
INDIANA
UNIVERSITY-PURDUE UNIVERSITY at INDIANAPOLIS
IUPUI
• Department of Environmental Health and
Safety •
620 Union Drive, Room 043, Indianapolis, Indiana
46202
Heat
Stress Prevention
Background
Working
in hot conditions may pose special hazards to safety
and health. Since 1936, 30,000 people have died
from heat related illnesses. On average, 384 people
die each year during normal hot temperatures.
How
the Body Handles Heat
Four
environmental factors affect the amount of stress
a worker faces in a hot work area: temperature,
humidity, radiant heat (such as from the sun or
a furnace) and wind speed. Individuals with high
blood pressure or some heart conditions and people
who take diuretics (water pills) may be more sensitive
to heat exposure.
The
body defends itself from heat through three mechanisms:
breathing, sweating, and changing the blood flow.
The first reaction is to circulate blood to the
skin, which increases skin temperature and allows
the body to give off some heat. During heavy work,
muscles need more blood flow, which reduces the
amount of blood available to flow to the skin and
release the heat.
Sweating
also helps the body to cool off, but only when the
humidity levels are low enough to allow the sweat
to evaporate and if water and salts lost through
sweating is replaced.
At
Risk Employees
Some
employees are more likely to experience heat disorders
than others. Younger employees and those more physically
fit are often less likely to experience problems.
Employees 65 years of age and older may not compensate
for heat stress efficiently and are less likely
to sense and respond to change in temperature. Employees
with heart, lung or kidney disease, diabetes and
those on medications are more likely to experience
heat related stress problems. Diet pills, sedatives,
tranquilizers, caffeinated drinks and excessive
alcohol consumption can all exacerbate heat stress
effects.
It often takes two to three weeks for employees
to become acclimated to a hot environment. This
acclimation can subsequently be lost in only a few
days away from the heat. Thus employees should be
more cautious about heat stress after coming back
from a vacation, when beginning a new job, or after
the season’s first heat wave. In short, precautions
should be taken anytime there are elevated temperatures
(approaching 90 degrees F) and the job is physically
demanding.
Other
Factors
Other
heat stress factors are also very important. In
addition to temperature, increased relative humidity,
decreased air movement, lack of shading from direct
heat (radiant temperature), the type of clothing
worn will all affect the potential for heat stress
Heat
Stress Disorders
High
temperatures and humidity stress the body’s
ability to cool itself, and heat illness becomes
a special concern during hot and/or humid weather.
There are three major forms of heat illness: heat
cramps, heat exhaustion, and heat stroke. The following
table identifies each condition, the signs and symptoms,
and recommended first aid
| Heat
Stress Disorders |
| Condition |
Signs and Symptoms |
First Aid |
Heat
Rash
Usually occurs in hot and humid environments
where sweat cannot evaporate easily. If a rash
covers a large area it may become very uncomfortable.
|
•
Rash characterized by small pink or red bumps;
• Irritation or prickly sensation; and
• Itching |
•
Keep skin clean and dry to prevent infection;
• Wear loose cotton clothing;
• Take a cool bath or sit in the air conditioning
to ease irritation;
• Some lotions help ease the pain and
itching
|
Heat
Cramps
Muscle spasms which usually affect the arms,
legs, or stomach and generally occur from heavy
exercise or intensive works done in hot environments.
Inadequate fluid intake often leads to heat
cramps.
|
•
Cramping or spasms of muscles;
• May occur during or after work or a
few hours later
|
•
Rest briefly in a cool or shaded area and cool
down;
• Drink an electrolyte containing drink
such as Gatorade;
• If the cramps are severe or do not go
away after 1 hour, seek medical attention
|
Heat
Exhaustion
Is more serious than heat cramps. It occurs
when the body’s internal air-conditioning
system is overworked, but hasn’t completely
shut down. It occurs because the body has lost
large amounts of water and salt through excessive
sweating.
|
•
Cool, moist skin, ashen complexion;
• Headache;
• Intense thirst;
• Dizziness,
• Feeling faint;
• Low grade fever;
• Heavy sweating;
• Weak or tired;
• Rapid pulse rate, and/or low blood pressure.
|
•
Move the person to a cool location and have
them lie down with feet slightly elevated;
• Loosen or remove the person’s
clothing and apply cool wet cloths or direct
a fan towards them;
• Drink cool water or an electrolyte containing
drink such as Gatorade. Make sure the drink
is not too cold and avoid caffeinated beverages
such as colas, iced tea or coffee;
• Monitor the person closely. Heat exhaustion
can quickly become heat stroke. If the person
has a fever greater than 102O F, faints, has
confusion or seizures call 911 for medical assistance
|
Heat
Stroke
This is the most serious health-related illness.
It is life threatening with high death rate
if it is onset. Heat stroke occurs when the
body has depleted its supply of water and salt
and the victim’s body temperature rises
to deadly levels. The body is not able to regulate
its core temperature.
|
•
The victim stops sweating
• Rapid heartbeat;
• Rapid shallow breathing;
• Throbbing headache;
• Confused, has convulsions, and/or appears
unconscious; and
• High body temperature of 104O F or higher
|
•
Call 911 ASAP;
• Remove any unnecessary clothing and
place the person on their side to expose as
much skin surface as possible;
• Move to a cool area, out of direct sunlight;
• Cool the person by sponging or spraying
with cool water;
• Fan vigorously to increase cooling;
• Apply ice packs to the groin, neck and
arm pits;
• Monitor body temperature; and
• Do not give them fluids to drink
|
Heat Stress Prevention
Supervisors
• Allow time for employees to adjust to the
summer heat. It often takes two to three weeks for
an employee to become acclimated to a hot environment;
• Adjust the work schedule, if possible. Assign
heavier work on cooler days or during the cooler
part of the day;
• Reduce the workload. Increase the use of
equipment on hot days to reduce physical labor.
Also, reduce the use of equipment that produces
excess heat;
• Establish a schedule for work and rest periods
during hot and humid days;
• Inform employees how to recognize signs
and symptoms of heat stress disorders and be prepared
to give first aid if necessary; and
• Avoid placing "high risk" employees
in hot work environments for extended time periods.
Realize individual employees vary in their tolerance
to heat stress conditions.
Employees
• Use the Heat Stress Disorders table to recognize
the signs and symptoms of heat stress;
• Pre-hydrate by drinking plenty of water
or electrolyte containing drinks before work in
hot environments is started. You should drink at
least 8 oz of fluid every 20-30 minutes to stay
hydrated. Drink BEFORE you are thirsty;
• Pace the work, taking adequate rest periods.
The breaks should take place in an air conditioned
environment. If air conditioning is not available,
seek shelter in a cool or shady area;
• Keep shaded from direct sunlight or other
heat sources where possible, for example, wear a
hat and apply sunscreen;
• Work by using the buddy system on hot, humid
days; and
• Wear light colored, loose (unless working
around equipment with moving parts) clothing.
General
Tips
Clothing
Wear loose-fitting, lightweight clothing to allow
sweat to evaporate. Light colors absorb less heat
than dark colors. Wear a hat with a brim to keep
the sun off head and face.
Drinking
Drink
plenty of fluids to replace fluids lost during sweating.
Drink water and/or electrolyte containing drinks and
avoid caffeinated beverages. Drink 16-32 ounces of
cool fluids each hour. Drink BEFORE you are thirsty.
Work
Schedule
Heavy
work should be scheduled during the cooler parts
of the day whenever possible. Rather than be exposed
to heat for extended periods of time during the
course of a day, employees should, wherever possible,
be permitted to distribute the workload evenly over
the day and incorporate work-rest cycles. Work-rest
cycles give the body an opportunity to get rid of
excess heat, slow down the production of internal
body heat, and provide greater blood flow to the
skin. Take more frequent breaks when working in
extreme temperatures or at the first sign of heat
stress symptoms.
Body
Weight
Workers
may be at greater risk if they lose more than 1.5%
or their body weight in a single day from sweating.
Heat Stress Index
The
heat stress index is a measure of how hot it really
feels in degrees Fahrenheit when relative humidity
is factored with the actual air temperature. This
chart has been adapted from the National Weather
Service’s “heat index”.
To
read the table: find the temperature on the left
hand side, and then move to the right until you
find the column for the approximate relative humidity.
That number will be the temperature that it will
"feel" like. Example: A temperature of
95 and relative humidity of 50% will "feel"
like 107 degrees. Add up to 15 degrees if in the
direct sun.
|