Dallas 2020 Construction Monthly

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Working in Outdoor and Indoor Heat Environments Millions of U.S. workers are exposed to heat in their workplaces. Although illness from exposure to heat is preventable, every year, thousands become sick from occupational heat exposure, and some cases are fatal. Most outdoor fatalities, 50% to 70%, occur in the first few days of working in warm or hot environments because the body needs to build a tolerance to the heat gradually over time. The process of building tolerance is called heat acclimatization. Lack of acclimatization represents a major risk factor for fatal outcomes. Occupational risk factors for heat illness include heavy physical activity, warm or hot environmental conditions, lack of acclimatization, and wearing clothing that holds in body heat. Hazardous heat exposure can occur indoors or outdoors, and can occur during any season if the conditions are right, not only during heat waves. In a warm environment, especially when physically active, the human body relies on its ability to get rid of excess heat (i.e., heat dissipation) to maintain a healthy internal body temperature. Heat dissipation happens naturally through sweating and increased blood flow to the skin. Workers cool down 34 CONSTRUCTIONMONTHLY.COM more rapidly if the external (environmental) heat and physical activity (metabolic heat) are reduced. If heat dissipation does not happen quickly enough, the internal body temperature keeps rising and the worker may experience symptoms that include thirst, irritability, a rash, cramping, heat exhaustion, or heat stroke. Heat stroke is the most severe heat-related illness. Workers suffering from heat stroke experience mental dysfunction such as unconsciousness, confusion, disorientation, or slurred speech. Cool these workers immediately and call 911! Heat-related illness is preventable, especially with management commitment to providing the most effective controls. An effective heat-related illness prevention program is incorporated in a broader safety and health program and aligns with OSHA’s Recommended Practices for Safety and Health Programs core elements. Workers who have not spent time recently in warm or hot environments and/or being physically active will need time to build tolerance (acclimatize or, less frequently used, acclimate) to the heat. During their
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Dallas 2020 Construction Monthly

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