1. UCSB Heat Illness Prevention Program (HIPP) Supervisor Training

2. Heat Illness Regulation Cal/OSHA Heat Illness Prevention Standard - Title 8, California Code of Regulations, Section 3395 (May 1, 2015) Requires all employers with outdoor worksites to take steps to prevent heat illness and injuries.

3. Training Overview Information on this training:  This training has been developed to comply with the Cal/OSHA Heat Illness Prevention Standard  Please read and review each slide carefully as only a portion of the martial is covered by the narration.  To advance through the training, click on the forward button at the bottom of the player, or the back button to review slides.  Should take 15-20 minutes to complete  Must score 80% or higher on the quiz to earn credit for this training

4. Training Goals The purpose of this training is to increase supervisors’ awareness of their HIPP responsibilities. Additional training topics include:  The various types of heat related illness;  Environmental and personal risk factors for heat illness;  Signs and symptoms of heat illness and how to respond should heat illness occur;  Heat illness prevention procedures and first aid;  How to monitor weather reports and how to respond to hot weather advisories.

5. Regulatory Requirements Cal/OSHA regulations (CCR, Title 8, Section 3395) require all employers with outdoor worksites to implement and maintain an effective Heat Illness Prevention Program. Most indoor workplaces reduce the risk of heat illness by providing shade, climate control and access to drinking water. Open areas like fields, forests, parks, equipment and storage yards, outdoor utility installations, tarmacs, and roads, are examples of outdoor workplaces which generally do not. Outdoor workplaces also include construction sites in which no building shell has been completed and areas of construction sites that are outside of any building shells that may be present. Outdoor areas adjacent to buildings, e.g., loading docks, are also considered outdoor places of employment if an employee spends a significant amount of time working in them.

6. Program Components The following HIPP components are required under the Cal/OSHA Heat Illness regulation: 1.A written Heat Illness Prevention Plan covering the worksite; 2.Documented Employee and Supervisor Training; 3.Procedures for ensuring employees have access to sufficient drinking water and shade; 4.Procedures for monitoring employees and ensuring they have time to acclimate to high heat environments; 5.Emergency response procedures; 6.High-heat procedures for certain groups of workers when outdoor temperatures meet or exceed 95F.

7. What Is Heat Illness? Heat related illness is one or more of the following serious medical conditions:  Heat Cramps  Heat Syncope  Heat Rash  Heat Exhaustion  Heat Stroke

8. Heat Cramps Symptoms & First Aid What are Heat Cramps?  Heat cramps are involuntary spasms of the muscles due to dehydration and/or loss of electrolytes.  Heat cramps are generally experienced in the legs, arms or abdomen.  Heat cramp contractions are involuntary and often forceful and painful. Heat Cramps First Aid:  Heat cramps usually improve with rest, rehydration and cooling off.  Seek medical attention immediately if victim doesn’t improve, has heart problems or high blood pressure.

9. Heat Syncope Symptoms & First Aid What is Heat Syncope?  Heat syncope is fainting or dizziness that usually occurs with prolonged standing or sudden rising from a sitting position.  Factors that may contribute to heat syncope include dehydration and lack of acclimatization. Heat Syncope First Aid:  Workers with heat syncope should sit or lie down in a cool place when they begin to feel symptoms and slowly drink water or an electrolyte beverage.  Seek medical attention immediately if victim doesn’t improve, has heart problems or high blood pressure.

10. Heat Rash Symptoms & First Aid What is Heat Rash?  Heat rash is a skin irritation cause by excessive sweating during hot, humid weather when sweat does not easily evaporate from the skin.  Heat rash looks like a cluster of pimples or small blisters. Heat Rash First Aid:  Heat rash can be avoided by keeping the skin clean and dry.  To treat heat rash, wash the affected area with a gentle cleanser and pat dry.  Seek medical attention immediately if victim doesn’t improve, has heart problems or high blood pressure.

11. Signs & Symptoms of Heat Exhaustion What is Heat Exhaustion?  Heat exhaustion is a serious form of heat illness which typically occurs due to a loss of fluids when a body’s heat control mechanism is overactive and the worker has failed to drink enough fluids. Symptoms of heat exhaustion include:  Heavy sweating and extreme thirst  Extreme weakness and fatigue  Nausea, dizziness or headache  Giddiness or confusion  Clammy, moist skin  Complexion pale or flushed  Body temperature is normal or slightly higher  Muscle cramps  Fast and shallow breathing

12. Heat Exhaustion First Aid Procedures Heat Exhaustion may progress to heat stroke if first aid is not promptly provided:  Move the victim into the shade;  Loosen or remove clothing;  Cool the victim with sponge bath, mist or shower;  Have the victim slowly drink an electrolyte containing beverage or water;  Seek medical attention immediately if victim doesn’t improve, has heart problems or high blood pressure.

13. Signs & Symptoms of Heat Stroke What is Heat Stroke?  Heat stroke is the most serious type of heat related illness.  Heat stroke occurs when one’s body is unable to regulate its core temperature adequately and can cause permanent disability or even death. Symptoms of heat stroke include:  Hot, dry skin or profuse sweating  Mental confusion, hallucinations, loss of concentration or slurred speech  Rapid pulse  Elevated body temperature  Chills  Severe muscle cramps or headache  Convulsions, seizures, unconsciousness or death may occur.

14. Heat Stroke First Aid Procedures Heat stroke is a life threatening emergency. Prompt first aid is vital to prevent disability or death:  Cool the victim by getting them into a shady area and wetting the clothing;  Call for emergency medical assistance immediately;  Fan the victim vigorously to promote sweating and evaporation;  If available, place ice packs under armpits and groin;  Have the victim slowly drink an electrolyte containing beverage or water if conscious.

15. Personal Risk Factors Personal factors that may increase the risk of experiencing heat related illness are:  An individual’s age  Dehydration  Diabetes, pregnancy, skin or sweat gland disorders  Medications (prescription or over-the-counter)  Low salt diets  Obesity and being out of shape  Water, caffeine or alcohol consumption  Blood pressure or cardiovascular problems  Lack of acclimatization  Missed meals

16. Additional Risk Factors Environmental and other work related factors that may increase the risk of experiencing heat related illness are:  Heat generating work tasks (i.e. welding/cutting)  Conductive and radiating heat sources  Temperature and relative humidity (heat index)  Heat load caused by: −Physical exertion, both severity and duration −Protective/impermeable clothing −Personnel protective equipment worn on the job

17. Heat Illness Prevention Plan Supervisors are responsible for ensuring specific measures are implemented to reduce the risk of heat related illness. To help accomplish this a written Heat Illness Prevention Plan must be developed and implemented at each outdoor worksite. 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 their representatives upon request. The Heat Illness Prevention Plan at a minimum shall contain:  Procedures for the provision of water and access to shade;  Acclimatization methods and procedures;  High heat procedures;  Emergency Response Procedures.

18. Heat Illness Prevention Plan To assist supervisors with this responsibility, EH&S has developed a general Campus Heat Illness Prevention Plan to cover most outdoor worksites on campus. For remote worksites, and on- campus worksites not adequately covered by the Campus Heat Illness Prevention Plan, EH&S has developed a Worksite Specific Heat Illness Prevention Plan Template that must be completed by supervisors. Employees must review the plan covering their worksite and be trained on its specific procedures prior to commencing outdoor work. Both documents can be found on the EH&S Heat Illness Prevention Program website: http://www.ehs.ucsb.edu/ih/heat-illness- prevention-program

19. Acclimation What is Acclimation and how long does it take? Acclimation is the process in which individuals adjust to changes in their environment, in this case working in heat. Acclimation is generally achieved within four to fourteen days, when individuals work at least 2 hours per day in the heat, and increase outdoor work time gradually. When is Acclimation important? Acclimation is important for both new employees, and those returning to work after a long absence. What is required? A supervisor or designee must closely observe employees who have been newly assigned to a high heat area for the first 14 days of their employment.

20. Hydration Supervisors must ensure their employees have access to potable drinking water. Where drinking water is not plumbed or otherwise continuously supplied, it shall be provided in sufficient quantity to provide at least one quart per employee per hour for drinking for the entire shift. Additionally, water must be:  Fresh and pure;  Suitably cool;  As close as practicable to where employees are working. Along with water, electrolyte beverages should be consumed to replace mineral loss due to sweating. Encourage employees to drink frequently (up to 4 cups per hour) when working in hot environments where they are likely to sweat more than usual and not wait until they are thirsty.

21. Shade Supervisors must ensure employees have access to shade when outdoor temperatures exceed 80 degrees Fahrenheit, or upon requested by employees.  Shade is considered to be sufficient when objects do not cast a shadow in the shaded area and there is sufficient space for the employee to be comfortable.  Buildings, canopies, and trees all can qualify for shade as long as they block the sunlight and are either ventilated or open to air movement.  Shade is inadequate when the heat in the area of shade defeats the purpose of allowing the body to cool, such as a hot car or other vehicle.

22. Preventative Cool-Down Breaks When working in hot conditions employees must be allowed to take preventative cool-down breaks as often as needed to avoid heat illness. Employees who take preventative cool-down breaks shall be monitored and asked if they are experiencing symptoms of heat illness, and if so, encouraged to remain in shade until all signs or symptoms of heat illness are abated. Additionally, supervisors should encourage employees to:  Rest in a cool, shaded area for at least 5 minutes;  Drink plenty of water or electrolyte beverage during their break;  Loosen or remove PPE if safe while resting;  Refill water bottles before returning to work.

23. UCSB Emergency Response Procedures As part of their written Heat Illness Prevention Plan, supervisors must develop effective worksite emergency response procedures. Emergency response procedures shall include: 1.How effective communication by voice, observation, or electronic means will be maintained so that employees at the work site can contact a supervisor or emergency medical services when necessary. An electronic device, such as a cell phone or text messaging device, may be used for this purpose only if reception in the area is reliable. If an electronic device will not furnish reliable communication in the work area, the employer will ensure a means of summoning emergency medical services; 2.How to respond to signs and symptoms of possible heat illness, including but not limited to first aid measures and how emergency medical services will be provided; 3.How to contact emergency medical services and, if necessary, how employees will be transported to a place where they can be reached by an emergency medical provider; 4.How in the event of an emergency, clear and precise directions to the work site can and will be provided as needed to emergency responders. In non-remote areas throughout the United States, emergency medical services are generally available by calling 911. Supervisors are to ensure that employees are able to provide clear concise directions to their worksite. In remote field locations, developing procedures for emergency medical services may require extensive planning, and supervisors must ensure employees are informed of exactly how and where medical attention may be received. Always make sure employees have communication means and knowledge of how to guide emergency services to their location.

24. Training Heat illness training is required for all individuals who perform work outdoors. EH&S offers general heat illness training through the UCSB Learning Center, however supervisors may need to provide additional training on worksite specific procedures such as:  Locations of drinking water and shade;  Procedures for maintaining effective communication;  Procedures for contacting emergency medical services and transporting employees to a point where they can be reached by an emergency medical service provider, if needed;  Procedures for ensuring that clear and precise directions to the work site can and will be provided as needed to emergency responders.

25. High Heat Procedures High-heat procedures are only required for workers who perform jobs in the industries listed below:  Agriculture  Construction  Landscaping  Oil and gas extraction  Transportation or delivery of agricultural products, construction materials or other heavy materials (e.g. furniture, lumber, freight, cargo, cabinets, industrial or commercial materials), except for employment that consists of operating an air- conditioned vehicle and does not include loading or unloading. However, it is recommended that similar procedures be implemented for non-required industries to reduce the risk of heat related illness whenever possible.

26. Supervisors are responsible for monitoring weather conditions and ensuring high heat procedures are implemented and followed when outdoor temperatures are equal to or exceed 95 o F. These procedures shall include the following: 1.Scheduling work during the cooler hours of the day, or if possible postponing work until ambient temperatures decrease. 2.Ensuring that effective communication by voice, observation, or electronic means is maintained so that employees at the work site can contact a supervisor when necessary. An electronic device, such as a cell phone or text messaging device, may be used for this purpose only if reception in the area is reliable. 3.Remind employees throughout the work shift to drink plenty of water. 4.Designating one or more employees on each worksite as authorized to call for emergency medical services, and allowing other employees to call for emergency services when no designated employee is available. High Heat Procedures

27. Supervisors are responsible for monitoring weather conditions and ensuring high heat procedures are implemented and followed when outdoor temperatures are equal to or exceed 95 o F. These procedures shall include the following: 5.Pre-shift meetings before the commencement of work to review the high heat procedures, encourage employees to drink plenty of water, and remind employees of their right to take a cool-down rest when necessary. 6.Observing employees for alertness and signs or symptoms of heat illness. The employer shall ensure effective employee observation/monitoring by implementing one or more of the following: a.Supervisor or designee observation of 20 or fewer employees, or b.Mandatory buddy system, or c.Regular communication with sole employee such as by radio or cellular phone, or d.Other effective means of observation. High Heat Procedures

28. Supervisors are responsible for monitoring weather reports and responding to hot weather advisories using local forecasts. Suggested websites to check current weather are: http://weather.noaa.govhttp://weather.noaa.gov http://www.wunderground.comhttp://www.wunderground.com Weather Monitoring

29. Heat Index* Impacts: As humidity and temperature increase, the heat index and risk of heat-related illness increases *NOTE: The heat index (HI) is a calculated value combining air temperature and relative humidity to determine the human-perceived equivalent temperature - how hot it feels. Temperature & Humidity

30. Additional supervisor responsibilities include:  Being aware of risk factors that contribute to heat illness;  Taking additional precautions to prevent heat illness when needed;  Being alert for the signs and symptoms of heat illness in workers;  Training employees about the risks of heat illness and how to protect themselves;  Making sure employees working in hot conditions are accounted for at the end of the work shift;  Knowing what to do and how to summon emergency responders should a heat illness emergency occur;  Completing and submitting an UCSB Workers Compensation Incident Report should heat related illness occur. Additional Supervisor Responsibilities

31. Heat Illness Checklist To assist supervisors with their responsibilities, EH&S has developed a Heat Illness Program Compliance Checklist. The Checklist covers the major requirements of the Heat Illness Prevention Program and can be found on the EH&S Heat Illness Prevention Program website: http://www.ehs.ucsb.edu/ih/heat-illness- prevention-program

32. Additional Resources The UCSB Heat Illness Prevention Program is available on the Environmental Health & Safety Website at: http://www.ehs.ucsb.edu/files/docs/ih/UCSB_Heat_Illness_Prevention_Program_Manual.pdf The UCSB Campus Heat Illness Prevention Plan is also available on the Environmental Health & Safety Website at: http://www.ehs.ucsb.edu/files/docs/ih/UCSB_Campus_Heat%20Illness_Prevention_Plan.pdf For additional information and pamphlets, bulletins, video and PowerPoint presentations visit the CAL/OSHA website at: http://www.dir.ca.gov/dosh/heatillnessinfo.html For questions regarding UCSB’s Heat Illness Prevention Program, please contact Jesse Bickley at 893-8787 or Jesse.Bickley@ehs.ucsb.edu.