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Section V:

Human Resources


Safety and Benefits


Lead Work Safety Plan

Current Effective Date:


Revision History:


Original Effective Date:




The purpose of this policy is to establish guidelines for DHHS staff for safe lead work. This written compliance program outlines specific procedures to be followed by trained employees authorized to conduct activities that may involve potential exposures to lead.


It is the policy of DHHS to protect employees, patients, clients, residents, and any other individuals from hazards associated with lead. Only properly trained staff are permitted to conduct activities, such as renovation, maintenance, alteration, and repair work, that may result in a lead exposure above the permissible exposure level (PEL). This written compliance program meets all standards set forth in 29CFR 1926.62.


Action Level – A concentration designated by OSHA for a specific substance, calculated as an eight hour time-weighted average, which initiates certain required activities such as exposure monitoring and medical surveillance. In this policy, the action level is employee exposure, without regard to the use of respirators, to an airborne concentration of lead of 30 micrograms per cubic meter of air (30 ug/m3) calculated as an 8-hour time-weighted average (TWA). 

Lead – A chemical element in the carbon group. In this policy, lead refers to metallic lead, all inorganic lead compounds, and organic lead soaps. Excluded from this definition are all other organic lead compounds.

Lead-Based Paint - Paint that contains at least 1 mg/cm2 or 5000ug/g (0.5%) lead by weight.

Permissible Exposure Limit - The maximum amount or concentration of a substance that a worker may be exposed to under OSHA. In this policy, the PEL is concentrations greater than fifty micrograms per cubic meter of air (50 ug/m3) averaged over an 8-hour period.

Roles and Responsibilities

Safety Programs Manager
The Safety Programs Manager (SPM) ensures that a written plan is in place to establish a policy for safe lead work procedures. The SPM reviews the policy periodically.

Safety Officer
The Safety Officer monitors his/her assigned area to ensure compliance with this policy. The Safety Officer is responsible for coordinating training for applicable staff prior to working in any area where harmful exposure to lead may occur.

The manager/supervisor ensures that only authorized and trained staff perform work involving possible lead exposure. The manager/supervisor ensures that designated staff complete training as required.

DHHS Staff
Staff are responsible for complying with the requirements of this plan when performing any work involving the possibility of lead exposure. Affected staff complete training as required.


OSHA standards require that employers implement a written "Compliance Program" before starting a job where employees may be exposed to lead above the permissible exposure limit (PEL). The following compliance procedures will meet or exceed all 29 CFR 1926.62 OSHA standards applicable to renovation, maintenance, alteration and repair work, including painting and decorating, and maintenance operations associated with the standard's construction activities. It also includes the following:

Exposure Assessment
In order to determine the levels of exposure that employees are exposed to, if any, an exposure assessment shall be conducted by Plant Operations.

Lead Generating Tasks
Work related tasks that are assumed to generate lead levels above the permissible exposure level are listed below. These tasks shall require interim protection (respirators, protective clothing, equipment, hand washing facilities, change areas, biological monitoring, and training required for an assumed level of exposure for the tasks performed) until air monitoring determines the actual lead exposures. Air monitoring shall conform to accepted procedures and schedules as required by the Occupational Safety and Health Agency (OSHA).

Respiratory Protection
Respiratory protection shall be provided and required to be used whenever exposure levels are above the PEL. Respiratory protection may be provided when the exposure levels are at or below the PEL if requested by the worker. The provisions and requirements of the Respiratory Protection Plan shall be adhered to. Any air purifying respirator used for lead work must be equipped with high efficiency particulate air (HEPA) filter cartridges.

Protective Clothing
Protective work clothing and equipment, appropriate for the work and anticipated exposure level being performed shall be provided to all employees. Protective clothing includes:

Exposure levels of 50 micrograms per cubic meter or higher has specific requirements concerning clothing issue, laundering, storage, notifications and labeling. Refer to 29 CFR 1926.62 or page 48 of the NIBS Lead-Based Paint O&M Work Practices Manual.

Housekeeping procedures must be followed on all jobs where employees are covered by any of the OSHA lead standards. Proper housekeeping procedures include:

Hygiene facilities must be provided as appropriate.

Medical Surveillance
A medical surveillance and medical removal protection program must be provided for any worker exposed at or above the action level (30 micrograms per cubic meter) for more than 30 days in any consecutive 12 month period. The provisions of this program shall be in compliance with 29 CFR 1926.62.

All employees exposed to lead, at any level, must be provided hazard communication training before they start their job assignment. Training requirements are listed below for the different levels:

Whenever work is performed in areas where employees' exposure is above the PEL a warning sign shall be posted in a readily visible manner. The warning sign must read:





Plant Ops shall establish and maintain records with the following information:

  • Exposure assessment data, including name, social security number and job classification of the worker who was monitored and of all other employees whose exposure the sampling is intended to represent.
  • The date, number, duration of sampling, location, result(s), description of the sampling procedure, analytical methods used and evidence of their accuracy. Type of respirator worn (if any). Environmental factors that could affect the sampling results. Air monitoring records must be maintained for 30 years.
  • Training done for each worker. Training records must be maintained for 1 year past the end of employment.
  • Records of each worker subject to medical surveillance, if any. Medical records must be maintained for 40 years or 20 years past the end of employment, whichever is longer.
  • Cases of medical removals, if any.
  • Objective data for exemption from requirement of initial monitoring.

Custodial Operations and Maintenance
Employees performing maintenance activities not associated with construction work, such as custodial duties, are covered by the general industry standard for lead, 29 CFR 1910.1025.

  • Custodial operations include cleaning and vacuuming, when they are done in work not related to construction operations. This would include cleaning and repainting (e.g., minor surface preparation) where there is insignificant damage, wear or corrosion of existing lead-containing paint and coatings and substrates.
  • Maintenance activities covered by the general industry standard are those that involve making or keeping a structure, fixture, or foundation in proper condition in a routine, scheduled, or anticipated fashion.
  • Protective measures for work in these categories are based upon exposure monitoring of the operation. Appropriate protective measures to be taken by and for the employees shall be determined by the detail supervisor.

Disposal of Lead-Based Paint Waste and Lead Containing Materials
Waste material containing lead may be considered hazardous or non-hazardous under the Resource Conservation and Recovery Act (RCRA). Waste materials containing levels of five parts per million (ppm) by the Toxicity Characteristic Leaching Procedure (TCLP) are considered as hazardous.

  • Exemptions: Wastes that are generated as part of "interim controls" or as operation and maintenance for lead-based paint may be exempt from the hazardous waste regulations under the "household waste exemption". This exemption applies to routine maintenance and does not apply to renovation and demolition activities.
  • If less than 100 kg/month (about 220 pounds) of hazardous waste is produced, generators qualify as "conditionally exempt small quantity generators." The waste may then be disposed of as non-hazardous. The 100 kg/month limit is for all hazardous waste, not just lead containing waste materials.
  • Abatement Waste Categories: There are four categories of lead waste.
    1. Low-Lead Waste: These wastes include filtered wash water, disposable clothing after vacuuming, and cleaned plastic sheeting. These wastes typically pass the TCLP test and are not hazardous.
    2. Architectural Components: This category includes painted building components, such as doors, trim, windows, baseboards, soffits, railings, molding, radiators, and stone or brick. Refer to your county to see if these materials are considered non-hazardous, and allows them to be disposed of in appropriate landfills. The "Toxic Substance Control Act" (TSCA), as amended by Title X, the "Residential Lead-Based Paint Hazard Reduction Act of 1992" mandates that no co-disposal of lead-based paint architectural components with municipal or other acidic/putrescible industrial wastes be allowed. These architectural component materials should be wrapped in plastic prior to disposal, if appropriate, and disposed of in construction and demolition landfills which do not accept municipal waste.
    3. Concentrated Lead Waste: These wastes include lead paint chips and dust; sludge from paint stripping; unclean rags, mops, and scrapers; and HEPA filters. These materials should be handled as hazardous, unless we generate and dispose of less than 220 pounds per month of hazardous materials, in which case small quantities can be disposed of as not hazardous material under the small quantity generator exemption.
    4. Other Wastes: Other wastes should usually be tested to determine if they are hazardous, and managed appropriately. The most important waste in this category is contaminated soil.

Operations and Maintenance (O&M) Work Procedures and Practices
The NIBS, "Lead-Based Paint Operations & Maintenance Work Practices Manual for Homes and Buildings" provides three (3) general work procedures and sixteen (16) work practices that are to be used whenever any work is to be performed that involves lead containing materials or assumed lead containing materials. By following the appropriate work procedure and applicable work practice(s) routine O&M work can be performed in a safe manner. Copies of the general work procedures and practices are distributed to Plant Operations employees for reference.

  • Work involving lead based paint or suspected lead based paint shall be conducted in accordance with the following provisions to insure worker safety. These procedures shall be in effect for all areas and all affected employees.
  • No area of the facility shall have any painted surface scraped, sanded, or otherwise disturbed in such a manner that might lead to the release of lead particles into the air.
  • No employee shall conduct any work on a painted surface that could expose them to lead containing materials that could be absorbed or inhaled into the body without receiving proper training and proper personal protective equipment, so that they are properly protected from exposure.
  • All areas of the facility that require work on painted surfaces shall have those areas tested, to determine if lead based paint is present before any work is started.
  • Any area that tests positive for lead based paint shall not be dry scraped, sanded or otherwise disturbed in any manner that could result in the release of lead dust or lead containing material.
    1. These areas may be painted with an additional coat of paint, provided that the preparation of the areas and the application of the paint does not damage the existing surfaces or cause a release of lead containing material at or above the PEL.
    2. These areas can be wet scraped and/or wet sanded in preparation for painting. The employees shall be trained and instructed to utilize wet chipping, scraping, and sanding methods when performing these tasks, as outlined in "Lead-Based Paint, Operations & Maintenance Work Practices Manual for Homes and Buildings" by National Institute of Building Sciences. Plastic sheeting needs to be provided under the work surface areas to collect paint chips and debris for proper disposal. Employees are to be provided with latex or rubber gloves to prevent absorption through the skin when handling lead based paint materials.
  • Any area that tests negative for the presence of lead may be worked on using standard work practices. It is important to remember that each different or non-homogeneous section of the area be tested. (i.e. - a room with a door, window and wall surfaces to be painted must have a test conducted of each surface.)
    1. These areas can be wet scraped and/or wet sanded in preparation for painting. The employees shall be trained and instructed to utilize wet chipping, scraping, and sanding methods when performing these tasks, as outlined in "Lead-Based Paint, Operations & Maintenance Work Practices Manual for Homes and Buildings" by National Institute of Building Sciences. Plastic sheeting needs to be provided under the work surface areas to collect paint chips and debris for proper disposal.
  • If two layers of paint exist on the surface, the tests are to be conducted of the surface coat and the bottom coat of paint using a swipe test or equivalent method. If an area has multiple layers of paint, the sample should include all layers and a total lead test shall be conducted.
  • All tests for lead based paint shall be documented. A log book shall be maintained by Plant Operations for this purpose. The log is to contain the following information:
    1. Name and job qualification of employees.
    2. Details of the samplings and analytic techniques.
    3. Results of the sampling.
    4. Type of respiratory protection worn.
    5. Date of test.
    6. Test kit used.


For questions or clarification on any of the information contained in this policy, please contact Human Resources. For general questions about department-wide policies and procedures, contact the DHHS Policy Coordinator.

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