Safety leadership talk on cold stress on workers in the spring

1. Cold Environmental Stress
Spring type storms and cold
are common and so are the
risks to workers

2. YOUR MUST KNOWS IN YOUR
PROGRAM
• Definitions
• Regulations
• Responsibilities
• Hazard Identification

3. In your safety programs you have
• Risk Assessment
• Risk Controls
• Recognizing Symptoms
• First Aid Procedures

4. Definitions
• Accidental Exposure
• Artificially Cold Workplace
• Cold-Related Injuries
• Cold Stress
• Equivalent Temperature
• Hypothermia

5. Regulation
• The Regulation applies if workers may be
exposed to thermal conditions that:
– May cause cold stress injury
– Could cause core body temp to fall
– Are below ACGIH acceptable levels

6. Regulation
• Assessment and exposure control
• Cold stress controls
• Heated shelters
• Clothing and PPE

7. Responsibilities
• Employer
– Conduct risk assessments
– Develop and implement exposure control plan
– Provide training
– Provide heated shelter or vehicle

8. Responsibilities
• Employer – continued
– Maintain records
– Ensure adequate first aid
coverage

9. Responsibilities
• Managers
– Ensure that a cold stress assessment is performed
– Provide administrative controls
– Ensure protective clothing is available
– Ensure workers receive training

10. Responsibilities
• Supervisors
– Known or reasonably foreseeable cold hazards
– Health and safety of all workers
– Safe work practices

11. Responsibilities
• Workers
– Follow safe work procedures
– Seek shelter if displaying symptoms of
hypothermia
– Wear adequate clothing
– Avoid getting wet

12. Responsibilities
• Workers – continued
– Wear eye protection when warranted
– Wear PPE

13. Responsibilities
• Joint OHS Committee
– Advise the Employer on procedures and systems
– Help evaluate workplace conditions
– Deal with worker complaints
– Help with incident investigations and worksite
inspections

14. Risk Identification
• Environmental Hazards
• Job or Task-Related Hazards
• Personal Risk Hazards

15. Risk Identification
• Environmental Risks
– Observe conditions and note hazards
– Determine risks of accidental exposure
– Look at previous history of exposure to cold
– Conduct risk assessment if hazard(s) is present

16. Risk Identification
• Job / Task Related Risks
– Observe the tasks
– Determine hazards that may expose workers to
risk
– If task-related hazard is present implement
controls

17. Risk Identification
• Personal Risks
– Poor physical fitness
– Not used to working in the cold
– Cold or other flu like symptoms
– Chronic illness or circulatory problems
– Using certain drugs or medication
– Exhibiting symptoms of fatigue
– Vibration white finger disease

18. Risk Assessment
• Documentation
• Taking measurements
• Categorizing the risk
• Vibration and accidental exposure
• Accidental exposure
• Conditions that require a mandatory
assessment

19. Risk Assessment
• Cold Stress Risk Assessment Form
– Section One
– Section Two
• Measurements
• Category and control
• Hand/arm vibration
• Accidental exposure

20. Risk Assessment
• Conditions Requiring Assessment
– Conditions that cold cause cold stress or injury
– Conditions that could cause worker’s core body
temperature to fall below 36C
– Conditions below levels classed by ACGIH as “little
danger”

21. Risk Controls
• Working in hazardous wind chill conditions
• Contact with cold surfaces
• Bare hands in a cold environment
• Administrative controls
• Personal Protective Equipment & Clothing

22. Risk Controls
• Wind Chill Conditions
– Heated shelter or vehicle to be available
– Worker instructions
– Workers must wear adequate protective
clothing

23. Risk Controls
• Contacting Cold Surfaces
– Protective clothing and equipment
– Wear protective gloves, mittens and footwear
– Wear insulated gloves when surfaces are
colder than -7C
– Avoid skin contact with cold surfaces

24. Risk Controls
• Hand Protection
– Warm air jets, radiant heaters or warm contact
plates for hand warming
– Controls designed for operation by gloved
hands

25. Risk Controls
• Administrative Controls
– Adjustment to the cold
– Reduce activities performed outdoors
– Remain well hydrated
– Eat properly according to the cold climate
– Establish a buddy system

26. Risk Controls
• Personal Protective
Clothing and Equipment
– Wear insulated outer
clothing
– Use protective clothing in
controlled environments
– Change out of wet clothing

27. Risk Controls
• Personal Protective Clothing and Equipment –
continued
– Immediately change to dry clothing if immersed in
water
– Wear PPE if danger of frostbite

28. Prevention
• Understanding the personal risk factors
• Following safe work practices
• Proper use of clothing
• Using shelters
• Following guidelines for eating and drinking

29. Prevention
• Personal Risk Factors
– Poor physical fitness
– Not used to working in the cold
– Cold or other flu like symptoms
– Chronic illness or circulatory problems
– Using certain drugs or medication that inhibit the
body’s response to the cold or impairs judgment
– Vibration white finger disease

30. Prevention
• Safe Work Practices
– Use a “buddy system”
– Do a regular “self-check” for symptoms
– If you discover a cold-related injury

31. Prevention
• Proper use of clothing
– Under Layer
– Insulating Layer
– Outer Layer

32. Prevention
• Use of Shelters
– Provide shelters at -7C or below
– Use shelters at regular intervals
– Remove outer clothing and allow ventilation
– Assess cold injury or hypothermia victims

33. Prevention
• Eating and Drinking Guidelines
– High caloric intake is recommended for cold
work
– Warm sweet drinks available
– Drink frequently
– Avoid coffee
– Avoid alcohol

34. Recognizing Symptoms
• Mild Hypothermia
• Moderate Hypothermia
• Severe Hypothermia
• Frostnip & Frostbite

35. Recognizing Symptoms
• Mild Hypothermia
– Feel chilled / cold
– Goose bumps
– Limited hand movement
– Poor judgment
– Shivering
– Numb hands

36. Recognizing Symptoms
• Moderate Hypothermia
– Violent shivering or shivering has stopped
– Inability to think / focus
– Mild confusion

37. Recognizing Symptoms
• Moderate Hypothermia – continued
– Slow, shallow breathing
– Slurred speech
– Poor co-ordination
– Slow, weak pulse

38. Recognizing Symptoms
• Severe Hypothermia
– Shivering has stopped
– Unconsciousness
– Little or no breathing
– Weak, irregular or non-existent pulse

39. Recognizing Symptoms
• Severe Hypothermia – continued
– Dilated pupils
– Exposed skin blue and/or puffy
– Similar symptoms to clinical definition of death

40. Recognizing Symptoms
• Frostbite / Frostnip
– Top layers of skin tissue freeze
– Skin appearance: white, waxy
– Top layer of skin feels hard & rubbery
– Deep tissue is still soft
– Numbness

41. Recognizing Symptoms
• Superficial Frostbite
– Skin appearance: white
– Wooden feeling throughout affected area
– All layers of skin affected
– Numbness, sensation may be absent

42. Recognizing Symptoms
• Deep Frostbite
– Skin appears white
– Affected areas feels ‘wooden’ to touch
– Includes all layers of skin
– May include freezing of muscle or bone

43. First Aid
• General Procedures
• Frostbite
• Managing & Re-warming Injuries
• Accidental Exposure

44. First Aid
• General Procedures
– Handle victim gently
– Remove from cold and assess
– Give hot fluids only if victim is conscious
– Do not attempt to exercise victim
– Prevent further heat loss

45. First Aid
• Frostbite
– Rewarm the area gently
– Do not rub the area
– If area is large, use immersion method
– Transport to hospital if necessary

46. First Aid
• Management and Re-Warming
– Minimize exertion
– Remove wet clothing
– Get the victim into warm, dry clothes
– Wrap victim in warm blankets

47. First Aid
• Management and Re-Warming - continued
– Cover victim’s head
– Place something warm and dry under the victim
– Move the victim to a warm environment

48. First Aid
• Management and Re-Warming - continued
– Do not make the victim exercise
– Do not suppress shivering
– Do not massage extremities or trunk
– Do not place in warm bath or shower

49. First Aid
• Accidental Exposure
– Unplanned event
– Clothing and equipment
– Treat appropriately
– Assessed by medic or physician

50. Survival Kit
• A change of clothing
• Emergency supplies
• Light weight emergency rain poncho
• Spare gloves, footwear, head covering and
face mask

51. Survival Kit
• Protective eye wear
• Sleeping bag stored in plastic vapor-barrier
wrapper
• Means of communication i.e. cell phone, 2-
way radio

52. Summary
• Government Safety OHS Regulation
• Risk identification
• Risk assessment
• Risk controls
• Symptoms
• First aid

53. Questions?