Tunnelling. Design Element Health Hazard Considerations Possible Solutions Linked to Ref No.

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Document title Designing for health - Guidance for designers Tunnelling Ref DfH012_17 No. Potential health impacts to be considered by the designer: Concept Stage Scheme Design Stage Detailed design Stage Design Element Health Hazard Considerations Possible Solutions Linked to Ref No. Hand tunnelling and square works. Ground excavation and lining erection by hand. Musculo-skeletal disease or work related upper limb disorder. Noise induced hearing loss. Hand Arm Vibration Syndrome. Purpose of the tunnelling works e.g. service installation or part of much larger tunnel. Simple alignment or complex structure. Size/diameter of service to be installed. Drive length. Access for tunnelling works e.g. greenfield site or within live metro stations? Avoid hand excavation by ensuring tunnel is large enough to allow use of mini excavator and/or mechanised tunnelling/pipejacking technique where possible. Avoid need for erection of lining by using pipejacking rather than segmental lining for small diameters. Comply with Guidance for Designers - Internal dimensions for pipejacks and tunnels below 3m diameter and indicative drive lengths published by 1 Health & Safety: Tunnelling Institution of Civil Engineers

BTS/HSE/PJA. Specify alternative tunnelling methodology such as use of sprayed concrete lining techniques. Follow BTS guidance on HAVS. Consider use of trenchless techniques such as directional drilling, auger boring etc. Heat strain Avoid hand tunnelling in contaminated ground. Particularly avoid hand tunnelling requiring compressed air in contaminated ground. If unavoidable consider task rotation, cool breaks, Sprayed concrete lining in soft ground or hard rock tunnels - concrete spraying Dust related diseases such as COPD and silicosis resulting from the inhalation of inhalable and respirable dusts or respirable crystalline silica Reduce dust emissions at source by mix design of shotcrete. Shotcrete mix design to minimise dust emissions. Use of wet shotcrete. Facilitate application by spray robot. Real time monitoring of dust levels. Use of extraction ventilation and dedusting. Avoidance of secondary exposure. SCL construction in soft ground. Breaking out of the lining concrete Dust related diseases such as COPD and silicosis resulting from the inhalation of inhalable and respirable dusts or respirable crystalline silica Real time monitoring of dust levels. Use of extraction ventilation. Avoidance of secondary exposure. 2 Health & Safety: Tunnelling Institution of Civil Engineers

Tunnelling in rock Dust related diseases such as COPD and silicosis resulting from the inhalation of inhalable and respirable dusts or respirable crystalline silica. Use of hard rock TBM as alternative to drill and blast techniques? Noise induced hearing loss. Use of extraction ventilation to control dust. Use of wet drilling or dust capture equipment on drill rigs. Exposure to blast fume. Selection of explosives to minimise fume. Extract ventilation to remove fume preferable to forced ventilation to dilute fume. Removal of personnel from tunnel during basting operations. Provision of blast shelter in long tunnels. Hand tunnelling in rock Hand Arm Vibration Syndrome. Size of tunnel cross section required and length of drive. Make tunnel large enough for mechanical drilling. Access for plant and equipment. Noise induced hearing loss Work in compressed air. Acute or chronic decompression illness (Acute - Types 1 or 2 decompression Is work in compressed air the preferred ground improvement technique? What can be done to minimise exposure pressure? Choice Follow BTS Guide to the Work in Compressed Air Regulations 1996 Dewatering, grouting, freezing or other 3 Health & Safety: Tunnelling Institution of Civil Engineers

sickness; Chronic Dysbaric osteonecrosis). of decompression tables. ground improvement technique can be used. Barotrauma. Provision of tool wear sensing techniques. Provision of tool inspection by inspection techniques. Provision of robotic tool changing. Use of atmospheric pressure tool changes from within spokes of cutterhead. Work in high pressure compressed air Exposure to hyperbaric oxygen and nitrogen Ensure TBM is designed to allow for transfer under pressure if foreseeably required Follow guidance in International Tunnelling Association Report 10. Disturbance of precast segmental concrete linings built before the 1990s Exposure to asbestos in the form of cement impregnated asbestos fibre rope used for caulking joints Asbestosis, mesothelioma Avoid disturbing existing concrete linings. Asbestos survey. Disturbance of existing cast/ductile iron linings Exposure to lead Lead poisoning Avoid disturbing existing cast/ductile iron linings and avoid hot work. Exposure to atmospheric contaminants and diesel engine exhaust emissions. Exposure to oxides of carbon, oxides of nitrogen Use of electrically powered plant. Specify use of low emission engines with catalytic converters and particulate filters. Atmospheric monitoring and ventilation. 4 Health & Safety: Tunnelling Institution of Civil Engineers

Connection to existing sewers Exposure to hydrogen supplied Can connection be done with sewer dry? Atmospheric monitoring and ventilation. Tunnelling in organic silts Exposure to ammonia Will grouting in the silts be required? Atmospheric monitoring and ventilation. Tunnelling in carbonaceous rock Exposure to carbon dioxide What is the acidity of the groundwater? Is pyrites likely to be present? Ensure adequate ground investigation. Atmospheric monitoring and ventilation Exposure to ionising radiation Exposure to radon Rock tunnelling in granitic and other rocks Identify potential exposure levels from desk study and site investigation. Tunnelling in ground contaminated by current or former industrial processes, fuel storage etc. Exposure to carcinogens, mutagens etc. through exposure to volatile organic compounds, polyaromatic hydrocarbons, total petroleum hydrocarbons, organic solvents, polychlorinated biphenyls, heavy metals etc. Can tunnel alignment be altered to avoid contaminated ground? Avoid tunnelling in contaminated ground. If unavoidable ensure ground investigation establishes the nature, concentration and spacial extent of contaminants in the soil and groundwater in terms of occupational exposure risk. Provide information on how risk to persons exposed can be mitigated including the use of PPE/RPE as a last resort. Tunnelling in ground contaminated by biological contaminants such as sewage, biological waste etc. Biological infection including leptospirosis and water borne diseases Tunnelling below leaking sewers or into existing sewers. Tunnelling below or adjacent to landfill sites Identify occurrence of problem and nature and extent of contamination from desk study and site investigation. Information on sewer contents from sewerage utility. Information on landfill contents from Waste Disposal Authority. Alter alignment horizontally and/or 5 Health & Safety: Tunnelling Institution of Civil Engineers

vertically to avoid contamination. Pre-grouting as ground improvement to facilitate tunnelling. Exposure to grout chemicals leading to dermatitis, respiratory sensitization, atmospheric contamination What are the likely health hazards arising from the grouts involved Selection and specification of nonhazardous chemical grouts. Compensation grouting Ground freezing as ground improvement to facilitate tunnelling. Hypothermia Atmospheric contamination from breakthrough of cold nitrogen gas Choice of freeze agent brine or liquid nitrogen Warm clothing. Atmospheric monitoring and ventilation. Information to go to contractor: Health hazards to be encountered, what the designer has done to mitigate them and the residual risks in terms of predicted exposure along with suggested mitigation measures. Information to go to H&S File: Use Maintenance Demolition 6 Health & Safety: Tunnelling Institution of Civil Engineers

Further Information: BS 6164 Code of Practice for health and safety in tunnelling in the construction industry British Tunnelling Society Guide to the Work in Compressed Air Regulations 1996 British Tunnelling Society THE MANAGEMENT OF HAND-ARM VIBRATION IN TUNNELLING - Guide to Good Practice British Tunnelling Society OCCUPATIONAL EXPOSURE TO NITROGEN MONOXIDE IN A TUNNEL ENVIRONMENT - Best Practice Guide International Tunnelling Association/Br Tunnelling Society Compressed Air Working Group Guidelines for good working practice in high pressure compressed air ITA Report 10. 7 Health & Safety: Tunnelling Institution of Civil Engineers

8 Health & Safety: Tunnelling Institution of Civil Engineers