Research activities sought development of a method to adjust exposure limit
s for 694 substances for unusual work schedules. A consensus was establishe
d on the basic toxicological principle for adjustment; criteria for adjustm
ent were selected by a panel of scientists coordinated by a committee of in
ternational experts and supported by toxicokinetic modeling; and a group of
toxicologists attributed primary health effects and related adjustment cat
egory to each substance, A consensus among scientists and employers' and wo
rkers' representatives was established on the protocol of the application,
in the field, of the adjusted exposure limits. The guiding toxicological pr
inciple for adjusting exposure standards to unusual work schedules is to gu
arantee an equivalent degree of protection for workers with unusual schedul
es as for workers with a conventional schedule of 8 hours per day, 5 days p
er week. The process of the adjustment is inspired from the Occupational Sa
fety and Health Administration logic for attribution of primary health effe
cts and adjustment categories ranging from no adjustment to daily or weekly
adjustments. The adjusted exposure limits are calculated according to Habe
r's rule. Decisions on attribution of adjustment categories for the followi
ng toxicological effects were reached: respiratory sensitizers (asthma); sk
in sensitizers; tissue irritants versus tissue toxicants; methemoglobinenia
-causing agents; cholinesterase inhibitors; and reproductive system toxican
ts and teratogens. A simple procedure is presented to facilitate the calcul
ation, application, and interpretation of the adjusted exposure limits.