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Eye on Safety

Eye on Safety: OSHA's heat hazard emphasis program

What you need to know.

By Taylor Kenney
SHT-0823-Eye-Feat-Slide1-1170x658.jpg

coffeekai / iStock / Getty Images Plus via Getty Images

August 7, 2023

The Occupational Safety and Health Administration (OSHA) has always been at the forefront of ensuring the health and safety of workers across various industries. In its continuous efforts to protect employees from heat-related hazards, OSHA has recently launched the Heat Hazard Emphasis Program. This program aims to enhance the focus on heat-related illnesses and injuries in workplaces, both indoors and outdoors.

The new Heat Hazard Emphasis Program from OSHA underscores the significance of heat-related illnesses and injuries in workplaces. Extreme heat can pose severe health risks, ranging from heat exhaustion and heat stroke to other heat-related illnesses. It is particularly crucial for industries such as construction, agriculture, manufacturing, maritime and others with outdoor work settings to prioritize heat safety measures.

OSHA's Heat Injury and Illness Prevention in Outdoor and Indoor Work Settings is an initiative aimed at establishing comprehensive standards and guidelines to prevent heat-related illnesses and injuries in the workplace. The program focuses on both outdoor and indoor work settings, recognizing that excessive heat can pose risks in various industries and environments.

The program was established with the goal of enhancing awareness, prevention, and enforcement efforts related to heat exposure. Several factors contributed to the development of this program:

  1. Worker Safety: OSHA's primary objective is to ensure the health and safety of workers. Heat-related illnesses can have serious consequences, ranging from heat exhaustion and heat stroke to fatalities. By developing the Heat Hazard Emphasis Program, OSHA aims to prioritize worker safety and reduce the incidence of heat-related injuries and illnesses.
  2. Increasing Frequency and Intensity of Heat Waves: Climate change has led to more frequent and intense heat waves in many parts of the world. These extreme heat conditions pose additional risks to workers, especially those in outdoor industries such as construction, agriculture, and utilities. OSHA recognized the need to address this emerging challenge and develop specific guidelines to protect workers from heat-related hazards.
  3. Lack of Comprehensive Standards: Before the Heat Hazard Emphasis Program, there was no specific federal standard dedicated to heat illness prevention. OSHA sought to fill this gap by creating a comprehensive program that provides employers with clear guidelines on mitigating heat-related risks and ensuring worker safety.
  4. Stakeholder Engagement: OSHA values stakeholder engagement and collaboration. The development of the Heat Hazard Emphasis Program involved public meetings where employers, workers, safety professionals, and other interested parties could contribute their insights, experiences, and recommendations. This inclusive approach ensured that the program addressed the diverse needs and perspectives of those affected by heat exposure. OSHA conducted public meetings last year to advance the Notice of Proposed Rulemaking for "Heat Injury and Illness Prevention in Outdoor and Indoor Work Settings."

    These meetings provided a platform for employers, workers, safety professionals, and other interested parties to voice their opinions, share experiences, and contribute to the development of comprehensive heat injury prevention standards.
  5. Prevention and Enforcement: The program emphasizes proactive prevention measures and enforcement actions. By prioritizing heat illness prevention programs and raising awareness, OSHA aims to encourage employers to implement comprehensive measures to protect workers from heat-related hazards. Enforcement actions can be taken if employers fail to meet their responsibilities in ensuring worker safety.

ADDRESSING EMPLOYER RESPONSIBILITIES

To ensure the safety and well-being of workers, OSHA emphasizes the crucial role of employers in implementing effective heat illness prevention programs. Employers must take proactive measures to identify and mitigate heat-related hazards. OSHA's website (https://www.osha.gov/heat/employer-responsibility) details the following key responsibilities for employers:

  1. Developing a Heat Illness Prevention Plan: Employers should establish a comprehensive plan that outlines strategies to prevent heat-related illnesses and injuries. This plan should include provisions for monitoring weather conditions, acclimatizing workers to hot environments, providing adequate rest breaks, and implementing hydration programs.
  2. Training and Education: Employers must ensure that workers are trained on recognizing the signs and symptoms of heat-related illnesses and understand preventive measures. Regular training sessions should be conducted, covering topics such as proper hydration, recognizing early signs of heat stress, and emergency response protocols.
  3. Providing Adequate Water and Rest Breaks: Employers should ensure that workers have access to potable water and encourage them to drink water frequently. Additionally, regular rest breaks should be scheduled in shaded or cool areas to allow workers to recover from heat exposure.
  4. Modifying Work Practices: Employers should consider implementing engineering controls, such as providing ventilation or shade structures, to reduce the heat stress on workers. Additionally, adjusting work schedules to avoid peak heat hours can significantly minimize the risk of heat-related illnesses.
  5. Monitoring and Surveillance: Employers should establish a system to monitor workers' physical conditions, especially during hot weather conditions. Regular checks should be conducted to identify any signs of heat-related illness and provide prompt medical attention when necessary.

Prevention is key in avoiding these heat-related injuries. Employers should implement preventive measures such as providing adequate rest breaks, promoting hydration, allowing acclimatization to hot environments, and implementing engineering controls like shade structures or ventilation. Training programs should educate workers on recognizing the signs and symptoms of heat-related illnesses and the importance of early intervention. Employers should also have emergency response protocols in place to address heat-related emergencies promptly.


Employers should implement preventive measures such as providing adequate rest breaks, promoting hydration, allowing acclimatization to hot environments, and implementing engineering controls like shade structures or ventilation.


OSHA's Heat Hazard Emphasis Program represents a significant step forward in prioritizing worker safety and addressing the risks associated with heat-related illnesses and injuries. By developing comprehensive standards, conducting public meetings, and emphasizing employer responsibilities, OSHA aims to raise awareness, prevent heat-related hazards, and enforce regulations to protect workers. Through collaboration, stakeholder engagement, and the dissemination of information, OSHA strives to create safer work environments and reduce the incidence of heat-related illnesses and injuries across various industries. Employers and workers must work together to implement these guidelines and prioritize worker well-being in the face of heat exposure. By doing so, we can ensure safer and healthier workplaces for everyone.

COMMON HEAT-RELATED ILLNESSES:

  • Heat Rash: Look for clusters of red bumps or blisters on the skin, often accompanied by itching and discomfort.
  • Heat Cramps: Watch for muscle spasms, usually in the arms, legs, or abdomen, accompanied by pain and tightness.
  • Heat Exhaustion: Be alert for signs such as heavy sweating, weakness, dizziness, nausea, headache, rapid heartbeat, and pale or clammy skin.
  • Heat Syncope: Look for symptoms of fainting or lightheadedness, particularly after standing for extended periods in a hot environment.
  • Heat Stroke: This is a medical emergency. Signs include high body temperature (above 104°F or 40°C), confusion, agitation, seizures, rapid breathing, and a rapid heartbeat.

IMMEDIATE RESPONSE ACTIONS FOR HEAT-RELATED ILLNESS:

  • Move the affected worker to a cool, shaded area or an air-conditioned space;
  • Provide cool water for them to drink and encourage them to sip it slowly;
  • If conscious and able to swallow, offer oral rehydration solutions or electrolyte beverages;
  • Loosen or remove tight clothing to aid in cooling the body;
  • Apply cool damp cloths or ice packs to areas with high blood vessel concentration (neck, armpits, groin) to help lower body temperature;
  • Use fans or create airflow to facilitate evaporative cooling; and
  • Monitor the worker's vital signs, such as pulse and breathing rate, while awaiting medical assistance.

For severe cases of heat stroke or if the worker's condition does not improve, call emergency medical services immediately. Provide the medical responders with accurate information about the worker's symptoms and the measures taken to cool them down.

Document and report the incident.Maintain a record of the heat-related injury, including details of the worker, symptoms observed, actions taken, and any medical assistance provided. Report the incident to your company's safety personnel or relevant authorities as per your internal reporting procedures.

After the fact, investigate the circumstances leading to the heat-related injury and identify any underlying factors that contributed to it. Evaluate your existing heat illness prevention program and ensure it is comprehensive, adequately implemented, and up to date. When warranted, consider modifications to work practices, schedules, or engineering controls to reduce heat exposure risks. It’s also recommended to conduct additional training and education for workers on heat-related illness recognition, prevention, and response.

For more comprehensive information on heat-related illnesses, please visit https://www.osha.gov/heat.

Quick Resources:

Heat Hazard Emphasis Program Overview: https://www.osha.gov/heat-exposure

Heat Hazard Employer Responsibilities: https://www.osha.gov/heat/employer-responsibility

OSHA’s Heat Exposure Calculator: https://www.osha.gov/heat-exposure/calculator

KEYWORDS: OSHA PHCP-PVF safety warehouse safety

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Taylor Kenney is the VP of education and training ASA.

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