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osha mandatory heat stress regulations

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At the federal OSHA level, there is currently no single nationwide OSHA standard dedicated specifically to occupational heat stress for most workplaces. However, employers still have a duty to protect workers from recognized heat hazards under OSHA’s general enforcement framework, and heat hazards are addressed through industry standards, hazard recognition, training, emergency planning, and feasible controls. State-plan OSHA programs may impose mandatory, specific heat rules that go beyond federal OSHA, including California and Oregon. [5] [10] [14]

For employer compliance obligations, a defensible heat illness prevention program should include written responsibilities, hazard identification, environmental monitoring, acclimatization, water management, rest and cooling procedures, training, reporting, first aid, and emergency response. During inspections, the effectiveness of the employer’s program may be evaluated case by case. [1] [1] [1] [1]

Hazard assessment and exposure monitoring

  • Identify heat hazards by evaluating temperature, humidity, radiant heat, air movement, workload, duration, clothing/PPE, and personal risk factors.
  • Use recognized assessment tools such as heat index and, where appropriate, WBGT; full sun and radiant heat can materially increase effective heat load.
  • Monitor conditions before and during work, especially during heat advisories, heat waves, indoor hot-process work, or when workers wear heat-retaining clothing/PPE.
  • In Oregon, the rule applies when the heat index equals or exceeds 80°F in indoor or outdoor work environments.
  • In California indoor workplaces, employers must measure temperature and heat index and record whichever is greater when thresholds are reached.

[9] [9] [10] [2] Hydration, cooling, and rest breaks

  • Provide potable drinking water that is fresh, suitably cool, free of charge, and as close as practicable to the work area.
  • Where water is not plumbed, provide enough for at least 1 quart per employee per hour and actively encourage frequent drinking.
  • Provide shaded or cooled recovery areas large enough for workers on break; indoor cooling areas should be maintained below 82°F where required.
  • Allow and encourage preventive cool-down or recovery breaks; do not send symptomatic workers back to work until signs and symptoms have resolved and it is safe to return.
  • Use work/rest cycles and modified schedules based on heat severity, workload, clothing/PPE burden, and worker acclimatization status.

[13] [13] [2] [2] [7] Acclimatization

  • Employers should implement a structured acclimatization process for new workers, newly assigned workers, and workers returning after time away.
  • Close observation is especially important during the first 4 to 14 days, when physiologic adaptation develops.
  • During heat waves, employers should increase observation and reduce initial workloads, even for experienced workers.
  • A practical best practice is gradual exposure with staged workload increases, combined with extra water, rest, shade/cooling, and supervision.

[1] [2] [2] [6] [7] Training requirements

  • Train employees and supervisors before heat exposure on environmental and personal risk factors, including exertion, clothing, and PPE.
  • Train on employer procedures for water, shade/cooling, rest breaks, first aid, emergency response, symptom reporting, and anti-retaliation protections where applicable.
  • Train workers to recognize heat cramps, heat exhaustion, heat syncope, and heat stroke, and to report symptoms immediately in themselves or coworkers.
  • Document training where required by state rule.

[6] [6] [6] [3] Emergency response and medical management

  • Establish site-specific emergency procedures for recognizing symptoms, summoning help, providing first aid, and directing responders to the exact location.
  • If heat stroke is suspected, call 911 immediately, move the worker to a cool or shaded area, begin aggressive cooling with water and air movement, and stay with the worker until help arrives.
  • Workers showing signs or symptoms of heat illness should be monitored and not left alone.
  • Employers should ensure reliable communication, transportation arrangements where needed, and designated personnel who can activate emergency medical services.

[1] [8] [4] [12] Applicable federal and state regulatory standards

  • Federal OSHA: no comprehensive heat-specific standard for most sectors; enforcement may proceed under the General Duty Clause when heat is a recognized serious hazard and feasible controls such as water, rest, and shade are not provided.
  • California outdoor: 8 CCR §3395 requires water, shade, cool-down rests, acclimatization, training, emergency response procedures, and a written heat illness prevention plan.
  • California indoor: 8 CCR §3396 applies to most indoor workplaces when indoor temperature reaches 82°F and requires water, cool-down areas, acclimatization observation, training, and emergency aid.
  • Oregon: OAR 437-002-0156 and 437-004-1131 apply when heat index equals or exceeds 80°F in covered indoor or outdoor work; written plans, acclimatization, shade, water, training, emergency planning, and additional high-heat practices at 90°F are required.
  • Washington is referenced in the Minnesota directive as having an outdoor heat exposure standard from May 1 through September 30 with water and training requirements.
  • Other states may rely primarily on general duty enforcement and guidance unless a state-plan heat rule applies.

[17] [15] [14] [11] [5] In practice, employers should treat heat as a recognized occupational hazard and implement a written heat illness prevention program whenever workers may be exposed to elevated heat loads. At minimum, that program should address hazard assessment, trigger levels, water, cooling/shade, preventive rest breaks, acclimatization, employee and supervisor training, symptom reporting, monitoring during high heat, and emergency medical response. For multi-state employers, the safest compliance approach is to meet federal general-duty expectations while also following the most stringent applicable state-plan rule for the location and work setting involved. [9] [16] [1]

17 source record(s)

Sources used for this answer

[1] Heat Illness Prevention in Indoor Workplaces Fact Sheet for Employers

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California Department of Industrial Relations Division of Occupational Safety & Health Publications Unit SAFETY & HEALTH | FACT SHEET STATE OF CALIFORNIA CAL OSHA DEPARTMENT OF INDUSTRIAL RELATIONS # Heat Illness Prevention in Indoor Workplaces Information for Employers California Code of Regulations, title 8, section 3396 establishes required safety measures for indoor places of employment to prevent employee exposure to risk of heat illness. The standard applies to most workplaces where the indoor temperature reaches 82°F. This regulation requires employers to provide access to drinking water and cool-down areas, closely observe employees during acclimatization, train employees, and provide timely emergency aid. This fact sheet provides an overview-not all the requirements of section 3396. Please read the regulation for full requirements. ## Why should employers be concerned about indoor heat illness prevention? Many employees in indoor settings such as factories, food trucks, kitchens, warehouses, and foundries work in hot environments and are often unable to take advantage of heat illness prevention policies that apply to their counterparts working in outdoor places of employment. Heat illness is a serious medical condition resulting from the body's inability to cope with a particular heat load. Types of heat illness include heat cramps, heat exhaustion, heat syncope, and heat stroke, which can lead to death. ## Signs of heat stress The longer a person goes without assistance in excessive heat, the more likely they are to become seriously ill. Some symptoms of heat illness include the following: • Headache • Fatigue • Dizziness · Confusion · Muscle pain and spasms • Elevated heart rate • Heavy sweating • Hot/dry skin • Nausea/vomiting - Fainting/unconsciousness Certain medical conditions are risk factors of heat stress and related heat illnesses. Employees with heart disease or high blood pressure and those taking certain medications sh

[2] Frequently Asked Questions (FAQs): Heat Illness Prevention

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WORKER HEALTH AND SAFETY Frequently Asked Questions (FAQs): Heat Illness Prevention OSHA Oregon OSHA (OARS [redacted phone] and [redacted phone]) Department of Consumer and Business Services ## Table of contents <table><tr><th colspan="2">Scope and application</th></tr><tr><td>Exemptions</td><td></td></tr><tr><td>Access to shade</td><td></td></tr><tr><td>Drinking water</td><td>.6</td></tr><tr><td>High heat practices.</td><td></td></tr><tr><td>Emergency Medical Plan</td><td>10</td></tr><tr><td>Acclimatization Plan...</td><td></td></tr><tr><td>Heat Illness Prevention Plan...</td><td>.11</td></tr><tr><td>Supervisor and employee training</td><td>12</td></tr><tr><td>Training documentation..</td><td>12</td></tr><tr><td>Miscellaneous..</td><td>13</td></tr></table> Note: Because worker exposure to high temperature conditions that can increase the risk of heat illness is not limited to a specific industry, work activities covered under Division 3 (Construction) or Division 7 (Forest Activities) are required to comply with OAR [redacted phone], per additional applicability requirements under OAR [redacted phone] and OAR [redacted phone], respectively. Agricultural employers are required to comply with [redacted phone]. ## Section (1) Scope and application ## To whom does this rule apply? This standard applies whenever an employee performs work activities, whether in indoor or outdoor environments, where the heat index (apparent temperature) equals or exceeds 80 degrees Fahrenheit. ## When did this rule take effect? The rule went into effect on June 15, 2022. ## How long will it remain in effect? The rule will remain in effect unless amended or repealed by Oregon OSHA. ## When employees are inside, when does the rule apply? When the outside ambient air temperature increases the indoor heat index to equal or exceed 80 degrees Fahrenheit, this rule applies. An exception to this rule is when an employee's exposure to heat is generated only from the work process - s

[3] SC OSHA FACT SHEET: Protecting Workers from the Effects of Heat

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# Protecting Workers from the Effects of Heat (cont.) ## What is Heat Illness? (cont.) South Carolina OSHA Occupational Safety and Health Administration South Carolina Department of Labor, Licensing and Regulation Heat Rash is the most common problem in hot work environments. Heat rash is caused by sweating and looks like a red cluster of pimples or small blisters. Heat rash may appear on the neck, upper chest, groin, under the breasts and elbow creases. The best treatment for heat rash is to provide a cooler, less humid work environment. The rash area should be kept dry. Powder may be applied to increase comfort. Ointments and creams should not be used on a heat rash. Anything that makes the skin warm or moist may make the rash worse ## Occupational Factors that May Contribute to Heat Illness • High temperature and humidity • Low fluid consumption • Direct sun exposure (with no shade) or extreme heat • Limited air movement (no breeze or wind) • Physical exertion • Use of bulky protective clothing and equipment For more information, visit: https://osha.llr.sc.gov # PREVENTION MADE EASY ## Program Elements Heat Illness Prevention Program Key elements include: • A Person Designated to Oversee the Heat Illness Prevention Program • Hazard Identification • Water. Rest. Shade Message • Acclimatization • Modified Work Schedules • Training • Monitoring for Signs and Symptoms - Emergency Planning and Response ## Designate a Person to Oversee the Heat Stress Program Identify someone trained in the hazards, physiological responses to heat, and controls. This person can develop, implement and manage the program. ## Hazard Identification Hazard identification involves recognizing heat hazards and the risk of heat illness due to high temperature, humidity, sun and other thermal exposures, work demands, clothing or PPE and personal risk factors. Identification tools include: OSHA's Heat Smartphone App; a Wet Bulb Globe Thermometer (WBGT) which is a

[4] Heat Stress - Hazard Alert

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# Heat Stress and Working in Hot Conditions (cont.) - Hallucinations * Chills - Throbbing headache - High body temperature - Confusion/dizziness - Slurred speech ## Take the following steps to treat a worker with heat stroke: - Call 911 and notify the worker's supervisor. - Move the sick worker to a cool shaded area. ✡ Cool the worker using methods such as: - Soaking the worker's clothes with water. - Spraying, sponging or showering the worker with water. - Fanning the worker's body. Heat exhaustion is the body's response to an excessive loss of the water and salt, usually through excessive sweating. Workers most prone to heat exhaustion are those who are elderly, those who have high blood pressure, and those working in a hot environment. ## Symptoms of heat exhaustion include: - Heavy sweating - Extreme weakness or fatigue - Dizziness, confusion * Nausea - Clammy, moist skin - Pale or flushed complexion - Muscle cramps - Slightly elevated body temperature - Fast and shallow breathing - Take the following steps to treat a worker with heat exhaustion: - Have the worker rest in a cool, shaded or air-conditioned area. - Have the worker drink plenty of water or other cool, non- alcoholic beverages. - Have the worker take a cool shower, bath or sponge bath. A good heat-related illness prevention program would likely contain the following elements; however, each work environment or situation may not require all elements. 1. Responsibilities of the employer and employees regarding working in hot, humid environments. 2. Environmental factors and personal health factors that contribute to heat-related illnesses. 3. Procedures for measuring air temperature and documenting effects of other environmental factors (humidity, wind strength, work location) by determining the wet bulb globe tem- perature (WBGT) index or heat index using any tool or resource available, including the OSHA Heat Safety Tool smart phone

[5] Cal/OSHA Regulations | Chapter 4 | Subchapter 7: General Industry Safety Orders | §3395. Heat Illness Prevention in Outdoor Places of Employment

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# §3395. Heat Illness Prevention in Outdoor Places of Employment. (cont.) 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. "Landscaping" means providing landscape care and maintenance services and/or installing trees, shrubs, plants, lawns, or gardens, or providing these services in conjunction with the design of landscape plans and/or the construction (i.e., installation) of walkways, retaining walls, decks, fences, ponds, and similar structures, except for employment by an employer who operates a fixed establishment where the work is to be performed and where drinking water is plumbed. "Oil and gas extraction” means operating and/or developing oil and gas field properties, exploring for crude petroleum or natural gas, mining or extracting of oil or gas or recovering liquid hydrocarbons from oil or gas field gases. “Personal risk factors for heat illness” means factors such as an individual's age, degree of acclimatization, h

[6] Cal/OSHA Regulations | Chapter 4 | Subchapter 7: General Industry Safety Orders | §3395. Heat Illness Prevention in Outdoor Places of Employment

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# §3395. Heat Illness Prevention in Outdoor Places of Employment. (cont.) (1) All employees shall be closely observed by a supervisor or designee during a heat wave. For purposes of this section only, “heat wave” means any day in which the predicted high temperature for the day will be at least 80 degrees Fahrenheit and at least ten degrees Fahrenheit higher than the average high daily temperature in the preceding five days. (2) An employee who has been newly assigned to a high heat area shall be closely observed by a supervisor or designee for the first 14 days of the employee's employment. (h) Training. (1) Employee training. Effective training in the following topics shall be provided to each supervisory and non-supervisory employee before the employee begins work that should reasonably be anticipated to result in exposure to the risk of heat illness: (A) The environmental and personal risk factors for heat illness, as well as the added burden of heat load on the body caused by exertion, clothing, and personal protective equipment. (B) The employer's procedures for complying with the requirements of this standard, including, but not limited to, the employer's responsibility to provide water, shade, cool-down rests, and access to first aid as well as the employees' right to exercise their rights under this standard without retaliation. (C) The importance of frequent consumption of small quantities of water, up to 4 cups per hour, when the work environment is hot and employees are likely to be sweating more than usual in the performance of their duties. (D) The concept, importance, and methods of acclimatization pursuant to the employer's procedures under subsection (i)(4). (E) The different types of heat illness, the common signs and symptoms of heat illness, and appropriate first aid and/or emergency responses to the different types of heat illness, and in addition, that heat illness may progress quickly from mild symptoms and signs to serio

[7] Heat Illness Prevention in Indoor Workplaces Fact Sheet for Employers

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# Heat Illness Prevention in Indoor Workplaces Information for Employers (cont.) ## What must employers do? Access to clean drinking water: Employers are required to provide access to potable water that is fresh, suitably cool, and free of charge. It must be located as close as practicable to the work area and cooling area. If an employer does not provide plumbed water, they are required to provide at least one quart per hour per employee per shift. Employers must encourage frequent water consumption. Cool-down areas and rest periods: Employers must provide access to at least one cool-down area which must be maintained at a temperature below 82°F, blocked from direct sunlight, shielded from other high-radiant heat sources, large enough to accommodate the number of employees on rest breaks, and as close as practicable to the work area. They must allow employees who ask for a cool-down rest period to take one. In addition, employers must encourage employees to take preventative cool-down rest periods and monitor employees taking such rest periods for symptoms of heat-related illness. If symptoms persist, they may not be ordered back to work. Assessing and measuring heat: Employers must measure the temperature and heat index and record whichever is greater whenever the temperature or heat index reaches 87°F (or temperature reaches 82°F for employees working in clothing that restricts heat removal or high radiant heat areas). This is an important step to ensure that employers know when to implement control measures to keep employees safe. Emergency response procedures: Employers must provide first aid or emergency response to any workers showing heat illness signs or symptoms, including contacting emergency medical services. Acclimatization: Employers must closely observe new employees and newly assigned employees working in hot areas during a 14-day acclimatization period, as well as all employees working during a heat wave where no effective engineering controls

[8] MNOSHA Directive | Enforcement Guidelines for Outdoor Exposure to Heat Stress

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# Subject: Enforcement Guidelines for Outdoor Exposure to Heat Stress (cont.) ## B. Citation Guidelines (cont.) MNOSHA Instruction STD 1-4.2A March 1, 2021 a. NOAA issued heat advisory because of a Heat Index (HI) at or above the Danger zone (see Heat Index chart in Appendix A of this directive) and the employer should have been aware of the advisory b. Employees made complaints regarding heat c. Employees showed signs or symptoms of heat exposure d. Employer indicated that it was aware of the heat hazard (e.g., by providing water but not rest and shade) e. The employer's industry has issued guidance about heat hazards 3. The hazard was causing or likely to cause death or serious physical harm: a. Heat exhaustion b. Heat Stroke c. Fatality 4. There was a feasible and useful method to correct the hazard: a. Providing workers with immediate access to water, rest, and shade, and showing them to use that relief b. Implementing an acclimatization program for new employees and those returning from extended time away (e.g., vacation) c. Implementing a work/rest schedule d. Providing a climate-controlled area to cool down. If all four factors for a general duty clause violation are not present, a Hazard Alert Letter (see sample in Appendix C of this directive) shall be issued to the employer as soon as possible. The Hazard Alert Letter shall recommend specific steps the employer can take to protect workers from the heat hazard. James Krueger, Director MNOSHA Compliance For the OSHA Management Team Distribution: OSHA Compliance and WSC Director NOTICE: Minnesota OSHA Directives are used exclusively by MNOSHA personnel to assist in the administration of the OSHA program and in the proper interpretation and application of occupational safety and health statutes, regulations, and standards. They are not legally binding declarations and they are subject to revision or deletion at any time without notice. Page 3 of 9

[9] Frequently Asked Questions (FAQs): Heat Illness Prevention

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# Section (2) Exemptions (cont.) ## Section (8) Heat Illness Prevention Plan (cont.) FREQUENTLY ASKED QUESTIONS (FAQS): HEAT ILLNESS PREVENTION ## Section (9) Supervisor and employee training What topics must all employees, whether supervisors or non-supervisory, be trained on annually to prevent heat-related illness? Prior to being exposed to high heat, all employees must be trained in: • The environmental and personal risk factors (for example, chronic obstructive pulmonary disease, asthma, kidney disease, obesity, etc.) for heat illness that may limit an individual's tolerance to excessive heat, as well as the added burden of heat load on the body caused by exertion, clothing (refer to Section 5 in Appendix A, Information for Heat Illness Prevention), and personal protective equipment. • The employer's procedures for complying with the requirements of this standard, including, but not limited to, the employer's responsibility to provide water, heat index information (including the risks to experiencing a heat-related illness), shade, preventative rest breaks, and access to first aid, as well as how employees can exercise their rights under this standard without fear of retaliation. • The importance of frequent consumption of small quantities of water, up to 32 ounces per hour, when the work environment is hot and employees are likely to be sweating more than usual in the performance of their duties. - The concept, importance, and methods of the acclimatization plan pursuant to the employer's procedures under section (8). - The different types of heat illness, the common signs and symptoms of heat illness, and the appropriate first aid and emergency response to the different types of heat illness, including how heat illness may progress quickly from mild signs and symptoms to a serious and life-threatening condition. • The importance for employees to immediately report to the employer, directly or through the employee's supervisor, signs and symptom

[10] Key requirements: Oregon OSHA’s permanent rules for heat illness prevention

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# KEY REQUIREMENTS: OREGON OSHA'S PERMANENT RULES FOR HEAT ILLNESS PREVENTION • The environmental and personal risk factors for heat illness, including the extra burden of heat caused by exertion, clothing, and personal protective equipment. • The procedures for complying with the requirements of this standard, including the employer's responsibility to provide water, daily heat index information, shade, cool-down rests, how to report symptoms of heat-related illness, and access to first aid, as well as the employees' right to exercise their rights under this standard without fear of retaliation. • How to adapt to working in a hot environment. • The importance of employees immediately reporting symptoms or signs of heat illness - in co-workers or themselves. • The effects of nonjob factors - such as medications, alcohol, and obesity - on tolerance to heat stress. • The main types of heat-related illnesses - heat cramps, heat exhaustion, heat syncope, and heat stroke and their signs and symptoms. • The importance of frequent consumption of small quantities of water, up to 32 ounces per hour. Those performing "rest" or light" work, as defined by the rules, are exempt from the training requirements when the heat index is less than 90 degrees Fahrenheit. ## High heat practices When the heat index exceeds 90 degrees Fahrenheit, employers must implement the following additional high heat practices: • Ensure that effective communication by voice, observation, or electronic means is maintained so that employees working at the site can contact a supervisor when necessary. Cellphones and text messaging may be used for this purpose only if reception in the area is reliable. • Ensure that employees are monitored for signs of heat illness, and whether medical attention is necessary, using one or more of the following: - Regular communication with employees working alone - by radio, cellphone, or other alternative means. - A mandatory buddy system. - Other eq

[11] Key requirements: Oregon OSHA’s permanent rules for heat illness prevention

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# KEY REQUIREMENTS: OREGON OSHA'S PERMANENT RULES FOR HEAT ILLNESS PREVENTION - An employee exhibiting signs or symptoms of heat illness must be monitored and must not be left alone or sent home without being offered on-site first aid or provided with emergency medical services. • Contacting emergency medical services and, if instructed to do so by medical professionals, transporting employees to a place where they can be reached by an emergency medical provider. • Ensuring that clear and precise directions to the site are provided to emergency responders so they can quickly find the affected employee. ## Acclimatization Employers must develop effective acclimatization practices that allow employees to gradually adapt to working at sites where the ambient temperature heat exceeds the heat index of 80 degrees Fahrenheit. Employers may either develop their own acclimatization plan or follow guidance from the National Institute for Occupational Safety and Health (NIOSH). More heat-related illness resources can be found at osha.oregon.gov/pages/topics/heat-stress.aspx Visit Oregon OSHA ## WORKERS Your employer cannot retaliate against you for reporting any workplace health or safety concern or violation, for more information on your rights visit Oregon OSHA. OSHA Oregon OSHA Department of Consumer and Business Services osha.oregon.gov OR-OSHA (10/23) FS-91 OF ORE STATE REGON 1859

[12] Cal/OSHA Regulations | Chapter 4 | Subchapter 7: General Industry Safety Orders | §3395. Heat Illness Prevention in Outdoor Places of Employment

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# §3395. Heat Illness Prevention in Outdoor Places of Employment. (cont.) (C) The procedures the supervisor is to follow when an employee exhibits signs or reports symptoms consistent with possible heat illness, including emergency response procedures. (D) How to monitor weather reports and how to respond to hot weather advisories. (i) Heat Illness Prevention Plan. The employer shall establish, implement, and maintain, an effective heat illness prevention plan. The plan shall be in writing in both English and the language understood by the majority of the employees and shall be made available at the worksite to employees and to representatives of the Division upon request. The Heat Illness Prevention Plan may be included as part of the employer's Illness and Injury Prevention Program required by section 3203, and shall, at a minimum, contain: (1) Procedures for the provision of water and access to shade. (2) The high heat procedures referred to in subsection (e). (3) - Emergency Response Procedures in accordance with subsection (f). (4) Acclimatization methods and procedures in accordance with subsection (g). ## Credits Note: Authority cited: Section 142.3, Labor Code. Reference: Sections 142.3 and 6721, 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. 3. New section refiled 4-19-2006 as an emergency; operative 4-19-2006 (Register 2006, No. 16). A Certificate of Compliance must be transmitted to OAL by 8-17-2006 or emergency language will be repealed by operation of law on the following day.

[13] MNOSHA Directive | Enforcement Guidelines for Outdoor Exposure to Heat Stress

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# Subject: Enforcement Guidelines for Outdoor Exposure to Heat Stress (cont.) ## Background (cont.) MNOSHA Instruction STD 1-4.2A March 1, 2021 The State of Washington has an outdoor heat exposure standard which applies from May 1 through September 30. Drinking water must be available in an amount not less than one quart per employee per hour. Training is required. According to the California OSHA standard, water must be available as close as practicable to the areas where employees are working at least one quart per employee per hour (when not plumbed). Shade must be provided when the temperature exceeds 80 degrees F and employees allowed to take a rest in the shade. When temperatures exceed 95 degrees F, further procedures must be implemented to monitor employees for signs or symptoms of heat illness, including a buddy system. Training and acclimatization is also included in the Cal/OSHA standard. ## Action ## A. Inspection Guidelines 1. OSHIS shall evaluate the working conditions for possible heat exposure hazards. 2. The questionnaire in Appendix B of this directive may be used as a guide to assess the conditions and precautions taken by the employer. ## B. Citation Guidelines - A violation of the general duty clause may exist in these conditions when workers have been working outdoors and their employer is aware of heat-related dangers but has not taken action to provide workers with, at a minimum, water, rest, and shade. To establish the evidence necessary to cite a general duty clause violation, the following information should be documented. - NOTE: These examples represent some types of evidence that could establish each of the factors; they are not the only types that would satisfy OSHA's burden): 1. The employer failed to keep the workplace free of a hazard to which its employees were exposed: a. Workers were exposed to a heat index (HI) at or above the Danger zone (see Heat Index chart in Appendix A of this directive) b. Workers were

[14] SC OSHA FACT SHEET: Protecting Workers from the Effects of Heat

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# PREVENTION MADE EASY (cont.) ## Hazard Identification (cont.) South Carolina OSHA Occupational Safety and Health Administration South Carolina Department of Labor, Licensing and Regulation ## Water. Rest. Shade Ensure that cool drinking water is available and easily accessible. (Note: Certain beverages, such as caffeine and alcohol can lead to dehydration.) Encourage workers to drink a liter of water over one hour, which is about one cup every fifteen minutes. Provide or ensure that fully shaded or air- conditioned areas are available for resting and cooling down. ## Acclimatization Acclimatization is a physical change that allows the body to build a tolerance to working in the heat. It occurs by gradually increasing workloads and exposure and taking frequent breaks for water and rest in the shade. Full acclimatization may take up to 14 days or longer depending on factors relating to the individual, such as increased risk of heat illness due to certain medications or medical conditions, or the environment. New workers and those returning from a prolonged absence should begin with 20% of the workload on the first day, increasing incrementally by no more than 20% each subsequent day. During a rapid change leading to excessively hot weather or conditions such as a heatwave, even experienced workers should begin on the first day of work in excessive heat with 50% of the normal workload and time spent in the hot environment, 60% on the second day, 80% on day three, and 100% on the fourth day For more information, visit: https://osha.llr.sc.gov # Modified Work Schedules Altering work schedules may reduce workers' exposure to heat. For instance: - Reschedule all non-essential outdoor work for days with a reduced heat index. • Schedule the more physically demanding work during the cooler times of day; • Schedule less physically demanding work during warmer times of the day; • Rotate workers and split shifts, and/or add extra workers. • Work/Rest cycles,

[15] Frequently Asked Questions (FAQs): Heat Illness Prevention

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# Section (2) Exemptions (cont.) ## Section (10) Training documentation (cont.) FREQUENTLY ASKED QUESTIONS (FAQS): HEAT ILLNESS PREVENTION # Miscellaneous Is there a chart that summarizes the rule requirements? Yes <table><tr><th>Heat index</th><th>Rule requirements</th></tr><tr><td>Equals or exceeds 80 degrees F</td><td>Enough shade must be provided to accommodate those on their heat illness prevention rest and meal breaks</td></tr><tr><td>Equals or exceeds 80 degrees F</td><td>Cool or cold drinking water must be provided; up to 32 ounces per employee per hour</td></tr><tr><td>Equals or exceeds 80 degrees F</td><td>Acclimatization begins</td></tr><tr><td>Equals or exceeds 80 degrees F</td><td>Emergency plans developed/updated to address employee exposure to excessive heat</td></tr><tr><td>Equals or exceeds 80 degrees F</td><td>Develop and implement an acclimatization plan and procedures in writing. Employers have two options.</td></tr><tr><td>Equals or exceeds 80 degrees F</td><td>Develop, implement, and maintain an effective heat illness prevention plan in writing.</td></tr><tr><td>Equals or exceeds 80 degrees F</td><td>Provide heat illness prevention training to all employees, including new employees, supervisory and non-supervisory employees, prior to June 15, 2022.</td></tr><tr><td>Equals or exceeds 80 degrees F</td><td>Training must be documented.</td></tr><tr><td></td><td></td></tr><tr><td>Equals or exceeds 90 degrees F</td><td>Implement high heat practices (i.e., a communication system to identify employees that may be experiencing a heat-related illness; a system that allows designated and other employees to call emergency medical services; and a system for monitoring the indoor heat index).</td></tr><tr><td>Equals or exceeds 90 degrees F</td><td>Develop and implement a written heat illness prevention rest break schedule; employers must choose from one of three options.</td></tr></table> OSHA Oregon OSHA Department of Consumer and Business Services

[16] Frequently Asked Questions (FAQs): Heat Illness Prevention

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# Section (2) Exemptions (cont.) ## What are the required elements for an Oregon OSHA Emergency Medical Plan? (cont.) FREQUENTLY ASKED QUESTIONS (FAQS): HEAT ILLNESS PREVENTION have, in addition to the information required in 437- 002-0161(4)(a), a definite plan of action to be followed in the event of serious injury to an employee. The plan of action shall consist of the arrangements for: (A) Communication - two-way radio telephone, or provision for emergency communication to contact the emergency medical services. (B) Transportation - availability of transportation to a point where an ambulance can be met or to the nearest suitable medical facility. Vehicles provided for this purpose shall be available at all times, shall have right-of-way over all vehicles or equipment under the control of the employer, and shall be equipped so that due consideration can be given to the proper care and comfort of the injured employee. (C) Qualified medical personnel at destination. (D) All employees shall be knowledgeable concerning the qualified first aid person(s), the first aid requirements, and emergency medical plan. ## Do you have a sample emergency medical plan? Sample plans are available online but they need to be tailored to the business operations and locations where employees are working. It's important to note: The emergency medical plan was required for some employers prior to the heat illness rules. ## Resources: • Federal OSHA - How to plan for workplace emergencies and evacuations • Oregon OSHA - Expecting the Unexpected ## Section (7) Acclimatization Plan What are some good resources to learn more about acclimatization? • CDC NIOSH Heat Stress Acclimatization Plan • CDC Acclimatizing Workers Oregon OSHA's Local Emphasis Program - Preventing Heat-Related Illness ## What are the definitions of "acclimated" and "unacclimated"? Acclimated means that employees are used to working in high-temperature environments, and unacclimated means that employee

[17] Heat Illness Prevention for Employees

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HEAT ILLNESS Workplace Safety is No Accident MASSsafety Works! Ways to protect yourself and others. Tips from Occupational Safety and Health Administration (OSHA). Stay Hydrated Drink cool water, 5 to 7 ounces, every 15 to 20 minutes. ## Dress for the Heat Wear a hat, light-colored, loose- fitting, and breathable clothing. O OSHA osha.gov/heat ✓ Take Rest Breaks Recover from heat given the temperature and humidity. Work Together Monitor yourself and others for signs of heat illness. Heat exposure can be dangerous Signs of a medical emergency! • Abnormal thinking or behavior - Slurred speech • Seizures • Loss of consciousness ## Take these actions 1 >> CALL 911 IMMEDIATELY 2 >> COOL THE WORKER RIGHT AWAY WITH WATER OR ICE 3 >> STAY WITH THE WORKER UNTIL HELP ARRIVES 9-1-1 Curtsey: OSHA ## Prevent heat illness by remembering these simple steps: WATER REST SHADE MASSACHUSETTS DEPARTMENT OF LABOR STANDARDS For more information, visit www.osha.gov/heat MASSACHUSETTS EXECUTIVE OFFICE OF LABOR & WORKFORCE DEVELOPMENT

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