Bechtel First Response Training Nutrition, Hydration & Physical Fitness for the Construction Worker Bechtel Environmental, Safety, and Health (BESH) Safety is Our Value “We measure safety performance by the number of incidents. But let’s be clear… it’s really not about incident rates… it’s about people. People who have faces, names, families, hopes, and dreams.” -Riley Bechtel August 15, 2001 Bechtel Environmental, Safety, and Health (BESH) Slide 2 Hydration, Nutrition & Physical Fitness: Enabling Learning Objectives Industrial Athlete defined Importance of proper hydration BESH Core Process 314: Heat and Cold Stress Prevention Nutrition for health and optimal performance Physical fitness overview BESH Core Process 110: Manual Material Handling Pro-active strategies to avoid injury and promote health Bechtel Environmental, Safety, and Health (BESH) Slide 3 Workplace Injury Factors Obesity levels Age (aging workforce) Declining community health and fitness levels Sedentary lifestyles Poor nutrition Prevalence of flexed or bent postures in everyday life Ergonomic injury risk factors (e.g. forceful movements, repetitive motions, awkward postures) Lack of rest Bechtel Environmental, Safety, and Health (BESH) Slide 4 Industrial Athlete Defined Industrial Athletes: “the men and women whose jobs require strength, agility, coordination, skill and endurance in a variety of sectors.” Keeping bodies healthy and fit is the key to optimal performance and reduced injuries on the job In today's increasingly sedentary society, fitness levels of many workers resemble that of a spectator, not an able athlete Bechtel Environmental, Safety, and Health (BESH) Slide 5 Industrial Athlete Success Maintaining overall health reduces your risk of injury Ability to perform physically may have direct bearing on Bechtel productivity and competitiveness, much like the success of an athlete's team The demands, both physical and emotional, in construction settings require a novel type of fitness in the worker; environmental stress compounds the physical challenges Bechtel Environmental, Safety, and Health (BESH) Slide 6 Worker Health Maintenance Think of yourself as an Industrial Athlete; athletes wouldn’t participate in a sport without proper rest and warm-up, so use the same preparation on the job Rest periods give the body time to recover from work; break time exercises and stretches strengthen the body Alternate your work activities and postures throughout the day Pay attention to signs of discomfort and fatigue on the job; these are warning signs from your body Bechtel Environmental, Safety, and Health (BESH) Slide 7 Hydration When performing physical work, sweat output often exceeds water intake, producing a body water deficit (dehydration) Dehydration can adversely affect worker productivity, safety, and morale OSHA and the American Conference of Governmental Industrial Hygienists (ACGIH) recommend replacing fluids frequently when exposed to heat stress, such as one cup (250 ml) every 20 minutes when working in warm environments Bechtel Environmental, Safety, and Health (BESH) Slide 8 Water and the Human Body Bechtel Environmental, Safety, and Health (BESH) Slide 9 Maintaining Hydration Urine color and your subjective sense of thirst can help you assess your hydration state Even mild dehydration can impact physical performance, blood pressure and thinking Physical activity level, clothing, equipment and weather are important in determining fluid needs Highest rates of occupational accidents are in hot months when sweat losses are greatest Take extra precautions if you have chronic illnesses (e.g. high blood pressure, diabetes); see your Project Nurse or personal doctor for more information Bechtel Environmental, Safety, and Health (BESH) Slide 10 BESH Core Process 314: Heat and Cold Stress Prevention Drink at least 2 cups of water before beginning work in the morning and after lunch Drink 5-8 liters of water each day Maintain good hygiene with showering and daily changes of clothing Use of alcohol during non-working hours is strongly discouraged Intake of coffee during working hours is discouraged Monitor yourself and your co-workers for signs of heat stress; immediately report any signs of heat stress to your supervisor Bechtel Environmental, Safety, and Health (BESH) Slide 11 BESH Core Process 314: Heat and Cold Stress Prevention, Exhibit A-2 Bechtel Environmental, Safety, and Health (BESH) Slide 12 BESH Core Process 314: Heat and Cold Stress Prevention, Exhibit A-3 Bechtel Environmental, Safety, and Health (BESH) Slide 13 Poor Nutrition Health Risks Decreased life expectancy Obesity Cardiovascular disease High blood pressure Diabetes Osteoporosis Arthritis and joint pain Metabolic syndrome Migraines Loss of libido Bechtel Environmental, Safety, and Health (BESH) Slide 14 Nutrition: 7 Major Classes 1. 2. 3. 4. 5. 6. 7. Bechtel Environmental, Safety, and Health (BESH) Carbohydrates Fats Proteins Vitamins Minerals Fiber Water Slide 15 Food = Energy Carbs and fats provide energy (measured in kilocalories, often called "Calories”) Proteins contain energy and amino acids Vitamins, minerals, fiber, and water do not provide energy, but are necessary for other reasons Poor health can be caused by an imbalance of nutrients, whether a deficiency or an excess Bechtel Environmental, Safety, and Health (BESH) Slide 16 How to Read a Nutrition Label Start by reading the serving size For fat, saturated fat, cholesterol and sodium, choose foods with a low % Daily Value Challenge yourself to eat less than 300 mg of cholesterol each day (too much can lead to heart disease) Keep your sodium (salt) intake to 2,300 mg or less each day The closer the number of grams of Sugars is to the Total Carbohydrate in each serving, the closer the food gets to junk quality The average daily protein requirement for most is 50 – 70 grams a day For total carbohydrate, dietary fiber, vitamins and minerals, your daily value goal is to reach 100% of each Bechtel Environmental, Safety, and Health (BESH) Slide 17 USDA Recommendation Bechtel Environmental, Safety, and Health (BESH) Slide 18 10 Tips for Healthy Meals 1. Make half your plate veggies and fruits 2. Add lean protein 3. Include whole grains 4. Don’t forget the dairy 5. Avoid extra fat 6. Take your time 7. Use a smaller plate 8. Eat at home more often 9. Try new foods 10. Satisfy your sweet tooth in a healthy way Bechtel Environmental, Safety, and Health (BESH) Slide 19 Physical Demands on Workers Activities may be physically demanding, are often challenging May require good levels of strength, endurance, mobility, flexibility, balance Activities may place strong demands on the spine and joints May involve performance pressures: standards, evaluations, production speeds May involve competitive pressure: time constraints, deadlines, shift politics Bechtel Environmental, Safety, and Health (BESH) Slide 20 Physical Fitness Defined The ability to function effectively in physical work, training and other activities and still have enough energy left over to handle any emergencies that may arise A state of physiologic well being that is achieved through a combination of good diet, regular physical exercise, and other practices that promote good health Bechtel Environmental, Safety, and Health (BESH) Slide 21 5 Main Components of Physical Fitness 1. Cardio-respiratory endurance ability of body's circulatory and respiratory systems to supply fuel during sustained physical activity 2. Muscular strength ability of muscle to exert force during an activity 3. Muscular endurance ability of muscle to continue to perform without fatigue 4. Body composition relative amount of muscle, fat, bone, and other vital parts of the body 5. Flexibility range of motion around a joint Bechtel Environmental, Safety, and Health (BESH) Slide 22 Benefits of Daily Physical Exercise Improves blood circulation throughout the body Keeps weight under control Improves blood cholesterol levels Prevents and manages high blood pressure Prevents bone loss Boosts energy level and increases enthusiasm Releases tension and helps manage stress Improves the ability to fall asleep and sleep well Improves self-image; counters anxiety and depression Increases muscle strength, increasing the ability to do other physical activities Bechtel Environmental, Safety, and Health (BESH) Slide 23 Physical Activity Guidelines Adults need 30 minutes of physical activity on five or more days a week to be healthy Only 3 in 10 adults get the recommended amount of physical activity; 37% of adults report they are not physically active Social support from family and friends is consistently and positively related to regular physical activity Lead your children by example in adopting healthy lifestyle practices; children and teens need 60 minutes of activity every day Bechtel Environmental, Safety, and Health (BESH) Slide 24 Tips for Exercise Success See your doctor before beginning a physical activity program Choose activities that are fun, not exhausting; add variety Wear comfortable, properly-fitted footwear and clothing appropriate for the weather and the activity Find a convenient time and place to do activities, make it a habit Use music to keep yourself entertained Surround yourself with supportive people; find an exercise buddy Bechtel Environmental, Safety, and Health (BESH) Slide 25 Workplace Injury Prevention In 2010, sprains, strains, and tears accounted for 40% of total injury and illness cases requiring days away from work; soreness and pain accounted for 11% of total cases (U.S. Bureau of Labor Statistics) Fueling the body while performing athletic proportion work is essential to reduce muscular fatigue that may lead to injury Workers are encouraged to invest time in maintaining physical fitness and capability to meet performance expectations without sustaining injury Bechtel Environmental, Safety, and Health (BESH) Slide 26 Stretch N Flex Stretches help you warm-up before work and relax during breaks; they increase flexibility and boost blood flow and oxygen to muscles Perform stretches slowly and gently; avoid extreme postures and stop stretching if you feel pain or discomfort Bechtel Environmental, Safety, and Health (BESH) Slide 27 Bechtel Core Process 110: Manual Material Handling (Back Injury Prevention Program) Lift Correctly to Avoid Back Injury 1. Assess the load 2. Feet in position 3. Adopt good posture 4. Get a firm grip 5. Don’t jerk 6. Move the feet 7. Keep close to the load 8. Put down, then adjust Bechtel Environmental, Safety, and Health (BESH) Slide 28 Proactively Prevent Injury Get between 5-8 hours of sleep each day to rest your body and maintain alertness Eat healthy foods and drink fluids to boost energy and stay hydrated Aerobic exercise and weight training increase strength and vitality Stretching, yoga, and pilates improve flexibility and build core body strength Bechtel Environmental, Safety, and Health (BESH) Slide 29 Manage Health Risk Factors 1. Tobacco smoking/chewing 2. High blood pressure 3. High cholesterol 4. Overweight & obesity 5. Alcohol consumption 6. Poor nutrition 7. Physical inactivity 8. Unsafe sex practices 9. Hygiene 10. Sanitation Bechtel Environmental, Safety, and Health (BESH) Slide 30 Preventative Measures to Reduce Injury Risk Be aware of hazards Maintain proper hydration Control your weight Observe nutritious dietary patterns Perform exercise on a routine basis Use proper body mechanics Reduce health risk factors Bechtel Environmental, Safety, and Health (BESH) Slide 31 Test Your Learning 1. What are 3 workplace injury risk factors? 2. How can someone assess their own hydration state? 3. What is the USDA healthy meal recommendation? 4. What is physical fitness? 5. Demonstrate the steps to safely lift a load. Bechtel Environmental, Safety, and Health (BESH) Slide 32 We value your Safety and Health Questions? Speak with your Project Nurse or Safety Professional Bechtel Environmental, Safety, and Health (BESH) Slide 33 Learn More about Worker Hydration, Nutrition, and Physical Fitness Bechtel Core Process 314: Heat and Cold Stress Prevention (BecWeb) Bechtel Core Process 110: Manual Material Handling (Back Injury Prevention Program) (BecWeb) Centers for Disease Control and Prevention (CDC.gov) National Institute for Occupational Safety & Health (NIOSH.org) National Safety Council (NSC.org) Occupational Safety & Health Administration (OSHA.gov) United States Department of Agriculture (choosemyplate.gov) Bechtel Environmental, Safety, and Health (BESH) Slide 34