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Health Hazard Evaluations (HHEs)

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All NIOSH Health Hazard Evaluation reports and other NIOSH publications are available at no cost. You can either download a copy of the publication from the website or contact us for a copy. For HHE reports, please send an email to HHERequestHelp@cdc.gov. Information about all other NIOSH publications is available at https://www.cdc.gov/niosh/pubs/.

We carefully review our reports prior to publication, but we do make errors from time to time. We regret any typographical or other minor errors that you might find. If you find a substantive factual or data-related error, let us know. Please send an email to HHERequestHelp@cdc.gov with the report number (ex. HHE 2013-0500-7500), the authors' names, the error you are reporting, and the page number of the error. We will look into your comments, fix confirmed errors, and repost the report. Thank you for your interest in the HHE Program.

HHE Search Results

1067 HHE reports were found based on your search terms. Reports are listed in order of year published with the most recently published reports listed first.


Year Published and Title

(2025) Blastomycosis outbreak among workers at a pulp and paper mill. (Click to open report)
We received a management request for a health hazard evaluation at a pulp and paper mill. The request stated concerns about potential exposure to Blastomyces fungus resulting in an outbreak of blastomycosis among employees, contractors, and visitors. Blastomycosis is a potentially severe illness that can occur after breathing in fungal spores from the air. In response to this request, we conducted a medical survey, collected environmental samples, and performed a ventilation assessment. This pul... (Click to show more)

(2025) Exposure to lead during work on and near lead-sheathed telecommunication cables. (Click to open report)
Request: A union representing workers at a telecommunications provider requested a health hazard evaluation (HHE) to evaluate lead exposure among workers conducting repair, maintenance, and installation of telecommunications cables. Workplace: The local union represented telecommunications workers working across two states. The union identified three garages with a higher concern of possible lead exposure to focus on for the evaluation. At the beginning of a shift, workers gathered at their assi... (Click to show more)

(2025) Exposure to metals and noise during shipbuilding and ship repair operations. (Click to open report)
The National Institute for Occupational Safety and Health received a request for a health hazard evaluation (HHE) from an employer representative at a shipbuilding and ship repair company. The request concerned potential exposure to airborne metals and noise during various shipbuilding and ship repair activities. We initially visited each facility (new build and repair) to learn more from management and employees about the production process, work tasks, potential exposures, and health concerns.... (Click to show more)

(2025) Metals exposure in a metal powder additive manufacturing facility. (Click to open report)
The director of operations and control at a metal powder additive manufacturing facility requested a health hazard evaluation concerning dermal and inhalation exposures to metals in the workplace. The facility was comprised of a main production area and a separate non-production (office) area. The production area was a main hallway with access to the powder bed fusion, directed energy deposition, and post-processing rooms. Each area had its own dedicated ventilation system. During our visits, th... (Click to show more)

(2025) Potential hazards during growing and manufacture of cannabis products at an indoor cultivation and retail facility. (Click to open report)
Request - Management at an indoor cannabis cultivation facility requested a health hazard evaluation of potential hazards associated with the harvesting, trimming, processing, and manufacturing of products for medicinal and recreational use. They were specifically concerned about exposures to dust, ozone, cannabis compounds, and microbial contaminants such as endotoxin and fungi. Management also asked for an evaluation of work practices that could lead to increased exposures. Workplace - The mai... (Click to show more)

(2025) Workplace exposures in a school ceramics and visual arts studio. (Click to open report)
Request: Management of a school requested a health hazard evaluation of their ceramics and visual arts studio, referred to as the art studio hereafter. They were interested in an assessment of potential exposures related to ceramics, including exposure to respiratory hazards such as respirable crystalline silica. Workplace: At the time of our visit, the school served children pre-Kindergarten through 12th grade. Two teachers used the art studio for their classes, which included ceramics, drawing... (Click to show more)

(2024) Exposure to lead during bullet recycling. (Click to open report)
Management of a lead bullet recycling company requested a health hazard evaluation to evaluate lead exposure among employees processing lead-containing bullets. We visited the facility on two occasions and completed the following activities: observed work processes, practices, and conditions; measured employees' lead exposure in air and throughout the facility; collected wipe samples for lead on surfaces outside of the warehouse; interviewed employees to learn about work history, health and safe... (Click to show more)

(2024) Exposures and health concerns in a dental clinic. (Click to open report)
Request: We received a management request for a health hazard evaluation at a dental clinic. The request stated concerns about idiopathic pulmonary fibrosis (IPF). IPF is a serious long term lung disease that can cause permanent scarring in the lungs. IPF was first identified in a cluster of dentists reported in 2018. In response to the request, we performed an air sampling survey in August 2022 to evaluate potential exposures to respirable dust, respirable crystalline silica, respirable metals,... (Click to show more)

(2024) Mercury and noise exposure at a lightbulb recycler. (Click to open report)
Management at an electronics waste and lamp recycling facility requested a health hazard evaluation concerning employees' exposure to mercury, lead, and noise. During our two visits, we observed work processes, practices, and conditions, measured employees' exposure to mercury in air and the amount of mercury in employees' urine; interviewed employees to learn about work history and practices, health and safety concerns, personal protective equipment use, training, and possible work-related heal... (Click to show more)

(2024) Occupational exposures and indoor environmental quality in an underground cavern workplace. (Click to open report)
An employer representative of a warehouse facility, located in a former underground limestone quarry, requested a health hazard evaluation concerning employees' exposures to carbon monoxide, wood dust and other airborne particles, noise, and radon. During our visits, we (1) observed work processes, practices, and workplace conditions, and spoke with employees; (2) measured carbon monoxide, carbon dioxide, temperature, and relative humidity, and radon; (3) collected air samples for wood dust, oth... (Click to show more)


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