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7/20/2018 1 EG313 – Safety in Oil & Gas Industry Chapter 7 Cold & Heat Stress in Oil & Gas Industry Contents 2 • Heat and body mechanism • Cold stress • Heat stress 7/20/2018 2 Introduction – Cold Stress 3 Exposure to cold can occur when working outdoors or in artificial cold environments. Working for prolonged periods or in extreme cold conditions can lead to cold-related injuries and illnesses, permanent tissue damage, and death. Examples of artificial cold environments: • Cold storage rooms, refrigerated warehouses • Freezers Body Heat 4 Maintaining Temperature: Balancing Heat Loss and Heat Production Most of the body’s energy is used to maintain an internal (core) body temperature of approximately 98.6°F (37°C). • Heart • Brain • Lungs • Liver • Kidneys Body’s core area: (internal organs, especially ones vital for survival) The body does this through balancing heat loss and heat production. In cold conditions, the body reduces heat loss and increases heat production. 7/20/2018 3 Body Heat 5 Maintaining Temperature: Balancing Heat Loss and Heat Production Over time, your body will decrease blood flow to your extremities and outer skin and shift it to the body core to keep the internal organs warm. However, this allows exposed skin and the extremities to cool rapidly and increases the risk of cold-related injuries, such as frostbite and hypothermia. Challenges From Cold Conditions 6 Cold conditions force your body to work harder to maintain its temperature. The challenges you face from a cold environment include: Air temperature Wetness: rain, snow, ice, humidity; sweat; wet clothes; water Air movement: wind speed (5 mph and higher), blown air from fan in cold rooms, etc. 7/20/2018 4 Wind Chill Effect 7 Wind chill is the perceived temperature (what it “feels like”) resulting from the effect of wind (wind speed) in combination with cold air (air temperature). The combined effect increases the rate of heat loss from exposed skin. The stronger the wind at a given temperature, the cooler the wind chill will be. Wind Chill Effect 8 • Example: When the air temperature is 15°F (-9 °C) and wind speed is 10 mph, your exposed skin receives conditions equivalent to the air temperature being 0°F (-17 °C). Frostbite will develop in 30 min. • If the wind speed doubles to 20 mph, it will feel like it is -18°F (-27 °C) and frostbite will occur in only 10 minutes. 7/20/2018 5 Wind Chill Effect 9 CONDUCTION: Heat loss through contact with a cooler object - transfer of heat to the cooler object; increases when in contact with cold wet objects (generally, conduction accounts for 2-3% of total heat loss in dry conditions; with wet clothes the loss is increased 5x, and rate of heat loss is 25x faster when a person is immersed in cold water) How Does the Body Lose Heat? 10 EVAPORATION: Heat loss in the form of vapor when body uses heat to evaporate moisture from skin surface (perspiration or “sweat”) CONVECTION: Heat loss when one of the objects is in motion. Eg: from wind (blown air from fan, etc.) or water; rate of heat loss depends on density of moving substance. RADIATION: Heat loss from exposed body areas to the environment due to the difference between the temperature of the body and that of the cooler air (when air is <98.6°F) RESPIRATION: Heat loss from lungs’ warming inhaled cold air, which is then exhaled 7/20/2018 6 How Does the Body Produce Heat? 11 • Metabolism: Biochemical reactions in the body which produce heat as a by-product • Physical Activity (exercise/work): Muscles produce most of the heat during physical work • Shivering: Inefficient quivering of the muscles that increases the body’s heat production; limited to a few hours because of depletion of muscle “fuel” stores and the onset of fatigue. Your body must produce an equal amount of heat to counter-balance the heat loss in order to survive and stay active in the cold. Heat is produced in the following ways: How Does the Body Produce Heat? 12 • Food intake • "Fuel" (glycogen or carbohydrates) store • Fluid balance (water in = water out) • Size and shape of the body (surface to volume ratio) • Layer of fat under the skin • Decreased blood flow through the skin and extremities • Insulation (clothing) Factors important in heat production: Factors influencing heat retention and tolerance to cold: 7/20/2018 7 Cold Stress 13 If your body begins to lose heat faster than it is produced, your core body temperature drops below normal, and cold stress may result. Cold stress doesn’t only happen when conditions are below freezing; it can also be brought about by temperatures in the 25°C with some rain and wind. How Does Cold Affect Work Performance? 14 ► Lower work efficiency ► Higher accident rates Uncomfortably cold working conditions (combination of temperature, wetness, wind) Immediate signs: • Decreased alertness • Restlessness, lack of concentration • Impaired performance of complex mental tasks • Impaired ability to perform manual tasks • Numbness, muscle weakness, stiffened joints 7/20/2018 8 Cold Injuries / Illnesses 15 • Previous cold-related injury • Predisposing health conditions Cardiovascular disease, Diabetes, Anemia, Sickle cell disease, Vibration/White finger disease, other conditions associated with poor circulation, Hypertension, Asthma • Fatigue, poor physical condition • Poor nutrition • Medication Anti-depressants, Sedatives, Tranquilizers, Others • Alcohol Decreases awareness; impairs the body’s ability to regulate temperature and increases risk for hypothermia In general, people in good physical health are less susceptible to cold injury. In addition to weather conditions, the following factors may increase the risk of developing a cold injury: Factors Increasing Risk of Cold Injuries/Illnesses Cold Injuries / Illnesses 16 • Hypothermia is a potentially fatal condition, occurs when body temperature falls below 95°F (35°C). • Frostbite, frostnip, chilblains, and immersion injury most commonly affect the extremities - toes, fingers, ears, nose Working in freezing conditions or under prolonged exposures to temperatures below freezing, along with other factors, can cause cold-related injuries and illnesses, tissue damage, possible amputation, or death. Hypothermia Frostbite 7/20/2018 9 Preventive Measure 17 Planning: Plan for work in cold weather and implement controls to reduce and minimize exposure and the risk of cold stress. • Planning for the conditions • Engineering controls • Work practices • Appropriate clothing • Personal protective equipment Training: Provide training in the recognition and treatment of cold- related injuries and illnesses. Supervisors, workers, and co-workers should watch for signs of cold stress and allow workers to interrupt their work if they are extremely uncomfortable. Awareness: Being aware of how your body is reacting to the cold is important in preventing cold stress. Planning 18 • Indoors: Take readings of temperature and air movement in all cold work areas at the start, middle, and end of each shift, at least every four hours. • Outdoors: The weather report can be used. Postpone work to a warmer day. Schedule heavy work during the warmer parts of the day if possible. • Where there is air movement from wind, ventilation, or travel in an open vehicle like a forklift, use the wind chill index to evaluate the hazard rather than the air temperature. • The wind chill index takes into account the wind blowing the heat away from the body. • If you know the temperature and speed of air movement, the wind chill can be looked up in the wind chill chart. Monitor temperatures and air movement 7/20/2018 10 Engineering Controls 19• Use radiant heaters, warm air jets, and contact warm plates to warm workers. • Shield work areas from drafts or wind to reduce wind chill. • Provide heated warming shelters, e.g., tents, cabins, or rest rooms, for continuous work in temperatures below freezing. • Cover equipment handles, especially metal handles and bars with thermal insulating material when temperatures drop below freezing (steel conducts heat away even faster than water). • Design machines and tools so that they can be operated without having to remove gloves or mittens. • In refrigerated rooms, minimize air speed as much as possible with properly designed air distribution systems. If workers are simultaneously exposed to vibration and/or toxic substances, reduced limits for cold exposure may be necessary. Clothing 20 • Body: Wear at least three layers of loose-fitting clothing to trap air and provide insulation, and allow better ventilation. 1. Inner wicking layer made from polyester, polypropylene, or other synthetic material that draws moisture away from the skin and helps keep it dry. 2. Middle insulating layer made of wool, down, fleece, or other material with loft that will hold the body’s heat. 3. Outer layer for wind and water protection, made of “breathable” waterproof fabric that allows some ventilation (like Gortex® or nylon) and is windproof, and that may also need to be resistant to oil, fire, chemicals, or abrasion. Any additional layer(s) of clothing should be large enough not to compress the inner layers and decrease the insulation properties. 7/20/2018 11 Clothing 21 Head: Wear a wool knit cap or a liner under a hard hat to reduce excessive heat loss. A mask also helps protect the cheeks and nose. Up to 40% of body heat can be lost when the head is left exposed. Personal Protective Equipment 22 Face and Eye Protection • In extremely cold conditions where face protection is needed, use eye protection that is separate from the nose and mouth to prevent fogging and frosting eye shields or glasses • Wear eye protection appropriate for the work • Wear eye protection that protects against: – ultraviolet light from the sun – glare from the snow – blowing snow/ice crystals – high wind chill conditions to protect the corneas of the eyes from potentially freezing 7/20/2018 12 Work Practice to Reduce Cold Risk 23 • Pace the work to avoid excessive sweating. Change into dry clothes if clothes become wet. New employees should be given enough time to adjust to cold and protective clothing before assuming a full work load. • Avoid sitting or standing still for prolonged periods. • Take frequent breaks, in shielded areas out of the cold, to avoid fatigue since energy is needed to keep muscles warm. • Work in pairs to keep an eye on each other and watch for signs of cold stress. • Consume warm, high calorie food such as pasta or rice to maintain energy reserves. Working in the cold requires more energy to maintain body heat. Work Practice to Reduce Cold Risk 24 • Drink plenty of warm liquids often, especially when doing strenuous work, to prevent dehydration. Avoid caffeine, which increases urine production and contributes to dehydration. Avoid alcohol. • When it is cold, do not brush up against metal surfaces with bare skin. The skin may stick to it and get immediate frostbite. • Greases and oils get thick and hard which makes equipment difficult to use. Follow the proper procedures and use the right tools. Tools also get brittle in the cold, so use caution when working with them. • Avoid skin contact when handling evaporative liquids (gasoline, alcohol, cleaning fluids) while de-icing and fueling below 40°F. These materials in contact with the skin greatly increase heat loss from the body. 7/20/2018 13 Training 25 • Educate supervisors and workers on: – symptoms of cold related disorders, and signs of cold stress to watch for – proper clothing habits – safe work practices – physical fitness requirements for work in cold – emergency procedures in case of cold injury • Allow workers to interrupt their work if they are extremely uncomfortable. • Supervisors should also ensure that work schedules allow appropriate rest periods. All of these measures should be incorporated into the relevant health and safety plans. Heat Stress 26 Workplace Heat Illness (Heat Stress) Prevention 7/20/2018 14 Training 27 • Prior to work in warm weather, supervisors and employees shall be trained on the following: – The department’s heat illness prevention procedures – Environmental and personal risk factors for heat illness – The importance of consuming water throughout the work shift – The importance of acclimatization. – Common signs/symptoms of heat illness – The importance of reporting sign/symptoms of heat illness to the supervisor – Emergency response procedures Heat Illness 28 7/20/2018 15 Risk Factors for Heat Illness 29 • Weather conditions – Temperature – Humidity – Air movement – Radiant heat (ex: sunshine) – Conductive heat (ex: ground) • Higher intensity and/or duration of physical activity • PPE / clothing can be a factor (i.e., tyvek overalls) Personal Risk Factors 30 • Poor physical condition* • Age • Degree of acclimatization • Water consumption • Some medications* • Alcohol/ drugs * Recommend checking w/ personal physician about heat illness risk 7/20/2018 16 How Does the Body Handle Heat 31 • The body tries to keep a constant internal temperature • As internal temperature rises from activity, the body cools itself by: – Increasing blood flow to skin surface – Releasing sweat onto skin surface Heat Exhaustion 32 • Cause: – Excessive loss of water and salt through sweat • Signs & Symptoms: – Headaches, dizziness, lightheadedness or fainting – Weakness and moist skin – Muscle cramps – Mood changes such as irritability or confusion – Upset stomach or vomiting 7/20/2018 17 Heat Stroke 33 • Cause: – Total breakdown of body’s cooling system • Signs & Symptoms: – Sweating stops-- skin is hot, red, and dry – Mental confusion, losing consciousness – Fainting – Seizures or convulsions Treat as a medical emergency! Can be life threatening Heat Stroke 34 7/20/2018 18 Emergency Response Procedure 35 For any of the previously mentioned symptoms: • Immediately call 911/999 • While waiting for help: – Move victim to cool area – Give small cup of water (if conscious and not nauseous) – Loosen and/or remove clothing – Fan and mist the person w/ water – Apply a water-soaked towel (or ice pack wrapped in towel) to head and ice pack to armpits • Contact supervisor immediately! • Anyone with symptoms must never be sent home or left unattended without a medical evaluation. • Follow-up for employees evaluated for heat illness. Prevention of Heat Illness 36 7/20/2018 19 Access to Water 37 • Access to sufficient amounts of cool drinking water shall be available at all times. • Recommend consuming at least four cups per hour for the entire shift. Access to Shade 38 • A shaded rest area shall be provided as close as practicable to the work area. • As needed, take frequent cool-down breaks in the provided shade. 7/20/2018 20 Work Planning and Supervision 39 • Assess weather conditions: – Weather forecasts – Current weather • Note: high humidity drives up the heat load • For warmer periods: – Schedule outdoor work during cooler parts of the day – For most strenuous tasks, plan a staff rotation Work Planning and Supervision 40 • Worker acclimatization – People adapt to outdoor temperature increases within 4-14 days. – To minimize the risk of heat illness: • Adjust work schedules and intensities during a 2-week period • New employees or those returning from extended leaves – acclimatization is especially important – May not be adapted to local weather or work intensity – Be extra vigilant withthese employees 7/20/2018 21 Work Planning and Supervision 41 • For outdoor temperatures ≥85°F (29 °C), supervisors shall ensure: • Shade is present for employee rest breaks. – When a worker has brief periods of outdoor work without nearby shade, the employee shall be instructed on how he/ she will be able to quickly access shade as needed for heat illness prevention – If it is not safe or feasible to provide shade, document why the shade cannot be provided and what steps will be taken to provide shade upon request or an alternative cooling measure with equivalent protection. • Staff are reminded throughout the day to drink plenty of water and to take cool-down breaks in the shade (when they feel the need to do so). • Effective means for employees to contact the supervisor and emergency services. • Regular monitoring of employees for alertness and signs/symptoms of heat illness. • Close supervision of new employees. Written Procedure 42 • These steps detail how your personnel will locally: • Provide supervisor and employee training • Provide access to water & shade • Monitor employees and report signs/symptoms of heat illness • Respond to heat illnesses without delay, provide first aid and emergency services. • Provide clear and precise directions to the worksite. • Train all supervisors and employees on these procedures. • Document training conducted • Maintain the procedures on-site or close to the site, so that it can be made available to representatives of Cal/OSHA upon request. 7/20/2018 22 Summary of Supervisor Responsibilities 43 • Obtain heat illness prevention training • Be aware of your staff’s heat stress potential • Develop and train staff on written local heat illness prevention procedures • Provide access to water and shade. • Plan and manage work activities accordingly to reduce the risk of heat stress • Be able to recognize any warning signs of heat illness – Promptly respond to symptoms of heat illness! 44 Emergency Response Thank You
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