Development of a Chemical Health Risk Assessment Tool for Health Risk Assessment from Exposure to Hazardous Chemicals

Visual Basic People are exposed to chemicals on a daily basis, which can cause health disorders or even fatalities depending on their dosages. This study was conducted to develop a chemical health risk assessment (CHRA) tool to assess the risk to human health from exposure to hazardous chemicals. For developing this tool, the United States’ National Academy of Sciences (US-NAS) risk assessment paradigm and the Malaysian standards and regulations (guidelines for the assessment of the health risks arising from the use of hazardous chemicals in the workplace) were used as a framework for estimating the risk from exposure to hazardous chemicals. The computer program is written and designed within an object-oriented framework using Visual Basic (VB) programming language. The tool is designed to work as a stand-alone user-friendly software. Moreover, this tool is supported with some useful options such as data for permissible exposure limit (PEL) for common chemicals, odor level thresholds, and solvent drying time to provide users with some knowledge about the materials. Furthermore, it has an internal help function to assist users on how to use the tool. The software is also designed in such a manner that whenever the user makes a mistake while using the application, an error message will be prompted on the fault. This makes the CHRA tool easy for users to identify the risk associated due to exposure to hazardous chemicals and assess the adequacy of the control measures. The CHRA software is designed to be compatible with all Windows operating systems.


Introduction
Since the past several decades, chemicals have undoubtedly played an essential role in human activities. In addition, large quantities of chemicals have been manufactured, and currently new chemicals are still being introduced every day [1]. People are exposed daily to a variety of substances that are not hazardous under usual circumstances. However, when any substance that comes into contact with or enters the body, it becomes harmful at a certain level of exposure and can be tolerated by the human body for certain limits of exposure without causing any health effect [2,3].
Exposure to chemical substances can occur via ingestion, injection, and skin absorption. However, the most common route of entry in occupational and nonoccupational environments is via inhalation [2,4,5]. Although an appropriate usage of chemical substances has significantly contributed toward improving our quality of life, their misuse may cause serious health problems and even death. During the past several decades, there have been a series of major accidents worldwide, resulting in numerous deaths, economic losses, and environmental damage. Human exposure to a variety of DOI: 10.26717/BJSTR.2020. 28.004669 21716 chemical substances and the subsequent poisonings and fatalities have become a major global concern and is currently receiving significant international attention [6]. The World Health Organization (WHO) has estimated that 193,460 people have died worldwide due to unintended poisoning [7].
Several approaches have been endeavored to make our outdoor environment cleaner and safer. The WHO member states in the European region at the ministerial conference on environment and health, which was held in Budapest (2004), agreed that action should be taken without delay to reduce the possible effects of chemicals on human health. Appropriate management of chemicals can minimize the hazards of these chemicals [8]. Health risk assessment provides a systematic assessment of factors that may cause harmful impacts on human health by identifying, quantifying, and communicating the risk and the potential hazards or harm [9][10][11]. During the 1970s, risk assessment procedures for all chemicals were evaluated and modified, and most importantly, formalized [12]. A part of this development was the initiation of the WHO Environmental Health Criteria Programme in 1973. The first environmental health standards study on mercury was published in 1976, and since then, an increasing number of assessments of chemicals and their physical effects have been produced [13]. Risk assessment implies a careful examination and a systematic method of organizing anything in the workplace that can harm people such as known and unknown information about toxicity of chemicals and interpretation of data as a basis for risk-regulatory decisions [9,14]. In conducting risk assessments, the United States' National Academy of Sciences (US-NAS) risk assessment paradigm has been widely used as a framework for predicting the risk from exposure to environmental chemicals [15]. This paradigm divides the risk assessment process into four steps as follows:

1) Hazard identification,
2) Hazard characterization, 3) Exposure assessment, and 4) Risk characterization. Risk assessment, which consists of these elements, is currently recognized as an essential tool by several well-known international bodies, and it is also recognized as a process that is constantly evolving and that has changed significantly in the past few decades [15][16][17][18][19][20][21].
Risk assessment tools and methodologies help organizations in assessing their risks. Familiar health risk assessment tools include checklists, a useful tool in identifying hazards, guidance documents, handbooks, brochures, questionnaires, and computerized tools [22]. Using computerized tools implies using a software application for conducting risk assessment. This method uses the qualitative or quantitative approach or a combination of both with the help of analytical tools to analyze and estimate the risks. To assess the risk of exposure to hazardous chemicals, the first step required is to obtain the hazard information of the chemicals. Chemical safety data sheet (CSDS) provides useful information such as the hazard description, potential hazards of the material, toxicological information, and the potential environmental effects. Mathematical equations can be used to estimate the risk to health from exposure to hazardous chemicals. They consist of sets of equations and assumed data on the chemical source. In this paper, we present the development methodology of a chemical health risk assessment (CHRA) tool that can be used to assess the risk to health from exposure to hazardous chemicals within the workplace. This tool was developed based on the Malaysian standards and regulations (guidelines for the assessment of the health risks arising from the use of hazardous chemicals in the workplace) [23] and the US-NAS risk assessment paradigm [15]. The mathematical equations and necessary data were integrated into the developed tool using the VB programming language.

Materials and Methods
The methodology of this work is divided into two stages; the first stage involves collection of important data, including hazard information of the chemicals and the necessary calculations required for determining the exposure limit. These data were mea-

Risk Assessment Steps
As mentioned in the introduction section, the risk assessment process can be divided into four distinct steps [15] as follows: Hazard Identification: Hazard identification is the first stage in risk assessment and involves the collection and evaluation of data on the types of health diseases and the effects resulting from the impact of chemicals [24]. The hazards associated with any chemical can be determined by simply knowing the concentration and the class of the chemical, and then the risk associated with this chemical can be determined by referring to standard reference sources for data and guidelines regarding toxicity, flammability, and other hazards [25,26]. Hazard information can be found in several different sources such as the material safety data sheets (MSDS).
Based on the information provided in the MSDS, the hazard of any material can be assessed and the hazard rating can be designated.
Exposure Assessment: Exposure assessment is the primary step in the risk assessment process because, without exposure, even the most toxic chemicals cannot pose a threat [26]. Exposures are evaluated by assessing the potential for contact with the hazardous chemical, the route of exposure, the frequency and duration of exposure, and the intensity of each exposure. The longer the use of the hazardous chemical, the greater is the exposure [23]. To assess the degree of exposure appropriately, it is necessary to make a distinction between chronic and acute exposure and toxicity. Acute  [27]. The risk management process consists of two factors, the hazard posed by the activity and the probability of the occurrence of the hazard. When both the potential hazard and the probability are low, the decision will be "very low risk." However, when both the probability and the hazard are high, the decision will be "do not take the risk of the proposed action". Difficulty arises when one factor is high and the other is somewhat low [28]. Control measures imply the actions that should be taken to prevent or reduce the occurrence of risks. These control procedures may include the following steps:

Framework of the CHRA Tool
The first step in developing the CHRA tool is to identify the current methodology of risk assessment practiced in Malaysia as well as in the global scale. For each step proposed in the CHRA tool, exposure parameters and relevant calculations are collected and used to develop this tool using VB. A constructed framework of the proposed CHRA tool is shown in Figure 1. The first step in conducting CHRA is the hazard identification stage to determine the hazard rating of the exposed chemical. When the hazard of the chemical has been assessed, the exposure rating is determined on the basis of the frequency or duration of exposure and the magnitude of exposure.
The value of hazard rating and exposure rating will then determine the risk rating of the chemical. By obtaining the risk rating, the software will be able to assess the adequacy of the control measures and will conclude the assessment. iii. Magnitude of exposure An exposure rating is assigned based on the frequency-duration rating, and the magnitude rating (Table 1) is assigned as described in DOSH [23].
where, C = concentration of the sample, and T = sampling time.
For employees who are exposed to a particular chemical at several job tasks, the 8-h exposure estimation can be determined using Eq. (2) as follows: where, C = average concentration for each task, and D = average duration for each task.
Employees who are exposed to two or more unknown materials that act independently of each other must be treated as acting additionally and a "combined PEL" can be estimated but should not

Risk Rating Determination
Risk is evaluated as either "significant" or "insignificant." Risk ratings located above the dotted line in Figure 3 are considered as not significant, whereas those located below the dotted line are considered as significant risks. Based on Figure 3, control strategies can be identified and prioritized. For the purpose of prioritizing action to control risks, the following two categories can be assigned under significant risk: i. Category 1: Risks is to be controlled to below the PEL or to as low as reasonably practicable where no limits are specified.

ii. Category 2:
The hazardous chemicals should be eliminated as these are considered as intolerable risks. If this is not possible, then the hazardous chemicals should be substituted with less hazardous ones.

Control Measures
The risk resulting from the use of hazardous chemicals can be  Table 2.

Software Development
The application Microsoft Visual Basic 6.0 (VB 6.0) was used in developing the CHRA tool. VB is relatively simple to learn due to its graphical development features. The programming codes used are built using the VB programming language (source code).
The development process of this software has been divided into the following four different stages: a.
Planning the application b.
Building the graphical user interface (GUI) c.
Writing the computer program d.

Software validation and verification
Planning the Application: The first step in application planning is identifying the various tasks that the application needs to perform. The second step is to determine how these tasks are logically related and to identify the objects to which each task will be assigned. This is followed by classifying the events required to trigger an object into executing its assigned tasks. Finally, a sketch of the GUI is prepared. A flowchart of the CHRA tool is presented in Figure 4. The application is designed based on object-oriented programming. It has been designed using multiple GUIs. The GUI is easy to use and users can easily insert data into the tool to be analyzed by the software using just a few clicks. Figure 5 depicts the main interface of the developed tool. Utilizing the GUI implemented in VB, users can input the necessary data into the tool and obtain a risk rating followed by an assessment of the adequacy of the control measures for that particular exposure.

Software Introduction Interface
After accessing the software, the interface ( Figure 5) would appear on the screen. The user would then be able to choose between determining the hazard rating or the exposure rating first. When the user selects his/her choice, the application will lead directly to the chosen rating interface. If the user chooses the risk rating command button before completing the assessment of the hazard rating and the exposure rating first, the software will generate an error prompt message to remind the user to complete the said assessment ( Figure 6).

Hazard Rating Interface
Once the user has chosen the hazard rating on the introduction interface, the user will be asked to select between two methods of assessing the hazard rating, which are based on hazard categories or risk phrases. (if necessary), the user can click the "Result" button to obtain the hazard rating. If the user fails to do so, an error message will be generated to remind the user to complete the assessment (Figure 8).

Hazard Rating Based on Risk Phrases Interface: If a risk
phrase is chosen, the application will gain access to the hazard rating based on risk phrases interface and will then display it ( Figure   9). The user can choose only one option. The user will have to fill in the name of the chemical that the workers are being exposed to as well as its required properties. When all the necessary fields have been filled in, the user will be able to click on the "Result" com-mand button to obtain the hazard rating. If the user fails to do so, an error message will be generated by the software to alert the user about the missing field(s) that has not been keyed in (Figure 9). The "Add" command button allows the user to add properties of another chemical in case the user wishes to assess the risk of exposure to a mixture of chemicals. The "Return" command button will bring the user to the introduction interface of the software.

Exposure Rating Interface
Frequency Rating Interface: When the user clicks the exposure rating command button on the general interface ( Figure 5), the frequency and duration rating interface will be shown. The user will be able to choose between assessing the frequency of exposure or the duration of exposure. If the frequency of exposure is chosen, the application will gain access to the frequency rating interface ( Figure 10). The user will be required to choose any one of the frequency of exposure that best suits the situation.

Duration Rating Interface:
If the user chooses to assess the duration of exposure instead, the duration rating interface will be displayed ( Figure 11). The user will be required to fill in the val-ue for the number of exposures per week as well as the average duration of exposure. The software will then use these values to calculate the total duration of exposure per week. When the user has filled in all the required fields, he/she can click on the "Next" button to continue with the assessment, i.e., determining the intensity or magnitude rating. If the user fails to do so, clicking the "Next" button will generate an error message to remind the user to fill in the required data ( Figure 12). If the "Return" command button is chosen, the user will be directed to the introduction interface.
Intensity or Magnitude Rating Interface: After the assessment of the frequency or duration rating, the user will be asked to assess the intensity or magnitude of exposure. There are two pos-sible methods to estimate the exposure intensity or magnitude, either quantitatively or qualitatively.   in all the required fields, then the user would be able to click the "Result" command button, which will evaluate the exposure rating.
If the user fails to do so, an error message will be generated by the software to remind the user to fill in the required field(s) ( Figure   13). If the user does not have the PEL value for the said chemical, the user may click on the hyperlink "List of Chemical's Permissible Exposure Limit," which will open a PDF file containing the list of PEL values for common chemicals. choose only one that best describes the situation at hand. A link is provided for more information on determining the degree of physical activities and breathing rate (Appendix 15) to assist the user on deciding which category to choose. Both these assessments will be used to determine the intensity or magnitude rating. Once the user has chosen the category for both degrees, he/she will be able to click on the "Result" button command to obtain the exposure rating.
If no choices are made, the software will generate an error message prompting the user to complete the assessment ( Figure 15). If the "Back" command button is clicked, it will return the user to the frequency or duration rating interface.

Risk Rating
After the completion of both the hazard rating and the exposure rating assessment, the user would be able to click on the Risk Rating button on the general interface. This will prompt the software to produce a risk rating report based on the assessment that the user has performed. The report will be presented as a Microsoft Office Word document, which can be saved depending on the user's preferences ( Figure 15).

Case Study
The CHRA tool software can be applied for assessing the risk rating of an exposure to a hazardous chemical. To our knowledge, there is no software that has been developed to be compared with the CHRA tool. Therefore, a case study was done to compare the result of the CHRA tool with the current risk rating assigned through manual CHRA. The chosen case study was to assess the health risk of exposure to chemicals found in chemical laboratory at Universiti Teknologi PETRONAS. Currently, the laboratory is equipped with appropriate ventilation system and appropriate signs to identify specific hazards within an area and the use of PPE. The CHRA tool software generated a risk rating of 2 where the risk is found to be significant and could increase in the future due to the following aspects: a. Undetected decline in the efficiency of control measures.
b. Plant, equipment, PPE, or system failure. c.
Human error due to lack of awareness or insufficient training.

d.
A significant increase in the quantity of chemicals used.
It can be concluded that the results obtained from the CHRA tool are in good agreement with the current risk rating assigned to this laboratory.

Conclusion
Workers are exposed to chemicals on a daily basis, especially in processing industries. This exposure can cause minor and major effects to the health of the workers. A CHRA is required at all workplaces to assess the risk to health from exposure to chemicals at work. However, it is difficult to apply this manual assessment primarily because of the following reasons: (i) Calculations done manually can cause absolute error, (ii) Manually browsing through the CSDS to identify hazard information for the candidate chemicals can be tedious, thus resulting in difficulty to keep track of them, (iii) A CHRA requires step-by-step procedures that must be conducted by an assessor, which would be time-consuming, and (iv) It requires an assessor who is an expert in the field to perform the assessment manually. For these reasons, the assessment is best conducted using a computerized tool.
This paper describes the stages of the CHRA tool development using the VB programming language. This tool allows the users to assess the risk rating of an exposed chemical through the assessment of its hazard and exposure rating. The hazard rating can be assessed by two methods, hazard rating based on hazard categories and hazard rating based on risk phrases. The exposure rating is obtained by assessing the frequency/duration rating and the intensity or magnitude rating of the exposed chemical. The obtained risk rating provides the user the adequate control measures and steps that must be taken to ensure the safety of all people. The result of the CHRA tool was compared with an existing manual CHRA due to the lack of a currently developed software with similar capabilities. It was confirmed that the results are consistent with no significant deviation. The CHRA tool is practical and feasible because it is user-friendly, can function as a stand-alone application, and it is compatible with all Windows operating systems. Furthermore, the Malaysian standards and regulations are incorporated into the developed tool, whereby users can compare their results with the risk tolerability limit for Malaysia.