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Extreme Heat at Work: A Critical Health and Safety Issue

Climate change is significantly impacting worker safety and health, exposing them to higher daily temperatures and more frequent, severe heatwaves.

What risks does extremely hot weather present?

Three of the biggest risks to health during extremely hot conditions are

Heat Exhaustion

Dehydration

Ultraviolet (UV) Rays

What should my employer be doing?

Commuting and remaining in work

Workplace Ventilation and Thermal Comfort

(*) https://www.hse.gov.uk/temperature/thermal/

Personal protective equipment (PPE)

The need for personal protective equipment (PPE) will have followed a risk assessment and identified that all other means of reducing the risks to the individual have been eliminated but a level of risk still remains, so PPE is the last (not first) resort to protecting an individual.

The use of some types of PPE in hot outdoor / indoor environments (such as overalls, mask, respirators, aprons, hoods etc) increases the risk of the body not being able to cool itself and maintaining a healthy temperature (heat stress). This can cause heat exhaustion and if action is not taken lead to heat stroke.

If your work requires the use of PPE, we expect employers to have review the risk assessment for the activity that requires PPE and consider avoiding this type of work in areas where is not possible to ensure a cool working environment.

Where the work needs to continue, and PPE is required we would be expecting employers to operate in the following way

Operating a buddying system where staff regularly check on one another for signs of heat stress like confusion, changes in completion or looking clammy, increased rates of breathing (whilst at rest or not undertaking vigorous activity)

Workers who are pregnant

Employers are already required by law to undertake individual risk assessments once an employee has informed them, they are pregnant. We would expect employers to review this risk assessment considering the Amber and Red warning for extreme heat (see Heat-Health Alert (HHA) colour warning system information below).

The review should take account of the fact that workers who are pregnant are more at risk of experiencing heat exhaustion and at lower temperatures. Therefore, additional steps should be considered to reduce the risks and could include

If you have any none medically urgent questions about the impact of the heat on your pregnancy you should discuss this with your midwife, contact your GP or call NHS 111

Those with existing health conditions

Where employers are aware someone has an existing health condition, once an alert has been issued, managers should be discussing with those employees how the extreme heat might affect either their condition or medication used.  We would encourage an individual risk assessment to be carried out, and for employers to consider what additional reasonable adjustment(s) could be provided.

If you feel you are being put at risk it is crucial to get advice and discuss the situation with your UNISON representative. Contact your branch and if needed you can seek advice from our regional office or legal team.

More guidance for Health and Safety reps on Temperature at Work

Outdoor workers

Those working outdoors require additional measures to protect them, both from UV radiation and heat stress,

In Amber warning areas (see Heat-Health Alert (HHA) colour warning system information below)

Work activities should be reduced and planned to take place at cooler times of the day (before 11 am and after 3pm), sun cream with a high UV factor should be provided free of charge, increased breaks out of the sun and free access to fresh cool water.

In Red warning areas (see Heat-Health Alert (HHA) colour warning system information below)

Only activities which are critical should be undertaken, [following that advice for Amber areas] but significantly limiting any work during 11am-3pm, employers might consider asking employees to undertake temporary duties out of the sun, provided they have received the appropriate training to be able to do that work safely.

UKHSA and Met Office Service

In July 2022, the UK recorded it hottest every day with the temperature reaching 40.3°C.

In response, the UK Health Security Agency (UKHSA) together with the Met office have produce a new Adverse Weather and Health Plan ‘Protecting health from weather related harm’.

In line with other weather warning systems in operation within the UK, an updated Heat-Health Alert (HHA) colour warning system will operate from the 1 June to 15 September each year.

(Reproduced from UKHSA User guide-New impact-based Weather-Health Alerting System)

These alerts are intended to provide information to those delivering health and social care services, as well as other businesses and the public. This ensures that preparations and changes to business operations can be planned and implemented.

Your employer should be monitoring these alerts and discussing the potential health and safety impacts with health and safety representatives.

As UNISON members work in both the public and private sectors across the UK, some areas may have different levels of weather warnings in place. Therefore, local authorities may issue guidance based on their local circumstances and demands on health services.

Our bodies work hard to keep us comfortable, and even a few degrees change in core temperature can make us unwell.

Children under 4 years old, individuals with underlying health conditions, pregnant people, and the elderly are more at risk of health issues from extreme temperatures.

As weather and temperatures vary across the UK, alerts may be based on regional rather than national forecasts. Different regions may have different alert levels.

The Met Office may also issue National Severe Weather Warning Service (NSWWS) alerts for extreme heat in areas where temperatures are predicted to reach specific thresholds.

Reproduction of Figure 3.2: Local threshold temperatures within the Heatwave Plan for England: Protecting health and reducing harm from hot weather

Devolved Nations

Devolved nations have their own threshold action levels, members living or working in those location should refer to the advice issued by the devolved administrations.

Cymru /Wales

Northern Ireland

Scotland

UKHSA advice for public services

The Heath-health Alert Service forewarns of periods of high temperatures, which may affect the health of the public. It is aimed at health and social care professionals and any with a role in reducing the harm extended periods of hot weather can have on health. Individuals in England can sign up to receive alerts or access the alert dash board via the links below

Heat-health Alert service sign up link

Heat-health Alert dashboard

The UKHSA has produced guidance to assist professionals in protecting vulnerable people from the health impacts of severe heat in England. (devolved nations may issue their own of reference these)

Social care managers, staff, and carers

Healthcare professionals

Supporting people who are homeless and sleeping rough

Looking after children and those in early years settings during heatwaves: for teachers and professionals

The signs of heat exhaustion include:

The symptoms are often the same in adults and children, although children may become floppy and sleepy.

If someone is showing signs of heat exhaustion, they need to be cooled down.

Call 999 if:

You or someone else have signs of heatstroke including:

Heatstroke can be very serious if not treated quickly.

Put the person in the recovery position if they lose consciousness while you’re waiting for help.

Symptoms of dehydration in adults and children include:

Call 999 or go to A&E if:

These can be signs of serious dehydration that need urgent treatment.

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