Heat Stress Management Plan Rev - 1

Contractor: JO/EWO
CONSTRUCTION & ROADS SERVICES EST.

PROJECT: ACCESS ROAD TO SOUTH GHAWAR SG (ROAD 1)
10-14331-6601000009
DOCUMENT TITLE: REV. 01
HEAT STRESS PLAN (HSP)
DOCUMENT NO.: CRSE-SGP-HSE HSP-01 DATE OF ISSUE: July 26, 2021
Table of Contents
1.0 INTRODUCTION & SCOPE............................................................................................................ 4
1.1 SCOPE .................................................................................................................................... 5
1.2 Location of Project ................................................................................................................ 5
1.3 References............................................................................................................................. 6
2.0 RESPONSIBILITY .......................................................................................................................... 6
2.1 Project Manger ....................................................................................................................... 6
2.2 Safety Supervisor .................................................................................................................... 6
2.3 Construction Manager ............................................................................................................ 6
2.4 Site Safety Officers .................................................................................................................. 6
2.5 Engineers and Supervisor ........................................................................................................ 6
2.6 First Aiders ............................................................................................................................. 7
2.7 Foreman ................................................................................................................................. 7
2.8 Employees. ............................................................................................................................. 7
3.0 COMMON HAZARDS OF HEAT STRESS .......................................................................................... 7
4.0 NEW EMPLOYEES ........................................................................................................................ 8
5.0 CURRENT EMPLOYEES ................................................................................................................. 9
6.0 APPARENT TEMPERATURES ......................................................................................................... 9
6.1 Emergency Response Protocol.............................................................................................. 9
7.0 FLUID INTAKE............................................................................................................................ 10
8.0 TYPES OF HEAT RELATED ILLNESSES ........................................................................................... 11
8.1 HEAT CRAMPS....................................................................................................................... 11
8.2 HEAT RASH ........................................................................................................................... 12
8.3 Heat Exhaustion .................................................................................................................... 12
8.4 HEAT STROKE ........................................................................................................................ 14
9.0 PROACTIVE MEASURES AGAINST HEAT STRESS .......................................................................... 15
9.1 Acclimatization .................................................................................................................. 15
9.2 Scheduling .......................................................................................................................... 16
9.3 Work/Rest Rotations ........................................................................................................ 17
9.4 Rest Areas .......................................................................................................................... 18
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9.5 Personal Monitoring and Buddy System ........................................................................ 16

9.6 Special Considerations during Ramadan ........................................................................ 17
9.7 General Preventative Measures ...................................................................................... 17
9.8 Continuous Weather Monitoring .................................................................................... 18
9.9 Provision of Electrolytes to balance the loss of salt from body ................................... 19
10.0 Heat Stress Category ................................................................................................................. 19
10.1 heat stress cation plan category notification plan .............................................................. 20
10.2 Heat Stress Flagging System................................................................................................ 20
10.3 Provision of Water .............................................................................................................. 21
10.4 Access to Shade................................................................................................................... 21
11.0 Personal Protective Controls ..................................................................................................... 21
11.1 Clothing .............................................................................................................................. 21
11.2 Wetted Clothing/Towels .................................................................................................. 21
11.3 Training............................................................................................................................... 22
11.4 First Aid Training ............................................................................................................... 22
11.5 First Aid Treatment Log .................................................................................................... 22
12.0 Heat Stress Index Log ................................................................................................................ 23
13.0 Weekly Heat Stress Prevention .................................................................................................. 25
14.0 Daily Heat Stress Inspection Checklist ........................................................................................ 26
15.0 HEAT STRESS RISK ASSESSMENT ................................................................................................ 26
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1.0 INTRODUCTION & SCOPE
Due to severe summer condition of Saudi Arabia heat stress presents a significant risk to the workers
in the construction i n d u s t r y e s p e c i a l l y those working under direct s un . Heat stress depends on
the work place conditions a n d the physical activities being undertaken b y the work ers . High
temperature, high thermal radiation, high humidity, low air movement, high activity levels in the work
place and the need to wear personal protective clothing, all combine to elevate the body
temperature, resulting in heat related illness. In Haradh region of Saudi Arabia the summer is very hot
and humid, with highs around 39/49 ·cbetween June and August.
The monthly relative humidity ranges from 34% to 55%. To prevent the illness and suffering from the
effects of heat stress to the workers at the "Access Road to South Ghawar GSP (Road 1), this heat stress
plan has been developed under the guidelines of Saudi Aramco CSM Section 13.
Since the heat-related illnesses are preventable, but in the context of infection spread prevention
approach should also be adapted. In this regards coordination and preparedness are needed. The hot
weather conditions may complicate infection s pre a d prevention r e s p o n s e s by creating
occupational health risks for emergency response team and responders. It may amply the risks of hot
weather for aged worker and those with pre-existing medical conditions.
Heat stress is a serious health threat. Extreme heat is a leading cause of weather-related death; can
worsen underlying conditions including cardiovascular disease, diabetes, psychological distress, and
asthma; and increases the risk of accidents and some infectious diseases. HEAT STRESS is usually the
result of work being performed a t elevated temperatures. Contributory factors may also include a
decrease of natural body ventilation by protective clothing e.g. chemical & impervious suits. As well
as the insufficient consumption of water.
Exposure to extreme heat has wide-ranging physiological and psychological impacts, with extreme
exposures resulting in a cascade of heat illnesses, including increased body temperature
(hyperthermia), heat exhaustion and heat stroke, organ damage and adverse pregnancy outcomes.
Heat gain in the human body is caused by a combination of external heat from the environment and
internal body heat generated by physical activity. If the body's physiological processes fail to maintain
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a normal body temperature because of excessive heat, a number of physical reactions can occur
ranging from mild (such as fatigue, irritability, anxiety, and decreased concentration,dexterity,or
movement) to fatal. Because heat stress is one of the most common and potentially serious illnesses
that construction workers encounter, in areas where high temperatures are normally encountered,
regular monitoring and other preventative measure are vital
1.1 SCOPE
This procedure applies to all personnel, including subcontractors and visitors to the project at all work
locations (i.e all work sites, site offices, fabrication shop etc.)
1.2 Location of Project

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1.3 References
• CSM, volume II, chapter 13

• CSSP, Sec 11.7 Heat stress management program
• OSHA Technical manual TED 01-00-015 sec 111: chap 4
2.0 RESPONSIBILITY
2.1 Project Manger

The Project Manager oversees the overall heat stress management program. The Project Manager supports the
implementation of the heat stress management plan and activities. The Project Manager shall participate in the
review and updates to the heat stress management program. Project Manager is also responsible for ensuring
the implementation of the Saudi Arabian Summer months long break (i.e 3 hrs.).
He shall ensure all the resources required for the implementation shall be available in time.
2.2 Safety Supervisor

The Safety Supervisor shall advise the site safety officers, supervisors and workers on the requirements of the
heat stress management program. He is responsible to inform the construction manager on work/rest
schedules. He shall also ensure sufficient water and low sugar electrolyte replacement are available. He will also
advise the supervisor on acclimatization and heat stress training of the workers
2.3 Construction Manager

It is the responsibility of Construction Manager to ensure that personnel under their control have awareness in
recognizing and understand the treatment for the various forms of heat stress, and that supervision are actively
monitoring the work force for signs and symptoms of heat stress. He shall also ensure the engineers and
supervisor schedule the work so that it is not affecting the condition of workers.
2.4 Site Safety Officers

The Site Safety officers are responsible to ensure that the supervisors and employees are adequately trained in
recognizing heat stress. During summer months the Safety Officer will provide a daily safety message on heat
related illnesses that have occurred on site as well as the preventative measures that will be taken going forward
at the site, based on the learning from the investigations of heat-related incidents. Report all heat related
incidents to site manager.
2.5 Engineers and Supervisor

The supervisor is responsible for ensuring that personnel are assigned a "buddy" on a daily basis. Monitor the
buddy system throughout the day to ensure that it is being strictly adhered to throughout the day. In the
condition of caution or danger category shall restrict the work only in the safe areas (i.e work at height, or under
direct sun shall not be carried out).
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2.6 First Aiders

The first aiders are responsible for observing the health status of workers during work and identify workers at
risk due to poor health, and counsel accordingly. The also responsible for responding the cases of heat stress
when presented and report to site safety officer.
2.7 Foreman
Typically knows their employee’s work-related capabilities and limitations and is paramount that they regularly
monitor the condition of workers assigned to them. They should pay particular attention to the employee’s task,
environment and clothing, as well as any engineering and administrative controls, and personal protective
equipment in use.
2.8 Employees.
Each person tolerates heat differently. Since no empirical measure can determine when an individual begins to
sense heat stress, the primary responsibility for heat stress monitoring rests with the employee. To assist him in
determining his condition he must be appropriately trained to recognize his own condition.
3.0 COMMON HAZARDS OF HEAT STRESS
Human body operates in a narrow temperature range.

When the environment is too cold or too hot the body will cease to function properly if steps to control
the exposure are not taken.
Extremes in body temperature elevation can be life threatening.
There are many factors that affect body temperature.
Some of these that can cause elevated body temperature are listed below.
• Lack of proper fluid replacement.

• Electrolyte imbalance
• Extreme air temperature
• Lack of air movement- oven effect.
• Reflected heat or sunrays
• Being in the direct sun (can raise temperature by as much as 15 degrees)
• Convection of heat through walls or steel.
• Prolonged or strenuous activities
• High humidity
• Medications, diet, excess salt intake
• Physical fitness (lack of weight, acclimatization)
• Excessive or layered clothing.
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4.0 NEW EMPLOYEES
The first step in managing heat stress is to determine of the new employee is used to working in
the heat.
A person who is not used to working in high heat conditions cannot be expected to perform, as
an acclimatized employee would be able to perform.
The new employee must be introduced to the new environment carefully.
The tasks assigned must take into account the persons abilities, strength and acclimatization.
Prolonged strenuous activity or exposure to extreme heat must be limited by rotating employees
until all are accustomed to the new environment.
A normal acclimatization process takes about 2 weeks to complete before the employee is
comfortable working in high heat environments.
The supervisor ( Contractor a n d subcontractor) is the es s ential person to p r o v i d e a n acceptable
acclimatization period with appropriate tasks to ensure the safety of the new employee.
Several factors will give a supervisor clue as to whether a new employee will acclimatize quickly or
not.
• Physical Fitness - A fit person will generally have a higher heat tolerance and acclimatize
sooner.
• Previous Experience - Someone who has worked in a high heat environment either will be
acclimatized or will have a better knowledge of how to acclimatize himself.
• Fluid Intake/Breaks- A person who works steady with regular breaks will acclimatize quicker than
someone who will take sporadic and more frequent breaks.
• Attitude - A new employee who is eager and not worried a b o u t working i n the heat will
acclimatize more quickly than someone who is anxious when working in hot environments will. Care
must be taken with the eager employee because he may push himself too much and too quickly.
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5.0 CURRENT EMPLOYEES
This group is generally more susceptible to heat stress than some of the new employees.
These employees are already acclimatized and feel that they are able to "handle the heat" or they are
introduced to the heat for the first time of the season, and feel that they are fine when, in fact, they are
not.
Most feel that they can do more than they really are able to do or are trying to complete a task before taking
their break.
Sometimes the experienced employee is trying to show the new employee "how to do it" and is cough doing
more than he should.
Awareness and education is the tool to keep the current employee out of trouble.
6.0 APPARENT TEMPERATURES
The apparent temperature is the combined index of heat and humidity or what it really feels like to
the body.
Using the apparent temperature as a guide, prevention measures are enacted when specified
apparent temperatures are reached.
Three stages are used to determine what action is to be taken.

Listed below is a matrix of recommended actions to be taken when specific apparent temperatures
are reached
6.1 Emergency Response Protocol

Any worker experiencing signs and symptoms of Heat related stresses shall be given proper rest periods and
fluid replenishment enough to cool down and regain strength, and shall not deemed required to go back to
work until condition becomes stable.
The role of site first aiders and communication with ERT plays an important part of preventing heat stroke and
is essential to ensure that proper first aid treatment is be given to every worker experiencing heat related signs
and symptoms. Where and when a sudden, unexpected heat stroke case, the involved person shall be given
cool down measures and communications to ERT shall be established immediately while first aid
treatment is being rendered by site first aider.
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Site supervisor can utilize service vehicle to bring the person or the ERT via ambulance to site clinic for further
workups and/or transfer to the nearest affiliated hospital upon the discretion of a Medical Doctor.
First Aiders shall take note that a person who turns unconscious due to heat stress shall not be given any oral
intake (food or water) as cool down measure to prevent aspiration or stuck of fluid or object in the airway.
7.0 FLUID INTAKE

High apparent temperatures can cause the body to lose large amounts of fluid through sweating.
This fluid loss must be replaced to maintain normal bodily functions.
The chart below shows the effect of fluid loss in terms of weight
You can see that there is a noticeable change when fluid loss occurs.
As the temperature increases, the fluid intake should increase accordingly.
Electrolyte solutions are beneficial in the fight against heat stress.
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Water is the essential ingredient and the worker should never drink more electrolytes than water. A good
rule of thumb is to drink 2-3 glasses of water to one glass of electrolyte solution.
Do not wait until the temperature gets high to begin replacing fluids.
Begin drinking water early in the day to establish a "store" of extra fluids for use when the heat rises. This
will help to prevent attempts to "catch up" by drinking large amounts of water when it gets really
hot. Trying to catch up does not work.
You must replace the fluids in a fashion, which keeps the fluid intake slightly ahead of the fluid loss.
Drinking large amounts of fluids in an attempt to catch up can cause stomach cramps, which will
cause
The person to vomit most of the time.
Strongly encourage short, frequent water breaks in anticipation of high heat workdays.
8.0 TYPES OF HEAT RELATED ILLNESSES
8.1 HEAT CRAMPS
Although heat cramps are not dangerous, they are an early warning sign for heat exhaustion
and that the body's ability to cope with heat is being exceeded.
Causes:
• Occurs when the body loses too much salt through sweating.
• Attributed to an electrolyte imbalance caused by sweating.
Symptoms:
• Painful cramping of the muscles (e.g., arms, legs or stomach).
Hot, moist skin.
• Slightly elevated body temperature.
Treatment:
• Stop all activity.
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• Rest in a cool, shaded area (e.g., designated break/recovery area).

• Loosen clothing
• Drink water.
• If symptoms persist seek medical aid.
Another early indication that heats stress conditions may be present is the appearance of heat
rash, which is an itchy rash that occurs when the skin becomes swollen and plugs the sweat
glands. This is not a life- threatening condition.
8.2 HEAT RASH
Heat rash is caused by continuous exposure to heat and humid air and aggravated by chafing clothes.
Causes:
Heat r a s h develops when some of your sweat ducts clog. Instead of evaporating, perspiration
gets trapped beneath the skin, causing inflammation and rash
Symptoms:
Mild red rash especially in areas of the body in contract with protective gear.
Treatment:
Bathe or shower in cool water with nondrying soap, then let your skin air-dry instead of toweling
off.
8.3 Heat Exhaustion
Heat exhaustion is the body's response to an excessive loss of water and salt by sweating. Heat
exhaustion poses a higher risk to older employees and those with coronary artery disease or
emphysema (a lung condition causing breathing impairment).
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causes:
▪ Occurs when the fluids and/or salt lost in sweating are not replaced.
▪ Enlarged surface blood vessels.
Symptoms:
▪ Heavy sweating.
▪ Intense thirst and cool, moist skin.
▪ Weakness and dizziness.
▪ Headache and blurred vision.
▪ Nausea and vomiting.
▪ Pale or flushed appearance.
▪ Mood changes such as irritability or confusion.
▪ Rapid pulse.
▪ Fainting.
Treatment:
• Move the victim to a cool, shaded area (e.g., designated break/recovery area).
• Call for medical help.
• Loosen the victim's clothing.
• Remove unnecessary clothing.
• Shower or sponge the victim's skin with cool water.
• Have the victim drink water or sport drinks that have electrolytes (e.g. Gatorade). Notes
a. Heat exhaustion can rapidly progress to heat stroke if not properly treated. People
suffering from heat exhaustion must not be expected to take care of themselves because
they may lack coordination and become confused. Heat exhaustion requires fast response
to prevent worsening heat stress problems.
b. Remember that sweating only cools the body if the sweat evaporates. If it cannot
evaporate, it cannot cool. Thus, even under moderate or cool working conditions, it is
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possible to suffer heat stress if you are inside protective clothing that interferes with your
body's cooling or working in high-humidity condition.
8.4 HEAT STROKE
Heat stroke is a medical emergency and death or permanent tissue damage may occur if
treatment is not given promptly. Collapse is often misinterpreted as a heart attack or head
injury.
Causes:
• Occurs when the body no longer sweats and holds so much heat such that the body's
system of temperature regulation fails and body temperature reaches dangerous
levels.
• Body depleted of salt and water.
Symptoms:
• Dry, hot skin with no sweating.
• High body temperature (above 40 •c [103 "F]).
• Strong, rapid pulse.
• Chills.
• Weakness, nausea, vomiting
• Mental confusion.
• Seizures or convulsions
• Collapse, loss of consciousness
Treatment:
• Immediately call or arrange for professional medical help.
• Cool the victim down as much as possible while waiting for medical help
• Move the victim immediately to a cool, shaded area.
• Loosen or remove heavy clothing.
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• Have the victim lie flat with feet elevated.

• Fan and mist the victim's body with water.
• Monitor the victim's breathing.
• Have the victim drink water or sport drinks that have electrolytes (e.g. Gatorade). Do not
give fluids if the victim is unconscious
Notes:
1. Sometimes, heat stoke occurs after the person has already developed heat exhaustion but
heat stroke can also strike suddenly with little warning.
2. Regardless of the worker's protest, no person suspected of being ill from heat stroke shall be
sent home or left unattended unless/until a medical doctor has specifically approved such an
action.
9.0 PROACTIVE MEASURES AGAINST HEAT STRESS

The best measure to take to prevent heat stress is to address it before it ever becomes a problem.
9.1 Acclimatization
Acclimatization is a gradual physiological adaptation that improves the individual’s ability to tolerate heat
stress, with an improved sweating response. All new CRSE worker on site where heat levels may produce
heat stress shall be exposed to 20% of normal exposure on day one, with a 20% increase in exposure each
additional day. As the person becomes acclimated, their body responds to heat stress with a smaller
increase in body temperature and heart rate than before acclimatization. Any CRSE worker who is new to
work in a hot environment, workers returning after 3 weeks of cooler weather or returning after being sick
should recognize that it takes several days to acclimatize. For work that falls into either the 40/20 or 20/40
schedule, the work time per hour should be reduced to 50% of the usual schedule for days 1and 2 then
raised to 75% for days 3 and 4, and finally reach the usual schedule only on day 5. Supervisors should
monitor new and returning workers more closely during their acclimatization period. If workers have personal
health problems, they may require closer monitoring of their signs for heat disorders. Deliberate
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acclimatization shall be used to expose new employees to work in a hot environment for progressively longer
periods.
9.2 Scheduling
Schedule work for the cooler times of the day, especially during the month of Ramadan if it falls in the summer.
CRSE will strictly follow the three hours break (i.e from 12:00 pm to 3:00 pm) in the summer months from 15
June to 15 September. During this time the workers will sent to their camp and the work will be resumed after
3'0 clock
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9.3 Work/Rest Rotations
Work and rest rotations will be based on the actual heat index at the work site. Work rotations will be established
for workers performing remote activities in high heat stress exposures (e.g. Flagmen). Workers shall be allowed
additional break time and water necessary for their health. The minimum rest to work ratio
with intake of water given in the table will be followed.
Heat Stress Index

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9.4 Rest Areas
Shaded recovery rest areas with water and electrolyte replacement drinks will be located within 30 meters of the
work activity at all times. There will be enough shade available to accommodate the number of workers planned
to be on their rest cycle at any one time. Work rest cycles give the body an opportunity to get rid of excess heat
by slowing down the production of internal body heat and providing greater blood flow to the skin for cooling.
Shade canopies are a critical component to the Heat Stress Plan. Canopies provide shade to the workers and
relief from direct solar radiation. These canopies will be set up before the work-shift. If necessary, these canopies
need to be moved throughout the day.
The following equipment must be part of the canopy environment :
• Colored flags or other method to indicate work/rest schedule (if used at the site)
• Establish communications system (whistle etc.) to remind workers to drink water at regular
intervals and to announce the beginning of a rest period
• Benches
• Trash bin
• First Aid Boxes with cold pack (as per MMSR)
Anticipate high heat days through weather forecasts and prepare for them with proactive measures.
The following recommendations will be followed to prevent the heat related problems:
a. Begin drinking fluids early in the day- waiting until the hottest portion of the day to replenish
body fluids is too late. Avoid caffeine and alcohol the night before and during the day.
b. Dress for the conditions. Lightweight, loose clothing is best. Avoid layering clothing underneath
coveralls.
c. A well- b a l a n c e d diet will help. Heavy, fatty foods do not support the body well in high heat
conditions. Fruits, vegetables, proteins and starches work best.
d. Electrolyte solutions help to maintain energy levels. Do not drink more electrolyte solution than water.
Avoid taking salt tablets unless directed to do so by your physician.
e. Use sunscreen and cover your face and neck from the sun.
f. Provide shaded areas for mini-breaks and water stations as much as possible when there is no
existing Shaded structure.
g. Strongly encourage short (1-2 minutes) water breaks every 20-30 minutes during high heat conditions
h. Provide specially marked water barrels containing ice and water for soaking neck towels, arms,
sleeves, bandannas etc.
i. Mid-day break during the summer months (June 15 to Sep 15)
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j. Provide specific areas for employees to go to on a scheduled basis and cool off when working in
full sun areas. These would be considered mandatory breaks (In addition to the short water
breaks). This should be done every 1to 1.5 hours. Fans and sitting areas should be provided so
those employees can sit with their coveralls unzipped and cool down. This break should be 10 -20
minutes in length.
k. Using a thermo scan type instrument, monitor personnel in their work areas to assure that there
are not any consistently high core body temperature problems. Core body temperature should
never exceed 101degrees. Pay particular attention to areas that have restricted airflow such as
foundations, and excavations.
l. Monitor work areas for ambient temperatures; use the heat index chart to determine the apparent
temperature. Areas with apparent temperatures over 95 degrees should be monitored for
personnel problems. Begin providing extra measures for the workers.
PROACTIVE MEASURE MATRIX
Apparent 90-96 (32"- 35"C) 97-100 (36"-40"C) 105-115 (41"-46"C)
Temperature Level One Level Two Level Three
Proactive Measures
A,b,c,d A,b,c,d,e,f,g,h,l A,b,c,d,e,f,g,h,l,j,k,l
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9.5 Personal Monitoring and Buddy System

• Employees shall work in pairs or teams and shall observe each other for signs of diminished
capacity and heat-related illness. Prescribed check times and buddy system controls shall
be used to determine whether a worker is experiencing diminished capacity or symptoms
of heat stress.
1. Red Heat Stress Danger Category IV Work Practices
The following additional precautions shall be taken while a red heat stress danger category
IV, "Extreme Danger,” (see Appendix A) exists at the work site:
• Work required to be performed in direct sunlight for an extended period of time shall be
stopped, except:
1) work deemed necessary for continuing plant operations by the SA proponent
organization (SAPO)
2) emergency maintenance
3) (3) rescue operations.
• Any other work deemed by contractor site management or the SAPO to be unsafe shall
also be stopped (e.g., work in confined spaces, at elevated locations or involving high physical exertion).
• Non-emergency work shall be stopped if workers exhibit symptoms of serious heat-related illness.
• Workers shall be provided a minimum of 10 minutes of break time after every 20 minutes of work (i.e., 20:
10-minute work rest periods).
• Workers shall be advised to drink one cup of water every 10 minutes. Each worker shall be provided with his
own personal water bottle/insulated container (2-liter capacity) and have it with him at all times. A "no water,
no work" policy shall be strictly adhered to.
• No person shall work alone while a red heat stress danger category IV condition exists at the work site.
• Extra precautions shall be taken when flame-resistant clothing (FRC) are required to be
worn while a red heat stress danger category IV exists at the work site, as such fabrics can intensify heat
stress. Other types of fabrics which may increase heat stress (e.g., polyester, nylon) shall not be worn while
a danger category IV exists at the work site.
Recovery
Any employee experiencing symptoms of a heat-related illness shall immediately stop work and report to his
supervisor. The victim shall be allowed to fully recover in an appropriate recovery area before returning to
work. Recovery areas shall be shaded, cool and supplied with water. Victims of severe heat exhaustion or
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heat stroke shall be immediately evacuated to the nearest medical facility with a qualified medical doctor who
can provide proper treatment. Such incidents shall be properly reported
9.6 Special Considerations during Ramadan

• Appropriate planning and heat stress mitigation measures shall be incorporated into the specific work
plan (e.g., Job Safety Analysis) for workers who are fasting during Ramadan if it occurs during the
summer. Supplies of cool drinking water shall be made available for workers as needed during
Ramadan (e.g., for a worker experiencing symptoms of a heat related illness).
9.7 General Preventative Measures

• Employees must have access to cool portable water at their place of work.
• Water coolers and paper cups will be provided for all crews.
• Shade areas will be provided for rest periods and instructions given to workers that resting adjacent to
or under plant and equipment is strictly prohibited.
• First Aid equipment provided on site.
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9.8 Continuous Weather Monitoring
CRSE will provide its safety officer the weather monitoring device. On the basis of reading weather
conditions will be checked and communicated with the site supervisor. The color flags will be raised
to warn the workers regarding the weather condition and to keep them alert to keep the safety
precaution to prevent heat related illnesses. The following color scheme will be used for flags;
I. R e d : Stop all the work at sites.

II. Yellow: To take extreme precautions to avoid heat stress
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9.9 Provision of Electrolytes to balance the loss of salt from body

CRSE will Electrolytes to its workers to replace the lost electrolytes
10.0 HEAT STRESS CATEGORY

There are 4 different categories of heat stress which define how dangerous weather conditions are and
how the situation has to be faced: caution, extreme caution, danger and extreme danger. The heat stress
category shall be used to determine control measures to put in place at site as specified in section 6 of
this plan “Heat Stress Prevention Plan”. To determine the heat stress category, we should refer to heat
index as shown in Appendix A.
Thereby the temperature and humidity shall be periodically measured (Every hour when heat warning
is activated, daily the remaining days) at the work site using calibrated weather monitoring
equipment. A register shall be filled in and determination of heat index shall be communicated to
NCC Site HSE Manager that he can establish the control measures according with heat stress
category, Heat warning is activated when heat index exceeds 29 during soon.
A log of the temperature / humidity (Heat index) shall be kept along the project duration.
The Heat stress danger category (see Appendix A) shall be used to determine control measures.
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10.1 heat stress cation plan category notification plan

During the summer temperature increases rapidly and workers engaged in the activities may not be well
informed about this excess heat which results in getting exposed to this severe temperature. As a result of
this, heat stress or more severe consequences might arise. In order to avoid this condition and to convey the
workers with temperature level a special flag communication system is implemented at site.
10.2 Heat Stress Flagging System

This flag system shall be explained to the workers through tool box meeting so that they will be able to take
precautions depending on the heat index by seeing the flag.
The Flag system is shown in the figure below (figure 1) according to the Heat index of the Saudi Aramco
construction Safety Manual.
This Flag shall be raised at different visible locations all along the site. Supervisors shall advise the workers to
follow the precautions depending on the flag color.
Heat Stress Category
Color of Flag Heat Index
IV- Extreme Danger ≥ 52
III- Danger 39-51
II- Extreme Caution 30-38
I-Caution
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10.3 Provision of Water

Employees shall have access to potable water. Water shall be provided in sufficient quantity at the beginning
of the work shift to provide one quart per employee per hour for drinking the entire shift for a total of 2 gallons
per employee per 8-hour shift. Employees may begin the shift with smaller quantities of water if effective
procedures for replenishment of water during the shift have been implemented to provide employees one
quart or more per hour.
10.4 Access to Shade

Employees suffering from heat illness or believing a preventative recovery period is needed shall be provided
access to an area with shade that is either open to the air or provided with ventilation or cooling for a period of
no less than five minutes. Such access to shade shall be permitted at all times. Shade areas may include
trees, buildings, canopies, lean-tos, or other partial and/or temporary structures that are either ventilated or
open to air movement. The interior of cars or trucks are not considered shade unless the vehicles are air
conditioned or kept from heating up in the sun in some other way.
11.0 PERSONAL PROTECTIVE CONTROLS
11.1 Clothing
Lightweight, breathable clothing that covers as much of the body as possible, including the head, will be used
by the CRSE workers when working in direct sunlight.
11.2 Wetted Clothing/Towels
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During periods of high heat stress potential, employers will be instructed to wetted terry cloth towels
as necessary to provide cooling for their body. Cool water supplies (not ice water) separate from
drinking water shall be used for this purpose.
11.3 Training
Heat stress awareness training shall be provided just before and during the hot summer months to all
field workers, site engineers, field staff and the personnel who have responsibilities for establishing
heat stress mitigation measures.
The training will include the followings;
• Hazards of heat stress.

• Recognition of signs and symptoms of heat stress.
• First aid procedures for heat stroke and other heat-related illnesses.
• Employee responsibilities in avoiding/responding to heat-related illness.
• Supervisor responsibilities in avoiding/responding to heat-related illness.
• Dangers of the use of drugs, including prescription and over-the counter medicines, in hot work
environments.
• Measures employees can take to minimize the effects of heat stress (hydration, work pace, use of wet towels,
good nutritional habits, etc.).
• Personal monitoring and buddy system controls. In addition, safety fact cards and signs/symptoms/actions card
will be distributed.
11.4 First Aid Training

• First Aid Training- First aid and other emergency responders shall be properly trained in
the recognition and treatment of heat-related illnesses
• Cold, hot pack must be available on site/clinic to be used for any heat stress related illness.
• Employee Medical Monitoring.
• Each employee must have a proper medical monitoring using medical log by the male
nurse. (See attached medical log: Appendix E).
11.5 First Aid Treatment Log
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12.0 HEAT STRESS INDEX LOG

Project Title:
Contract No. # MONTH:
Heat Index
Work: Rest Min. Water

Heat Stress Category Heat Index Heat Stress Illness / Symptoms
(min) Periods Needed*
1 cup every 10
IV. Extreme Danger ** >52 Heat Stoke imminent. 20:10
minutes
Heat Cramp, heat exhaustion or heat stroke
1 cup every 15
III. Danger 39-51 likely with prolonged exposure and physical 30:10
minutes
activity.
Heat Cramp, heat exhaustion or heat stroke
1 cup every 20
II. Extreme Caution 30-38 possibly with prolonged exposure and physical 50 : 10
minutes
activity.
Fatigue possible with prolonged exposure and Normal / 1 cup every 20
I. Caution 25-29
/ or physical activity. Scheduled minutes
* 1cup = 250 ml
SN # Temp °C Humidity Wind speed Sand Storm Rain Dew point Pressure
1
2
3
4
5
6
7
8
9
10
11
12
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14
17
18
19
Prepared by :
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13.0 WEEKLY HEAT STRESS PREVENTION
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14.0 DAILY HEAT STRESS INSPECTION CHECKLIST
15.0 HEAT STRESS RISK ASSESSMENT
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27

Heat Stress Management Plan Rev - 1

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Heat Stress Management Plan Rev - 1

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CONSTRUCTION & ROADS SERVICES EST.

9.5 Personal Monitoring and Buddy System ........................................................................ 16

1.0 INTRODUCTION & SCOPE

weather conditions may complicate infection s pre a d prevention r e s p o n s e s by creating

as the insufficient consumption of water.

exposures resulting in a cascade of heat illnesses, including increased body temperature

regular monitoring and other preventative measure are vital

1.2 Location of Project

• CSM, volume II, chapter 13

2.1 Project Manger

2.2 Safety Supervisor

2.3 Construction Manager

2.4 Site Safety Officers

2.5 Engineers and Supervisor

2.6 First Aiders

3.0 COMMON HAZARDS OF HEAT STRESS

Human body operates in a narrow temperature range.

• Lack of proper fluid replacement.

4.0 NEW EMPLOYEES

5.0 CURRENT EMPLOYEES

6.0 APPARENT TEMPERATURES

Three stages are used to determine what action is to be taken.

6.1 Emergency Response Protocol

7.0 FLUID INTAKE

8.0 TYPES OF HEAT RELATED ILLNESSES

8.1 HEAT CRAMPS

• Rest in a cool, shaded area (e.g., designated break/recovery area).

8.2 HEAT RASH

8.3 Heat Exhaustion

8.4 HEAT STROKE

• Have the victim lie flat with feet elevated.

9.0 PROACTIVE MEASURES AGAINST HEAT STRESS

9.3 Work/Rest Rotations

Heat Stress Index

9.4 Rest Areas

The following equipment must be part of the canopy environment :

PROACTIVE MEASURE MATRIX

Apparent 90-96 (32"- 35"C) 97-100 (36"-40"C) 105-115 (41"-46"C)

Temperature Level One Level Two Level Three

9.5 Personal Monitoring and Buddy System

9.6 Special Considerations during Ramadan

9.7 General Preventative Measures

9.8 Continuous Weather Monitoring

I. R e d : Stop all the work at sites.

9.9 Provision of Electrolytes to balance the loss of salt from body

10.0 HEAT STRESS CATEGORY

10.1 heat stress cation plan category notification plan

10.2 Heat Stress Flagging System

Heat Stress Category

Color of Flag Heat Index

IV- Extreme Danger ≥ 52

III- Danger 39-51

II- Extreme Caution 30-38

10.3 Provision of Water

10.4 Access to Shade

11.0 PERSONAL PROTECTIVE CONTROLS

11.2 Wetted Clothing/Towels

• Hazards of heat stress.

11.4 First Aid Training

11.5 First Aid Treatment Log

12.0 HEAT STRESS INDEX LOG

Work: Rest Min. Water