MISK City, IRQAH Infrastructure Upgrade Heat Stress Management Plan ADVACON PROJECTS UNDER MISK CITY Document No.: MC-PH01-IND-15A03-ADV-XXX-XXX-XXXXXX Issue Status: Name Job Title For Approval Revision: 000 Project Phase: Construction Stage Prepared By: Clark Salvador HSE Manager Checked & Approved By: Ahmad Al Hallaj Project Manager 09 April 2022 09 April 2022 Signature Date Controlled Copy No. _________ Document No.: MC-PH01-IND-15A03-ADV-XXX-XXX-XXXXXX Copy Issued to: __________ Page 1 of 14 MISK City, IRQAH Infrastructure Upgrade – Phase 2 REVISION HISTORY Revision No. Date 000 09 April 2022 Name of Holder Change Description Heat Stress Management Plan REGISTER OF CONTROLLED COPY HOLDERS Copy No. Purpose No. of Copies P a g e 2 | 14 MISK City, IRQAH Infrastructure Upgrade – Phase 2 1 Purpose 4 2 General Duties and responsibilities 4 3 Heat Stress Management Plan 6 3.1 Protection of Employees from Hot Climate 6 3.2 Heat Stress Orientation and Education Campaign 6 3.3 Conducting Heat Stress Emergency Drills 6 3.4 Common ailments resulting from Heat Stress 6 4 Work Environment Provisions for Hot Climate 7 5 Information of Daily Weather Advisory 7 6 Reporting Heat Stress Incidents 8 7 Emergency Response for Heat Stress Affected Workers 8 7.1 8 Identifying and responding to a Heat-Stressed worker 8 Managing Heat Stress 8 8.1 Guidelines to manage Heat Stress 8 8.2 Exposure to the Sun 8 8.3 Symptoms of Heat Stress 9 8.4 Flag System 10 8.5 Key elements for controlling heat stress 11 8.6 Signs & Symptoms of Heat Stroke and Heat Exhaustion 11 8.7 Heat Stroke First Aid 12 8.8 Heat exhaustion first aid 12 9 Heat and Humidity 12 10 Heat Stress Incident Flow Chart 13 11 Summary 13 P a g e 3 | 14 MISK City, IRQAH Infrastructure Upgrade – Phase 2 1 Purpose The purpose of this plan is to give safety guidelines and measures to Advacon employees who are to be exposed to hot working environment or otherwise at risk of injury or illness due to heat stress factors, to help ensure the elimination or reduction of heat stress related injuries or illness. 2 General Duties and responsibilities Advacon Construction Manager is required to ensure that these guidelines are taken up with high regard with respect to Heat Stress Management System and that it is followed without exception. Advacon Construction Manager with the coordination of HSE Manager will implement and conduct additional breaks needed to cool off on hot jobs in particularly hot conditions, considering regulatory requirements implemented by local authorities (such as the mid-day break during peak summer season, to prohibits all work outside under direct sunlight). HSE Manager shall review the plan in regular basis and ensure that the plan is effective. Any related incidents shall be recorded and taking consideration of revising the heat stress plan as deemed necessary. Site Engineer, Area Supervisors, First Aiders, or area HSE Supervisor must review heat stress precaution according to the work to be performed in hot locations. Area Supervisors along with the Safety officers shall evaluate non-routine jobs where there may be a heat stress concern and plan accordingly. Area Supervisors and Safety Officers should “TEMPORARILY SUSPEND THE WORK” as and when required in terms at Heat Index Indicator or displayed flag. First Aiders shall ensure that all Heat Stress related incidents are attended, reported, properly investigated and documented. All workers must be familiar with the early warning signs of heat stress and take immediate precaution when noted. Inspect, utilize, clean, care and maintain personal protective equipment provided by Advacon. Drink plenty of fluids prior to entering a hot environment and continuously monitor as indicated to prevent dehydration (1/2 liter every 20 minutes) Take regular breaks and follow flagging system and report all heat stress related illness to immediate supervisor Inform the supervisor or area HSE representative of any heat stress concerns relating to the workplace. Area Supervisors shall implement heat stress controls in accordance with the heat index. Monitor subordinate’s exposure to heat and modify work schedules and apply mitigation measures accordingly. P a g e 4 | 14 MISK City, IRQAH Infrastructure Upgrade – Phase 2 Apply effective controls to control the heat stress at work and suspend the activity when required or when advised by HSE representative. Schedule the most physical activities, if possible, for the coolest part of the day. Provide cool water and encourage employees to drink fluids regularly. As the intensity of work and heat index climbs, increase more fluids. Employ the buddy system which encourages fellow employees to look out after each other. Ensure employees are aware of the symptoms of Heat Stress. Employee training should also be focused on protective measures for working in high heat and humidity in work areas. The delivery of drinking water on the daily basis shall be twice a day minimum, or more depending on the volume of workers at site and as per request by site foreman/supervisors. The site foreman shall have the responsibility of ensuring that all water containers have sufficient drinking water content. He shall check the contents every hour and report any need for the replenish supply to the assigned water delivery in-charge. P a g e 5 | 14 MISK City, IRQAH Infrastructure Upgrade – Phase 2 3 Heat Stress Management Plan 3.1 Protection of Employees from Hot Climate Employees shall be oriented and instructed on the potential hazards in their workplaces and how to manage them. Advacon shall ensure that its employees are protected from the adverse effects of working in hot climate and environment. Project management shall be proactive with Saudi Government ‘s advice for prescribed cut-off for working hours, 1200 to 1500hrs, with the aim of limiting the length of exposure to hot work environment of project field personnel. 3.2 Heat Stress Orientation and Education Campaign Project key personnel, including Safety Supervisors and Officers, shall be trained in administering anti-Heat Stress measures and procedures. The Phase Manager shall ensure that this training is performed and updated throughout the entire project execution and whenever the treat of heat stress is imminent in view of the hot work environment. Workers shall be given appropriate orientation and safety notices as to the preventive measures to avoid heat stress. Workers shall also be oriented with emergency response procedures for addressing workers who are observed to be showing the symptoms of heat stress. The heat stress information campaign and emergency procedures shall be posted in all notice boards provided for work groups and in all work areas where possible, including site offices and accommodation camps. 3.3 Conducting Heat Stress Emergency Drills A heat stress emergency drill shall be conducted at least every month during hot seasons of the kingdom (from May to September). Drill scenarios shall be made written and submitted to PMCM for information and comments prior to actual drills. 3.4 Common ailments resulting from Heat Stress Worker must be oriented and informed of the common ailments resulting from Heat Stress, as follows: Heat Stroke Potential fatal of all heat stress conditions. Its symptoms include red hot dry skin, headache, and dizziness, becoming weak, confused, and upset. Heat Exhaustion P a g e 6 | 14 MISK City, IRQAH Infrastructure Upgrade – Phase 2 The body's cooling system is not working properly. The victim will sweat heavily, and his skin will be cool and moist. They will tend to be tired, confused, clumsy and irritable. Heat Cramps Painful muscle cramps caused by a loss of body salt through excessive sweating. Dehydration Extreme loss of body fluid from excessive sweating. Dehydration can be fatal due to the breakdown of body system. 4 Work Environment Provisions for Hot Climate Project management shall ensure that sufficient resting shades are provided to its workers during hot climate. Supervisors shall be advised as to the appropriate rotation of workers for rest periods to limit the heat exposure of the workers. Resting shades shall be made of scaffold tubes and components with provisions of timbers for seats and roofing, the structure to be covered by filter screen/net. The resting shades may be designed to be transferable from area to area, with other structures made for areas with personnel staying for longer periods. These shades shall be made ready prior to personnel starting work on-site during hot weather conditions. These resting shades shall be strategically positioned where practicable, and by nearest proximity possible to a specified work group who shall be exposed to qualified hot work environment for a period longer than 4 hours to provide rotational breaks and cooling rest periods. Sufficient cool drinking water shall become the main provision to employees. Drinking stations shall be set-up as necessary and provided with disposable drinking paper cups. Distribution of ORS to workers. The ORS composition shall be recommended by the World Health Organization (WHO). The ORS shall be mixed with water and placed in water igloo with proper labeling. A designated group from project operations shall be tasked to monitor and facilitate the provision of cool drinking water to all project field personnel. When ventilation cannot be availed from natural breeze due to dust and other factors, mechanical ventilators may be provided as practicable. A generator set may be employed as practicable if utility power service is inaccessible. 5 Information of Daily Weather Advisory The weather advisory shall be included in the daily briefing to be made by the field superintendent or supervisor. The field foreman shall take-action to prepare against any advice of hot weather conditions and as advice by PMCM. Weather monitoring shall be posted in Safety bulletin board. The monitoring of heat index will be on daily basis, every hour (during work shift). HSE Manager should assign to update the heat index board (using suitable measuring instrument) and the assigned personnel should communicate and share the information to all performing authority and issuing authority of the permit to work. P a g e 7 | 14 MISK City, IRQAH Infrastructure Upgrade – Phase 2 6 Reporting Heat Stress Incidents All incidents related to heat stress shall immediately be reported to the area supervisor and to the safety officer. Incident reporting shall follow the same procedure as specified by the MISK PROJECT Incident Reporting Procedure. The official incident report relating to heat stress incidents shall be submitted to PMCM. 7 Emergency Response for Heat Stress Affected Workers 7.1 Identifying and responding to a Heat-Stressed worker A person who shows these symptoms should be moved immediately to a cool shaded area. and be responded with the following: Call the HSE representative or site in-charge. If the person is dizzy or lightheaded, lay him down on his back and raise the legs about 6 to 8 inches. If the person is sick to the stomach lay him down on his side. Try to cool the person by fanning him. Cool the skin with a cool spray of water slightly or a wet clean cloth. 8 Managing Heat Stress 8.1 Guidelines to manage Heat Stress Drink plenty of cool water. Water regulates your body temperature and prevents overheating; the same way water absorbs the heat in a car radiator system. Coordinate with your supervisor to give you ample rest under a shade. This is another way of cooling down. It is advisable to schedule heavier work to be done during the earlier hours of the morning and the later part of the afternoon where the weather temperature is relatively lower or cooler. Do not wear very tight and avoid dark color clothing. Tight clothing will restrict air circulation and dark clothes will more easily conduct heat to your skin because dark colors absorb more heat than lighter color clothes. 8.2 Exposure to the Sun Sunlight contains ultraviolet (UV) radiation, which causes premature aging of the skin, wrinkles, cataracts, and skin cancer. There are no safe UV rays or safe suntans. The following guidelines are given: Be careful, especially, in the sun if you burn easily and spend a lot of time exposed to hot climate The following physical features are more sensitive to hot climate exposure: o Numerous, irregular, or large moles; o Freckled skin o Fair skin; P a g e 8 | 14 MISK City, IRQAH Infrastructure Upgrade – Phase 2 o Blond, red, or light brown hair. Here’s how to block those harmful rays: o Cover up but wear loose Fitting, long-sleeved shirts, and long pants o Use sunscreen with a sun protection factor (SPF) of at least 30 (Be sure to follow application directions on the bottle or tube) o Wear a hat, (for construction areas, a safety hard hat is required). o Wear UV-absorbent safety eye protection Limit exposure. UV rays are most intense between 10 a.m. and 4 p.m. If a worker is under medication and bring his medication with him, find out from if his medication is highly reactive to heat. Know that equipment such as respirators or work suits can increase heat stress. 8.3 Symptoms of Heat Stress The Heat Index chart below shall be communicated and oriented to all affected workers to properly inform them on the danger indicators leading to heat stress. These charts, tables, campaign posters and figures shall be posted on field notice boards: *1 cup = 250ml P a g e 9 | 14 MISK City, IRQAH Infrastructure Upgrade – Phase 2 8.4 Flag System Use of color-coded flags shall be implemented. Flags shall be installed in rest shelter and must be visible to nearby workers. o o o Red flag - for Extreme Danger Yellow flag – Danger/Extreme Caution Green flag – for Caution HEAT STRESS INDEX and HEAT INDEX Heat stress occurs when heat is absorbed from the environment faster than the body can get rid of it. The resulting strain on the body comes from the combined contributions of the job (e.g. work activity), environmental factors (e.g. extent of acclimatization and hydration). The “Heat Index” has been selected to define general overall heat stress conditions for the workforce. The heat index also known as “effective temperature”, is useful as a first order indicator of the effect of humidity on how hot a particular exposure feels to an individual. It includes no evaluation of the effect of either convective or radiant heat exchange and does account air velocity which is a major factor in removing heat and water vapor by convection P a g e 10 | 14 MISK City, IRQAH Infrastructure Upgrade – Phase 2 temperature. It is predictive of heat stress in circumstances in which the relationship has been established for a particular environment. The Heat Index indicates thermal comfort. When the relative humidity is elevated, the evaporative process is restricted which reduces the cooling effect of perspiration. The heat index does not consider the radiant heat load which is primarily attributed by working in direct sunlight. It also does not consider the nature of the work (heavy manual work or light work) nor the clothing worn by the worker. 8.5 Key elements for controlling heat stress Drink one glass of water every 15 to 30 minutes worked, depending on the heat and humidity. This is the best way to replace lost body fluid. Read medication labels to know how cause the body to react to the sun and heat. Avoid alcohol and drugs as they can increase the effects of heat. Build up tolerance for working in the heat. Heat tolerance is normally built up over a one to two-week time period. Take breaks to cool down. A 10-15minutes break every two hours is effective. Adapt work and pace to the weather. Provide heat stress training to workers and supervisors. Manage work activities and match them to employees' physical condition. Use special protective gear, such as cooling garments and cooling vests on "early entry" workers. Know heat stress first aid techniques. 8.6 Signs & Symptoms of Heat Stroke and Heat Exhaustion P a g e 11 | 14 MISK City, IRQAH Infrastructure Upgrade – Phase 2 8.7 Move the victim to a cool place. Remove heavy clothing; light clothing can be left in place. Immediately cool the victim by any available means. Such as placing ice packs at areas with abundant blood supply (neck, armpits, and groin). Wet towels or sheets are also effective. The cloths should be kept wet with cool water. To prevent hypothermia continue cooling the victim until their temperature drops to 102 degrees Fahrenheit. Keep the victim's head and shoulders slightly elevated. Seek medical attention immediately. All heat stroke victims need hospitalization. Care for seizures if they occur. Do not use aspirin or acetaminophen. 8.8 Heat Stroke First Aid Heat exhaustion first aid Move the victim to a cool place. Keep the victim lying down with legs straight and elevated 8-12 inches. Cool the victim by applying cold packs or wet towels or cloths. Fan the victim. Give the victim cold water if he or she is fully conscious. If no improvement is noted within 30 minutes, seek medical attention. 9 Heat and Humidity The combination of heat and humidity can be a serious health threat during the summer months. Field construction workers or those working in a kitchen, and other hot environment, may be at increased risk for heat-related illness. The following precautions should be given: Drink small amounts of water frequently Wear light-colored, loose-fitting, breathable clothing - cotton is advised Take frequent short breaks in cool shade Eat smaller meals before work activity Avoid caffeine and alcohol or large amounts of sugar Work under the shade as much as possible P a g e 12 | 14 MISK City, IRQAH Infrastructure Upgrade – Phase 2 10 Heat Stress Incident Flow Chart 11 Summary The main idea of the heat stress management focuses on very simple concerns: Provide sufficient safe and cool drinking water for all personnel at risk of heat stress. All areas shall have sufficient supply of cold drinking water along with ORS. Workers at risk of heat stress should drink enough cool water at close intervals. Limit the exposure of personnel to hot work environment to help avoid heat stress Proper dress code of work personnel should be enforced Work rotation should be planned and implemented by scheduling heavier work during P a g e 13 | 14 MISK City, IRQAH Infrastructure Upgrade – Phase 2 cooler times of the day. Appropriate emergency response should be ensured for personnel observed suffering the symptoms of heat stress. P a g e 14 | 14