Monday, July 25, 2011

Heat-Related Disorders

   I was hoping that in the couple of weeks since the last blog, that the weather would have cooled off, and heat stress would no longer be a relevant topic. That did not occur, and I didn’t seriously expect it to. We will, then, take a closer look at some of the specific ways that heat can affect employees on the job. Heat effects can range from fairly minor to life-threatening, and prevention of all of them is preferable to treating them. Recognizing that hazards exist in the workplace is the first step, and understanding a little more about the more dangerous conditions will help to identify the hazards.
   The effect most of us are the most familiar with is probably sunburn. Sunburn is mainly caused by ultraviolet radiation which is most intense between 10:00 AM and 4:00 PM. Workers who must be exposed to the sun during these hours should be encouraged to wear loose-fitting, but long-sleeved shirts and long pants to minimize the amount of bare skin exposed. Wide-brimmed hats will help reduce exposure to the face and ears. Topical sunscreens may also be used, although OSHA does not require the employer to furnish them {29 CFR 1910.132(h)(4)(iii)}.  Most sunburns are fairly minor in nature, and may be treated with topical anesthetics, but more severe examples are possible, with blistering, and the subsequent risk of infection possible. Ultraviolet radiation is also strongly linked with chronic conditions such as skin cancer, cataracts, and macular degeneration, so do not ignore the hazards.
   Heat exhaustion occurs when the body’s cooling mechanisms begin to fail to cope with heat being generated and heat being absorbed. It can develop over a period of several days of working in hot environments without sufficient hydration, electrolyte replenishment, and rest. In high heat, it can also develop more rapidly. Symptoms of heart exhaustion include fatigue, heavy sweating, muscle cramps, dizziness, and fainting. Treatment should include moving an affected employee to a cool environment, giving cool beverages (no alcohol, and preferably no caffeine) and encouraging effective rest cycles. If heat exhaustion is not treated, it can become more severe and lead to heat stroke, so take the warning signs seriously.
   Heat stroke occurs when cooling mechanisms break down, and fail to regulate body temperature. The body’s core temperature begins to rise, and in extreme cases, may reach 106 degrees within ten to fifteen minutes. Heat stroke is life-threatening, and should be treated as a medical emergency (as in, call 911!) Death or permanent disability is possible. Symptoms of heat stroke may include hot, dry skin, with no sweating, severe headache, dizziness, and unconsciousness. While emergency responders are being summoned, try to cool the victim as quickly as possible. Spraying with water, immersing in a pool, or sponging water over the victim will all help. Do not try to give liquids to a victim of heat stroke.
   Heat-related disorders can be prevented in the workplace through the use of hazard recognition followed by effective employee training. Of course, follow-up is important to ensure that policies and procedures are being followed, and that they effectively control the hazard. Working in the heat is a requirement for many workers, but it can be done efficiently, and without undue risk, if handled responsibly.

-Jason

Monday, July 11, 2011

Heat Stress Prevention

   With the forecast calling for another in a long line of over-100 degree days, and while listening to my air conditioner warm up for its daily struggle, I thought I would share a few thoughts on heat stress.
   Heat stress, of varying severity, occurs when the body becomes unable to effectively maintain its temperature, approximately 98.6 degrees Fahrenheit.  Every person will react differently to working in the heat, and a wide variety of causal factors can come into play. A person’s age, general health, nutrition, and degree of acclimatization will make a difference, as will medications, smoking, and alcohol use. It is important to train employees to recognize the signs, symptoms, and treatment of heat-related disorders, so they will be better equipped to recognize them in themselves and co-workers.
   The body will react to heat by dilating blood vessels in order to move more blood to the skin, carrying heat away from the body. You cannot move cold in; you can only take heat away. Sweating is a mechanism that is also triggered in order to take advantage of the evaporation process in carrying away heat. If this process works correctly, the body temperature will remain stable. If the process cannot keep up with the amount of heat being generated or absorbed, the body will experience heat stress.
   The best way to manage heat stress is through prevention, and one of the best methods is to ensure proper hydration. Maintaining the fluid level in the body is crucial to the process of heat removal. If there is not enough blood to move heat to the skin surface, then the mechanism will break down, so maintaining fluid levels is critical. Thirst should not be relied upon in hot weather to judge water needs. Instead, employees should drink water regularly throughout the workday, every ten to twenty minutes. OSHA standards require that employers provide an adequate supply of drinking water in the workplace. If portable containers are used, then they must be clearly labeled, with a tight-fitting lid, equipped with a spigot, and used for no other purpose. In other words, employees may not keep their lunches, soft-drinks, whatever, inside the water container. OSHA also prohibits shared or common drinking cups. If disposable cups are used, then there must be a place to throw them away near the water cooler.
   Sports drinks (that have copyrighted names I won’t use here) may also be provided to employees, but the standard only requires water. In all cases, employees should be discouraged from drinking excessive quantities of caffeinated beverages. Soft drinks, coffee, tea, and energy drinks are diuretics, and may actually contribute to dehydration.  Excessive alcohol use off-duty (and, on-duty, too, I suppose!) will also make it difficult for employees to stay hydrated on the job. If the body starts out depleted at the beginning of the day, then it is already struggling against a deficit, and will have a much harder time maintaining fluid levels.
   As employees work in hot conditions, they will begin to acclimatize, and their bodies will become more efficient at maintaining their core temperatures. Encouraging proper rest breaks, good hydration, and effective recovery off-duty will help to ensure that heat-related illnesses will be kept to a minimum. If you are not sure about your exposure, or the best prevention methods available to you, numerous resources exist to get the answers you need. The OSHA website has good information, and you can always contact a specialist in your area. Next time, we will look at the various forms of heat stress, and their treatment.

Jason

Tuesday, July 5, 2011

Permit-Required Confined Space Personnel

   Last time, we took a look at confined spaces, and I wanted to explore it a little further in this post.
   Once the employer has determined that a space meets all the requirements in the OSHA standard for Permit-Required Confined Spaces, a few roles have to be filled if employees intend to enter the space. The Permit itself will also contain the names of the relevant employees. Training must be provided to designated employees prior to the entry.
   The first designated employee will be the Entrant. Entrants are the employees that will perform whatever task is required in the confined space. The authorized entrants are the only employees that may enter the confined space during normal (non-rescue) operations. They should be aware of the relevant hazards to the confined space, as well as the task they intend to perform. They must also stay in contact with the Attendant while they perform their tasks in the confined space. Communication methods will vary, depending on the exact nature of the space, but the main requirement is that the attendant must be able to effectively communicate emergency information back and forth with the entrants.
   Next on the list is the Attendant. The attendant is an employee stationed outside a permit-required confined space to convey information to and from the entrants. The attendant must also be aware of the exact nature of the hazards that may be present in the confined space.  The attendant may not perform any task that interferes with his primary role as the attendant, but may perform ancillary tasks such as air-monitoring or passing tools back and forth to the entrants. The attendant has the main authority to evacuate the confined space if a threat is detected, so, again, effective communication is paramount. The attendant will also be in the best position to summon emergency help if it becomes necessary. The attendant must not enter the confined space for any reason, and may not leave the space unless properly relieved by another attendant.
   The last role that must be designated by the employer is that of the Entry Supervisor. The entry supervisor is the person responsible for coordinating the entry. This is the employee that will make sure that the permit is properly filled-out, that attendant and entrants are designated, and assume responsibility for ensuring that procedures related to the entry are followed. The entry supervisor’s duties are mostly administrative in nature, and this employee may not be physically on the jobsite where the entry occurs. The attendant and the entry supervisor might even be designated as the same person. The entry supervisor, like the attendant may not enter the confined space, although either may perform non-entry rescue.
   Through effective hazard recognition and reduction techniques, entry into permit-required confined spaces may be made safely and efficiently. Training and detailed programs and procedures are also required both for regulatory compliance, and employee safety. Employers who demonstrate dedication to these practices benefit from reduced injuries and related costs.

-Jason