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  • Un égout est une conduite étanche, souterraine, qui recueille les eaux usées d'une agglomération et les évacue dans le milieu extérieur ou vers une station d'épuration.

2. PROFESSIONS EXPOSEES

  • Egoutiers et agents des stations d'épuration
  • Aménagement des cours d'eau, batellerie
  • Mines et carrières
  • BTP : drainage, travaux souterrains

3. DESCRIPTION - EVALUATION DU RISQUE

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  • L'employeur transcrit et met à jour dans un document unique les résultats de l'évaluation des risques pour la sécurité et la santé des travailleurs.
  • Cette évaluation comporte un inventaire des risques identifiés dans chaque unité de travail de l'entreprise ou de l'établissement.
  • La mise à jour est effectuée au moins chaque année ainsi que lors de toute décision d'aménagement important modifiant les conditions d'hygiène et de sécurité ou les conditions de travail.

4. RISQUES POUR LA SANTE

4.1. ACCIDENTS DU TRAVAIL

  • Glissade sur sol humide
  • Chute dans l'eau
  • Morsures d'animaux (rats)
  • Lumbago
  • Noyade
  • Intoxication aiguë par les gaz présents dans les égouts : par l'hydrogène sulfuré (pouvant être mortelle), l'hydrogène arsénié, le méthane, le dioxyde de carbone

4.2. MALADIES PROFESSIONNELLES

4.2.1. REGIME GENERAL

  • Tableau n°7 RG : Tétanos professionnel
  • Tableau n°19 RG : Spirochétoses (à l'exception des tréponématoses)
  • Tableau n°21 RG : Intoxication professionnelle par l'hydrogène arsénié
  • Tableau n°45 RG : Infections d'origine professionnelle par les virus des hépatites A, B, C, D et E
  • Tableau n°46 RG : Mycoses cutanées
  • Tableau n°96 RG : Fièvres hémorragiques avec syndrome rénal dues aux agents infectieux du groupe hantavirus

4.2.1. REGIME AGRICOLE

4.3. AUTRES

  • Maladies infectieuses non prises en charge en maladies professionnelles
  • Pathologies dues à l'exposition subaiguë ou chronique aux gaz présents dans les égouts non prises en charge en maladies professionnelles : hydrogène sulfuré, méthane, dioxyde de carbone

5. SURVEILLANCE MEDICALE

A la surveillance médicale spéciale pour les travaux effectués dans les égouts dont le contenu est laissé à l'appréciation du médecin du travail est associée celle pour l'exposition aux agents biologiques.

5.1. SURVEILLANCE REGLEMENTAIRE

5.1.1. VISITE MEDICALE

  • Visite d'embauche :
    • visite préalable à l'affectation
    • exclusion des travailleurs de moins de 18 ans
  • Visite annuelle

5.1.2. EXAMENS COMPLEMENTAIRES : néant

5.1.3. VACCINATIONS : néant

5.2. SURVEILLANCE CONSEILLEE

5.2.1. VISITE MEDICALE

  • Examen clinique standard en vérifiant l'état ostéoarticulaire, l'état cutané

5.2.2. EXAMENS COMPLEMENTAIRES

  • Selon la clinique
  • On pourra faire un audiogramme, des épreuves fonctionnelles respiratoires (EFR)

5.2.3. VACCINATIONS

  • DTPolio
  • Hépatite A
  • Leptospirose
  • Typhoïde

5.3. SUIVI POST PROFESSIONNEL

  • Néant

5.4. DOSSIER MEDICAL

  • 10 ans à compter de la cessation de l'exposition
  • Toutefois, lorsque des agents biologiques sont susceptibles de provoquer des maladies présentant une longue période d'incubation, le dossier pourra être conservé jusqu'à 50 ans.

6. ACTIONS PREVENTIVES

6.1. PREVENTION TECHNIQUE COLLECTIVE

  • Utilisation d'un détecteur de gaz
  • Installations électriques protégées
  • Procédure d'organisation des secours et matériel de secours

6.2. FORMATION - INFORMATION - SENSIBILISATION

  • Information sur les risques des agents biologiques
  • Formation aux bonnes pratiques d'hygiène
  • Connaissance de la conduite à tenir en cas d'accident du travail
  • Formation aux premiers secours
  • Formation à l'utilisation des équipements de protection individuelle
  • Formation gestes et postures

6.3. PREVENTION INDIVIDUELLE

  • Vêtements de travail
  • Bottes de sécurité antidérapantes ou cuissardes, gants, casque, lampe frontale, gilet de sauvetage
  • Baudrier fluorescent et réfléchissant pour l'opérateur de surface
  • Masque à cartouche en cas d'émanation de gaz toxiques
  • Harnais et longe de sécurité
  • Bonne hygiène corporelle

7. REGLEMENTATION

7.1. TEXTES LEGISLATIFS ET REGLEMENTAIRES

  • Article D4153-36 du Code du travail : interdiction d'emploi des jeunes travailleurs âgés de moins de dix-huit ans. Travaux dans les égouts.
  • Arrêté du 6 décembre 1999 complétant l'arrêté du 23 juillet 1947 modifié fixant les conditions dans lesquelles les chefs d'établissement sont tenus de mettre des douches à la disposition de certaines catégories de personnel. Travaux effectués dans les égouts.
  • Lettre-circulaire du 26 avril 1998 relative à la pratique des vaccinations en milieu de travail par les médecins du travail
  • Décret n°94-352 du 4 mai 1994 relatif à la protection des travailleurs contre les risques résultant de leur exposition à des agents biologiques
  • Arrêté du 11 juillet 1977 fixant la liste des travaux nécessitant une surveillance médicale spéciale. Travaux effectués dans les égouts.

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

  • Néant

8. BIBLIOGRAPHIE

  • Parasitoses intestinales chez le personnel intervenant en égout. Archives des maladies professionnelles, volume 61, octobre 2000 (Masson)
  • MAECT+cardiofréquencemétrie : la pénibilité du travail en égout mesurée. Chantiers BTP, n°15, novembre 1999
  • Le travail en égout. Fiche médico-professionnelle 15. Cahiers de médecine interprofessionnelle, volume 35, n°3 (Docis) (1995)
  • Le travail en égout. Cahiers de médecine interprofessionnelle, volume 35, n°3 (Docis) (1995)

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

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