ADOSH HEAT STRESS AWARENESS

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ADOSH HEAT STRESS AWARENESS

• Presented by
• Jessie Atencio
• Assistant Director

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Objectives

• Who is ADOSH
• Heat Statistics
• What is Heat Stress
• Signs Symptoms
• First Aid
• Training
• Developing a Plan
• Questions

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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

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Statistics contd
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?
• 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.

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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.

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Types of Heat Stress

• Heat Stroke
• Heat Exhaustion
• Heat Cramps
• Heat Rash

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Heat Stroke

• The most serious heat-related disorder
• Occurs when body becomes unable to control its
  temperature the bodys 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.

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Symptoms of Heat Stroke

• Hot, dry skin or profuse sweating
• Hallucinations
• Chills
• Throbbing headache
• High body temperature
• Confusion/dizziness
• Slurred speech

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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

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Heat Exhaustion

• Heat exhaustion is the bodys 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

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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

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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

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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.

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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.

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Who Is At Risk To Heat Illness???
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Who Is At Risk To Heat Illness contd?

• 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

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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

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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

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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

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Develop a checklist

• http//www.99calor.org/_downloads/Employers_traini
  ng_Kit/daily_checklist_english.pdf

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ADOSH Example
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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 [phone]

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Awareness examples contd.
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Billboards in San Luis/Yuma Area
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Sample Training Material
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Sample Material contd
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Federal OSHA Website

• http//www.osha.gov/SLTC/heatillness/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

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Additional Information

• ADOSH has two offices
• Phoenix 800 W Washington St, Phoenix, AZ 85007
• [phone]
• Tucson 2675 E Broadway Blvd 239, Tucson, AZ
  85716
• [phone]
• atencio.jessie_at_dol.gov

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Questions????

• Thank you!!!!!