Understanding Heat Stress


Heat stress can affect anyone on the job. Heat Stress, if not stopped in time, can result in death. The good news is that Heat Stress is 100% preventable. The
Bureau of Labor Statistics published the following data in 2008:

• 1,680 recordable injuries due to environmental heat

• Of those, 150 resulted in a recordable “heat stroke”

• 26 resulted in death

• Between 2005 and 2006 Cal OSHA studied 71 serious heat-related enforcement investigations in California. The study revealed the real risk and dangers associated with heat stress.

• Industries with incidents included: agriculture, construction, mfg, service, transportation, public safety, forestry, and retail

• 61% of cases happened within 1stweek on the job

• 30% of cases resulted in death

• Age of those affected ranged from 16 to 79

• 48% of work was light to moderately strenuous

• 69% of cases involved outdoor work

• Of those not resulting in death, 31% required hospitalization for >24hrs

The above study resulted in a new California OSHA standard regarding heat stress prevention. California Code of Regs, Title 8, 3395 (featured below).

Contributing Factors of Heat Stress

Because heat stress can affect anyone anywhere, it is important to know the kinds of environments that heat stress is most likely in. In addition, an employer should know the kind of labor puts his employees more at risk of heat stress. The following is a list of factors that plays a part in the heat stress of workers:

• High temps

• Humidity

• Direct sun or heat

• Limited air movement

• Physical exertion (i.e. work)

• Poor physical condition

• Some medicines

• Inadequate tolerance or adaptation to heat

Early Warning Signs of Heat Stress

Beware of heat exhaustion, heat cramps or heat stroke during strenuous activity in environments of 90° F or above. Allow your body to adjust to high-heat, high-humidity environments before exertion begins. If you work in protective clothing in environments of 81°F and above, experts recommend no more than 15 minutes per hour unless cooling or heat-stress monitor is provided. Don’t depend on thirst or sweat as an indicator of escalating body heat. Instead, be aware of the temperature and humidity, and drink fluids with electrolytes at regular intervals. The following Signs are early indicators of someone affected by heat stress:

• Headache

• Dizziness or Fainting

• Confusion or Disorientation

• Mood Swings

• Rapid Heart Rate

• Dark Yellow Urine (dehydration)

• Redness of Skin or Heat Rashes

• Swollen Lips

• Chills

• Mild to moderate symptoms can quickly turn severe and result in hospitalization or even death. DO NOT WAIT. Act quickly if any warning signs are noticed.

Quick Solution Tips for Heatstress


Sunburn

Redness and pain. In severe cases, swelling of skin, blisters, fever and headaches.

Solution:
Ointments for mild cases. Do not break blisters. If they do break, apply dry, sterile dressing. For severe cases, consult a physician.

Heat Cramps
Painful muscles spasms, usually in the legs and abdomen. Possible heavy sweating.

Solution:
Apply firm pressure on cramping muscles, then gently massage to relieve muscle spasm. Give sips of Sqwincher every 15 minutes.

Heat Exhaustion
Heavy sweating, weakness, dizziness, cold skin, pale and clammy. Steady pulse, normal temperature, possible fainting and vomiting.

Solution:
Lie victim downout of sun, loosen clothing and apply cool cloths. Fan or move victim to an air cooled room. Give sips of Sqwincher every 15 minutes for 1 hour. If victim vomits, seek immediate medical attention.

Exertional Heat Illness
Stuporous appearance, tired, nausea with possible vomiting. Unsteady gait, heavy perspiration, dehydrated with high body temperature (up to 108°F): often accompanied by headached, rapid respiration and pulse.

Solution:
Cease exertion and prmptly cool body exterior. Initial replacement of fluids: water first, then Sqwincher. If victim cannot retain fluids, transport to hospital.

Heat Stroke
High Body Temperature (106° F or higher); hot, red and dry skin, strong and rapid pulse, possible unconsciousness.

Solution:
Heat stroke is a severe medical problem. Move victim to cooler area and reduce body temperature with a bath or sponging. Use fans and air conditioners. Get victim to hospital immediately. Delay can be fatal. Do not give fluids!

What is At Stake?

Performance Loss
A stressed body cannot work at optimum speed or performance. Worker performance declines as the effects of heat stress increase.

Worker Injury
While working under stress, cognitive abilities decrease. Slower reaction time and poor decision-making can lead to injury. Operating equipment or tools is always dangerous, but even more so when workers are impaired or under stress.

Property Loss or Damage
Motor skills are often impaired when the body is under stress. A worker not at peak form can cause accidents resulting in property loss and damage.

Worker Cost
Average cost per worker for a disabling lost-time injury: >$38,000

Comp Claim
Average workers’ comp claim for injuries related to excessive heat exposure: >$9,000

Other Indirect Costs
Cost of retraining other employees, etc.

California Code of Regulations, Title 8, section 3395



Heat Illness Prevention. Subchapter 7.
General Industry Safety Orders Group 2.
Safe Practices and Personal Protection Article 10.
Personal Safety Devices and Safeguards New query
§3395.
Heat Illness Prevention


(a) Scope and Application.
This section applies to the control of risk of occurrence of heat illness. This is not intended to exclude the application of other sections of Title 8, including, but not necessarily limited to, sections 1230(a), 1512, 1524, 3203, 3363, 3400, 3439, 3457, 6251, 6512, 6969, 6975, 8420 and 8602(e). This section applies to all outdoor places of employment at those times when the environment risk factors for heat illness, as defined in (b), are present. Note No. 1: The measures required here may be integrated into the employer's Injury and Illness Program required by section 3203. Note No. 2:This standard is enforceable by the Division of Occupational Safety and Health pursuant to Labor Code sections 6308 and 6317 and any other statutes conferring enforcement powers upon the Division. It is a violation of Labor Code sections 6310, 6311, and 6312 to discharge or discriminate in any other manner against employees for exercising their rights under this or any other provision offering occupational safety and health protection to employees.

(b) Definitions.
"Acclimatization" means temporary adaptation of the body to work in the heat that occurs gradually when a person is exposed to it. Acclimatization peaks in most people within four to fourteen days of regular work for at least two hours
per day in the heat. "Heat Illness" means a serious medical condition resulting from the body's inability to cope with a particular heat load, and includes heat cramps, heat exhaustion, heat syncope and heat stroke. "Environmental risk factors for heat illness" means working conditions that create the possibility that heat illness could occur, including air temperature, relative humidity, radiant heat from the sun and other sources, conductive heat sources such as the ground, air movement, workload severity and duration, protective clothing and personal protective equipment worn by employees. "Personal risk factors for heat illness" means factors such as an individual's age, degree of acclimatization, health, water consumption, alcohol consumption, caffeine consumption, and use of prescription medications that affect the body's water retention or other physiological responses to heat. "Preventative recovery Period" means a period of time to recover from the heat in order to prevent heat illness. "Shade" means blockage of direct sunlight. Canopies, umbrellas and other temporary structures or devices may be used to provide shade. One indicator that
blockage is sufficient is when objects do not cast a shadow in the area of blocked sunlight. Shade is not adequate when heat in the area of shade defeats the purpose of shade, which is to allow the body to cool. For example, a car
sitting in the sun does not provide acceptable shade to a person inside it, unless the car is running with air conditioning.

(c) Provisions of Water.
Employees shall have access to potable drinking water meeting the requirements of Sections 1524, 3363, and 3457, as applicable. Water shall be provided in sufficient quantity at the beginning of the work shift to provide one quart per employee per hour for drinking for the entire shift. Employers may begin the shift with smaller quantities of water if they have effective procedures for replenishment during the shift as needed to allow employees to drink one quart or more per hour. The frequent drinking of water, as described in (e), shall be encouraged.

(d) Access to Shade.
Employees suffering from heat illness or believing a preventative recovery period is needed, shall be provided access to an area with shade that is either open to the air or provided with ventilation or cooling for
a period of no less than five minutes. Such access to shade shall be permitted at all times.

(e) Training.
(1) Employee training. Training in the following topics shall be provided to all supervisory and non-supervisory employees. (A) The environmental and personal risk factors for heat illness; (B) The employer's procedures for identifying, evaluating, and controlling exposures to the environmental and personal risk factors for heat illness;
(C) The importance of frequent consumption of small quantities of water, up to 4 cups per hour under extreme conditions of work and heat; (D) The importance of acclimatization; (E) The different types of heat illness and the common signs and symptoms of heat illness; (F) The importance of immediately reporting to the employer, directly or through the employee's supervisor, symptoms or signs of heat illness in themselves, or in co-workers; (G) The employer's procedures for responding to symptoms of possible heat illness, including how emergency medical services will be provided should they become necessary; (H) Procedures for contacting emergency medical services, and if necessary, for transporting employees to a point where they can be reached by an emergency medical service provider; (I) How to provide clear and precise directions to the work site. (2) Supervisor training. Prior to assignment to supervision of employees working in the heat, training on the following topics shall be provided: (A) The information required to be provided by section (e)(1) above. (B) The procedures the supervisor is to follow to implement the applicable provisions in this section. (C) The procedures the supervisor is to follow when an employee exhibits
symptoms consistent with possible heat illness, including emergency response procedures. (f) Review. No later than January 1, 2006, the Occupational Safety and Health Standards Board shall review the feasibility of providing shade for all rest periods at outdoor places of employment. Note: Authority cited: Section 142.3, Labor Code. Reference: Section 142.3, Labor Code. HISTORY 1. New section filed 8-22-2005 as an emergency; operative 8-22-2005 (Register 2005, No. 34). A Certificate of Compliance must be transmitted to OAL by 12- 20-2005 or emergency language will be repealed by operation of law on the following day. 2. New section refiled 12-20-2005 as an emergency; operative 12-20-2005 (Register 2005, No. 51). A Certificate of Compliance must be transmitted to OAL by 4-19-2006 or emergency language will be repealed by operation of law on the following day. Go Back to Article 10 Table of Contents The above information is provided free of charge by the Department of Industrial Relations from its web site at http://www.dir.ca.gov/.

Extra Measures You Can Take
• More Cooling
Use cooling measure in addition to shade, spray body with water, wipe with wet towels, longer breaks in shade

• Change Schedule
Work earlier or later, split-up work shifts, cut work shifts or stop work to avoid hotter parts of the day

• More Vigilance
Supervisors/employees watch each other closely, provide feedback, work in buddy system, designate person to monitor employees conditions, account for employees

• More Water
Employees should drink small quantities of water more frequently before, during and after work; replenish extra supplies of water

• Acclimatization Warning
Body needs time to adjust to sudden abnormally high temperatures or extreme conditions; even employees previously fully acclimatized are at risk

• Change Meals
Eat smaller/more frequent meals (less body heat during digestion than with big meals); Choose foods with higher water content (fruits, vegetables, salads)

• Be Aware of the Drugs that Interfere with Thermoregulation
Antihistamines (Benadryl, Atarax, etc.), Decongestants (Sudafed), High Blood Pressure (diuretics, beta blockers), Psychiatric Drugs (tricyclic antidepressants, antipsychotics, etc.)


This information is provided “as is” and is not to be considered a warranty of product performance or as an authoritative informational page. Due to the diverse field conditions and other variables which can affect a product’s performance, Calolympic Safety disclaims all warranties (expressed and implied) as to any product’s performance or any information provided.


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