ro R.F. LeBouf , S.B. Martin Jr. , M.G J.L. du Plessis 2,* 1National Institute for Occupational Safety and Health, 2North-West University, Occupational Hygiene and Hea 3National Institute for Occupational Safety and Health, 4North-West University, Technology and Innovation Sup a r t i c l e i n f o articles and organic cing real-world in- orea LLC. This is an nses/by-nc-nd/4.0/). will continue to grow and gain value in manufacturing [2]. With this growth, there is also potential for AM machines to emit con- taminants into occupational environments resulting in worker that inhalation of red to as material and cardiovascular e of work-related of acrylonitrile butadiene styrene (ABS) filament. In a survey of AM workers who primarily used material extrusion machines, 59% re- ported respiratory symptoms [6]. In an animal toxicology study, * Corresponding author. North-West University Occupational Hygiene and Health Research Initiative Private Bag X6001 Potchefstroom 2520, South Africa. E-mail addresses: AStefaniak@cdc.gov (A.B. Stefaniak), AJohnson13@cdc.gov (A.R. Johnson), dupreezsonette@nwu.ac.za (S. du Preez), DHammond@cdc.gov (D.R. Hammond), RWells@cdc.gov (J.R. Wells), JHam1@cdc.gov (J.E. Ham), RLebouf@cdc.gov (R.F. LeBouf), SMartin1@cdc.gov (S.B. Martin), MDuling@cdc.gov (M.G. Duling), ac.za (D.J. de Beer), Johan.DuPlessis@nwu.ac.za (J.L. du Plessis). Contents lists available at ScienceDirect Safety and Health at Work ge Safety and Health at Work xxx (2018) 1e8LBowers@cdc.gov (L.N. Bowers), AKnepp@cdc.gov (A.K. Knepp), Deon.deBeer@nwu.usually layer upon layer [1]. Economic forecasts indicate that AM asthma in a worker exposed to emissions from material extrusion(NIOSH)-recommended exposure levels. Conclusion: Industrial-scale AM machines using thermoplastics and resins released p vapors into workplace air. More research is needed to understand factors influen dustrial-scale AM process emissions and exposures.  2018 Occupational Safety and Health Research Institute, Published by Elsevier K open access article under the CC BY-NC-ND license (http://creativecommons.org/lice 1. Introduction Additive manufacturing (AM) is the process of joining materials to make physical objects from 3-dimensional (3-D) model data, exposure [3,4]. Emerging evidence indicates emissions from one type of AM process, refer extrusion, is associated with adverse respiratory health effects. House et al [5] reported a caswere specifically attributed to the AM processes. Personal exposures to metals (aluminum and iron) and eight volatile organic compounds were all below National Institute for Occupational Safety and HealthArticle history: Received 23 July 2018 Received in revised form 28 September 2018 Accepted 31 October 2018 Available online xxx Keywords: Additive manufacturing Material extrusion Material jetting Ultrafine particles Volatile organic compounds2093-7911/$ e see front matter  2018 Occupational S ND license (http://creativecommons.org/licenses/by-n https://doi.org/10.1016/j.shaw.2018.10.003 Please cite this article in press as: Stefan Manufacturing Machines, Safety and Health. Duling , L.N. Bowers , A.K. Knepp , D.J. de Beer , Morgantown, WV, 26505, USA lth Research Initiative, Private Bag X6001, Potchefstroom, 2520, South Africa Cincinnati, OH, 45213, USA port Office, Private Bag X6001, Potchefstroom, 2520, South Africa a b s t r a c t Background: Emerging reports suggest the potential for adverse health effects from exposure to emis- sions from some additive manufacturing (AM) processes. There is a paucity of real-world data on emissions from AM machines in industrial workplaces and personal exposures among AM operators. Methods: Airborne particle and organic chemical emissions and personal exposures were characterized using real-time and time-integrated sampling techniques in four manufacturing facilities using industrial-scale material extrusion and material jetting AM processes. Results: Using a condensation nuclei counter, number-based particle emission rates (ERs) (number/min) frommaterial extrusion AMmachines ranged from 4.1  1010 (Ultem filament) to 2.2  1011 [acrylonitrile butadiene styrene and polycarbonate filaments). For these same machines, total volatile organic com- pound ERs (mg/min) ranged from1.9 104 (acrylonitrile butadiene styrene and polycarbonate) to 9.4 104 (Ultem). For the material jetting machines, the number-based particle ER was higher when the lid was open (2.3  1010 number/min) than when the lid was closed (1.5e5.5  109 number/min); total volatile organic compound ERs were similar regardless of the lid position. Low levels of acetone, benzene, toluene, andm,p-xylene were common to both AM processes. Carbonyl compounds were detected; however, noneA.B. Stefaniak 1, A.R. Johnso 1 1 1 1 1 4n 1, S. du Preez 2, D.R. Hammond 3, J.R. Wells 1, J.E. Ham1,Original Article Insights Into Emissions and Exposures F Additive Manufacturing Machines journal homepaafety and Health Research Institute c-nd/4.0/). iak AB, et al., Insights Into at Work (2018), https://doi.om Use of Industrial-Scale : www.e-shaw.org, Published by Elsevier Korea LLC. This is an open access article under the CC BY-NC- Emissions and Exposures From Use of Industrial-Scale Additive rg/10.1016/j.shaw.2018.10.003 rats who inhaled ABS emissions from a material extrusion machine developed acute hypertension [7]. It is unclear if these respiratory and cardiovascular endpoints are associated with inhalation of airborne particles, organic vapors, or both. Herein, desktop scale refers to machines with relatively small build volumes, limited control over applicable build parameters (e.g., build chamber or temperature), and/or slower print speed, whereas industrial scale refers to machines with relatively larger build vol- umes, defined control over build parameters, and relatively faster print speeds. With few exceptions, emission assessments of AM machines to date have mostly focused on material extrusion, a process by which a solid thermoplastic filament is heated and then extruded through a nozzle onto a build plate tomake an object.More specifically, these studies have focused on inexpensive desktop-scale printers using fused deposition modeling (FDM) technology (commonly referred to as “3-D printers”) which were placed in a At Facility A, characterization of material extrusion machine emissions and personal air sampling were performed on two consecutive days. This building had several rooms, each containing a different type of AM machine, but we focused on a 66-m3 room that contained three industrial-scale material extrusion machines (all from Stratasys Inc., Eden Prairie, MN, USA). None of the industrial-scale AMmachines in the other rooms were in operation on the sampling days. One machine used ABS filament (Part Number P430) with butyl acrylateemethacrylic acidestyrene polymer support material (SR30), another used polycarbonate filament (PC, Part Number PC10) with methyl methacrylatee methacrylic acid copolymer support material (Part Number SR10), and the third machine used Ultem filament (Part Number 9085) with phenol 4,4`-(1-methylethylidene)bis-polymer with 1,10-sul- fonylbis[4-chlorobenzene] support material (Part Number 9085) (all from Stratasys Inc.). The door to each industrial-scale machine r r r r Saf Health Work 2018;-:1e82chamber or small room to simulate a work environment. Studies of these desktop-scale FDM machines indicate that ultrafine particles (UFPs, diameter <100 nm) and volatile organic compounds (VOCs) are released during printing [8e27]. Emerging evidence indicates that UFP and VOC emissions could also occur during operation of industrial-scalematerial extrusionmachines [3]. Another type of AM process is material jetting, in which an object is built by dispensing liquid resin onto a build platformvia hundreds of nozzles, curing the polymer using an ultraviolet laser, and repeating the process layer by layer. To our knowledge, only industrial-scale material jetting ma- chines are commercially available, and there are no reports on whether they emit particles or VOCs during operation. Based on the reviewed literature and the larger scale and throughput of industrial machines, it is reasonable to expect that exposures to particles and vapors may occur in occupational set- tings where industrial-scale AM processes are used. Despite early indications of potential for adverse health effects from inhalation of these emissions, there is little understanding of the magnitude and characteristics of emissions and exposures from industrial-scale AM processes in workplaces [3,4]. Such data are crucial, so that informed decisions can be made with regard to risk management. Hence, the purpose of this study was to evaluate emissions and exposures in multiple workplaces using industrial-scale material extrusion and material jetting AM processes. 2. Methods Assessments were performed at four facilities designated AeD. Table 1 summarizes the AM machines, consumables (filament or resin type and color) in use at the time of sampling, and machine- operating conditions. Table 1 Summary of additive manufacturing machines by facility Facility Machine Manufacturer Model Type Description A Stratasys Fortus 250mc ME Sealed doo Stratasys Fortus 900mc ME Sealed doo Stratasys Fortus 400mc ME Sealed doo B Stratasys Objet Connex 350 MJ Hinged lid C Stratasys Fortus 450mc ME Sealed doo D Stratasys Objet Connex 350 MJ Hinged lidABS, acrylonitrile butadiene styrene; ME, material extrusion; MJ, material jetting; N/A, p Please cite this article in press as: Stefaniak AB, et al., Insights Into Manufacturing Machines, Safety and Health at Work (2018), https://doi.owas closed and remained sealed during printing. An air condi- tioning unit was present in the room but was not operational during sampling. No local exhaust ventilation (LEV) designed to remove emissions directly from the printer source or general ventilation (openwindows, etc.) existed in the room. This roomwas staffed intermittently by one employee. At Facility B, characterization of material jetting machine emissions and personal air sampling were performed on two consecutive days. This facility contained several rooms, each housing a different type of AMmachine, although we only sampled in a 90-m3 room with an industrial-scale material jetting 3-D ma- chine that had a hinged lid (Objet 350 Connex 3; Stratasys Inc.). On the first day, no other AM machines were in operation, but on the second day, a nylon powder printer was in use in another room. Resins used were a support material (Part Number SUP 705), TangoBlackþ (Part Number FLX980), and VeroClear (Part Number RGD810) all from Stratasys Inc. On both the days, the machine was operated with its lid open. Filtered and conditioned fresh air was supplied to the room via one 32  32 cm supply vent (equipment was not available to measure flow rate at the time of the survey); there was no return air vent, but there was a louvre in a wall shared with the building hallway. There was no LEV for the printer. This room was intermittently staffed by one employee. At Facility C, emissions from an industrial-scale material extrusion machine (Stratasys Inc.) located in a high bay were monitored for one day. This machine was printing PC filament with support material (Part Number PC-S, Stratasys Inc.). Several metal working machines (some of which were operating during sample collection) were also present in the high bay. The AM machine doors remained sealed during operation. This room did not have LEV for the AM machine or the metal working machines; however, Feedstock Color Operating conditions (C) Extruder Build plate Chamber ABS Ivory 265 95 70 Support N/A 265 95 70 PC White 270 145 140 Support N/A 270 145 140 Ultem Black 300 Unknown 195 Support N/A 300 Unknown 195 TangoBlackþ Black N/A N/A N/A VeroClear Clear N/A N/A N/A Support N/A N/A N/A N/A PC White 300 180 180 Support N/A 300 180 180 TangoBlackþ Black N/A N/A N/A VeroWhiteþ Opaque N/A N/A N/A VeroClear Clear N/A N/A N/A Support N/A N/A N/A N/Aarameter not applicable; PC, polycarbonate. Emissions and Exposures From Use of Industrial-Scale Additive rg/10.1016/j.shaw.2018.10.003 ssessthe bay doors were open to the outdoors during printing which provided natural air movement in the room. One employee staffed the high bay, although only intermittently. At Facility D, emissions from a material jetting machine were monitored on two different days. This research facility contained a 466-m3 engineering laboratory that housed the same model of material jetting machine (Objet 350 Connex 3; Stratasys Inc.) and used the same support material and resins as Facility B, plus VeroWhite þ resin (Part Number RGD835, Stratasys Inc.). This machine had a tight-sealing hinged lid that sealed to enclose the build platform. There was no LEV for the printer. The air exchange rate in the laboratory was 2/hr during sampling. 2.1. Emissions characterization The availability of real-time particle sampling instruments was limited, and not all devices were used on all surveys. At Facilities A and C, an isopropanol-based condensation particle counter (CPC, Model 3007; TSI Inc., Shoreview, MN, USA) with a size ranging from 10 to >1000 nm was used to determine particle number concen- tration. At Facilities B and D, an isopropanol-based condensation nuclei counter (P-Trak, Model 8525; TSI Inc.) with a size ranging from 20 to 1000 nm was used to determine particle number con- centration. An optical particle counter (OPC) (Model 1.108; GRIMM Aerosol Technik GmbH & Co. Ainring, Germany) was used to determine particle size distribution from 0.3 to >20 mm. At Facility D only, a real-time fast mobility particle sizer (FMPS) (Model 3091; TSI Inc.) was used to measure particle size distribution from 5.6 to 560 nm. All real-time instruments were factory-calibrated before use. Measurements were data-logged at a frequency of 1 second for the nuclei counters and FMPS and 6 seconds for the OPC. Conductive silicone tubing (Part No. 3001788; TSI Inc.) having a length between 0.1 and 0.5 m was connected to the particle-sam- pling instrument inlets. According to Jankovic et al [28], losses of nanoscale particle in nonconductive tubing having a length of 0.7m can be up to 10%. Hence, the use of 0.1- to 0.5-m-long conductive tubing in our studies is expected to minimize particle losses in the sample tubing to <10%, so no correction was made to the mea- surements. In addition, particles were collected onto 0.8-mm track- etched polycarbonate filters (SKC Inc., Eighty Four, PA, USA) mounted in close-faced 37-mm cassettes by drawing air through the membrane at 4.0 L/min using calibrated sampling pumps. Fil- ters were analyzed using a field emissionescanning electron mi- croscope (FE-SEM, S-4800; Hitachi, Tokyo, Japan) to evaluate size and morphology and by energy-dispersive X-ray analysis (Quantax, Bruker Scientific Instruments, Berlin, Germany) to identify elemental constituents. For gas-phase emissions, a real-time total organic vapor (TVOC) photoionization detector (RAE Systems, San Jose, CA, USA)was used to monitor organic vapor concentrations, and a real-time gas-sen- sitive semiconductor sensor (Model S500; Ozone Solutions, Hull, IA, USA) was used to monitor ozone concentrations. The TVOC monitor was factory-calibrated using isobutylene and span- checked with isobutylene before use. Soil vapor intrusion thermal desorption (TD) tubes (Perkin Elmer, Waltham, MA, USA) con- nected to low-flow sampling pumps (calibrated to 0.050 L/min for 2-hour sample collection or 0.030 L/min for 6-hour sample collection) were used to measure specific VOC concentrations. All sampler inlets were positioned at breathing zone height and collocatedwith the aerosol monitors. TD tubes were analyzed using a thermal desorption unit (ATD650; Perkin Elmer, Waltham, MA, USA) connected to a gas chromatographemass spectrometer (GC- MS) as described in the Supplemental File. In addition, 450 mL of Silonite-coated evacuated canister samples (Model 29-MC450SQT; A.B. Stefaniak et al / Workplace aEntech Instruments Inc., Simi Valley, CA, USA) were collected at Please cite this article in press as: Stefaniak AB, et al., Insights Into Manufacturing Machines, Safety and Health at Work (2018), https://doi.oFacility D only [29]. Details of the canister analytical method are provided in the Supplemental File. Both TD tubes and canister samplers were analyzed for 15 different VOCs that have been observed previously in chamber emissions studies of desktop-scale 3-D printers. Background-corrected concentrations for individual VOCs were reported only if the measured level exceeded back- ground. Sampling for gas-phase carbonyl compounds was per- formed by drawing air using a calibrated sampling pump at 4.0 L/ min into either 25 mL of deionized water in a 60-mL Teflon bubbler (Savillex; Eden Prairie, MN, USA) or into 40 mL of deionized water in a 375-mL bubbler depending on sampling duration. After collection, samples were derivatized and analyzed using GC-MS (see Supplemental File). All real-time and time-integrated sampler inlets were posi- tioned at breathing zone height within 1 m of the AM machines (i.e., at locations representative of where the AM operator normally occupied). Samples to establish background levels of particles and VOCs were collected for up to 30 minutes before the start of printing. Then, samples were collected to capture emissions from the start of printing through the postprinting phase to capture particle and VOC levels in a room. Sampling durations varied depending on the type of sample collected, facility, type of AM process, and size of the object that was built. 2.2. Personal sampling Personal breathing zone samples for metals and VOCs were collected at Facilities A and B only. Prior laboratory studies have reported iron, nickel, chromium, and zinc in particulate emissions from desktop-scale material extrusion printers using ABS and PL filaments [7,21,27]. As such, we used nanoparticle respiratory deposition (NRD, Zefon International, Inc., Ocala, FL, USA) samplers to collect metal-containing particles with diameters from about 15 to 300 nm [30]. NRD samplers were operated using a personal sampling pump calibrated to 2.5 liters/min, and collection sub- strates were analyzed for metals using inductively coupled plasmaemass spectrometry (ICP-MS) in accordance with National Institute for Occupational Safety and Health (NIOSH) Method 7303. VOCs were sampled using passive diffusion badges (TraceAir 521; Assay Technology, Livermore, CA, USA). Badges were analyzed by gas chromatography-mass spectrometry (GC-MS) by NIOSH Methods 1500, 1501, and 2500. Personal sampling was approved by the Health Research Ethics Committee of the North-West Univer- sity (Ethics clearance number: NWU-00004-16-A1). 2.3. Data analysis Emission rates (ERs) were calculated using amodel developed to describe emission from sources in indoor residential and occupa- tional environments, including AM machine emissions in a room [19,31]: Equation 1: ER ¼ V,  Cpeak  Cout Dt þ AER þ k,Cin  AER,Cout  (1) In this equation, V ¼ the room volume, Cpeak ¼ peak concen- tration of the contaminant during printing, Cout ¼ the outdoor concentration of the contaminant during printing (assumed to be equal to the background concentration measured in each printer room), Dt ¼ the time difference between Cpeak and Cout, AER þ k ¼ average total removal rate of the contaminant (AER ¼ air exchange rate in the room, k ¼ rate of contaminant loss due to deposition onto surfaces), and C ¼ the average concen- ments of additive manufacturing 3in tration of the contaminant during printing. This model accounts for Emissions and Exposures From Use of Industrial-Scale Additive rg/10.1016/j.shaw.2018.10.003 background particle concentrations in a room, the average rate of removal of particles by air exchange in the room, and loss due to deposition onto surfaces. It is assumed that the average concen- tration measured during background remains constant during printing, which was reasonable given the characteristics of all rooms (described previously). Details of the model are provided in the Supplemental File. For the material jetting machines at Facilities B and D, the masses of resin used to printing objects was known to us, which permitted normalization of emissions to mass printed. To deter- mine particle emission yield (particle number or mg TVOC/g prin- ted), the ER (particle number or mg TVOC/min) determined using Eq. 1 was multiplied by print time (min) to calculate the total number of particles or mass of TVOC emitted during printing, which was normalized by the mass of printed resin (g printed). Given the limited number of print jobs sampled and the explor- atory nature of these surveys, only descriptive comparisons of ERs and yields are given, and no attempt was made to analyze the re- sults statistically. 3. Results Fig. 1 is a representative example of the influence of material extrusion AM machine operation on room particle number and opening of the high bay door during printing was a common practice. Hence, consideration should be given to the impact of this type of practice on monitoring efforts in future workplace assess- ments. In addition, none of these facilities used LEV systems to control emissions, which precluded our ability to assess the efficacy of these systems. Fig. 2 is an FE-SEM image of particles collected in Facility Dwhile operating a material jetting machine. Particles were clusters of UFPs composed of carbon. As shown in Table 2, the number-based particle ER values were in an order of magnitude higher when the material jetting machinewas operated with the lid open (Facility B) thanwhen it was closed (Facility D), whereas the TVOC yield values were similar regardless of the lid position. The FMPS instrument was only available while sampling in Facility D, and the calculated particle number ER values were higher than calculated using the P- Trak data. The higher rates are attributed to the fact that the FMPS can measure particle sizes down to 5.6 nm, but the P-Trak has a minimum size cutoff of 20 nm and hence cannot count these smaller particles measured by the FMPS. The mass of resin consumed during printing was known, and total particle and TVOC emissions were normalized to mass to determine yields values (Table 2). Number-based particle yield values for the P-Trak and OPC were higher when the printer lid was open than when it was closed; TVOC yield values were similar regardless of the lid (e.g., acetone ranged from 5.7 to 33.1 mg/m ), and decreased in the Fac Saf Health Work 2018;-:1e84Fig. 1. Real-time particle and total volatile organic compound (TVOC) concentrations inTVOC concentrations. After background, both particle and organic vapor concentrations increased as printing commenced and decayed after printing was complete. At Facility A, the ERs during material extrusion printing with ABS and PC (Day 1) exceeded that for Ultem (Day 2) based on the number of particles measured using the CPC (2.2  1011 number/min vs. 4.1  1010 number/min) and with a diameter >0.3 mm measured using the OPC (2.7  105 number/min vs. 9.6  104 number/min). The TVOC ER value for printingwith ABS and PCwas a factor of five lower thanwhen using Ultem filament (1.9  104 mg/min vs. 9.4  104 mg/min). In Facility C, the high bay door was open during operation of the AMmachine, which created natural ventilation and diluted any emissions (i.e., none of the real-time data had a pattern consistent with emissions shown in Fig. 1). Discussions with facility staff revealed thatfilament, and after about 120 minutes, a second machine began printing using polycarbonat t ¼ 5 min and continued for 650 min (plot truncated at t ¼ 300 min for brevity, but decay tre Please cite this article in press as: Stefaniak AB, et al., Insights Into Manufacturing Machines, Safety and Health at Work (2018), https://doi.oafternoon after the print jobs were complete (e.g., acetone ranged ility A. Initially, one machine was printing using acrylonitrile butadiene styrene (ABS)position. 3.1. Quantification of individual VOCs Six different VOCs (acetone, benzene, styrene, toluene, m,p- xylene, and o-xylene) were measured on TD tube area samples during operation of the industrial-scale material extrusion ma- chines at Facilities A and C. Concentrations of any individual VOC were at most 6% of their applicable NIOSH Recommended Exposure Limit (REL). At Facility A, during printing with ABS and PC (Day 1), the concentrations of individual VOCs were higher in the morning, reflecting a build-up of contaminants in the room during printing 3e (PC) filament. Background monitoring was from t ¼ 0 to 5 min. ABS printing began at nd continued for the remainder of sampling). PC printing was from t ¼ 120 to 260 min. Emissions and Exposures From Use of Industrial-Scale Additive rg/10.1016/j.shaw.2018.10.003 material jetting machines, room ozone concentrations rapidly anal A.B. Stefaniak et al / Workplace assessfrom 2.5 to 15.7 mg/m3). On the second day, just Ultem filament was extruded, and only acetone (0.4 mg/m3) was quantified above background. Results of TD tube area samples revealed that five different VOCs (acetaldehyde, acetone, benzene, ethanol, toluene and m,p-xylene) were common to room air during operation of the material jetting machines in Facility B (lid open) and Facility D (lid closed). In general, concentrations of these VOCs were similar between facil- ities regardless of the position of the machine lid and were at most 1.4% of their applicable NIOSH REL. The one exception was acetal- dehyde (range, 14e214 mg/m3), which NIOSH considers a potential occupational carcinogen and does not have an REL [32]. Ethanol was used to clean the build platform on the material jetting ma- chine in Facility B before operation, and the measured concentra- tionwas 10.6 mg/m3 on that day, indicating that tasks in addition to printing could influence AM operator exposure. Fig. 2. Field emissionescanning electron micrograph and energy-dispersive X-ray manufacturing printing (Facility D).3.2. Ozone and carbonyl formation Among all facilities, the background-corrected ozone concen- trations were highest in Facility A during operation of the industrial-scale material extrusion machines using ABS and PC (37 mg/m3) and Ultem (43 mg/m3) filaments. Ozone concentration when running PC at Facility C was 10 mg/m3. During operation of the Table 2 Emission rates and yields for industrial-scale material jetting additive manufacturing machines at Facilities B and D Facility Lid Day Metricy Particle number* TVOC P-trak FMPS OPC B Open 1 Rate 2.3  1010 n.s. 1.1  105 2.8  104 Yield 2.1  1010 n.s. 9.8  104 2.5  104 D Closed 1 Rate 1.5  109 2.1  1012 8.5  103 4.5  104 Yield 4.1  108 6.0  1011 2.4  103 1.3  104 Closed 2 Rate 5.5  109 1.8  1011 1.1  104 2.5  104 Yield 7.7  109 2.6  1011 1.5  104 3.5  104 FMPS, fast mobility particle sizer; n.s., not sampled (instrument was not available for use at this facility); OPC, optical particle counter; TVOC, total volatile organic compound. * P-Trak range, 20e1000 nm; FMPS range, 5.6e560 nm; OPC range, 0.3e>20 mm. y Rate units: number (number/min), TVOC (mg/min); yield units: number (num- ber/g printed), TVOC (mg/g printed). Please cite this article in press as: Stefaniak AB, et al., Insights Into Manufacturing Machines, Safety and Health at Work (2018), https://doi.oincreased from about 15 mg/m3 to 30 mg/m3 at the start of printing in Facility B (lid open), remained elevated during operation (average¼ 26.3 mg/m3), and decayed rapidly when printing ceased. When the material jetting machine was operated with the lid closed, ozone emissions followed the same pattern as when the lid was open; however, average concentrations were 9e11 mg/m3. The NIOSH REL for ozone is 200 mg/m3 and is a ceiling value. Ozone may react with unsaturated VOCs to form new com- pounds, including carbonyls [33]. While carbonyl compounds were observed (e.g., glyoxal, methylglyoxal, and 4-oxopentanal) from the collected air samples in the parts per billion range, no concentra- tions were observed to be greater than background levels, indi- cating that they were not emitted or formed during these printing processes.ysis spectra of particles collected during industrial-scale material jetting additive ments of additive manufacturing 53.3. Personal exposures to metals and VOCs Tasks besides operation of AM machines occurred in Facilities A and B (e.g., cleaning build plates with alcohol), and employees sometimes left the machine rooms to work in other areas. As such, measured personal exposures to metals and VOCs are not solely from AM machine emissions. Personal 8-hour time-weighted average (TWA) exposures to metals measured using NRD sam- plers did not exceed 0.01 mg/m3 for aluminum (REL ¼ 5 mg/m3 as respirable size particles) or 0.01 mg/m3 for iron (REL ¼ 5 mg/m3) at any facility. At Facility A, personal exposures to organic vapors during ma- terial extrusion with ABS, PC, and Ultem included acetone (0.04e 1.88 mg/m3), pentane (0.04e0.11 mg/m3), cyclohexane (0.01e 0.04 mg/m3), ethanol (0.03e0.08 mg/m3), and naphtha (2.06e 2.31 mg/m3); however, concentrations were well below their RELs of 590, 350, 1050, 1900, and 400 mg/m3, respectively. In addition, low levels of hexane (0.15e0.19 mg/m3) and benzene (0.03e 0.02 mg/m3) were measured in the breathing zone when printing with ABS and Ultem, but not PC filament. At Facility B, personal exposures during material jetting machine operation also included low levels of these same chemicals, i.e., acetone (0.02e0.08 mg/3), pentane (0.01e0.06 mg/m3), ethanol (0.52e2.02 mg/m3), and naphtha (1.53e1.71 mg/m3), as well as isopropyl alcohol (0.07e 0.52 mg/m3; REL ¼ 980 mg/m3). Emissions and Exposures From Use of Industrial-Scale Additive rg/10.1016/j.shaw.2018.10.003 ork4. Discussion In general, particle ERs, regardless of the type of AM process, were five to six orders of magnitude higher for particle number measured using condensation nuclei counters (P-Trak or CPC) than using the OPC instrument, indicating that the dominant particle size was below 300 nm in these workplaces. Industrial-scale ma- terial extrusion machines can extrude filaments such as Ultem which need higher build temperatures than possible in most desktop-scale machines. In Facility A, particle numberebased ER values were lower, but TVOC ER values were higher when Ultem filament was printed relative to ABS and PC filaments (Table 2). To our knowledge, this was the first evaluation of Ultem filament, and these data provide important insights into the emissions profile of this material. In a previous study of material extrusion machines, a CPC was used to evaluate printer door seals and cooling fan outlets during printing but did not identify these locations as emission points [3]. As such, additional evaluations of industrial-scale AM machines are needed to understand emission points. Results from the other observations of the same model of ma- terial jetting AM machine using the same consumables Facilities B and D suggested a decrease in particle numberebased emissions when the machine was operated with its lid closed, but no impact on TVOC emissions. One potential explanation for this observation is that particles may deposit on the interior surfaces of the machine lid by electrostatic or thermophoretic mechanisms when it is in the down position, but organic vapors do not adhere to the lid. Addi- tional sampling is necessary to confirm this explanation. At Facility B, operation of a nylon powder printer in a different room on the second day resulted in entrainment of particles into the room containing the material jetting machine, which precluded mea- surement of its emissions that day. Despite the absence of a thermal process, and even with the machine lid closed, particle and TVOC ER values for thematerial jettingmachines were similar to those for the material extrusionmachines. Investigation of aerosol formation mechanisms were beyond the scope of the current investigation, although one possible explanation for the observed UFP emissions is that liquid resin droplets were broken apart during jetting from the printer nozzles (approximate diameter of 50 mm) onto the build surface. Hence, an important finding of this study is that feedstock materials in liquid form can emit aerosols and vapors, and closure of the machine lid may not fully contain emissions. It is somewhat difficult to compare the ER and yield results from our study with existing reports in the literature for other AM pro- cesses because most prior studies were performed in controlled laboratory chambers, and different measurement methods and equations have been used among investigators to express these metrics for particles and chemicals. For example, chamber studies of desktop-scale “3-D” printers using ABS filament report ERs that range from 2  108 number/min [21] to 2  1011 number/min [14]. ERsmeasured for PC in chamber studies range from 3 109 number/ min [34] tow4  1010 number/min [9]. The upper end of the rates for ABS are on the same order of magnitude, but the rates for PC are an order of magnitude lower than we observed at Facility A during simultaneous printing with these filaments (2.2  1011 number/ min). A few studies have reported ER data for desktop-scale 3-D printers using ABS filament in different types of nonindustrial rooms (classrooms, laboratories, and offices) and estimates range from 1 to 2  1011 number/min [16,22] which is consistent with our observations. Data on TVOC ERs for ABS and PC are limited to chamber studies of desktop 3-D printers. Reported ER values for ABS range from 10 mg TVOC/min [21] to 64 mg TVOC/min [12], and for PC, only Azimi et al [9] have reported an ER (3 mg TVOC/min); these values are three orders of magnitude lower than that we measured Saf Health W6in Facility A (1.9  104 mg TVOC/min) during industrial-scale AM. Please cite this article in press as: Stefaniak AB, et al., Insights Into Manufacturing Machines, Safety and Health at Work (2018), https://doi.o4.1. Chemical concentrations in workplace air At Facilities A and C, benzene, styrene, toluene,m,p-xylene, and o- xyleneweremeasured during operation of thematerial extrusion AM machines with ABS and PC filaments. Acetone was measured when printingwith ABS, PC, andUltem filaments at Facility A (but notwhen printing with PC filament at Facility C). Wojtyla et al [35] used ther- mogravimetric analysis to evaluate decomposition products of ABS filament and reported that acetone was a component of emissions. Azimi et al [9] evaluated emissions fromABS and PC filaments using a desktop-scale FDM machine in a chamber but did not report the release of acetone. Other chamber/room studies of desktop-scale FDM machines have reported release of benzene, styrene, toluene, m,p-xylene, and o-xylene [9,12,14,20,21]. These reports indicate that desktop-scale FDM machines can be somewhat informative for un- derstanding VOC emissions from industrial-scale material extrusion machines printing with ABS and PC filaments (although high-tem- perature filaments, such as Ultem, can currently be printed using industrial-scale machines only). Quantification of styrene, albeit at low levels, during operation of the industrial-scale material extrusion machines using ABS and PC filaments is of interest because it may be an asthmagen [36]. At Facilities B and D, six different VOCs were quantified in room air during operation of material jetting machines. Among these vapors, acetaldehyde is of interest as this chemical is categorized as a potential occupational carcinogen by NIOSH [32]. Given these results for material extrusion filaments and mate- rial jetting resins evaluated in this study and the ever-expanding options for feedstock materials on the commercial market, there is a need for more research to understand VOC emissions from AM machines using these materials. A standard laboratory method to quantify or categorize filament emissions (particle and chemical) could be useful for manufacturers for product stewardship and informative to consumers when making decisions on consumable purchases. Such considerations are components of a broader life cycle assessment strategy for AM [37]. 4.2. Ozone and carbonyl reaction product formation Regardless of machine type, elevated levels of ozone were measureable in all printer rooms. The exact mechanism by which ozone was formed by the AM machines is not known. For the material jetting machines, the ultraviolet laser wavelength used to cure resin is above 200 nm and would not be capable of forming ozone. Given that elevated levels of ozone were measured in all printer rooms, one plausible source is the electrical components of the AM machines. Carbonyl compounds observed were present in both the background and during the printing process, suggesting that the printing process did not emit new carbonyl compounds into the indoor environment. This trend was observed in all sam- ples collected from the varying locations and was in contrast to a previous laboratory chamber experiment, which indicated the formation of carbonyls during printing [20]. Given an average ozone concentration of 20 mg/m3 and an average ozone rate con- stant of 11016 cm3molecules1 s1 for alkenes containing one to two carbonecarbon double bonds, the pseudo-first-order rate constant is 0.090/hr. We assumed an average air exchange rate of 0.22/hr for Facilities AeC, and the rate was 2/hr for Facility D. Hence, one possible explanation for why new carbonyls did not form during printing could be that the precursors to carbonyl for- mation were removed by air currents before reactions occurred. 4.3. Personal exposures to metals and VOCs Measured personal exposures to metals and individual VOCs 2018;-:1e8were well below their corresponding NIOSH RELs. For metals, NRD Emissions and Exposures From Use of Industrial-Scale Additive rg/10.1016/j.shaw.2018.10.003 ssesssamplers were used to measure personal exposure to metal- containing particles with diameters <300 nm because these par- ticle sizes have high probability of depositing in the alveolar region of the lung [38]; however, the mass per particle decreases as size decreases. Hence, mass exposures to thesemetals could be higher if they were measured using a sampler that collects larger size par- ticles which may be useful in future studies. In addition, it is important to note that the surface-to-volume ratio rapidly in- creases as particle size decreases, meaning that more atoms are on the surface of nanoscale particles and available to react with bio- logical systems, making surface area an important metric for pul- monary inflammation for exposure to insoluble and poorly soluble particles [13]. Seven different VOCs were quantified on personal samples collected from employees at Facility A (acetone, pentane, hexane, benzene, cyclohexane, ethanol, and naphtha) during ma- terial extrusion AM processes. He et al [39] measured exposures of workers during an extrusion process at an ABS plastics recycling facility and also identified benzene and cyclohexane. At this time, it is unknown whether the source of naphtha exposure is the AM machines. Facility A also contains a sand binder jetting machine (not in use at the time of our survey), and naphtha is often used as a carrier or reducer in sand-casting processes to improve the drying and removal process of the metal from the sand cast [40,41]. At Facilities A and B, ethanol was used as a cleaning solvent and was measured on all personal samples. du Preez et al [3] reported that postprocessing of ABS- and PL-printed objects using vapor polishing resulted in personal exposures to acetone and chloro- form, respectively. Graff et al [4] evaluated preprinting and post- printing tasks associated with laser sintering printing of metal powders and reported that these tasks resulted in elevated con- centrations of particles. Hence, exposures to emissions during operation of AM machines is just one contributor to total exposure among AM operators, and consideration should be given to un- derstanding all contributing sources in these workplaces. Personal exposures to VOCs were all well below their applicable RELs. It is important to note that themeasured exposures reflect conditions at the time of sampling and that any changes to work processes, including building-related factors (changes to ventilation, etc.), machine-related factors (number, type, etc.), and feedstock-related factors (thermoplastic, resin, etc.), could change VOC concentrations. 5. Conclusions Overall, particle numberebased ERs in these industrial work- places were on the order of 109e1010 number/min for material jetting machines (P-Trak data) and 1010e1011 number/min for material extrusion machines (CPC data). ERs calculated from OPC data were several orders of magnitude lower, suggesting that emitted particles had sizes predominantly below 300 nm regard- less of the AM process in use. Low levels of metals and organic chemicals were measurable in all workplaces. Notably, material jetting machine resin feedstock released particles and VOCs at levels similar to or greater than some material extrusion machines that use heat to melt feedstock material. The health significance of these exposures is currently unknown, although available literature indicates that inhalation of ABS filament emissions during opera- tion of a material extrusion AM machine may be associated with work-related asthma inworkers and acute hypertension in rodents. At this time, it is unknown if potential adverse effects are attrib- utable to VOCs, UFP, or both VOCs and UFP. Hence, further work- place evaluations could help to understand factors that influence emissions from these and other types of AM processes and to quantify exposures in larger populations of AM operators. Such A.B. Stefaniak et al / Workplace ainformation is necessary to understand risk potential and identify Please cite this article in press as: Stefaniak AB, et al., Insights Into Manufacturing Machines, Safety and Health at Work (2018), https://doi.oeffective control technologies, if deemed to be necessary. The real- time monitoring instruments and sampling techniques used in this study provided useful information on emissions and exposures in diverse workplaces and could serve as a model to standardize ap- proaches for future workplace assessments. Acknowledgments Funding for this project was provided by NIOSH intramural funds (ABS, ARJ, DH, JRW, JEH, RFL, SBM, MGD, LNB, AKK) and the South African Department of Science and Technology (SDP, DJDB, JDP). The funding sources had no involvement in the study design; collection, analysis and interpretation of the data; writing of the report; or the decision to submit the article for publication. The authors thank C. Qi, K.L. Dunn, and G. Roth at NIOSH for critical review of this manuscript before submission to the journal. Appendix A. Supplementary data Supplementary data to this article can be found online at https://doi.org/10.1016/j.shaw.2018.10.003. Disclaimer The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention. Conflict of interest The authors declare no conflict of interest. References [1] International IOfSA. Additive manufacturing d general principles d termi- nology. In: ISO/ASTM. Geneva, Switzerland: International Organization for Standardization; 2015. ISO/ASTM 52900. [2] Thomas D. Costs, benefits, and adoption of additive manufacturing: a supply chain perspective. Int J Adv Manuf Technol 2016;85(5e8):1857e76. [3] du Preez S, Johnson AR, LeBouf RF, Linde SJL, Stefaniak AB, Du Plessis J. Ex- posures during industrial 3-d printing and post-processing tasks. Rapid Proto J 2018;24(5):865e71. [4] Graff P, Ståhlbom B, Nordenberg E, Graichen A, Johansson P, Karlsson H. Evaluating measuring techniques for occupational exposure during additive manufacturing of metals: a pilot study. J Indust Ecol 2017;21:S120e9. [5] House R, Rajaram N, Tarlo SM. Case report of asthma associated with 3d printing. Occup Med (Lond) 2017;67(8):652e4. [6] Chan FL, House R, Kudla I, Lipszyc JC, Rajaram N, Tarlo SM. Health survey of employees regularly using 3d printers. Occup Med (Lond) 2018;68(3):211e4. [7] Stefaniak AB, LeBouf RF, Duling MG, Yi J, Abukabda AB, McBride CR, et al. Inhalation exposure to three-dimensional printer emissions stimulates acute hypertension and microvascular dysfunction. Toxicol Appl Pharmacol 2017;335:1e5. [8] Azimi P, Fazli T, Stephens B. Predicting concentrations of ultrafine particles and volatile organic compounds resulting from desktop 3d printer operation and the impact of potential control strategies. J Indust Ecol 2017;21:S107e19. [9] Azimi P, Zhao D, Pouzet C, Crain NE, Stephens B. Emissions of ultrafine par- ticles and volatile organic compounds from commercially available desktop three-dimensional printers with multiple filaments. Environ Sci Technol 2016;50(3):1260e8. [10] Bharti N, Singh S. Three-dimensional (3d) printers in libraries: perspective and preliminary safety analysis. J Chem Educ 2017;94(7):879e85. [11] Deng Y, Cao SJ, Chen A, Guo Y. The impact of manufacturing parameters on submicron particle emissions from a desktop 3d printer in the perspective of emission reduction. Build Environ 2016;104:311e9. [12] Floyd EL, Wang J, Regens JL. Fume emissions from a low-cost 3-d printer with various filaments. J Occup Environ Hyg 2017;14(7):523e33. [13] Geiss O, Bianchi I, Barrero-Moreno J. Lung-deposited surface area concentra- tion measurements in selected occupational and non-occupational environ- ments. J Aerosol Sci 2016;96:24e37. [14] Kim Y, Yoon C, Ham S, Park J, Kim S, Kwon O, et al. Emissions of nanoparticles ments of additive manufacturing 7and gaseous material from 3d printer operation. Environ Sci Technol 2015;49(20):12044e53. Emissions and Exposures From Use of Industrial-Scale Additive rg/10.1016/j.shaw.2018.10.003 [15] Kwon O, Yoon C, Ham S, Park J, Lee J, Yoo D, et al. Characterization and control of nanoparticle emission during 3d printing. Environ Sci Technol 2017;51(18): 10357e68. [16] Mendes L, Kangas A, Kukko K, Mølgaard B, Säämänen A, Kanerva T, et al. Characterization of emissions from a desktop 3d printer. J Indust Ecol 2017;21(S1):S94e106. [17] Rao C, Gu F, Zhao P, Sharmin N, Gu H, Fu J. Capturing pm2.5 emissions from 3d printing via nanofiber-based air filter. Scientific Rep 2017;7(1). [18] Characterization of particle emission from fuse deposition modeling printers. In: Simon TR, Aguilera GA, Zhao F, editors. ASME 2017 12th International manufacturing science and engineering conference, MSEC 2017 collocated with the JSME/ASME 2017 6th international conference on materials and processing 2017. [19] Stabile L, Scungio M, Buonanno G, Arpino F, Ficco G. Airborne particle emis- sion of a commercial 3d printer: the effect of filament material and printing temperature. Indoor Air 2017;27(2):398e408. [20] Stefaniak AB, LeBouf RF, Yi J, Ham JE, Nurkewicz TR, Schwegler-Berry DE, et al. Characterization of chemical contaminants generated by a desktop fused deposition modeling 3-dimensional printer. J Occup Environ Hyg 2017;14: 540e50. [21] Steinle P. Characterization of emissions from a desktop 3d printer and indoor air measurements in office settings. J Occup Environ Hyg 2016;13: 121e32. [22] Stephens B, Azimi P, El Orch Z, Ramos T. Ultrafine particle emissions from desktop 3d printers. Atmos Environ 2013;79:334e9. [23] Vance ME, Pegues V, Van Montfrans S, Leng W, Marr LC. Aerosol emissions from fuse-deposition modeling 3d printers in a chamber and in real indoor environments. Environ Sci Technol 2017;51(17):9516e23. [24] Yi J, LeBouf RF, Duling MG, Nurkiewicz TR, Chen BT, Schwegler-Berry D, et al. Emission of particulate matter from a desktop three-dimensional (3-d) printer. J Toxicol Environ Health A 2016;79:453e65. [25] Zhang Q, Wong JPS, Davis AY, Black MS, Weber RJ. Characterization of particle emissions from consumer fused deposition modeling 3d printers. Aerosol Sci Technol 2017;51(11):1275e86. [26] Zhou Y, Kong X, Chen A, Cao S. Investigation of ultrafine particle emissions of desktop 3d printers in the clean room. Proc Engin 2015;121:506e12. [27] Zontek TL, Ogle BR, Jankovic JT, Hollenbeck SM. An exposure assessment of desktop 3d printing. J Chem Health Saf 2017;24(2):15e25. [28] Jankovic JT, Hall MA, Zontek TL, Hollenbeck SM, Ogle BR. Particle loss in a scanning mobility particle analyzer sampling extension tube. Int J Occup Environ Health 2010;16(4):429e33. [29] LeBouf RF, Stefaniak AB, Virji MA. Validation of evacuated canisters for sam- pling volatile organic compounds in healthcare settings. J Environ Monit 2012;14(3):977e83. [30] Cena LG, Anthony TR, Peters TM. A personal nanoparticle respiratory depo- sition (nrd) sampler. Environ Sci Technol 2011;45(15):6483e90. [31] He C, Morawska L, Hitchins J, Gilbert D. Contribution from indoor sources to particle number and mass concentrations in residential houses. Atmos Envi- ron 2004;38(21):3405e15. [32] NIOSH. Niosh pocket guide to chemical hazards. Cincinnati, OH: DHHS (NIOSH) Publication; 2007. 2005-149 ed DHHS (NIOSH). [33] Weschler CJ. Chemistry in indoor environments: 20 years of research. Indoor Air 2011;21(3):205e18. [34] Stefaniak AB, Bowers LN, Knepp AK, Virji MA, Birch EM, Ham JE, et al. Three- dimensional printing with nano-enabled filaments releases polymer particles containing carbon nanotubes into air. Indoor Air 2018. [35] Wojtyła S, Klama P, Baran T. Is 3d printing safe? Analysis of the thermal treatment of thermoplastics: abs, pla, pet, and nylon. J Occup Environ Hyg 2017;14(6):D80e5. [36] Moscato G, Biscaldi G, Cottica D, Pugliese F, Candura S, Candura F. Occupa- tional asthma due to styrene: two case reports. J Occup Med 1987;29(12): 957e60. [37] Bours J, Adzima B, Gladwin S, Cabral J, Mau S. Addressing hazardous impli- cations of additive manufacturing: complementing life cycle assessment with a framework for evaluating direct human health and environmental impacts. J Indust Ecol 2017;21(S1):S25e36. [38] ICRP. International commission on radiological protection. Human respiratory tract model for radiological protection. Oxford, UK: Pergamon; 1994. Publi- cation 66. [39] He Z, Li G, Chen J, Huang Y, An T, Zhang C. Pollution characteristics and health risk assessment of volatile organic compounds emitted from different plastic solid waste recycling workshops. Environ Int 2015;77:85e94. [40] HA-International. Material safety data sheet; 2006. Available from: http:// www.sfm.state.or.us/cr2k_subdb/MSDS/TECHNISET_NF_RESIN.PDF. [41] HA-International. Introduction to foundry coatings; 2017. Available from: http://ha-international.com/pdf/Refractory%20Coating%20OverviewV1.pdf. Saf Health Work 2018;-:1e88Please cite this article in press as: Stefaniak AB, et al., Insights Into Manufacturing Machines, Safety and Health at Work (2018), https://doi.oEmissions and Exposures From Use of Industrial-Scale Additive rg/10.1016/j.shaw.2018.10.003