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Construction term · Glossary

Silicosis

Verified vs OSHA sources · 2026-10-05

An incurable, irreversible fibrotic lung disease caused by inhaling respirable crystalline silica. Scar tissue forms in the lungs and progressively stiffens them, reducing the ability to breathe. It has three forms — chronic, accelerated, and acute — and can keep progressing even after exposure stops. It is preventable but has no cure.

29 CFR 1926.1153

Also known as: silicotic lung disease

Silicosis at a glance

  • Three forms: chronic (most common, after many years), accelerated (within about 10 years of first exposure), and acute (weeks to a few years after overwhelming exposure).
  • Irreversible and incurable — but 100% preventable by controlling silica dust.
  • Can continue to progress even after exposure ends.
  • Silica exposure also raises the risk of lung cancer, pulmonary tuberculosis, COPD, and kidney disease.

In plain English

A permanent, incurable lung disease you get from breathing silica dust. It scars the lungs so they can't work right, and it can keep getting worse even after you stop being exposed. There's no cure — only prevention.

What the source says, in summary

Silicosis is an irreversible, often disabling, and sometimes fatal fibrotic lung disease. It is incurable but preventable, and progression can occur despite removal from further exposure.
NIOSH — Health Effects of Occupational Exposure to RCSSummarized, not quoted: read the source for its operative wording.

In context

A concept governed primarily by OSHA's construction standards, 29 CFR Part 1926 — the rules that apply on jobsites rather than the general-industry 1910 set.

29 CFR 1926

Where this is written in OSHA's rules

Example

A young worker fabricating engineered-stone countertops with dry tools develops acute silicosis within a few years — far faster than the decades a chronic case takes — because the dust concentrations were so extreme. The disease is diagnosed via chest imaging under the standard's medical surveillance, but it cannot be reversed.

Why it matters

Silicosis is the entire reason OSHA regulates respirable crystalline silica: it's a devastating, incurable disease that is completely preventable. The re-emergence of acute silicosis among young engineered-stone workers is a documented public-health alarm — proof that where dust controls fail, workers still die from a 21st-century-preventable disease.

Silicosis vs. respirable crystalline silica

They're cause and effect, not synonyms. Respirable crystalline silica is the airborne dust (the hazard). Silicosis is the lung disease that inhaling it causes. Controlling the silica prevents the silicosis.

The three forms of silicosis

FormOnset after first exposureExposure level
ChronicTypically 10+ yearsLower, long-term
AcceleratedWithin ~10 yearsHigher
AcuteWeeks to ~5 yearsOverwhelming / very high

Silicosis: frequently asked questions

Is silicosis curable?
No. Silicosis is incurable and irreversible — the lung scarring is permanent and can keep progressing even after exposure stops. It is, however, entirely preventable by controlling silica dust.
What are the three forms of silicosis?
Chronic (developing over many years, the most common), accelerated (within about 10 years of first exposure), and acute (weeks to a few years after an overwhelming exposure).
What else does silica exposure cause besides silicosis?
Occupational exposure to respirable crystalline silica also increases the risk of lung cancer, pulmonary tuberculosis, chronic obstructive pulmonary disease (COPD), and kidney disease.

Related terms

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Governing OSHA standards

More Construction terms

29 CFR 1910

The part of Title 29 of the Code of Federal Regulations that contains OSHA's General Industry standards — the default rulebook for most American workplaces (manufacturing, warehousing, healthcare, etc.) that aren't covered by the construction, maritime, or agriculture standards. It includes core rules like Hazard Communication (1910.1200) and the permissible exposure limits (1910.1000). Several 1910 standards are cross-referenced into construction via Part 1926.

29 CFR 1926

The part of Title 29 of the Code of Federal Regulations that contains OSHA's Construction standards — the “Safety and Health Regulations for Construction.” It governs construction, alteration, and repair work, with construction-specific rules for fall protection (Subpart M), scaffolds (Subpart L), excavations (Subpart P), electrical (Subpart K), and more. Where a task isn't addressed in 1926, some general-industry (1910) standards apply by reference.

Anchor Point

The secure attachment point a personal fall arrest system (PFAS) ties off to — the “A” in the ABC of fall arrest. Under 29 CFR 1926.502(d)(15), a non-engineered anchorage must support at least 5,000 pounds per attached worker; alternatively, it can be an engineered anchorage designed and supervised by a qualified person with a safety factor of at least two.

Atmospheric Testing

Measuring the air in a confined space (or other hazardous atmosphere) with a calibrated direct-reading instrument before and during entry. OSHA requires testing in a set order — oxygen first, then flammable gases and vapors, then potential toxic contaminants — and defines the acceptable ranges: oxygen 19.5%–23.5%, flammables below 10% of the LEL, toxics below their exposure limits.

Benching

An excavation cave-in protective system that cuts the sides into a series of horizontal steps (benches), usually with vertical or near-vertical faces between levels. It's one of OSHA's accepted protective systems under Subpart P — but it is NOT permitted in Type C (the least stable) soil.

Competent Person (Excavation)

The competent person OSHA's excavation standard (Subpart P) requires on every trenching job — someone trained in soil classification and protective systems, who can identify cave-in and other hazards AND has authority to remove workers and correct problems. They must inspect the excavation daily before work starts, throughout the shift, and after any rain or event that could increase the hazard.

Confined Space

A space that is large enough for a worker to bodily enter, has limited or restricted means of entry or exit, and is not designed for continuous occupancy. If it also contains — or could contain — a serious hazard (a hazardous atmosphere, engulfment material, an entrapping configuration, or any other recognized serious hazard), it becomes a permit-required confined space (PRCS).

Controlling Employer

Under OSHA's Multi-Employer Citation Policy (CPL 02-00-124), the controlling employer is an employer with general supervisory authority over a worksite — including the power to correct safety and health violations itself or to require others to correct them. This is typically the general contractor or construction manager. A controlling employer can be cited for a hazard at the site even if none of its own employees are exposed, because it has a duty to exercise reasonable care to prevent and detect violations by the other employers on site.

Sources & verification

Reviewed by HazComFast against eCFR, OSHA.gov, NIOSH, and the Federal Register. Last reviewed 2026-10-05. This glossary is general information, not legal advice; OSHA State-Plan states (e.g. California, Michigan) may adopt stricter requirements.

Put Silicosis into practice

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