Practical Physiological Monitoring Protocol for Heat Strain Control

Anderson, R B ; Johnson, J S ; Burastero, S R ; Gilmore, O

Lawrence Livermore National Laboratory

关键词: Evaporative Cooling;    Training;    Adults;    Monitoring;    47;   

DOI  :  10.2172/15004547
RP-ID  :  UCRL-ID-154107
RP-ID  :  W-7405-ENG-48
RP-ID  :  15004547

美国|英语

来源: UNT Digital Library

【 摘 要 】

This protocol is indicated when employees are: (1) Exposed to Heat Stress above the TLV; (2) Performing low to moderate work rates with rare excursions to heavy rates; NOT for heavy and very heavy work rates or requiring peak outputs for extended periods; and, (3) Determined to need physiological heat strain monitoring by the cognizant Industrial Hygienist. The requirements are: (1) A work/rest regimen must be established at outset and adjusted as needed during operations (see Appendix A); (2) On-going data collection and review; (3) Rest times must be increased if indicated; (4) Intended for normal, healthy adults. Seasonal medical screening is recommended; and (5) Training for affected employees regarding this protocol, hydration, self-limitation, lifestyle effects and signs, symptoms and treatment of heat related illnesses. This protocol is to aid industrial hygienists in assessing individual physiological response to employee heat exposures, and provides guidance to identify and reduce heat strain as needed. Physiological monitoring is recommended when heat exposure exceeds the TLV by {ge} 2 C and/or when evaporative cooling is limited or eliminated. Typically, this occurs when the use of personal protective equipment includes impermeable or water vapor restrictive outer garments. This protocol is used to identify when heat strain may be excessive. This is determined through measurements taken during each rest period. If decision criteria are exceeded, changes in work practices shall be implemented immediately to reduce employee heat strain and prevent heat related illnesses up to and including heat stroke, a life threatening condition. This protocol may not be appropriate under all conditions. Sound Industrial Hygiene professional judgment is required. Because the measurements for this protocol occur during the rest phase of the work/rest regimen, the conditions affecting employee heat strain during the work phase must be carefully weighed. Work rate, effecting metabolic heat generation is the most important factor. However, it does have several advantages including: Ease of deployment, high employee acceptance, relatively non-invasive, encourages self-monitoring, enables on-the-spot work/rest regimen adjustments protecting worker health and documents the effectiveness of control methods.