The implementation of controls to reduce worker exposure should be con
sidered the ultimate goal of any successful industrial hygiene program
, The industrial hygiene literature has consistently described a hiera
rchy of controls, consisting first of the engineering controls (substi
tution, isolation, ventilation), and followed by administrative contro
ls (personal protective equipment, worker education, scheduling, etc.)
. Recently, exhaust ventilation has been the most popular form of engi
neering control technology for controlling exposure to airborne contam
inants, The use of ventilation to control exposures is not without its
problems, however and many of these problems potentially are more sev
ere in smaller companies. This paper proposes a new emphasis on the fi
rst control in the hierarchy, substitution. Historically, substitution
has meant the substitution of a hazardous chemical or process by one
that is less so. This definition is too restrictive; because of this,
it is proposed instead to use the term process change, defined as the
we of any process modifications that serve to reduce worker exposure.
The advantages and disadvantages of the process change approach are di
scussed and are illustrated with case studies. (C) 1996 Wiley-Liss, In
c.