NCC/HSE/PNQ 26/01 Rev: R0 Date: 06/04/2024

HEAT STRESS MANAGEMENT PLAN

Document No: NCCL/HSE/PNQ 26/01

Revision No: R0

Effective Date: 06-04-2024

Project Name: AdaniConneX PNQ 26

Project Location: Bhosari, Pune.

NCC Prepared By Reviewed By Approved By

Name Gaurav Kumar Singh Ranjith Kumar D.Uma sankar
Designation Safety officer HSE Lead PM
Signature

Date

Adaniconne
Approved By Approved By Approved By
x
Name
Designation
Signature

Date

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 Contents
1.0 Purpose...............................................................................................................................3
2.0 Scope..................................................................................................................................3
3.0 Definition & Abbreviations..................................................................................................3
3.1 Definitions..............................................................................................................................3
3.2 Abbreviations.........................................................................................................................4
4.0 Roles & Responsibilities.......................................................................................................4
5.0 Procedure............................................................................................................................5
5.1 General..................................................................................................................................5
5.1.1 New Employees..............................................................................................................6
5.1.2 Heat Related Health Symptoms.....................................................................................7
5.1.3 Heat Illness and Health Effect........................................................................................8
5.1.4 External Agents Affecting Heat Tolerance......................................................................9
5.2 Workplace, Task Evaluation and Risk Assessment.............................................................9
5.2.1 Job Location...................................................................................................................9
5.2.2 Work Duration and Schedule.........................................................................................9
5.2.3 Clothing..........................................................................................................................9
5.2.4 Metabolism..................................................................................................................10
5.3 Control Measures...........................................................................................................10
5.3.1 Personal monitoring and Buddy System......................................................................10
5.3.2 Engineering control .....................................................................................................11
5.3.3 Acclimatization ............................................................................................................11
5.3.4 Scheduling....................................................................................................................11
5.3.5 Training .......................................................................................................................11
5.3.6 Heat stress Training sheet............................................................................................12
5.3.7 Work/Rest Rotations ...................................................................................................12
5.3.8 Rest Area......................................................................................................................13
5.3.9 General preventing measure....................................................................................... 15
5.4 Effective Proactive Measures...............................................................................................15
5.5 Guideline for issue of Re-Hydrant ......................................................................................16
5.6 Re-Hydrants Stock and its Distributions ..............................................................................16
5.7 First Aid………………………………………………………………………………………………………………………………………..16
5.8 Training and communications……………………………………………………………………………………………………….18
6.0 Appendix - Heat Stress General Guidelines & Heat Index Table......................................... 18
7.0 Appendix – Dehydration Guide…………………………………………………………………………………………….. 21
8.0 Site Layout ……………………………………………………………………………………………………………………………… 22

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 1.0 Purpose
The purpose of this is to provide an effective heat stress prevention program, to reduce and
control the hazards of heat stress in the workplace.

2.0 Scope
The scope of this procedure is applicable to all NCC employees and contractors who are required
to do work in hot environments.

3.0 Definition & Abbreviations

3.1 Definitions

Acclimatization
Acclimatization is a physiological adaptation that the body undergoes in response to a
change in external environment. Acclimatization improves the ability of the individual to
tolerate heat stress.

Evaporative Cooling
Sweat evaporates from the skin.

Globe Temperature
The globe temperature gives an indication of radiant heat exposure on an individual either
direct sun light or hot objects in the environment.

Heat Strain
Heat Strain is the body's overall physiological response resulting from heat stress.

Heat Stress
Heat Stress is the net heat load to which a worker may be exposed from the combined
contributions of metabolic cost of work, environmental factors and clothing requirements.

Heat Index
An index that combines air temperature and relative humidity in an attempt to determine the
human perceived equivalent temperature.

Relative Humidity
Humidity is the amount of moisture in the air.

Wet Bulb Globe Temperature (WBGT)

WBGT is an empirical index of climatic heat stress and is used to determine the permitted level
of physical activity and strategies to minimize the risk of heat injury.

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 3.2 Abbreviations

CT Check Time
HI Heat Index

HSE Health Safety and Environment

NCC Nagarjuna Construction Company
MHR Maximum Heart Rate
PPE Personal Protective Equip
PMT Project Management Team

4.0 Roles & Responsibilities

Project Manager/Zone In charge/ NCC Representative

 Implement the requirements of this procedure.
 Resources are made available, and roles, responsibilities and accountabilities are
defined for implementing the procedure.
 Schedule, plan for additional breaks, as needed.
 Stop work as and when required in terms of the Heat Index Indicator.

HSE Manager
The HSE Manager shall be responsible to
 Provide technical support, guidance and advise as requested on heat stress related problems.
 Perform informal and formal inspections on site to check that the requirements
of this procedure are being implemented by contractors and subcontractors.
 Make sure that all Heat Stress related incidents are reported and properly investigated
and recorded.
Engineers/ Supervisors
 Assessment for Heat risk is completed for the tasks where hot working conditions
could be a problem.
 All measures and recommendations resulting from risk assessment are undertaken.
 People working within their control are made aware of any heat stress related risks.
 The suitability of PPE provided.
 Be aware of their employees' work-related capabilities and limitations and
monitor on a regular basis the condition of each employee assigned to them.
 Ensure that temperature and humidity conditions are monitored daily.

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 First Aiders
 Responsible for providing the initial management of the victims of heat stress and reporting
the incident.
First aider
 Responsible for the treatment of victims and reporting the heat stress to HSE department.
They shall provide input on employees’ medical conditions on individual assessment.
Admin
 Make water and electrolyte-replacing beverages readily available to employees to prevent
dehydration.
 Providing employees with accurate verbal and written instructions and other information pertaining
to the prevention of heat stress
 Provide access to shaded rest areas where employees can take breaks and cool down.
 Regularly check and maintain cooling systems, fans, and other equipment to ensure they are
functioning properly during periods of high heat.

Workers

 Attending relevant training required by the company HSE Training Programmed.

 Wearing PPE properly, as instructed and provided by the company.
 Observing rules pertaining to thermal work limits and work management.
 Notifying supervisor when conditions, practices, or equipment are changed that may result in
 Potential heat exposure.
 Following guidelines and advice given for hydration during acclimatization and thereafter as
required to carrying out tasks safely.
 Immediately reporting symptoms and signs of heat related illness
 Drink plenty of fluids prior to entering in hot environment and continuously when indicated
to prevent dehydration.

5.0 Procedure

5.1 General
Working in the heat is one of the high HSE risks for workers, especially during summer. In a hot
environment, workers can develop heat related illnesses such as heat cramps, heat exhaustion and
heat stroke – all considered as preventable health conditions.
The 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.

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 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.

5.1.1 New Employees

The first step in managing heat stress is to determine if 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 consider the person’s 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 2-3 weeks to complete before the employee is
comfortable working in high heat environments.
 The supervisor is the essential person to provide an 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 about working in 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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 5.1.2 Heat Related Health Symptoms
 Headache, dizziness
 Nausea, vomiting.
 Excessive sweating or dry skin
 Fatigue, muscle cramps in lower limbs.
 Visual disturbances or convulsions.
 Loss of consciousness.

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 5.1.3 Heat Illness and Health Effect
Definition Symptoms Treatment
HEAT STROKE Red hot, dry skin, although Undress the heat stroke victim to
Heat stroke is an acute and the person may have been allow air to circulate around the body
dangerous reaction to heat sweating earlier; nausea, (keep modesty in mind) and wrap in
stress caused by a failure of the wet towels. Then place ice packs in
dizziness, confusion,
heat-regulating mechanism of area of abundant blood supply (e.g.
the body i.e.. The temperature extremely high body neck, armpit, and groin). If he is taken
control system that causes temperature and rapid to hospital. In a non A.C. vehicle keep
sweating stops working respiratory and pulse rate the windows open and have someone
properly. During an episode of unconsciousness or coma. to fan him. These man oeuvres
heat stroke, the body facilities evaporation and begin t h e
temperature can rise so high c o o k i n g process. Don’t give the
That brain damage and death will victim coffee, tea or alcoholic
result if the person is not cooled beverages. Observe the victim and
quickly. obtain medical help.
HEAT EXHAUSTION Pale, clammy, moist skin, Move the person to a cool place,
profuse perspiration and loosen clothing, place the person in a
When the circulatory system
extreme weakness. Body head low position and provide bed
and the thermo-regulatory
temperature is normal rest. The normal thirst mechanism is
systems are unable to keep
pulse is weak and rapid and sensitive to ensure body fluid
pace with the demands of work
breathing is shallow. The replacement. Have the person drink 1
in the heat, heat exhaustion can
person may have a to 2 cups of water immediately and
develop. Heat exhaustion
headache, may vomit and every twenty minutes thereafter, until
occurs in an otherwise fit
may be dizzy. symptoms subside. Total water
person who is participating in
consumption should be 1 to 2 gallons
extreme physical activity in a
per day. Consult a physician
hot and humid environment. It
results from a serious
disturbance of the blood flow,
similar to the circulatory
disturbance of shock. Due to
prolong and profuse sweating,
the body loses large quantities
of salt and water
HEAT CRAMP Move the person to a cool place,
loosen clothing. Have the person drink
Heat cramps are caused by Acute painful spasm of
1 to 2 cups of water immediately and
perspiration that is not balanced voluntary muscle eg.
every twenty minutes thereafter, until
by adequate fluid intake. Heat Abdomen and extremities.
symptoms subside. Total water
cramps are often the first sign of
consumption should be 1 to 2 gallons
a condition that can lead to heat
per day. Consult a physician
stroke.

HEAT RASH

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 Mild red rashes especially Decrease the amount of time in
Heat rashes caused by
on areas of the body in protective gear and apply powder to
continuous exposure to heat
contact with protective help absorb moisture and decrease
and humid air are aggravated by
gear. chafing.
chafing clothes. The condition
decreases a person’s ability to
tolerate heat.

5.1.4. External Agents Affecting Heat Tolerance

Alcohol - The ingestion of alcohol before or during work causes peripheral vasodilation and increases
heart rate, thereby reducing heat tolerance.
Illegal Drugs - Many of these substances alter behavioral functions, have serious effects on the
central nervous and cardiovascular systems, and affect good judgment, all of which could increase
the risk for a heat-related disorder to occur.
Prescription and Over-the-Counter Drugs - There are numerous legal drugs that may limit heat
tolerance. Before taking any medicines, employees should consult with their physician regarding any
potential effect on heat tolerance. Many of the following drugs can affect heat tolerance: diuretics,
vasodilators, central nervous system inhibitors, beta blocking agents, antihistamines, muscle
relaxants, amphetamines, atropine, and tranquilizers. Other drugs not mentioned here may also
affect certain individuals.
5.2 Workplace, Task Evaluation and Risk Assessment
A thorough evaluation of the workplace may be necessary to identify specific tasks and conditions
that present a potential heat stroke hazard. This evaluation should include observations, discussion
with workers and supervisors, and the review of any reported heat-related disorders.
The following are to be considered when assessing the risk and each can cause fatigue and increase
heat stroke potential.

5.2.1 Job Location

Analyze the specific locations of each task, including proximity to other heat producing equipment.

5.2.2 Work Duration and Schedule

 Frequency at which the task must be performed.
 Time required to perform the work.
 Time required for preparation, setup, actual task performance, and any normal breaks.
 Excessive overtime work, piece work, and machine-paced work

5.2.3 Clothing
What workers wear can make a big difference in how much heat they build up. The use of semi-
impermeable or impermeable protective clothing and respiratory protection will increase heat load
and metabolic rate. However, clothing can shield a person from radiant heat. Cotton clothing
generally retains less body heat. Next is polypropylene, then polyethylene. Workers should avoid
excessive layering of clothing when heat stroke is a potential hazard.

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 5.2.4 Metabolism
Working muscles produce metabolic heat. Heavy work can create excess body heat that is a major
element in heat stroke because it can increase body core temperature and affect the brain's thermos
regulatory control (thermostat).

5.3 Control Measures

5.3.1 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.
 Any other work deemed by contractor site management 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 advised to drink one cup of water every 10 minutes. Each worker shall be
provided with his own personal water bottle/insulated container (1-liter capacity) and have
it with him at all times.
 No person shall work alone while a red heat stress danger category condition exists at the
work site.
 Extra precautions shall be taken when flame-resistant clothing (FRC) is required to be worn
while a red heat stress danger category 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 exists at the work site.
 Most individuals can be trained to monitor their own heart rate. Healthy, acclimatized workers should avoid
prolonged work/environment combinations that cause their heart rate to exceed the recommended
maximum heart rate, MHR, when taken during the first minute of rest. MHRs appear in the table below.
The heart rate should drop to 110-120 beats per minute following the first minute of rest.

Age MHR Age MHR Age MHR Age MHR Age MHR
20 140 30 133 40 126 50 119 60 112
21 139 31 132 41 125 51 118 61 111
22 139 32 132 42 125 52 118 62 111
23 138 33 131 43 124 53 117 63 110
24 137 34 130 44 123 54 116 64 109
25 137 35 130 45 123 55 116 65 109
26 136 36 129 46 122 56 115 66 108
27 135 37 128 47 121 57 114 67 107
28 134 38 127 48 120 58 113 68 106
29 134 39 127 49 120 59 113 69 106

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 5.3.2 Engineering Controls
A variety of engineering controls, including ventilation and spot cooling at points of high heat
production, may be helpful. Shielding may be required as protection from radiant heat
sources. Evaporative cooling and mechanical refrigeration are other ways to reduce heat by
engineering controls. The use of extra air moving can be added to increase the turnover rate
of interior air and remove heat inside enclosures. Shutting down hot process or feed lines is
most effective, but equipment modifications, such as using mechanical equipment over
manual labor also reduce the exposure.

5.3.3 Acclimatization
Acclimatization is a gradual physiological adaptation that improves the individual’s ability to
tolerate heat stress, with an improved sweating response. All new NCC 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 acclimatization shall be used to expose new employees to work in a
hot environment for progressively longer periods.

5.3.4 Scheduling
Schedule work for the cooler times of the day, especially during the month of the summer.
NCC will strictly follow the Two-hour break (i.e. from 12:30 pm to 2:30 pm) in the summer
months from 10 April to 31 June. During this time the workers will sent to rest area and the
work will be resumed after 3:00 clock. Daily morning worker will come to duty 8:00Am.

5.3.5 Training

Heat stress awareness training for workers will be completed by April 25th, 2024, aimed at
field workers, site engineers, field staff, and personnel responsible for implementing heat
stress mitigation measures, just before and during the hot summer months.
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.

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  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.).

5.3.6 Heat Stress Training sheet

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 5.3.7 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.

5.3.8 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:

 Restrooms and water and air cooler facilities are provided on the site for workers
convenience.
• Colored flags or other method to indicate work/rest schedule (if used at the site) (green
colour)
• 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
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
 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.

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  Dress for the conditions. Lightweight, loose clothing is best. Avoid layering clothing underneath
coveralls.

 A well-balanced diet will help. Heavy, fatty foods do not support the body well in high heat
conditions. Fruits, vegetables, proteins and starches work best.
 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.
 Use sunscreen and cover your face and neck from the sun.
 Provide shaded areas for mini-breaks and water stations as much as possible when there is no
existing Shaded structure.
 Strongly encourage short (1-2 minutes) water breaks every 20-30 minutes during high heat
conditions
 Provide specially marked water barrels containing ice and water for soaking neck towels, arms,
sleeves, bandannas etc.
 Mid-day break during the summer months.
 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.
 Using a thermos 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.
 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.

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 PROACTIVE MEASURE MATRIX

5.3.9 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.

5.4 Effective Proactive Measures

The following are a few recommendations to aid in the prevention of heat related problems.
 Begin drinking fluid early in the day. Waiting until the hottest portion of the day to replenish fluids is too
late. Avoid caffeine and alcohol the night before and during the day.
 Dress for conditions. Lightweight, loose clothing is best. Avoid layering clothing underneath coveralls.
 A well-balanced diet will help. Heavy, fatty foods do not support the body well in high heat conditions.
Fruits, vegetables, proteins, and starches work best.
 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.
 Use sunscreen and cover your face and neck from the sun.
 Provide shaded areas for mini-breaks and water stations.
 Make sure drinking water stations are accessible so employees may take frequent breaks.
 Strongly encourage SHORT (1-2 minute) water breaks every 20-30 minutes during high heat conditions.

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  Provide specially marked water barrels containing ice and water for soaking neck towels, arms, sleeves,
bandannas, and similar items.
 Provide specific areas for employees to go to on a regular basis and cool off when working in full sun are

5.5 Guidelines for the Issue of Re-Hydrant

 Re-hydrant is an electrolyte replacement powder that replenishes chemicals the body has lost through
sweating. We must use it wisely to enable us to have it available, in sufficient quantities, throughout the
summer months.
 The distribution must be controlled with a combined effort from the site stores and Safety Officers. The
amounts depend on the number of gang members and their type of work. Packets come in two sizes for
ease of distribution.
 21.8g pack is ideally designed for 1 liter of water.
 218gm packs make 10 liters and are for larger gangs, and can be mixed, into the same ratios, within an
Water dispenser
 A general guide to the use of lime and Re-hydrant is the temperatures given are those
released by the meteorological office although site monitoring is highly recommended.

The measurement of supplementary isotonic drink is approximately 300 ML. Serving/per

day

Isotonic drinks are designed to quickly replace fluids, electrolytes, and energy the body loses during
physical activity. Should be consume Oral Rehydration Salts (ORS) or butter milk or 300 mL of isotonic
energy drink is recommended twice daily between 11:00 AM and 12:00 PM.

5.6 The Re-hydrant stock and its distribution:

 We will be using Sunlight. As stated above the Sunlight is only part of the hydration process.
 The re-hydrant will be distributed twice a day in the form of water dispenser
 Water dispenser will be prepared filled with cold water and re-hydrant and be made available at the
rest areas in the morning and rest areas in the afternoon
 The water dispenser will be collected by each PMT designated person and brought to the areas
 Welfare facilities for distribution.
 The water dispenser will then be returned to the Stores department by the PMT.

5.7 First Aid

How to handle the affected Person:

Training on how to handle the heat stress / stroke affected person will be provided to EHS team, Fist Aiders,
Emergency Response Team members, Foremen and Supervisors. The training focus will include:

 On-site medical assistance-First aider is available 24/7, and training on heat stress management is

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 provided for safety personnel.

 We have established partnerships and collaborated with reputable third-party health professionals to
develop and deliver comprehensive summer heat stress training programs tailored to professional
standards.
 Move the person out of the sun and into a shady area and lie down the person in a cool plac
e or air-conditioned space. Raise the person's feet about 12 inches.
 Loosen the shirts to allow lot of cold air to cool the victim’s body
 Check the response from the victim for breathing; cardiac arrest and sensitivity
 Cool the person by covering with damp sheets, keeping the ice packs in both axila (armpits)
& in forehead; by spraying with cool water.
 Apply cool, wet cloths (or cool water directly) to the person's skin and use a fan to lower
body temperature.
 Place cold compresses on the person's neck, groin, and armpits.
 If alert, give the person beverages to sip (such as Gatorade), or make a salted drink by addin
g a teaspoon of salt per quart of water. Give a half cup every 15 minutes. Cool water will do
if salt beverages are not available.
 Have the victim to drink cool water or other non-alcoholic beverage without caffeine, if able
to drink.
 For muscle cramps, give beverages as above and massage affected muscles gently, but
firmly, until they relax.
 If the person shows signs of
 Shock
 Bluish lips and fingernails
 Decreased Alertness
 Seizures & starts having, or loses consciousness, call emergency and give first aid as needed.
 Shift the victim to transfer to the nearest hospital.
 How to Rest - Use room temperature re hydration fluids - it is better to have frequent small
amounts of fluid rather than trying to force large amounts of fluid at one time.
Drinking too much fluid at once can increase nausea and bring on vomiting. Allow the victim
to take rest, if he has normal vital signs and response.
 How to Treat - Administer fluids to the victim until his urine is clear instead of yellow
 How To make to drink the fluid - a re-hydrating liquid such as a sports drink; normal
saltwater or electrolytes liquid, that can be taken in small, frequent sips

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 List of hydrating liquids that can be supplied

A. Butter Milk
B. Salt Lemon Water
C. Fruit infused water
D. ORS oral drinks
E. Coconut water
F. Herbal Teas
G. Chia Water
H. Kokum Sharbat

5.8 Training and Communication

Toolbox talk is the primary means for evaluating and communicating heat stroke conditions
for a specific work task. The supervisor must communicate the heat stress related problems to
the workers assigned to do work at hot environment.
The HSE Orientation training provided to all employees should explain the causes and
symptoms of heat stress illnesses and injuries, minimum PPE requirements, the need to take
regular breaks in cool shaded areas and the need to take regular intakes of cool water.
Specific Heat Stroke Prevention training will be provided to all employees at site.

6.0 Appendix - Heat Stress General Guidelines & Heat Index Table

 Monitor work areas for ambient temperatures. Use the Heat Index Chart, Appendix 1, to
determine the Heat Index.
 MOST IMPORTANTLY, do not let schedule or productivity influence awareness or caution in
high heat weather. Pressure from foreman or self-induced pressure is the most dangerous
hazard.

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  We will get Temperature & Humidity using of Goggle weather by Mobile.

General Heat Stress Index

Danger Category Heat Index Heat Syndrome

IV. Extreme Danger > 54 Heat Stroke or sunstroke imminent

Sunstroke, Heat Cramps, or Heat Exhaustion likely. Heat Stroke

III. Danger 39-53
possible with prolonged exposure and physical activity.

Sunstroke, Heat Cramps, or Heat Exhaustion possible with prolonged

II. Extreme Caution 32-38
exposure and physical activity.

I. Caution 27-31 Fatigue possible with prolonged exposure and physical activity.
*Note: Degree of heat stress may vary with age, health, and body characteristics

Relative Humidity
10% 20% 30% 40% 50% 60% 70% 80% 90%

50 48 >54 >54 >54 >54 >54 >54 >54 >54

49 47 >54 >54 >54 >54 >54 >54 >54 >54
48 45 53 >54 >54 >54 >54 >54 >54 >54
47 44 51 >54 >54 >54 >54 >54 >54 >54
46 43 49 >54 >54 >54 >54 >54 >54 >54
45 42 47 54 >54 >54 >54 >54 >54 >54
44 41 46 52 >54 >54 >54 >54 >54 >54
43 40 44 49 >54 >54 >54 >54 >54 >54
42 39 42 47 54 >54 >54 >54 >54 >54
41 38 41 45 51 >54 >54 >54 >54 >54
40 37 39 43 48 >54 >54 >54 >54 >54
39 36 38 41 46 52 >54 >54 >54 >54
Air
38 35 37 39 43 49 >54 >54 >54 >54
Temp
°C 37 34 35 38 41 46 51 >54 >54 >54
36 33 34 36 39 43 48 54 >54 >54
35 32 33 35 37 41 45 50 >57 >54
34 31 32 33 35 38 42 47 52 >54
33 30 31 32 34 36 40 44 48 54
32 29 30 31 32 34 37 40 44 49
31 29 29 30 31 33 35 38 41 45
30 28 28 29 30 31 33 35 38 41
29 27 27 28 29 30 31 33 35 37
28 27 27 28 28 29 31 32 34
27 27 27 28 29 30 31
26 27 27 28 28

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 Weather (Ref: AccuWeather)

April 2024

May 2024

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 June 2024

7.0 Appendix – Dehydration Guide

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 8.0 Site Layout.

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