Rethinking Your Heat Illness Prevention Strategy

The amount of shade present shall be at least enough to accommodate the number of employees on recovery or rest periods so that they can sit in a normal posture fully in the shade without having to be in physical contact with each other.

Heat Illness Prevention in the agriculture industry was in the spotlight once again earlier this year. In February, the California Department of Industrial Relations’ Occupational Safety and Health Appeal Board (Cal/OSHA) issued a decision regarding the provision of water at outdoor worksites, affirming it must be as close as practicable to where employees are working to encourage frequent consumption.

This decision stemmed from a complaint-initiated safety inspection at a vineyard in Napa Valley in August 2018. Water was made available for the crews; however, Cal/OSHA inspectors found farmworkers had to cross through grape trellises to access water.

According to the inspectors, this did not meet the standard for being as close as practical. Cal/OSHA determined crossing through the trellises was an obstacle to the water and further discouraged the crews from drinking water. Cal/OSHA maintained the employer had other reasonable options available such as providing a jug of water in each row where the employees were working or providing individual water bottles that employees could carry with them and refill from the jugs. In this case, the employer was fined a penalty of $27,000.

This case provides all agricultural employers an important reminder to review their Heat Illness Prevention Plan to ensure it meets the regulatory requirements and protects your workforce. Every worksite is different; as such, make the necessary adjustments, provide training frequently to your employees and communicate often with your supervisors. This article will provide a refresher on what is required by Cal/OSHA and your responsibilities as an employer.

#1 Heat Illness Prevention Plan
A company must have a written Heat Illness Prevention Plan with the following elements, and include specific details as to how you will ensure that the provisions are met:

  • The designated person(s) that have the authority and responsibility for implementing the plan in the field.
  • Procedures for providing sufficient water.
  • Procedures for providing access to shade.
  • High-heat procedures.
  • Emergency response procedures—don’t forget your lone workers (e.g., irrigators).
  • Acclimatization methods and procedures.

When drafting your plan, it is important to consider the size of your crew, the length of the work day, the ambient temperatures and any additional personal protective equipment (PPE) that contributes as an additional source of heat. The plan needs to be in English and also the language understood by the majority of the employees. The plan must be located at the worksite and accessible to employees.

#2 Heat Illness Prevention Training
Employee training needs to be done before an employee begins a shift which could result in the risk of heat illness. Training should cover the following information:

The environmental and personal risk factors for heat illness as well as the added burden of heat load on the body caused by exertion, clothing and personal protective equipment.

The employer’s procedures for complying with the plan’s elements, including the employer’s responsibility to provide water, shade, cool-down rests and access to first aid as well as the employees’ right to exercise their rights.

The importance of frequent consumption of small quantities of water throughout the workday.

Training must include the different types of heat illness, the common signs and symptoms of heat illness and appropriate first aid and emergency responses to the different types of heat illness (all photos courtesy AgSafe.)

The concept, importance and methods of acclimatization.

The different types of heat illness, the common signs and symptoms, and appropriate first aid and emergency responses to the different types of heat illness. In addition, that heat illness may progress quickly from mild symptoms to serious and life-threatening illness.

The importance to employees of immediately reporting to the employer, directly or through the employee’s supervisor, signs or symptoms of heat illness experienced by themselves or their co-workers.

The employer’s procedures for responding to signs or symptoms of possible heat illness, including how emergency medical services will be provided should they become necessary.

The employer’s procedures for contacting emergency medical services, and when necessary transporting employees to a point where they can be reached by an emergency medical service provider.

The employer’s procedures for ensuring that, in the event of an emergency, clear and precise directions to the work site can and will be provided as needed to emergency responders. These procedures shall include designating a person to be available to ensure that emergency procedures are initiated when appropriate.

Supervisor training needs to be completed prior to supervising employees and include the following topics:

  • All of the topics covered during employee training.
  • The procedures the supervisor is to follow to implement the heat illness prevention plan procedures.
  • The protocol a supervisor is to follow when an employee exhibits signs or reports symptoms consistent with possible heat illness, including emergency response procedures.
  • How to monitor weather reports and how to respond to hot weather advisories.

#3 Adequate Shade and Water
Shade
Adequate shade means blockage of direct sunlight. One indicator that blockage is sufficient is when objects do not cast a shadow in the area of blocked sunlight. Shade is not adequate when heat in the area of shade defeats the purpose of shade, which is to allow the body to cool. For example, a car sitting in the sun does not provide acceptable shade to a person inside it, unless the car is running with air conditioning. Shade may be provided by any natural or artificial means that do not expose employees to unsafe or unhealthy conditions and that do not deter or discourage access or use.

Shade needs to available when the temperature exceeds 80 degrees F. How do you know when temperatures hit 80 degrees F? Cal/OSHA urges employers to not rely on your cell phone because it does not reflect the site-specific temperatures. The best practice is to invest in and use an outdoor thermometer daily.

The amount of shade present shall be at least enough to accommodate the number of employees on recovery or rest periods so that they can sit in a normal posture fully in the shade without having to be in physical contact with each other. The shade shall be located as close as practicable to the areas where employees are working. Shade also needs to be available even when the temperature does not exceed 80 degrees F, upon employee request.

Water
Employees shall have access to potable drinking water. It must be fresh, pure, suitably cool and provided to employees free of charge. The water shall be located as close as practicable to the areas where employees are working. Where drinking water is not plumbed or otherwise continuously supplied, it shall be provided in a sufficient quantity at the beginning of the work shift to provide one quart per employee per hour for drinking for the entire shift. Employers may begin the shift with smaller quantities of water if they have effective procedures for replenishment during the shift as needed to allow employees to drink one quart or more per hour.

Keep in mind the recent OSHA Appeals Board ruling and consider options to get water as close to employees as possible. Factor in keeping the water cool and your team’s plan for replenishment. Ensure your supervisors and crew leads regularly encourage employees to stop for water breaks.

AgSafe is a 501c3 nonprofit providing training, education, outreach and tools in the areas of worker safety, human resources, labor relations, pesticide safety and food safety issues for the food and farming industries.