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  • L'antimoine est un métalloïde d'un blanc d'argent. Il peut être sous forme de minerai, de métal, de trisulfure ou de trioxyde d'antimoine.

2. PROFESSIONS EXPOSEES

  • Antimoine :
    • Production d'alliage dont l'antimoine augmente la dureté avec
      • du plomb : fabrication de batteries
      • de l'étain : ustensiles
      • du plomb et de l'étain : caractères d'imprimerie
      • du plomb, de l'étain et du cuivre : alliages antifriction
  • Trioxyde de diantimoine :
    • Industrie des matières plastiques et des élastomères (ignifugation)
    • Colles et peintures (ignifugation)
    • Céramiques, verres et émaux (opacifiant)
    • Industrie textile (ignifugation)
    • Industrie chimique (catalyseur pour certains thermoplastiques)
  • Trisulfure d'antimoine :
    • Lubrifiant dans les plaquettes de frein et embrayages à disques
    • Additif pour feux d'artifice, munitions, allumettes
  • Trihydrure d'antimoine :
    • Pas d'application dans l'industrie mais peut se former lors d'opérations mettant en oeuvre l'antimoine ou ses composés

3. DESCRIPTION - EVALUATION DU RISQUE

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  • Pour toute activité susceptible de présenter un risque d'exposition à des agents chimiques dangereux, l'employeur doit procéder à une évaluation des risques encourus pour la sécurité et la santé des travailleurs. Cette évaluation doit être renouvelée périodiquement, notamment à l'occasion de toute modification importante ou avant une activité nouvelle.
  • L'évaluation des risques inclut toutes les activités de l'entreprise, y compris l'entretien et la maintenance.
  • Les résultats de l'évaluation des risques sont consignés dans le document unique.

3.2. MESURE DE L'EXPOSITION

  • Mesures de concentrations dans l'atmospphère de façon régulière et lors de tout changement dans des conditions susceptibles d'avoir des conséquences sur l'exposition des salariés
  • En cas de dépassement des valeurs limites d'exposition professionnelle, nouveau contrôle sans délai.
  • Antimoine et ses composés (en Sb) VME 0,5 mg/m3

3.3. FICHE D'EXPOSITION

  • Pour l'exposition aux agents chimiques dangereux très toxiques, toxiques, nocifs, corrosifs, irritants, sensibilisants, l'employeur doit établir 
    • Une liste actualisée des travailleurs exposés sur laquelle sont précisés :
      • la nature de l'exposition
      • sa durée
      • les résultats des contrôles effectués
    • Une fiche individuelle d'exposition mentionnant :
      • la nature du travail effectué, les caractéristiques des produits, les périodes d'exposition et les autres risques ou nuisances d'origine chimique, physique ou biologique du poste de travail
      • les dates et les résultats des contrôles de l'exposition au poste de travail ainsi que la durée et l'importance des expositions accidentelles.
  • Chaque travailleur concerné est informé de l'existence de la fiche d'exposition et a accès aux informations le concernant.
  • Le double de cette fiche est transmis au médecin du travail.

4. RISQUES POUR LA SANTE

4.1. ACCIDENTS DU TRAVAIL

  • Inhalation de poussières, fumées ou vapeurs
  • Ingestion
  • Contact cutané
  • Projection oculaire

4.2. MALADIES PROFESSIONNELLES

  • Tableau n°73 RG : Maladies professionnelles causées par l'antimoine et ses dérivés

5. SURVEILLANCE MEDICALE

5.1. SURVEILLANCE REGLEMENTAIRE

  • Le contenu de la surveillance médicale spéciale est laissé à l'appréciation du médecin du travail.

5.1.1. VISITE MEDICALE

  • Visite médicale préalable à l'affectation : examen clinique standard
  • Puis visite médicale au moins une fois par an

5.1.2. EXAMENS COMPLEMENTAIRES

  • Néant

5.1.3. VACCINATIONS

  • Néant

5.2. SURVEILLANCE CONSEILLEE

5.2.1. VISITE MEDICALE

  • Rechercher l'apparition de lésions cutanées, de signes respiratoires (toux, expectoration, dyspnée)

5.2.2. EXAMENS COMPLEMENTAIRES

  • Epreuves fonctionnelles respiratoires (EFR), radiographie pulmonaire en cas de symptômes respiratoires (pouvant mettre en évidence des lésions de pneumoconiose stibiée)
  • Biométrologie : dosage de l'antimoine dans les urines qui doit être inférieur ou égal à 35 µg/g de créatinine chez les salariés exposés

5.2.3. VACCINATIONS

  • Rappel DTPolio tous les 10 ans

5.3. SUIVI POST PROFESSIONNEL : néant

5.4. DOSSIER MEDICAL

  • Le dossier médical doit comporter :
    • Une copie de la fiche d'exposition que l'employeur doit fournir au médecin du travail
    • Les dates et les résultats des examens complémentaires
  • Le dossier médical doit être conservé au moins 50 ans après la fin de la période d'exposition.

6. ACTIONS PREVENTIVES

6.1. PREVENTION TECHNIQUE COLLECTIVE

  • Substitution de l'agent chimique dangereux par un agent non ou moins dangereux, quand elle est possible
  • Travail en vase clos lorsqu'il est possible
  • Aspiration des poussières, des vapeurs ou des fumées à la source
  • Mise à disposition de douches de sécurité et de fontaines oculaires
  • Vérification périodique des installations et des dispositifs de sécurité
  • Mise en place d'une signalisation pour le port des équipements de protection individuelle
  • Réduction au minimum du nombre de travailleurs exposés avec mise en place d'une signalisation pour limiter l'accès aux zones dangereuses
  • Réduction au minimum de la durée et de l'intensité de l'exposition
  • Moyens de secours et de lutte contre l'incendie adaptés
  • Réduction au minimum de la quantité d'agents chimiques sur le lieu de travail pour le type de travail concerné
  • Procédures de travail adéquates, notamment dispositions assurant la sécurité lors de la manutention, le stockage et le transport sur le lieu de travail des agents chimiques dangereux et des déchets contenant ces agents
  • Interdiction de boire, manger, fumer sur le lieu de travail

6.2. FORMATION - INFORMATION - SENSIBILISATION

  • Information sur les risques, sur les moyens mis en oeuvre pour les éviter et sur les procédures à suivre en cas d'urgence
  • Remise au salarié d'une fiche de poste et d'un livret d'accueil incluant la sécurité
  • Formation aux premiers secours
  • Formation incendie
  • Formation à l'utilisation des équipements de protection individuelle
  • Information sur la nécessité d'une hygiène rigoureuse

6.3. PREVENTION INDIVIDUELLE

  • Port de protections individuelles : combinaisons avec serrage au cou, aux poignets et aux chevilles, bottes, coiffes, lunettes, gants, masques
  • Respect des procédures de sécurité
  • Hygiène individuelle : passage à la douche en fin de poste

7. REGLEMENTATION

7.1. TEXTES LEGISLATIFS ET REGLEMENTAIRES

  • Code du travail :
    • Article R4411-6 du Code du travail : substances et préparations dangereuses
    • Article R4412-41 du Code du travail : fiche d'exposition
    • Article R4412-149 du Code du travail : valeur limite d'exposition professionnelle
  • Autres textes :
    • Décret n° 2003-1254 du 23 décembre 2003 relatif à la prévention du risque chimique et modifiant le code du travail.
    • Circulaire du 19 juillet 1982 complétée et modifiée par plusieurs circulaires relative aux valeurs admises pour les concentrations de certaines substances dangereuses dans l'atmosphère des lieux de travail : Antimoine et ses composés (en Sb) VME 0,5 mg/m3
    • Circulaire n°10 du 29 avril 1980 relative à l'application de l'arrêté du 11 juillet 1977 fixant la liste des travaux nécessitant une surveillance médicale spéciale
    • Arrêté du 11 juillet 1977 fixant la liste des travaux nécessitant une surveillance médicale spéciale (Travaux exposant aux poussières d'antimoine)

7.2. RECOMMANDATIONS - NORMES - ETIQUETAGE (Phrases de risque) et phrases de sécurité)

Trioxyde de diantimoine

  • R40 : Effet cancérogène suspecté - preuves insuffisantes
  • S22 : Ne pas respirer les poussières
  • S36/37 : Porter un vêtement de protection et des gants appropriés

8. BIBLIOGRAPHIE

AUTEURS : Médecins du travail de l'AMI (75), Nicole Motsch (médecin du travail) (AMETIF) (95)
DATE DE CREATION : Novembre 2001
DERNIERE MISE A JOUR : Mai 2008

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