HEAT ILLNESS PREVENTION

[Audio] Heat illness prevention, Corporate health & Safety.

[Audio] Regulations for Heat illness prevention, Outdoor places of employment Cal OSHA Section 3395, Indoor Places of Employment Cal OSHA Section 3396.

[Audio] This LADWP H.I.P.P training Program complies with both 3395 and 3396.

[Audio] Where indoor or outdoor workplaces temperature equals or exceeds 80°F All managers and supervisors that directly or indirectly oversee employees working in outdoor and indoor work environments All employees exposed to outdoor or indoor work environments..

[Audio] There were 1,714 Heat related fatalities in 2022, Source: center for disease control and prevention.

[Audio] Adults aged 55-64 die from heat related issues at the highest rate. Percentage of heat related deaths by age group, 2018 through 2021.

[Audio] More fatalities occur due to heat than other natural disasters. Weather fatalities by type, Pink 2022, dark blue 10 year average 2013 through 2022, light blue 30 year average 1993 through 2022.

[Audio] What is Heat Illness? A serious medical condition resulting from the body's inability to cope with the heat load. Conditions may include heat rash, cramps, heat exhaustion, and heat stroke. Prevent heat illness at work, outdoor and indoor heat exposure can be dangerous..

[Audio] The Heat Illness Prevention Plan Appendix B lists Heat-related Symptoms and Appropriate responses for Heat-Related Illness Let's review them!.

[Audio] Heat rash is a skin irritation caused by excessive sweating during hot, humid weather. Symptoms include: Heat rash looks like a red cluster of pimples or small blisters. It is more likely to occur on the: Neck Chest Groin Elbow creases..

[Audio] Heat Cramps. Low electrolyte levels in muscles can result in painful cramps Symptoms include: Muscle pain or spasms It is more likely to occur on the: Abdomen Arms Legs.

[Audio] Heat exhaustion is the body's response to excessive loss of fluid and electrolytes, usually through excessive sweating Symptoms include: Heavy sweating Extreme weakness or fatigue Headache Light-headedness Dizziness, confusion Nausea Irritability Decreased urine output Clammy, moist skin Pale or flushed complexion Muscle cramps Slightly elevated body temperature Fast and shallow breathing.

[Audio] Heat Syncope, Syncope is a fainting episode or dizziness that can progress to a fainting episode Symptoms include: Light-headedness • Dizziness • Fainting.

[Audio] Heat Stroke The body's temperature rises rapidly, the sweating mechanism fails, and the body is unable to cool down Heat stroke can cause death or permanent disability if emergency treatment is not given Symptoms include: • Hot, dry skin Hallucinations • Chills • Throbbing headache • High body temperature • Confusion/dizziness • Slurred speech • Loss of consciousness • Seizures.

[Audio] Personal Risk Factors Age Physical Condition Medication Water Consumption Degree of Acclimatization Environmental Risk Factors Time of Year (Generally April-October) Time of day Temperature Humidity Air Movement Use of PPE Increased heat load due to exertion and clothing.

[Audio] Differences between Heat Exhaustion and Heat Stroke. Heat exhaustion; Dizziness, fainting, intense thirst, excessive sweating, rapid weak pulse, nausea, vomit, pale, cold, clammy skin. Muscle cramps, fatigue. Heat stroke; Headache, confusion, elevated body temperature, no sweating, rapid strong pulse, nausea, vomit, red hot skin, may lose consciousness..

[Audio] Treatment; Get the victim out of the heat! Get the victim out of the heat Loosen tight clothing Apply cool wet cloths Give victim cool water if conscious; One glass at fifteen-minute intervals Any sign of heat stroke requires immediate medical attention Follow emergency call procedures if victim: Refuses water Loses consciousness Vomits Main areas to place cool wet cloths are neck, groin, armpits, forehead, wrists, and torso. These are areas where blood vessels are close to the surface. Cooled blood can travel to the major organs and bring the core temperature down..

[Audio] Assessment and Response Guide Appendix B.

[Audio] Remember It is always best to prevent heat illness water. Shade. Rest The work cant be done without you, stay safe.

[Audio] Heat Illness Prevention Plan for Outdoor and Indoor employees the los angeles department of water and power is dedicated to eliminating all heat related illnesses through our collaborative efforts in continually improving, implementing, and promoting the contents of this heat illness prevention plan..

[Audio] What we all need to know The stages of heat illness, signs and symptoms Environmental and personal factors Hydration and its importance Acclimatization Temperature Triggers.

[Audio] Employee Responsibilities; Additional Training How to immediately report symptoms or signs of heat illness How to respond, including how to obtain emergency medical services. How to obtain emergency medical services, and if necessary.

[Audio] Compliance; Provisions for water, shade & cooldown areas, preventative rest, acclimatization.

Provision for Water. Heat Illness Prevention 2025.

[Audio] Provision for Water. Water should always be available There needs to be enough water for everyone in the crew The water needs to be cooled, and located close to the worksite Employees are to be encouraged and allowed to drink frequently.

[Audio] Water Supply One time use disposable water bottles Must provide a trash receptacle to dispose of the used bottles.

[Audio] Water Supply One time use disposable water bottles Reusable Container Must be used exclusively for drinking water Must be labeled as drinking water Must have a sealable, tight lid Must be kept clean Must have a spigot or faucet Must have a supply of cups Cups must be in a clean container Cups cannot be shared Cups cannot be dipped into the water supply.

[Audio] Water supply. One time use disposable water bottles Reusable Container Water must come from a clean approved source Cannot come from untested sources like a well.

[Audio] Shade and Cool Down Areas All shade and cool-down areas in applicable outdoor and indoor workplaces shall meet the following requirements.

[Audio] All shade and cool-down areas in applicable outdoor and indoor workplaces shall meet the following requirements Must be close as possible to the work areas. It must be big enough for everyone on break at any given time, allowing them to sit in a normal posture without physical contact with each other. They must be sheltered from direct sunlight. Can't be exposed to environmental risk factors that will create conditions that interfere with the shade or cool-down area's purpose of allowing the body to cool. The interior of a vehicle can't be used unless the vehicle has a working air conditioner and has been cooled down beforehand..

[Audio] Outdoor Workplaces Remember Shade is required when outdoor temperatures reach or exceed 80°F. For temperatures below 80°F, shade should be accessible upon request. The shaded outdoor area shall be open to the air or provided with ventilation or air conditioning.

[Audio] Indoor Workplaces Remember Cool-down areas are required when employees are present in doors where temperatures reach or exceed 80°F. The cool-down area(s) can be located indoors or outdoors. The temperature in indoor cool-down areas shall be maintained at or below 80°F. The cool-down area shall be shielded from neighboring high-radiant heat sources.

[Audio] Hydration packs Available at: Store 2 (Main St.), Storge 30 (Boylston), and Store 31 (Palmetto).

[Audio] Stores items including material codes related to heat illness prevention.

[Audio] Preventative Rest Periods are for employees to cool down to protect themselves from overheating. Access to shade and cool-down shall be always permitted. Employees shall be encouraged and permitted to take at least a five-minute Employees who take preventative rest periods shall be monitored and asked if they are experiencing symptoms of heat illness. The employee will not be ordered back to work until signs or symptoms of heat illness have abated. If an employee exhibits signs or symptoms of heat illness while on a preventative rest period, appropriate first aid or emergency response will be provided..

[Audio] Acclimatization Procedure 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. Monitor temperatures daily for heat waves to which employees haven't been exposed Closely observe new workers and those newly assigned to a high-heat area for the first 14 days. For indoor work areas, the 14-day observation period applies when the temperature or heat index equals or exceeds 80°F. To the extent feasible, the intensity of the work must be lessened during a two-week break-in period by using procedures such as scheduling slower paced, less physically demanding work during the hot parts of the day and the heaviest work activities during the cooler parts of the day (early morning or evening)..

[Audio] Compliance continued, High heat Assessment and monitoring Control measures Emergency response.

[Audio] Supervisor Responsibilities High heat procedure How to monitor weather and respond to hot weather advisories How to implement Control Measures Emergency procedures is implemented.

[Audio] Heat Wave means any day when the predicted high temperature for the day will be at least 80º F and at least 10º F higher than the average high daily temperature for the preceding 5 days..

[Audio] High Heat Procedures (95°F) OUTDOOR When the temperature equals or exceeds 95 degrees Fahrenheit (°F), the following procedures shall be included to the extent practicable: Tailgates have to include High Heat Procedure! This requires everyone to take a 10-minute break to cool down and rest every 2 hours. It can coincide with breaks and meals. Remind employees throughout the work shift to drink plenty of water..

[Audio] High Heat Procedures (95°F) OUTDOOR Ensure that employees can effectively communicate with supervisors and each other This can be by voice, observation, or electronic means, a cell phone or text messaging device can be used, but you must have reliable reception. If service isn't reliable its not effective..

[Audio] High Heat Procedures (95°F) OUTDOOR Observe employees for alertness and signs or symptoms of heat illness by implementing one or more of the following: Maintain a 20 to 1 ratio (No more than one observer for 20 workers) Mandatory buddy system Regular communication with sole employee Other effective means of observation.

[Audio] High Heat Procedures (95°F) OUTDOOR Designate one or more employees as authorized to call for emergency medical services. A Supervisor or Senior on the job must closely supervise new employees for the first 14 days of the employee's employment.

[Audio] Monitoring the Weather, Available resources include; National weather service website, Osha Niosh app, and onsite tools.

[Audio] Heat Index Interpretation, When humidity is over 40% the temperature we all experience changes There's a difference between What the reading is and What we are experiencing.

[Audio] Heat index chart, likelihood of heat disorders with prolonged exposure or strenuous activity..

[Audio] Assessment and Control Measures INDOOR Employer shall measure the temperature and heat index when it reaches 80°F. Supervisors must identify and evaluate all other environmental risk factors for heat illness. Control measures need to be implemented to keep employees safe and feasible engineering controls must be implemented first. Instead of high heat procedures, indoor heat has assessment and control measures. Initial measurements need to be taken when it is reasonable to suspect that the work area temperature is over 82 degrees and at times during the work shift when employee exposures are expected to be the greatest..

[Audio] Assessment and Control Measures INDOOR Supervisors have to maintain accurate records of the temperature or the heat index measurements, whichever is greater. Records need to include the date, time, and specific location of all measurements. Initial temperature and heat index measurements must be taken, and written down. See appendix F for the Assessment Log..

[Audio] Indoor heat assessment log Cal/OSHA §3396 Heat Illness Prevention in Indoor Places of Employment standard requires that the employe establish and maintain an Indoor Heat Assessment Log when it is reasonably suspected the indoor temperature or heat index is ≥87°F (or 82°F if employees are wearing clothing that restricts heat removal or are working in an area with high radiant heat). The purpose of this log is to help evaluate and identify indoor work environments with elevated temperatures which may cause the risk of heat illness. The measurements shall be taken as follows: 1. Initially when it is first suspected elevated temperatures exist. 2. Again when it is reasonably suspected conditions have worsen by ≥10°F. 3. Readings must be collected from locations where employees work and during the shifts when employee exposures are expected to be the greatest. 4. Instruments used must be maintained according to the manufacturers' recommendations and results for the heat index must provide the same results as those in the NWS Heat Index Chart found in Appendix E of the HIPP. 5. Must be taken with the active involvement of employees and, if preferred, with their union representatives present. This log shall be retained for 12 months or until the next measurements are taken, whichever is later..

[Audio] Supervisors have to maintain accurate records of the temperature or the heat index measurements, whichever is greater. When the temps go up 10 degrees or more, take more measurements, reading, and update the log. Keep the records for 12 months or until the next measurements are taken, whichever is longer..