HEAT STRESS PLAN

Project
Main Piling Work

Contract Number:4800001029

“Document Code”
Document history

Revision code Description of changes Purpose of issue Date

01 First Edition Submitted for approval 20-03-2024

Document approval

Prepared by Reviewed by Approved by

Name Atiq Ullah Satish Kumar Umair Farooq

Job Title Acting HSE Manager Project Manager Project Director

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Contents

1 PURPOSE........................................................................................................................................4

2 SCOPE.............................................................................................................................................4

3 DEFINITIONS...................................................................................................................................4

3.1 HEAT RASH........................................................................................................................4

3.2 HEAT CRAMPS....................................................................................................................4
3.3 HEAT EXHAUSTION..............................................................................................................4
3.4 HEAT STROKE.....................................................................................................................4
3.5 THERMAL WORK LIMIT (TWL).............................................................................................4
3.6 ACCLIMATIZATION................................................................................................................4

4 REFERENCES.................................................................................................................................5

5 RESPONSIBILITIES........................................................................................................................5

6 PLAN................................................................................................................................................5

6.1 WORKING HOURS...............................................................................................................5

6.2 HEAT STRESS.....................................................................................................................5
6.3 RISK ASSESSMENT..............................................................................................................6
6.4 CONTROL MEASURES..........................................................................................................6
6.5 THERMAL WORK LIMIT (TWL).............................................................................................7
6.6 USE OF ELECTROLYTES......................................................................................................8
6.7 COOLING SHELTERS / REST AREAS.....................................................................................8
6.8 USE OF PROTECTIVE CLOTHING PPE..................................................................................8
6.9 TRAINING AND INDUCTION....................................................................................................8
6.10 MEDICAL SCREENING........................................................................................................10
6.11 HEAT INSPECTION/AUDIT...................................................................................................10
6.12 EMERGENCY RESPONSE....................................................................................................10

7 ELTIZAM-WORKING IN THE HEAT.............................................................................................10

8 FORMS AND TEMPLATES...........................................................................................................10

9 APPENDICES................................................................................................................................11

 Appendix A – Concrete Overruns Summer Working Plan

 Appendix B – Heat Stress Campaign
 Appendix C - Working in The Heat
 Appendix D - Urine Check

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1 PURPOSE
The purpose of this Plan is to set the minimum standard for heat stress prevention, control and
management in peak temperatures from 15 June to 15 September and to reduce the risk of heat
related disorders for the employees working at t NEOM ‘EPICON Main Piling Work” Project in Gulf
of Aqaba

2 SCOPE
This Plan is mandatory and shall apply to all operational activities carried by AMMICO personnel
and its Sub-Contractors within EPICON Piling Project, and covers all personnel involved in
construction related activities or operations, including both field and offices.

3 DEFINITIONS
3.1 Heat Rash
Heat rash, also known as prickly heat, may occur in hot, humid environments where sweat is
not easily removed from the surface of the skin by evaporation. This is common when using
protective equipment especially impermeable clothing. Heat rash can become uncomfortable
when extensive or complicated by infection.

3.2 Heat Cramps

Heat cramps, which are painful muscle spasms, are caused when workers fail to replace the
body's salt loss that occurs during excessive perspiration (especially with non-acclimatized
workers).

3.3 Heat Exhaustion

Heat exhaustion results from excessive loss of salt and/or water through Sweating. The
worker with heat exhaustion still sweats, but experiences extreme fatigue, Weakness,
giddiness, nausea, or headache. The skin is clammy and moist, the complexion pale or
flushed and the body temperature normal or slightly higher.

3.4 Heat Stroke

Heat stroke, the most serious health problem for workers in hot environments, is caused by
the failure of the body's internal mechanism to regulate its core temperature. Sweating stops
and the body can no longer rid itself of excess heat. Signs include:
Mental confusion, delirium, loss of consciousness, convulsions or coma, a body temperature
of 40.6°C (105°F) or higher, and hot dry skin which may be red and flushed. Victims of heat
stroke may die unless treated promptly and correctly.

3.5 Thermal Work Limit (TWL)

Refers to the heat stress index (recommended by NEOM-OSHFS-GF) that gives a measure of
the maximum safe work rate for work conditions.

3.6 Acclimatization
A process of adapting or becoming accustomed to a new climate or environment.

4 REFERENCES
4.1 Neom Documents

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 Document no. Document title

NEOM-NPR-STD-001 Projects Health and Safety Assurance Standard

NEOM-NPR-STD-30 Working in the Heat

4.2 Other Documents

Document no. Document title

02-210000-4800001029- AMMICO Health and Safety Management Plan

AMM-HSE-PLN-
000001_01.00

5 RESPONSIBILITIES
It shall be the responsibility of the AMMICO Managers to ensure that the requirements of this Plan
and Practice are adhered to.
It shall be the responsibility of all supervisors to ensure that the requirements of this Plan are
adhered to at all times by all employees.
It shall be the responsibility of the Site Safety Representative to check from time to time the
implementation and adherence to this Plan and report violations and/or non-compliance issues to
project management for immediate corrective action.

6 PLAN
AMMICO’s occupational environments and/or physical activities may expose their workers to
temperatures, which could be excessive and may threaten their health and productivity. The
following serves as a guideline in managing work in high temperature environments and/or during
the summer period (15 June to 15 September):
6.1 Working Hours
AMMICO working hours during the summer period form 15 June to 15 September as per
Saudi Government rules and regulations, will be as follow:
6.1.1 Offices and activities not affected by direct sunlight:
 Morning Session from 6:00 AM to 12:00 PM

 Afternoon Session from 1:00 PM to 6:00 PM

 Night Shift from 6:00 AM to 6:00 PM with one hour break for Dinner and also prayer
and tea break
6.1.2 Site Activities affected by direct sunlight:
 Morning Session from 6:00 AM to 12:00 PM

 Afternoon Session from 3:00 PM to 7:00 PM

 Note: the timing may be changed according to the situation at site.

In case of concrete overruns during summer working protocol, the NEOM management will be
notified to obtain a permission to work under such conditions as in Appendix 1. AMMICO will
provide Shelter and a designated drinking water area, along with suitable rest areas.

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 6.2 Heat Stress
Heat stress is the result of the combination of several factors; the following factors should be
evaluated to determine the potential for heat stress.
 Ambient temperature

 Humidity

 Type of work required - heavy, moderate or light work

 Required work clothing - the potential for heat stress increases as the in permeability
of the work clothing increases
 Employee conditioning and/or acclimatization

 Previous project experience or history

Whenever it is determined that a heat stress environment exists heat stress preventive
measures shall be implemented.

6.3 Risk Assessment

AMMICO will ensure that risk assessments are carried out to identify jobs or tasks with
exposure to extreme climates within their scope of works. Before beginning work, supervisors
shall review relevant risk assessments with employees.
If a risk assessment has identified potential thermal stress or harsh climatic hazard for a job or
task, a heat stress program will be put in place. Interventions in managing heat stress at the
project will include but not limited to the following:
 Instituting Acclimatization program for relevant employees

 Determining work/rest breaks and water consumption requirements by utilizing

Thermal Work Limit (TWL) assessment
 Confirming timely replacement of lost fluid and electrolytes (ORS)

 Providing shade and cooling shelters

 Providing and insisting on appropriate protective clothing

 Scheduling of physical activities in the summer months during the coolest part of the
day to the extent reasonably practicable
 Providing “working in summer heat” inductions and campaign programs

6.4 Control Measures

Heat stress is the combination of environmental and physical work factors that constitute the
total heat load imposed on the body. One of the best ways to reduce heat stress on workers is
to minimize the amount of heat in the workplace.
However, there are some work environments where heat production is difficult to control, such
as active steam lines, high ambient temperature processes, humid work areas, or radiant heat
from the sun or a furnace. However, most heat related health problems can be prevented or
the risk of developing them reduced. When unacceptable levels of heat stress can potentially
occur, there are generally five approaches to a solution:
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  Modify the work environment with supply & exhaust blowers (ventilation);

 Modify the clothing (to cotton) and equipment with air-con;

 Modify the work practices (buddy system & adequate breaks);

 Modify the worker by heat acclimatization;

 Modify production with a work/rest regiment.

Engineering Controls:
A variety of engineering controls, including ventilation and spot cooling at points of high heat
production may be installed.

6.5 Thermal Work Limit (TWL)

AMMICO will ensure that the environmental conditions are assessed by the use of TWL zones
in order to determine the work and rest breaks and water consumption requirements for the
employees.
Below table maybe used as a guidance in identifying TWL with suggested interventions.

Rehydration Work-rest
Working Zones Interventions Schedule schedule
(per hr) (minutes)

Low Risk
Light Work Safe for all
Unrestricted No limits on self-paced work for
600 ml - 1 litter/ continuous
Zone educated hydrated workers.
hr self-paced work
TWL:140 – 220 <

Cautionary zone indicates

situations in which environmental Safe for
conditions require additional light work
continuous
precautions. 1 -1 .2 litters/ hr
self-paced work
 Practicable Engineering control
Medium Risk measures to reduce heat stress
Cautionary Zone should be implemented, e.g.
TWL: 115 – 140 provide shade, improve ventilation
etc.
 Working alone to be avoided Continuous
Heavy work
paced work
 No un-acclimatised person to 1.2 litters/ hr
work 45 work – 15 rest
 Ensure adequate fluid intakes
appropriate for type of work

 Strict Work /Rest cycling

required Light work
 No person to work alone 45 work – 15 rest
 No un-acclimatised person to
High Risk Zone work All work
TWL: < 115  High Risk induction required >1.2 litters / hr
emphasizing Hydration and Heavy work
identifying signs of heat strain
20 work – 40 rest
 Provide personal water bottle (2
litter capacity) on-site at all times

Table 1.0 – Thermal Work Limit Zones and Interventions for Management of Work.
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  AMMICO will use Scarlet TWL-1S Heat Stress Monitor as below in Fig 01 to measure
TWL and to determine the work, rest breaks and water consumption requirements for
the workers.

Fig 01: Scarlet TWL- 1S Heat Stress Monitor

Notes:
 Self-paced work – workers must be allowed to adjust their work rate according to
environmental conditions. Paced work is when the work rate is not under the worker’s
control
 Un-acclimatized – workers are defined as new workers or those who have been off
work for more than 14 days due to illness or on vacation leave (in a cool climate area)
 Light work - sitting or standing, light arm work

 Heavy work - carrying, climbing, lifting, pushing, whole-body work

 At high workloads and or thermal stress, sweat rates exceed 1.2 litre/hr. Increasing
fluid intake much above this level is not practical due to gastric discomfort as the upper
limit for gastric emptying and fluid absorption is 1.5 litters/hr so control solutions to
improve thermal conditions should be implemented in addition to providing adequate
hydration to replace sweat lost.

6.6 Use of Electrolytes

AMMICO will provide appropriate amounts of potable drinking water close to the worksite and
appropriate electrolyte replacement drinks for the employees working in high temperature
environments. A programmed drinking, where appropriate, will be implemented to encourage
employees of appropriate fluid intake.

6.7 Shelters / Rest Areas

AMMICO will provide shelters and rest areas at site for employees working outside during the
summer months and/or for midday break periods as set by Ministry of Labour. AMMICO will
ensure cold drinking water is available to workers with disposable glasses.

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 Fig 02: Rest Shelter Fig 03: Drinking Water Igloo
Main Shaded water station with filter and chiller will be installed at the office area and water
dispensers in offices. Water igloos will be filled from the main water station, sealed with date
and time, and will be delivered to site water station points by the supervisor.
Cleaning regime will be implemented, and filter will be changed weekly.

Fig 04: Main Water Station with chiller Fig 05: Filter

6.8 Use of Protective Clothing PPE

Appropriate clothing (i.e. lightweight, cotton, loose-fitting – unless using / operating
machinery).
Adequate quantity of drinking water will be provided for the workers with disposable paper
cups. Sharing of drinking cups and water bottles will not be allowed at worksites.

6.9 Training and Induction

All employees, both at site, workshops, and offices, will undergo a heat stress induction before
or at the start of summer months. Those employees working outdoors during the summer and
those working in high temperature environments will receive regular briefings on heat injuries
and illnesses symptoms and treatment.
6.9.1 Schedule of Heat Stress TBT & Campaign
Please find below a schedule of heat stress toolbox talks, campaigns, and initiatives that will
be delivered to the workforce throughout the summer working period. The dates have been
aligned with work activity and resource schedule, including significant milestones and changes

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 in personnel on the project. The schedule will be divided into monthly and weekly sessions as
follows;

Topic Date

Heat Stress Symptoms & Prevention June First Week

NEOM Eltizam Commitment- Working June 2nd Week

in the Heat- Campaign

Heat Stress Drill June , July & August

6.10 Medical Screening

Employers will ensure that pre-employment medical screening is carried out before an
employee commences work. Occupational health screening in the projects / department will
be implemented as per NP-NEOM-OSH-Form 01 Medical Examination Form, to ensure no
employee with a relative medical condition (i.e. high blood pressure, obesity, and the like) or
taking prescriptive drugs that may affect their resistance to heat stress, is allowed to work in
high temperature environments or outdoors during the summer months.

6.11 Heat Inspection/Audit

Regular inspections will be carried out by appointed persons (OSH officers, Supervisor etc) by
using NP-NEOM-OSH-PRO-20-Form 01 –Working in Heat Inspection Checklist.
Audits will also be carried out by AMMICO to ensure the worksite complies with the
requirements of this Plan.

6.12 Emergency Response

Medical team is always available at site to attend any heat stress case.
The emergency contact details will be posted at all site locations and communicated during
toolbox meeting to all employees.
Emergency Response drill will be conducted to ensure the readiness of the response team
during any occurring emergency.

7 ELTIZAM-WORKING IN THE HEAT

All personnel must ensure NEOM-NPR-STD-001 Rev1 section 30 Working in the Heat critical
controls and general requirements are followed all times, the critical controls are:

 I will drink plenty of water before I start work and regularly throughout
the day.
 I will take regular breaks in designated areas.
 I will avoid working alone without close supervision.
 I will look out for symptoms of heat stress in my co-workers.
 I will inform my supervisor or co-workers if I am feeling unwell.

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  I will familiarize myself with the emergency arrangements for dealing
with heat related illnesses.

8 FORMS AND TEMPLATES

Document number Document title

NP-NEOM-OSH-PRO-14-Form 01 Working in Heat Inspection Checklist

NP-NEOM-OSH-PRO-14-Form 02 Dehydration Test Report

NP-NEOM-OSH-PRO-14-Form 03 Temperature Monitoring Log

9 APPENDICES

 Appendix A – Concrete Overruns Summer Working Plan

 Appendix B – Heat Stress Campaign
 Appendix C - Working in The Heat
 Appendix D - Urine Check

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 Appendix A – Concrete Overruns Summer Working Plan

 Appendix B – Heat Stress Campaign

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  Appendix C - Working in The Heat

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  Appendix D - Urine Check

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