ADOSH HEAT STRESS AWARENESS
• Presented by
• Jessie Atencio
• Assistant Director
Objectives
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Who is ADOSH
Heat & Statistics
What is Heat Stress
Signs & Symptoms
• First Aid
• Training
• Developing a Plan
• Questions
Who is ADOSH?????
• The Arizona Division of
Occupational Safety and Health
• Two Offices: Phoenix & Tucson
• Charged with enforcing federal and
state occupational safety and health
(OSHA) standards.
• State run plan
• Compliance Inspectors
• Imminent Danger, Fatalities,
Complaints, Referrals, and
Program Planned Inspections
• Consultation & Training Services
• Surveys/Training/Outreach
programs
Statistics cont’d…
# Heat-related Incidents
2005
2006
2007
2008
Lost-time Illnesses Nationwide
2610
3110
2550
1660
Fatalities Nationwide
47
44
32
27
Fatalities in Arizona
4
1
0
1
• Describe the workers most affected heat?
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Most fatalities & non-fatal illnesses involved men.
Predominant ages affected: 25 - 55 years old.
Most illnesses occurred between noon and 4 pm.
Most common worker activities were agriculture,
construction, materials handling, using and
operating tools and machinery, and other physical
activities.
• Tucson averages 55 days per year at or above
100ºF.
What is Heat Stress????
• Working or playing where it is HOT
puts STRESS on our body's cooling
system.
• When the heat is combined with other
stresses such as hard physical work,
loss of fluids, inappropriate diet,
heavy clothing, medicines and/or
some health conditions, it may lead
to heat-related illness, disability and
even death.
• This can happen to anybody - even
someone who is young and fit.
Types of Heat Stress
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Heat Stroke
Heat Exhaustion
Heat Cramps
Heat Rash
Heat Stroke
• The most serious heatrelated disorder
• Occurs when body becomes
unable to control its
temperature: the body’s
temperature rises rapidly, the
sweating mechanisms fails, and
the body is unable to cool
down.
• When heat stroke occurs, the
body temperature can rise to
106 degrees Fahrenheit or
higher within 10 to 15 minutes.
Heat stroke can cause death or
permanent disability if
emergency treatment is not
given.
Symptoms of Heat Stroke
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Hot, dry skin or profuse sweating
Hallucinations
Chills
Throbbing headache
High body temperature
Confusion/dizziness
Slurred speech
First Aid for Heat Stroke
• Take the following steps to treat a worker
with heat stroke:
• Call 911 and notify supervisor
• Move the employee to a cool shaded area
• Cool the worker using methods such as:
• Soaking their clothes with water
• Spraying, sponging, or showering the with water
• Fanning their body
Heat Exhaustion
• 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 that are elderly, have high
blood pressure, and work in a hot
environment
Symptoms of Heat Exhaustion
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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
First Aid for Heat Exhaustion
• Treat a worker suffering with heat
exhaustion with the following:
• Have employee rest in a cool, shaded or airconditioned area
• Drink plenty of water
• Take a cool shower or bath
Employer Prevention..
• Employers should take the following steps to protect workers
from heat stress:
• Schedule maintenance and repair jobs in hot areas for cooler
months.
• Schedule hot jobs for the cooler part of the day.
• Acclimatize workers by exposing them for progressively longer
periods to hot work environments.
• Reduce the physical demands of workers.
• Use relief workers or assign extra workers for physically
demanding jobs.
• Provide cool water or liquids to workers.
• Avoid drinks with caffeine, alcohol, or large amounts of sugar.
• Provide rest periods with water breaks.
• Provide cool areas for use during break periods.
• Monitor workers who are at risk of heat stress.
Employee Prevention….
• Workers should avoid exposure to extreme heat, sun exposure,
and high humidity when possible. When these exposures cannot be
avoided, workers should take the following steps to prevent heat
stress:
• Wear light-colored, loose-fitting, breathable clothing such as
cotton.
• Avoid non-breathing synthetic clothing.
• Gradually build up to heavy work.
• Schedule heavy work during the coolest parts of day.
• Take more breaks in extreme heat and humidity.
• Take breaks in the shade or a cool area when possible.
• Drink water frequently. Drink enough water that you never
become thirsty.
• Avoid drinks with caffeine, alcohol, and large amounts of sugar.
• Be aware that protective clothing or personal protective
equipment may increase the risk of heat stress.
• Monitor your physical condition and that of your coworkers.
Who Is At Risk To Heat Illness???
Who Is At Risk To Heat Illness cont’d?
• Workers in a variety of industries
• Roofing Contractors
• Scheduled passenger air transport
• (job tasks on the tarmac,
including baggage handlers)
• Car Dealers
• Farm labor contractors and crew
leaders
• Water transportation
• Poured concrete foundation and
structure contractors
• Landscaping services
• Highway work
• Nursery
• Oil and gas operations
Employee Training
• Provide heat stress training that
includes information about:
• Worker risk
• Prevention
• Symptoms
• The importance of monitoring
yourself and coworkers for
symptoms
• Treatment
• Personal protective equipment
Training & Planning in the
event of a Heat Illness
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Call 911
Move worker to cool, shaded area
Loosen or remove heavy clothing
Provide cool drinking water
Fan and mist the person with water
Develop a Heat Stress Prevention
Program
• Best Practice for outside workers
• Monitor for “dry bulb temperatures” that exceed
85 F
• Provide 2 gallons of cool, clean water per employee
(1 quart per hr).
• Provide easily accessible shade (2 ½ minute walk),
may include sitting in vehicle if air conditioned
• Provide preventive recovery periods (at least 5
minutes long), when worker exhibits indications of
heat illness
• Provide emergency action plan
• Provide medical attention
• Provide “Heat Stress Training” for workers and
supervisors
• “Heat Safety Daily Checklist”
Develop a checklist…
• http://www.99calor.org/_downloads/Employers_trainin
g_Kit/daily_checklist_english.pdf
ADOSH Example
How Is ADOSH Providing Awareness????
• Billboards
• Radio Commercials
(English/Spanish)
• Flash Cards
• Posters
• Consultation & Training
providing classes
through the State of
Arizona
• Toll free number to call
(855) 268-5251
Awareness examples cont’d.
Billboards in San Luis/Yuma Area
Sample Training Material
Sample Material cont’d…
Federal OSHA Website
• http://www.osha.gov/SLTC/heatillne
ss/index.html
• “Heat Illness Prevention
Campaign”
• Web-page dedicated to outdoor
workers
• Videos
• Educational material
• Training
• Heat App for Smart Phones
• Heat index tools
• All printable from home printer
or office (pdf) and free
Additional Information
• ADOSH has two offices
• Phoenix – 800 W
Washington St, Phoenix,
AZ 85007
• (602) 542-1769
• Tucson – 2675 E
Broadway Blvd #239,
Tucson, AZ 85716
• (520) 628-5478
• atencio.jessie@dol.gov
Questions????
• Thank you!!!!!