Heat Hazards
Construction workers, who often work outdoors in direct sunlight or in hot, enclosed spaces, are at risk for heat-related illnesses and, in severe cases, death. Rising global temperatures in recent decades increase that risk. However, these illnesses and deaths are preventable.
The resources below are organized by topic and contain information about heat hazards in construction and ways to prevent related illnesses. The sections correspond to the following new checklists from the CPWR-OSHA Alliance:
- Overall Heat-Illness Prevention Program Checklist for Construction (en español)
- Daily Heat-Illness Prevention Checklist for Construction (en español)
CPWR has held webinars focused on OSHA’s National Emphasis Program and developing heat illness prevention programs for the past two summers that can also help employers and lead workers plan to avoid heat-related illnesses on the job.
- Developing a Heat Illness Prevention Program in Construction
Chris Trahan Cain, CIH, Executive Director, CPWR
Kathleen Dobson, Safety Director, Alberici Constructors, Inc.
Ryan R. Papariello, GSP, Safety & Health Specialist, Laborers’ Health and Safety Fund of North America
Gavin West, MPH, Director of Health Research, CPWR
Jon Williams, PhD, Research Physiologist, National Personal Protective Technology Lab, NIOSH/CD
June 26, 2024
Play Recording Play Spanish Interpretation Recording Download Presentation Additional Resources - Outdoor and Indoor Heat-Related Hazards in Construction: A Q&A Session on OSHA’s National Emphasis Program
(Riesgos Relacionados con el calor en Exteriores e Interiores en la Construcción: Una Sesión de preguntas y respuestas Sobre el Programa Nacional de Énfasis de OSHA)
July 12, 2023
Chris Trahan Cain, CIH, Executive Director, CPWR
Gary Orr, PE, CPE, Health Scientist, Directorate of Enforcement, OSHA
Play Recording Play Spanish Interpretation Recording Download Presentation Additional Resources
CLICK ON A TOPIC BELOW TO EXPAND FOR LINKS TO RESOURCES & MORE INFO
Heat Illness Prevention Planning
- Planning & Supervision (OSHA) – English, Spanish
Employers should create a written plan to prevent heat-related illness. Use the tools on this web site to help. Important elements to consider when creating the heat plan are:- Who will provide oversight on a daily basis?
- How will new workers gradually develop heat tolerance?
- Temporary workers may be more susceptible to heat and require closer supervision.
- Workers returning from extended leave (typically defined as more than two weeks) may also be at increased risk.
- How will the employer ensure that first aid is adequate and the protocol for summoning medical assistance in situations beyond first-aid is effective?
- What engineering controls and work practices will be used to reduce heat stress?
- How will heat stress be measured?
- How to respond when the National Weather Service issues a heat advisory or heat warning?
- How will we determine if the total heat stress is hazardous?
- What training will be provided to workers and supervisors?
- National Emphasis Program – Outdoor and Indoor Heat-Related Hazards (OSHA)
- General Industry Employer Checklist for Outdoor and Indoor Heat-Related Injury and Illness Prevention (OSHA)
- Criteria for a Recommended Standard: Occupational Exposure to Heat and Hot Environments (NIOSH)
- Small Business Safety & Health Handbook (NIOSH – Includes Heat-Related Illness Checklist)
- Job-Related Factors That Increase Risk of Heat-Related Illness and Death (OSHA-CPWR Alliance)
Employee Training
What’s the risk?
- Extreme Heat & Construction Falls Infographic (CPWR) – English – JPEG, PDF; Spanish JPEG, PDF
- Take Action Now to Prevent Heat-Related Illness at Work (NIOSH Science Blog, 2021); Spanish: Los cascos para la construcción y las lesiones cerebrales traumáticas relacionadas con el trabajo
- Heat Stress Imposed by PPE Worn in Hot and Humid Environments (NIOSH Science Blog, 2020)
- Extreme Heat: Are You Prepared for Summer Work? (NIOSH Science Blog, 2016)
- Keeping Workers Hydrated and Cool Despite the Heat (NIOSH Science Blog, 2011)
- Key Findings: Heat‐related deaths among construction workers in the United States (CPWR)
- Evaluation of Occupational Exposure Limits for Heat Stress in Outdoor Workers — United States, 2011–2016 (NIOSH MMWR Report)
- Key Findings: Aluminet: An Intervention for Heat-related Illness among Construction Workers (CPWR)
- Heat Health Hazard Evaluations and Fatality Assessment and Control Program Reports (NIOSH)
- Boiling Point Report (Public Citizen)
Signs and symptoms of heat-related illness
- Heat Stress – Heat-Related Illness (NIOSH)
- Heat Illness Medical Emergency Infographic ZIP (OSHA) – English, Spanish
- Heat Illness Signs and Symptoms Infographic ZIP (OSHA) – English, Spanish
- Heat-Related Illnesses and First Aid (OSHA) – English, Spanish
- Heat Illness Prevention Training Guide (OSHA) – English, Spanish
- Heat Illness Training Poster (OSHA) – English, Spanish
Factors that increase risk
- COVID-19 Guidance on the Use of Cloth Face Coverings while Working Outdoors in Hot and Humid Conditions (OSHA)
- COVID-19 Guidance on the Use of Cloth Face Coverings while Working Indoors in Hot and Humid Conditions (OSHA)
- Heat Stress Risk Factors (NIOSH)
- Heat Case Studies (OSHA) – English, Spanish
Training resources
- Toolbox Talks
- Hazard Alert Cards
- Hot Weather Hazard Alert (CPWR) – English, Spanish
- Skin Cancer Hazard Alert (CPWR ) – English, Spanish
- Lightning Hazard Alert (CPWR) – English, Spanish
- Protecting Yourself from Heat Stress Card (NIOSH) – English, Spanish
- Fast Facts: Preventing Yourself from Heat Stress (NIOSH) – English, Spanish, Haitian Creole, Vietnamese
- Protecting Workers from the Effects of Heat QuickCard (OSHA) – English, Spanish, Vietnamese
- Prevent Heat Illness at Work Pocket Sized Pamphlet (OSHA) – English, Spanish
- OSHA Hazard Alert: Extreme Heat Can Be Deadly
- Infographics and Posters
- Heat-Related Deaths in Construction (OSHA-CPWR Alliance)
- Preventing Heat-Related Deaths in Construction: The Importance of Acclimatization (OSHA-CPWR Alliance)
- Job-Related Factors That Increase Risk of Heat-Related Illness and Death (OSHA-CPWR Alliance)
- Protect Yourself Against Heat Exposure Infographics (OSHA-CPWR Alliance)
- Protect Yourself from Lightning Infographic (CPWR)
- Protect Your Workers from Heat Stress Infographic (NIOSH) – English, Spanish
- Prevent Heat-Related Illness Poster(NIOSH)
- Sun Safety at Work Infographic ZIP (OSHA)
- Hydrate for Your Safety Infographic ZIP (OSHA)
- Webinars, videos, podcasts
- Seminario web: Enfermedades y muertes relacionadas con el calor en la construcción (OSHA-NIOSH-CPWR)
16 de junio de 2022. Ver video. Descargar presentación. Otros recursos - Heat related Illness & Death in Construction Webinar (CPWR)
June 30, 2021. Play Recording. Download Presentation - An Overview of Health Hazards Associated with the Aftermath of Hurricanes Webinar (CPWR)
Thursday, September 27th, 2019. Play Recording. Download Presentation - 60 Second Video Message on Heat Illness Prevention (OSHA) – English, Spanish
- Remembering Tim Video: A Life Lost to Heat Illness at Work (OSHA)
- Heat Illness Prevention Campaign Video (OSHA) – English, Spanish
- Protect Yourself from Heat Stress Podcast (4 min. & transcript included) (NIOSH)
- Seminario web: Enfermedades y muertes relacionadas con el calor en la construcción (OSHA-NIOSH-CPWR)
Acclimatization
- Adjusting to Work in the Heat: Why Acclimatization Matters (NIOSH Science Blog, 2014)
- Acclimatization (NIOSH)
- NEW! Preventing Heat-Related Deaths in Construction: The Importance of Acclimatization (OSHA-CPWR Alliance)
- Protecting New Workers (OSHA) – English, Spanish
To protect workers from heat-related illness, employers should do the following:- Schedule new or returning workers to work shorter amounts of time working in the heat, separated by breaks, in heat stress conditions.
- Give new or returning workers more frequent rest breaks.
- Train workers about heat stress, symptoms of heat-related illness, and the importance of rest and water.
- Monitor workers closely for any symptoms of heat-related illness.
- Use a buddy system and don’t allow new or returning workers to work alone.
- If workers talk about or show any symptoms, allow them to stop working. Initiate first aid. Never leave someone alone who is experiencing symptoms!
These increased precautions should last for 1-2 weeks. After that time, new and returning workers should be acclimatized to the heat and can safely work a normal schedule.
Exposure Monitoring
Weather monitoring
- Heat Stress Calculator (OSHA)
- Heat Safety Tool Smartphone App (OSHA-NIOSH) – iPhone, Android
- National Weather Service Heat Index (NWS)
- Heat Watch vs. Heat Warning (NWS)
- National Integrated Heat Health Information System (NIHHIS)
Active measurement
Wet Bulb Globe Temperature WBGT uses temperature, humidity, wind, solar radiation, and other weather parameters. It’s a particularly effective indicator of heat stress for active populations such as outdoor workers.
- Video: What is WBGT? (NWS)
- WBGT Forecast| Video: How to use this tool (NWS)
- WBGT Informational Guide (NWS)
- Why is it called Wet Bulb Globe Temperature? (NWS)
- How does WBGT differ from Heat Index? (NWS)
- How can Wet Bulb Globe Temperature be used? (NWS)
- Who can benefit from the use of Wet Bulb Globe Temperature? (NWS)
Water, Rest, Shade
- Water. Rest. Shade. (OSHA) – English, Spanish
Water
Employers should provide cool water for workers to drink. Proper hydration is essential to prevent heat-related illness. Workers should not rely on feeling thirsty to prompt them to drink. They should be reminded to drink on a regular basis to maintain hydration throughout their shift and beyond.For those working two hours or more, also provide access to additional fluids that contain electrolytes. For short jobs, cool potable water is sufficient. Workers should be encouraged to drink at least one cup (8 ounces) of water every 20 minutes while working in the heat not just if they are thirsty. For longer jobs that last more than two hours, employers should provide electrolyte-containing beverages such as sports drinks. Workers lose salt and other electrolytes when they sweat. Substantial loss of electrolytes can cause muscle cramps and other dangerous health problems. Water cannot replace electrolytes; other types of beverages are needed. Water or other fluids provided by the employer should not only be cool, but should also be provided in a location that is familiar to the workers, near the work, easy to access, and in sufficient quantity for the duration of the work.
Rest
When heat stress is high, employers should require workers to take breaks. The length and frequency of rest breaks should increase as heat stress rises. In general, workers should be taking hourly breaks whenever heat stress exceeds the limits shown in Table 2 under Determination of Whether the Work is Too Hot section on the Heat Hazard Recognition page.Breaks should last long enough for workers to recover from the heat. How long is long enough? That depends on several factors including environmental heat (WBGT) and the worker’s physical activity level, as well as the individual worker’s personal risk factors. The location of the breaks also matters. If workers rest in a cooler location, they will be ready to resume work more quickly. Breaks should last longer if there is no cool location for workers to rest. Some workers might be tempted to skip breaks. In hot conditions, skipping breaks is not safe! Employers should make sure that workers rest during all recommended break periods.
Shade
Workers should be given a cool location where they can take their breaks and recover from the heat. Outdoors, this might mean a shady area, an air-conditioned vehicle, a nearby building or tent, or an area with fans and misting devices. Indoors, workers should be allowed to rest in a cool or air-conditioned area away from heat sources such as ovens and furnaces. - Take Water Breaks infographic (CPWR) – English: JPEG, PDF; Spanish: JPEG, PDF
PPE, Cooling Systems and Additional Solutions
- Additional Preventive Heat Solutions (CPWR Solutions Database)
- Arm Immersion Cooling System
- Cooling Clothing and Personal Protective Equipment
- Building Information Modeling (BIM) for Safety Planning
- Heat Stress Program
- Job Hazard Analysis
- Last Planner® System
- Lean Construction
- Fans, Misters, and Air Conditioning Units
- Real-time Physiological Monitoring For Heat Strain in Workers
- Heat Stress Recommendations (NIOSH)
- Limiting Heat Burden While Wearing Personal Protective Equipment (PPE) (NIOSH)
- Engineering Controls, Work Practices, and Personal Protective Equipment (OSHA) – English, Spanish
Rescue Planning
Employer Responsibilities/Guidance & Enforcement
- NEW! The American Society of Safety Professionals (ASSP) has published the first national voluntary consensus standard addressing heat stress for workers in construction and demolition operations
- CPWR/OSHA Webinar: Outdoor and Indoor Heat-Related Hazards in Construction: A Q&A Session on OSHA’s National Emphasis Program
(Riesgos Relacionados con el calor en Exteriores e Interiores en la Construcción: Una Sesión de preguntas y respuestas Sobre el Programa Nacional de Énfasis de OSHA)
July 12, 2023
Chris Trahan Cain, CIH, Executive Director, CPWR
Gary Orr, PE, CPE, Health Scientist, Directorate of Enforcement, OSHA
Play Recording Play Spanish Interpretation Recording Download Presentation Additional Resources - OSHA’s National Emphasis Program to protect employees from heat-related hazards
- OSHA Hazard Alert: Extreme Heat Can Be Deadly
- OSHA’s Campaign to Prevent Heat Illness and Occupational Heat Exposure web pages provide a host of resources for employers and workers
- Info sheet: Protecting Workers from Heat Illness (OSHA-NIOSH) – English, Spanish
- Preventing Heat-Related Illness or Death of Outdoor Workers (NIOSH) – English, Spanish
- Technical Manual: Heat Stress (OSHA) – English, Spanish
- How to File a Complaint (OSHA) – English, Spanish
- Standards (OSHA) – English, Spanish
- OSHA Can Help You Prevent Heat Illness at Work Infographic ZIP(OSHA)
- Employers Are Responsible for Protecting Workers From Heat Illness Infographic ZIP (OSHA)
- Your Right to Heat Safety Infographic ZIP (OSHA)
- Know The Facts, Demand Protection (National COSH) – English and Spanish