Title
Environment, Health and Safety Manual - Chapter 05.22: Indoor Air Quality Policy
Introduction
The University of North Carolina at Chapel Hill is committed to providing a work environment that is free of recognized hazards and to investigate complaints that may be related to poor indoor air quality (IAQ). Acceptable indoor air quality is air in which there are no known contaminants at harmful concentrations as determined by the Department of Environment, Health and Safety (EHS) and with which a substantial majority of people exposed do not express dissatisfaction.
On campus, cases of Sick Building Syndrome or Building-Related Illnesses are very rare, but we do occasionally receive IAQ complaints by sensitive building occupants. Most IAQ complaints are related to mucous membrane and/or respiratory irritation, headache, or fatigue. Office workers may report irritation of mucous membranes of the eye, nose, and throat. In such cases, eye symptoms include itching, redness, and irritation. Respiratory symptoms include nasal congestion, itching, coughing, and runny nose. Throat symptoms include feelings of dryness and irritation. However, these symptoms are not unique to IAQ issues. In most cases there are no definitive signs or tests available to differentiate building air quality related symptoms from other causes.
Poor indoor air quality may be caused by vapors, dust generated in the work environment, materials infiltrating from outside sources (such as pollen or engine exhaust), contaminants associated with fungal growth or deficiencies in the ventilation system. Unfortunately, due to scientific limitations and variations in individual sensitivity, EHS is not always able to identify an indoor air quality problem when complaints or symptoms are reported.
Although specific regulations have not been developed for IAQ in the work place, EHS considers recommendations from the American Conference of Governmental Industrial Hygienists (ACGIH), American Industrial Hygiene Association (AIHA), and the American Society of Heating, Refrigerating, and Air Conditioning Engineers (ASHRAE).
Important Terms and Definitions
Probable Source of Suspected Contaminant
In some cases, the contaminant can be identified with reasonable certainty, such as when high carbon monoxide levels are found in areas where the occupants have corresponding symptoms. In other cases, a contaminant will be suspected but cannot be confirmed. For example, because respiratory problems can have many causes, mildew or other molds—even if present—may or may not be the cause of an occupant’s symptoms. The wide variation in individual sensitivity to mold creates an additional uncertainty.
Mildew and other molds are often identified by visual observation. When not readily observed, probable mold sources can include dirty ventilation ducts, dirty window unit air conditioners, porous materials in humid environments, and—where water intrusion has occurred—affected carpets, drywall, ceiling tiles and office furnishings.
Area of Concern
During its investigation, EHS will delineate an area of concern for indoor air quality problems and possible remediation. The area of concern will be delineated according to the locations of complainants, the probable source of the suspected contaminant, the design of the HVAC system and physical barriers.
Remedial Measures
Remedial measures may be confined and temporary, or as extensive as renovation of a building’s heating, ventilation and air conditioning (HVAC) system. Less extensive remedial measures include replacing dirty HVAC filters, better housekeeping, replacing furniture, cleaning visual contaminates, installing portable dehumidifiers or air cleaners, cleaning window air conditioners and replacing carpet with tile.
Sick Building Syndrome
When the symptoms of respiratory tract and eye irritation, headaches and fatigue are experienced by a sizable percentage of building occupants (usually more than 20 percent), the situation has become known as Sick Building Syndrome (SBS). Specific causes of SBS remain unknown. Insufficient fresh air (outdoor air) being brought inside is sometimes associated with buildings with SBS. A single cause for SBS is unlikely. Many hypotheses must be considered in determining the cause of complaints in any particular building, including ventilation rates, ventilation system maintenance and type, and a multitude of irritants from occupant activities, microbial contamination, and off-gassing from building furnishings.
Building-Related Illness (BRI)
Building-related illness is very rare, but often more serious than symptoms reported in SBS, and may affect only a small number of building occupants. BRI is characterized by a distinguishable set of common occupant symptoms, often accompanied by physical signs and clinical abnormalities. BRI is confirmed by a physician’s diagnosis and may include infections such as legionellosis, toxic syndromes associated with exposure to chemical or physical agents, and hypersensitivity diseases, including hypersensitivity pneumonitis, “humidifier fever,” asthma and allergic rhinitis.
Prevention of Indoor Air Quality Problems
Many IAQ issues can be avoided with timely maintenance and repair of building HVAC systems and rapid response to water intrusion into a building. Water damaged areas must be dried in 48 hours to prevent the initiation of fungal growth. Building occupants should notify Facility Services as soon as possible of plumbing, roof and foundation leaks or HVAC malfunctions. Facility Services and EHS respond quickly to these problems. Another way IAQ issues can be avoided is adequate housekeeping activities by building occupants. Although UNC has housekeeping staff, it is important to be vigilant in keeping your personal property clean. UNC housekeeping staff does not clean personal property. It is the responsibility of the owner.
EHS Indoor Air Quality Investigation
Evaluation of building related complaints requires the cooperative effort of the complainant, Facilities Services and Department of Environment, Health and Safety. Following the initial complaint, EHS will interview the complainant to determine if their symptoms are potentially related to IAQ problems. When such a potential exists, EHS will conduct an IAQ investigation with appropriate Facilities Services staff according to the following procedures. The investigation may lead to plans for remediation.
Identification of IAQ Problems
Building occupants who experience irritations that may be related to indoor air quality should submit a Request for Indoor Air Quality Investigation Form. Building occupants specifically concerned about mold should submit a Request for Mold Investigation Form. An EHS Industrial Hygienist will review the form and interview the complainant to determine what further action is needed.
Complaints received by Facilities Services, involving specific symptoms, should be forwarded directly to EHS for review. Facility engineers, housekeeping staff and campus maintenance workers who identify IAQ problems or risks (e.g., odors, significant mold growth, faulty building humidification systems) should contact EHS directly.
Initial On-Site IAQ Investigation
When notified and if warranted, an EHS Industrial Hygienist will conduct an initial on-site investigation. The following conditions will typically be evaluated:
- Percentage of outside air being supplied to building
- Location of outside air intake(s)
- Immediate outside environment
- Ventilation rate
- Operation and maintenance of HVAC system
- Relative humidity
- Temperature
- Carbon dioxide level
- Carbon monoxide level
- Signs of water intrusion including plumbing, roof and foundation leaks
- Airborne dust levels
EHS will also evaluate the work area and building for probable sources of contaminants, such as chemical use and storage; general housekeeping; recent renovations and/or new furnishings, activities in work area, and the building HVAC system. Some investigations will require the assistance of Facilities Services.
Phase II IAQ Investigation
In some cases, the initial investigation indicates the need for a Phase II IAQ investigation to provide more detailed information regarding the nature of the problem. This phase of the investigation may include the following:
- Monitoring for chemical contaminants
- Bioaerosol monitoring
- Detailed HVAC evaluations
- Medical examinations and/or testing at the University Employee Occupational Health Clinic (for employees) or Student Health Service (for students).
Limitations of IAQ Investigations
Sampling methodologies and acceptable limits have been established for many contaminants. However, occupants may continue to experience discomfort at contaminant levels below standards for occupational exposure. Also, individual sensitivities vary.
Sampling and measuring indoor mold contamination on surfaces is of limited value because mold is found in virtually all environments, and because no consensus or regulatory standards have been established. One of the problems with establishing standards is that individual sensitivity to mold varies greatly.
EHS IAQ Investigation Report and Remedial Measures
EHS will prepare a written report of investigation results, including conclusions regarding possible causes of the IAQ problems. Copies of the IAQ investigation report will be forwarded to the complainant and his or her supervisor, and other associated units.
Remedial Measure Decision-making
When indicated, EHS will recommend remedial measures. These will be reviewed by the University Employee Occupational Health Clinic (UEOHC), the complainant's supervisor, and/or Facilities Services as needed. When visual observation finds significant mold in water-damaged environments, controlling and eliminating mold growth will be recommended. EHS will determine if other IAQ risks are actionable by evaluating four variables:
- Probable source of a suspected contaminant, and its extent or magnitude
- Number of occupants with symptoms appropriate for the suspected contaminant, and the severity of their symptoms
- The availability of reasonable and effective measures to mitigate the suspected contaminant
- Time of exposure of the symptomatic employees to the suspected contaminant
When the source of an indoor air quality problem and appropriate remedial measures are difficult to discern, recommendations will rely on the judgment of Facilities Services engineers and EHS staff.
Implementation of Occupant-Responsible Remedial Measures
Remedial action that needs to be implemented by the supervisor should be completed within a reasonable time. This type of action could include general housekeeping, the purchase of a non-fabric chair, or the relocation of printers or paper storage.
Implementation of Other Remedial Measures
If the remedial measures require building maintenance or repair, Facilities Services or the Department of Housing and Residential Education (as appropriate) will work with the EHS and building occupant to implement them.
Except for very small projects, areas found to have consistent indoor air quality concerns are prioritized for remediation and categorized as High Priority, Further Evaluation Needed, and Project Already Funded.
After Action EHS Review
The complainant’s department and/or Facilities Services will notify EHS when remedial actions have been completed. EHS will inspect the work area after remedial measures have been completed to ensure that recommendations have been implemented and to evaluate their effectiveness. The building occupant and his or her department will be responsible for reporting any further problems to EHS after this follow-up.
Building Occupants with Continuing IAQ Complaints
Students with Continuing IAQ Complaints
Students who experience symptoms after the remedial measures have been implemented should go to the Student Health Service (919-966-2281) for a medical evaluation. The Student Health Service will work with EHS and, when appropriate, the Department of Housing and Residential Education to make recommendations for any additional follow-up.
Employees with Continuing IAQ Complaints
Employees who experience symptoms after the remedial measures have been implemented should report to their supervisor and call the UEOHC (919-966-9119) to schedule an appointment with an occupational health provider. Accommodations and/or restrictions requested by the employee’s personal physician need to be reviewed by the UEOHC Medical Director prior to making any changes. Requests for permanent accommodations and/or restrictions will be determined by the University’s ADA policy, available at https://eoc.unc.edu/our-policies/ada-reasonable-accommodations-in-employment-policy/.
For Further Assistance
The Office of Human Resources can assist departments in determining the essential functions of a position and can help explore various working arrangements to help meet the employee’s and department’s needs.
The Office of University Counsel can answer questions from supervisors and managers about the requirements of the ADA and the North Carolina Persons with Disabilities Protection Act, and can provide additional interpretive advice on employer obligations under these laws.
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