSHA). Investigates workers’complaints and answers questions about workplacehealth and safety regulations. Complainants’identities are kept confidential. Contact the nearestCal/OSHA Enforcement District Office. They arelisted in the blue government section near the frontof the phone book, under “State Government /Industrial Relations /Occupational Safety andHealth /Enforcement" or visit their website atwww.dir.ca.gov/DOSH. Other resources for employees may includeyour supervisor, your union, your company healthand safety officer, your doctor, or your companydoctor. Cal/OSHA Consultation Service. Helpsemployers who want free non-enforcementassistance to improve health and safety conditions.Employers can call 1-800-963-9424.To obtain a copy of this document in an alternate format, pleasecontact: (510) 620-5757. (CA Relay Service: 800-735-2929 or 711).Please allow at least ten (10) working days to coordinate alternateformat services.Edmund G. Brown Jr., GovernorState of CaliforniaDiana S. Dooley, SecretaryHealth and Human Services AgencyMark B Horton, MD, MSPH, DirectorDepartment of Public HealthMarty Morgenstern, SecretaryLabor and Workforce Development AgencyJohn C. Duncan, DirectorDepartment of Industrial Relations8JANE NORLING DESIGN

as the eyes, nose, and skin. The most common effect of overexposure is irritation of the eyes, nose, and throat. Eyes, Nose, and Throat. The eyes, nose, and throat are irritated by formaldehyde vapors at levels as low as about 0.3 part formaldehyde per million parts of air (0.3 part per million, or 0.3 “ppm" — see “Legal Exposure Limits").

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