Cumulative risk assessment (CRA) addresses the combined risk associated with chemical and non-chemical exposures. Although CRA approaches are utilized in environmental and ecological contexts, they are rarely applied in workplaces. In this perspectives article, we strive to raise awareness among occupational health and safety (OHS) professionals and foster the greater adoption of a CRA perspective in practice. Specifically, we provide an overview of CRA literature as well as preliminary guidance on when to consider a CRA approach in occupational settings and how to establish reasonable boundaries. Examples of possible workplace co-exposures and voluntary risk management actions are discussed. We also highlight important implications for workplace CRA research and practice. In particular, future needs include simple tools for identifying combinations of chemical and non-chemical exposures, uniform risk management guidelines, and risk communication materials. Further development of practical CRA methods and tools are essential to meet the needs of complex and changing work environments.

The interest in biomass fuel is continuing to expand globally and in the northeastern United States as wood pellets are becoming a primary source of fuel for residential and small commercial systems. Wood pellets for boilers are often stored in basement storage rooms or large bag-type containers. Due to the enclosed nature of these storage areas, the atmosphere may exhibit increased levels of carbon monoxide. Serious accidents in Europe have been reported over the last decade in which high concentrations of carbon monoxide (CO) have been found in or near bulk pellet storage containers. The aim of this study was to characterize the CO concentrations in areas with indoor storage of bulk wood pellets. Data was obtained over approximately 7 months (December 2013 to June 2014) at 25 sites in New Hampshire and Massachusetts: 16 homes using wood pellet boilers with indoor pellet storage containers greater than or equal to 3 ton capacity; 4 homes with wood pellet heating systems with outdoor pellet storage; 4 homes using other heating fuels; and a university laboratory site. CO monitors were set up in homes to collect concentrations of CO in the immediate vicinity of wood pellet storage containers, and data were then compared to those of homes using fossil fuel systems. The homes monitored in this study provided a diverse set of housing stock spanning two and a half centuries of construction, with homes built from 1774 to 2013, representing a range of air exchange rates. The CO concentration data from each home was averaged hourly and then compared to a threshold of 9 ppm. While concentrations of CO were generally low for the homes studied, the need to properly design storage locations for pellets is and will remain a necessary component of wood pellet heating systems to minimize the risk of CO exposure. Implications: This paper is an assessment of carbon monoxide (CO) exposure from bulk wood pellet storage in homes in New Hampshire and Massachusetts. Understanding the CO concentrations in homes allows for better designs for storage bins and ventilation for storage areas. Hence, uniform policies for stored wood pellets in homes, schools, and businesses can be framed to ensure occupant safety. Currently in New York State rebates for the installation of wood pellet boilers are only provided if the bulk pellet storage is outside of the home, yet states such as New Hampshire, Vermont, and Maine currently do not have these restrictions.

This study evaluated the use of a long-term capillary flow controller paired with an evacuated canister for indoor air exposure monitoring in a vapor intrusion (VI) environment with trichloroethylene in comparison to the traditional method utilizing a diaphragm flow controller. Traditionally, air sampling with 6 L evacuated canisters equipped with diaphragm flow controllers has been best suited for 8 to 24 h samples. New advances in capillary flow controllers can extend sampling to up to 3 weeks by reducing flow rates to 0.1 milliliters min⁻¹. During six 2 wk sampling events, conventional diaphragm flow controller canisters were used to collect 24 h samples simultaneously with capillary flow controllers collecting 2 wk samples. Testing was performed at four indoor locations in buildings impacted by VI with co-located samples for each method at each location. All samples were analyzed using GC/MS, and the results were statistically analyzed to produce a direct comparison of the two sampling systems. Ninety-two percent of the 14 d capillary samples were within the 95% levels of agreement of the average concentration of the diaphragm flow controllers. The ability to collect 14 days of data, with less occupant disturbance, allows for improved exposure assessments and thus improved risk management decisions.