1. ADOSH HEAT STRESS AWARENESS
Presented by
Jessie Atencio
Assistant Director

2. Objectives Who is ADOSH Heat & Statistics What is Heat Stress
Signs & Symptoms
First Aid
Training
Developing a Plan
Questions

3. 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

4. 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
Describe the workers most affected heat?
Most fatalities & non-fatal illnesses involved men.
Predominant ages affected: 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.

5. 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.

6. Types of Heat Stress
Heat Stroke
Heat Exhaustion
Heat Cramps
Heat Rash

7. Heat Stroke The most serious heat-related 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.

8. Symptoms of Heat Stroke
Hot, dry skin or profuse sweating
Hallucinations
Chills
Throbbing headache
High body temperature
Confusion/dizziness
Slurred speech

9. 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

10. 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

11. Symptoms of Heat Exhaustion
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

12. First Aid for Heat Exhaustion
Treat a worker suffering with heat exhaustion with the following:
Have employee rest in a cool, shaded or air-conditioned area
Drink plenty of water
Take a cool shower or bath

14. 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.

15. 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.

16. Who Is At Risk To Heat Illness???

17. 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

18. 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

19. Training & Planning in the event of a Heat Illness
Call 911
Move worker to cool, shaded area
Loosen or remove heavy clothing
Provide cool drinking water
Fan and mist the person with water

20. 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”

21. Develop a checklist…

22. ADOSH Example

23. 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)

24. Awareness examples cont’d.

25. Billboards in San Luis/Yuma Area

26. Sample Training Material

27. Sample Material cont’d…

28. Federal OSHA Website “Heat Illness Prevention Campaign”
“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

29. Additional Information
ADOSH has two offices
Phoenix – 800 W Washington St, Phoenix, AZ 85007
(602)
Tucson – 2675 E Broadway Blvd #239, Tucson, AZ 85716
(520)

30. Questions????
Thank you!!!!!