5种职业健康风险评估方法在汽车整车制造业电焊烟尘暴露中的应用

职业与健康 ›› 2023, Vol. 39 ›› Issue (19): 2607-2611.

5种职业健康风险评估方法在汽车整车制造业电焊烟尘暴露中的应用

郭笑笑¹, 张慧庆^1,2, 马红星³, 刘静¹, 曾强¹, 赵雪¹

1.天津市疾病预防控制中心职业病健康研究所,天津 300011;
2.天津医科大学公共卫生学院,天津 300070;
3.一汽-大众汽车有限公司天津分公司,天津 301500

收稿日期:2023-03-09 修回日期:2023-04-17 出版日期:2023-10-01 发布日期:2026-03-26
通信作者: 刘静,副主任医师,E-mail：liujing6@tj.gov.cn
作者简介:郭笑笑,女,工程师,主要从事职业病危害监测与防控工作。
基金资助:
天津市医学重点建设学科（TJYXZDXK-066B）; 天津市自然科学面上项目(20JCYBJC00270）

Application of five occupational health risk assessment methods in welding fume exposure in automobile manufacturing industry

GUO Xiaoxiao¹, ZHANG Huiqing^1,2, MA Hongxing³, LIU Jing¹, ZENG Qiang¹, ZHAO Xue¹

1. Institute for Occupational Health,Tianjin Centers for Disease Control and Prevention,Tianjin 300011,China;
2. School of Public Health,Tianjin Medical University,Tianjin 300070,China;
3. Tianjin Branch,TAW-Volkswagen Automotive Co.,Ltd,Tianjin 301500,China

Received:2023-03-09 Revised:2023-04-17 Online:2023-10-01 Published:2026-03-26
Contact: LIU Jing,Associate chief physician,E-mail：liujing6@tj.gov.cn

摘要/Abstract

摘要： 目的采用5种职业健康风险评估方法对电焊烟尘暴露岗位健康风险进行评估,及时发现高风险岗位,并比较在电焊烟尘健康风险评估应用中各方法的适用性及优缺点。方法于2021年11月对天津市某汽车整车制造企业开展现场调查,依据调查结果采用国际采矿和金属委员会（International council on mining and metals,ICMM）职业健康风险评估方法、风险程度评价（MES）法和导则中定性法和综合指数法对该汽车整车制造企业的焊接岗位电焊工尘肺患病风险进行职业健康风险评估。通过风险比值对不同方法评估结果标准化后进行比较,并结合职业健康检查资料进行验证。结果现场调查结果显示,天津市某汽车整车制造企业职业卫生管理较为完善,各区域及各焊接岗位电焊烟尘浓度均为超标且低于50% 职业接触限制（occupational exposure limit,OEL）,焊接岗位8 h时间加权浓度最高为前部焊接岗1.80 mg/m³。5种方法评估结果标准化后风险等级结果为MES法<ICMM定量法<ICMM矩阵法<导则定性法=导则综合指数法,显示天津市某汽车整车制造企业焊接工人电焊烟尘暴露患电焊工尘肺的职业健康风险为中低风险等级,经验证健康检查数据与职业健康风险评估结果保持一致。结论 5种方法均可应用于该行业电焊烟尘暴露岗位职业健康风险评估,但都存在一定局限性,在进行相关行业电焊烟尘职业健康风险评估时应考虑采取多种方法综合评估。

关键词: 职业健康, 风险评估, 电焊烟尘, 汽车整车制造业

Abstract: Objective To evaluate the health risks of welding fume exposure positions by 5 occupational health risk assessment methodsto,find high-risk positions in time,and compare the applicability,advantages,and disadvantages of each method in the application of welding fume health risk assessment. Methods In November 2021,an on-site survey was carried out in an automobile manufacturing enterprise in Tianjin. According to to the results,the International Council on Mining and Metals（ICMM） occupational health risk assessment methodology,the qualitative method in the MES method and the guidelines and the composite index method were used to conduct an occupational health risk assessment of the risk of pneumoconiosis of welders in welding positions of the automobile manufacturing enterprise. The assessment results of different methods were standardized and compared by risk ratio,and verified in combination with occupational health examination data. Results The on-site survey results showed that the occupational health management of the automobile manufacturing enterpriseis relatively perfect,and the concentration of weldingfumein all regions and welding posts exceeded the standard and was less than 50% of occupational exposure limit（OEL）,and the maximum 8 h time-weighted concentration in welding posts was 1.80 mg/m³ at the front welding post. After the evaluation results of the five methods were standardized,the risk level results were MES method<ICMM quantitative method<ICMM matrix method<guideline qualitative method=guideline comprehensive index method,which is considered to be the occupational health risk of welding fume exposure of welding workers in the enterprise to welders' pneumoconiosis is medium and low-risk level,and the verified physical examination data was consistent with the results of occupational health risk assessment. Conclusion The five methods can be applied to the occupational health risk assessment of welding fume exposure positions in this industry,but there are certain limitations,and a variety of ways should be considered for comprehensive assessment when conducting an occupational health risk assessment of welding fumes in related industries.

Key words: Occupational health, Risk assessment, Welding fumes, Automobile manufacturing industry

中图分类号:

R134⁺.2

郭笑笑, 张慧庆, 马红星, 刘静, 曾强, 赵雪. 5种职业健康风险评估方法在汽车整车制造业电焊烟尘暴露中的应用. [J]职业与健康, 2023, 39(19): 2607-2611.

GUO Xiaoxiao, ZHANG Huiqing, MA Hongxing, LIU Jing, ZENG Qiang, ZHAO Xue. Application of five occupational health risk assessment methods in welding fume exposure in automobile manufacturing industry. [J]OCCUPATION AND HEALTH, 2023, 39(19): 2607-2611.

参考文献

[1] 刘文慧,苏世标,徐海娟,等.职业健康风险评估方法应用研究进展[J].中国职业医学,2016,43(4):487-490.
[2] WANG Z Y,SU Q,WANG S,et al.Spatial distribution and health risk assessment of dissolved heavy metals in groundwater of eastern China coastal zone[J].Environm Pollution,2022,290(12):118016.1-118016.11.
[3] QIAO X,ZHENG B,LI X,et al.Influencing factors and health risk assessment of polycyclic aromatic hydrocarbons in groundwater in China[J].J Hazard Mater,2021,402:123419.
[4] 徐秋凉,张美辨,邹华,等.六种常用职业健康风险评估模型在小型印刷企业中的定量比较[J].环境与职业医学,2020,37(2):131-137.
[5] 孟成名,乔佩环,梁晓军,等.某邻苯二甲酸二辛酯生产企业职业健康风险评估的应用[J].中华劳动卫生职业病杂志,2020,38(6):463-465.
[6] 周莉芳,张美辨.职业健康风险评估方法学研究进展[J].环境与职业医学,2020,37(2):125-130.
[7] 谭强,刘移民,陈松根.职业健康风险评估方法研究进展[J].职业与健康,2013,29(5):628-630.
[8] ZEIDLER-ERDELY P C,FALCONE L M,ANTONINI J M.Influence of welding fume metal composition on lung toxicity and tumor formation in experimental animal models[J].Journal of occupational and environmental hygiene,2019,16(6):372-377.
[9] 刘静,高雅,李欣荣,等.2001—2020年天津市电焊工尘肺发病情况分析[J].公共卫生与预防医学,2021,32(5):52-55.
[10] 史进梅,赵俊琴,赵春香,等.河北省2009—2018年尘肺病发病的时空演变特征[J].中华劳动卫生职业病杂志,2020,38(3):175-179.
[11] 王小皙,王雪梅,邱翠娟,等.2010—2018年重庆市尘肺病流行病学特征分析[J].公共卫生与预防医学,2019,30(5):37-40.
[12] 刘静,赵雪,任婕,等.天津市电焊烟尘接触人群分布特征及肺功能异常情况分析[J].现代预防医学,2021,48(18):3300-3303.
[13] 中华人民共和国国家卫生和计划生育委员会.工作场所化学有害因素职业健康风险评估技术导则:GBZ/T 298—2017[S].北京:中国标准出版社,2017:20-28.
[14] 中华人民共和国卫生部.工作场所空气中粉尘测定第 1 部分:总粉尘浓度:GBZ/T 192.1—2007[S].北京:人民卫生出版社,2017:1-11.
[15] 中华人民共和国卫生部.工作场所空气中有害物质监测的采样规范:GBZ 159—2004[S].北京:人民卫生出版社,2004:1-8.
[16] 中华人民共和国卫生部.工作场所有害因素职业接触限值第 1 部分:化学有害因素:GBZ 2.1—2019[S].北京:人民卫生出版社,2019:7-35.
[17] 王忠旭.李涛. 职业健康风险评估与实践[M].北京:中国环境出版社.2016:215-222.
[18] 宋大成. 风险评价方法—MES法[J].中国职业安全卫生管理体系认证,2002(5):34-35.
[19] 张美辨,唐仕川.职业健康风险评估方法学实践应用[M].北京:人民军医出版社.2016:1-29.
[20] 丘创逸,张东辉,陈建雄,等.某地集装箱制造企业电焊工尘肺的流行病学调查[J].中华劳动卫生职业病杂志,2009,27(4):215-217.
[21] 袁伟明,邹华,王洁,等.电焊作业工人健康状况调查分析[J].环境与职业医学,2009,26(4):365-366.
[22] 陈培仙,张海,杨燕,等.两种风险评估方法在粉尘职业健康风险评估中的应用比较[J].职业卫生与应急救援,2020,38(4):352-356.
[23] 赵雪,曾强,刘静,等.五种方法在电焊烟尘接触工人职业健康风险评估中的应用[J].中华劳动卫生职业病杂志,2021,39(5):375-378.
[24] 王爱红,冷朋波,李晓海,等.两种风险评估法在某黑色金属铸造企业职业健康风险评估中的应用[J].环境与职业医学,2017,34(10):909-913.
[25] 张士怀,张普,陶玲,等.三种风险评估模型在玻璃钢风机制造企业的应用[J].工业卫生与职业病,2021,47(4):265-269,273.