What 29 CFR 1926.1153 requires (plain English)
29 CFR 1926.1153 protects construction workers from respirable crystalline silica: the fine dust released when cutting, grinding, drilling, or crushing concrete, brick, stone, and mortar. Inhaled silica causes silicosis (an incurable, progressive lung disease), lung cancer, COPD, and kidney disease, and there is no cure once the damage is done. The construction silica standard sets a permissible exposure limit of 50 µg/m³ as an 8-hour time-weighted average and an action level of 25 µg/m³.
The standard offers two compliance paths, and this is its defining feature. Under the first path, an employer follows Table 1: a list of 18 common construction tasks (using a stationary masonry saw, a handheld grinder, a jackhammer, and so on) each paired with a specified dust-control method (typically water or a vacuum dust-collection system) and, where needed, respiratory protection. If the employer fully and properly implements the Table 1 control for a task, the task is deemed compliant and no exposure monitoring is required. Under the second path (the "alternative exposure control methods"), the employer instead assesses each worker's actual exposure and keeps it at or below the PEL through its own controls, with air monitoring to prove it.
Either way, the employer must have a written exposure control plan, designate a competent person to implement it, and restrict housekeeping practices that stir dust (no dry sweeping or compressed-air cleaning where it exposes workers, if a feasible alternative exists). Medical surveillance must be offered to any worker who is required to wear a respirator under the standard for 30 or more days per year. Because silica exposure is so common in construction and the disease is irreversible, OSHA enforces this standard through a national emphasis program.