NSWP 7.1 Revision 3 February 13, 2012 Nuclear Safe Work Practice 7.1 Heat Stress 1.0 PURPOSE/SCOPE] This Nuclear Safe Work Practice (NSWP) provides guidance for evaluating jobs that could result in heat stress and establishes a process for determining stay times. 2.0 DEFINITIONS Acclimatization – physiological changes in the body usually gained over a period of time of working in heat stress conditions that enable the body to adapt and respond to the heat stress conditions. Adverse Environmental Conditions – any combination of dry bulb temperature, humidity, air velocity, and radiant heat that contributes to an increase in body temperature. These conditions may exist outdoors or indoors in locations such as, but not limited to, Reactor Buildings, Doghouses, High Pressure Injection Pump Rooms, and some parts of the Turbine Building. Radiant Heat – electromagnetic heat transferred from a higher temperature mass to a lower temperature mass without coming in contact. Recovery Time – the recommended amount of time necessary for an individual’s physical state to return to its pre-exposure condition. Self Determination- the method by which an individual may begin to recognize the early warning signs of heat-related disorders and terminate the exposure. Selfdetermination may shorten, but never lengthen stay times. Stay Times – the recommended amount of time that an employee is expected to safely work in a moderate to high heat stress environment, based on environmental conditions such as type of clothing being worn and individual health and metabolism. Wet Bulb Globe Temperature (WBGT) – a combination of temperature, humidity, and air movement that characterizes the environmental effects on the body, sometimes referred to as heat index. 3.0 RESPONSIBILITIES 1. Work Supervisors / Job Sponsors: a. Utilize this work practice to identify jobs that could expose employees to heat stress. b. Evaluate team members to ensure they are capable of working in adverse environmental conditions prior to assigning work in those areas. NSWP 7.1-1 NSWP 7.1 Revision 3 February 13, 2012 c. Utilize this work practice to obtain the WBGT and recommended stay times. d. Utilize this work practice to determine methods for reducing heat stress. e. Interface with Operations, Radiation Protection, EHS and other groups, as appropriate, to ensure that all reasonable measures have been taken to reduce temperatures in the work area or to determine if protective clothing can be reduced. f. Assign employees to work in teams, when possible, so they can observe each other for heat related disorders and terminate jobs if a team member develops signs or symptoms of any of these disorders. g. Assure employees are aware of the estimated stay times and observe them. h. Assure employees have adequate recovery time between heat stress exposures. i. Arrange for coolers with ice and water for long duration projects. j. Determine if heat stress training is required for work group employees based on work activities performed and ensure that they are trained to CBT HS0328. Note: Before taking water coolers into an RCA obtain approval from RP k. Incorporate this information into pre-job briefings. 2. Employees a. Inform supervision of any health concerns, prescriptions or over-the-counter drugs being taken, or any physical problems encountered during past or current heat stress exposures. b. Inform supervision of any current or previous off-the-job heat stress exposures so that recovery times from that exposure can be considered. c. Know the signs and symptoms of heat related disorders described in the Physical Heat Related Disorders section and how to monitor themselves and coworkers for the development of any signs / symptoms. d. Stop work and leave the area when heat related disorders develop or assist teammates who show signs of heat related disorders. e. Know the estimated times for the job to be performed and follow the recommended stay times. f. 4.0 1. 2. 3. 4. Know recovery times and the expectations for a recovery area. SECTIONS Physical Heat Related Disorders General Safe Work Practices For Heat Stress Areas Guidelines For Using The Heat Stress Monitors And Determining Stay Times Stay Time Chart NSWP 7.1-2 NSWP 7.1 Revision 3 February 13, 2012 Section 1. Physical Heat Related Disorders 1. Heat Rash – occurs when sweat is not removed from the surface of the skin and the skin remains wet most of the time. The sweat ducts become plugged and a skin rash develops. The individual can prevent this condition by resting in a cool place, allowing sweat to evaporate, and by regularly bathing and drying the skin. 2. Fainting (Heat Syncope) – can occur in persons not accustomed to the heat who stay in one position for periods of time. This allows the blood to pool in enlarged blood vessels and lower parts of the body. Insufficient blood is returned to the heart and brain. 3. Heat cramps – are painful muscle spasms caused by insufficient salt replacement (usually due to low potassium, but can include sodium and others). 4. Heat Exhaustion – is caused by the loss of large amounts of fluid, sometimes with excessive salt loss. The affected employee still sweats, but experiences extreme weakness or fatigue, giddiness, nausea, and / or headache and may vomit or lose consciousness. The skin is clammy and moist, the complexion is pale or flushed and the body temperature is normal or slightly elevated. 5. Heat Stroke – occurs when the body’s temperature regulating system fails and sweating is inadequate. The affected employee’s skin is hot, usually dry, red or spotted. Body temperature is 105 F or higher. Unless the victim receives quick and appropriate treatment brain damage or death can occur. Section 2. General Safe Work Practices for Heat Stress Areas 1. Things To Do a. Maintain good physical condition for work in heat stress environments by exercising, eating a balanced diet and getting sufficient rest. b. Frequently drink small amounts of water before becoming thirsty to maintain good hydration, During moderate activities, in moderately hot conditions, at least one pint of water per hour is needed. Drink about 8 ounces every 15 minutes. Urine should be clear or lightly colored when well hydrated. Note: Dehydration prevention is the goal and a sufficient amount of water must be consumed to achieve this. (Caution: Employees who have high blood pressure should not consume liquids heavy in salt content.) The nuclear sites will not purchase sports drinks such as Gatorade for supervisors nor stock them in the warehouse. c. Take adequate breaks. Note: The temperature in the work area, type of work being performed and the physical condition of the employee should determine the number of breaks. d. Dress appropriately for the environmental conditions. e. Take precautions to protect from overexposure to the sun (e.g., clothing, eye protection, and sunscreen). f. During extended exposures covering several days it is important to know your body weight before exposure and check it daily to determine if sufficient fluids are being consumed to maintain it. g. Work at a deliberate pace to avoid over-exerting yourself. NSWP 7.1-3 NSWP 7.1 Revision 3 February 13, 2012 2. Things To Avoid a. Drinks that contain alcohol. Alcohol leads to dehydration and nervous system depression. b. Smoking. Smoking reduces the size of blood vessels limiting the ability to carry away heat and provide oxygen to the muscles. It also has other interactions that reduce the body’s ability to respond to heat stress. 3. Medical Conditions a. Illnesses such as colds, flu, high blood pressure, diabetes, or any illness that may cause weakness, dizziness, or fever may render an employee unfit for exposure to heat stress. b. Prescription or over-the-counter medication, alcohol consumed, and / or a history of heat stress intolerance should be considered in determining assignment to work in heat stress environments. c. Additional personal monitoring to determine effects of heat can be done by checking heart rate, body temperature, or extent of body weight loss. 4. Methods To Reduce Heat Stress a. Erect or place a shield between radiant heat and the immediate work area (e.g., insulation blanket, welder’s flash guards). b. Use Kool Vests when available. For additional guidance, reference Nuclear Safe Work Practice 8.0 section on “Body Protection”, for information on Ice Vests / Thermal Wear (Kool Vests). Note: Before taking water coolers into an RCA, obtain approval from RP group. c. Set up coolers of ice water in or near the work area. Note: Before using fans in an RCA/RCZ, obtain approval from RP group. d. Use fans when appropriate to help sweat evaporate and cool the body. e. Schedule jobs during cooler periods when able. f. Perform mockup / practice training to improve efficiency and reduce stay times. g. Ensure adequate recovery time in a cool environment between exposures. A cool environment is considered to be <77 F while wearing light, dry clothing. Recovery time can be calculated by the following formula: Recovery Time = (Time Spent in Heat Stress Area ÷ Stay Time) X 60 Minutes h. Maximum Stay time can be determined from the table in Section 4, Stay Time Chart. NSWP 7.1-4 NSWP 7.1 Revision 3 February 13, 2012 Section 3. Guideline For Using Heat Stress Monitors Quest Heat Stress Monitors Note: Historical heat stress data exists for many plant areas if needed, contact EHS. Historical data may be used if conditions are the same. Follow these guidelines to use this monitor. Note: Prior to going to the work area, check the “LOBAT” indicator on the display to determine if the battery needs to be replaced. The battery compartment is located on the rear of the monitor. To replace the battery, open the compartment by lifting one end of the cover. This will expose the battery and connector. Replace with a standard 9-volt. Note: The Quest Area Heat Stress Monitor may be used for multiple shifts if the steps listed below are followed. 1. Guidelines for using the Quest Heat Stress Monitors: a. Ensure instrument has been calibrated, check calibration sticker on back of instrument. b. Some Quest monitors require DEMIN water in the middle top basin, wet the sponge and wick thoroughly, if applicable. Contact EHS or Chemistry to obtain DEMIN water. c. Turn the monitor on by pressing the ON / OFF button. d. Set the instrument to display the Wet Bulb Globe Temperature (WBGT) in °F to determine Heat Stress temperature. e. Place the instrument in the immediate work area to be measured approximately at chest level and allow 5 minutes to stabilize. f. Use the WBGT and the Stay Time Chart (Section 4) to determine your RECOMMENDED stay time. Note: The recommended stay time may be too long for employees in poor physical condition or with a previous history of heat related illness. NSWP 7.1-5 NSWP 7.1 Revision 3 February 13, 2012 SPER Scientific Heat Stress Meter 1. Operation guideline for using the SPER: a. Slide the clear sensor cover down. b. Turn on the meter, press the SET button c. Press the MODE button until WBGT is displayed d. Press and hold the MODE button to change from WGBT IN and WBGT OUT. Use WBGT IN for indoor and WBGT OUT for outdoor areas. e. To change from Celsius to Fahrenheit press the Mode and NEXT buttons simultaneously f. Use the WBGT reading and the Stay Time Chart (Section 4) to determine your RECOMMENDED stay time. Note: The recommended stay time may be too long for employees in poor physical condition or with a previous history of heat related illness. NSWP 7.1-6 NSWP 7.1 Revision 3 February 13, 2012 Botsball Thermometer i. Guidelines for using the Botsball Thermometer: Add water to the reservoir located within the aluminum sleeve to wet the black cloth around the base Place instrument within work area and allow the instrument to stabilize (5 minutes) before taking a reading Use the following chart to convert the Botsball’s reading to a WBGT. Then use the Stay Time Chart (Section 4) to determine your Recommended stay time. Note: The recommended stay times listed on the "Stay Time Chart" may be too long for employees in poor physical condition or with a previous history of heat related illness. BOTSBALL WBGT BOTSBALL WBGT 75 79.3 89 98.5 76 80.5 90 100.1 77 81.7 91 101.7 78 83.0 92 103.3 79 84.3 93 104.9 80 85.6 94 106.5 81 87.0 95 108.2 82 88.3 96 109.9 83 89.7 97 111.6 84 91.1 98 113.3 85 92.6 99 113.3 86 94.0 100 116.6 87 95.5 101 118.7 88 97.0 NSWP 7.1-7 NSWP 7.1 Revision 3 February 13, 2012 Section 4. Stay Time Chart The number within the box is the worker’s stay time in minutes. Work in Street Clothes Work in single layer cotton or OREX Work in double layer cotton or OREX Work in Plastics/Rainsuits 111°F 60 25 45 20 45 15 30 10 108°F 104°F 100°F 97°F 93°F 90°F 86°F 82°F 79°F 75°F 90 90 120 240 480 NL NL NL NL NL 30 45 45 60 90 120 240 NL NL NL 60 90 90 120 240 480 NL NL NL NL 25 40 45 45 60 100 120 240 NL NL 45 60 90 90 120 240 480 NL NL NL 20 25 30 45 45 60 90 120 140 NL 45 45 60 90 90 120 240 480 NL NL 15 20 25 30 45 45 60 90 120 240 10 20 30 40 45 60 120 240 Heavy Work 10 15 20 10 25 30 45 50 90 180 480 NL Moderate Work 20 30 Light Work 10 15 Heavy Work Moderate Work 30 45 10 20 30 40 45 60 120 240 480 NL Moderate Work Light Work 15 20 Light Work Moderate Work 45 45 Heavy Work Light Work 118°F 115°F Heavy Work WBGT 10 20 30 40 45 60 120 NL = no limit (stay times given in minutes) Light Work is sitting or standing with moderate arm or trunk movement, stationary welding, bench work, monitor equipment, minimal walking and climbing. Moderate Work is walking with some lifting or ladder climbing, floor cleaning, painting, surveys with occasional climbing, insulation removal or installation, or easy manual valve alignments. Heavy work is pushing or pulling, frequent ladder or stair climbing, scaffold erection, lead blanket removal or installation, mopping and sweeping, difficult manual valve alignments. To determine the stay time when using an ice vest / thermal wear (Kool Vest), multiply the stay time by 1.5. Recovery time is the recommended amount of time necessary for an individual’s physical state to return to its pre-exposure condition. Recovery Time = (Time Spent in Heat Stress Area ÷ Stay Time) X 60 Minutes Recovery areas need to be in locations that are <77° F. NSWP 7.1-8