Anyone can start here · Telehealth / national (WBGT-based plan built over the worker's own hospital kitchen or laundry conditions and schedule)
Heat-stress work/rest cycle + hydration + acclimatization plan — hospital kitchen and laundry staff.
Fund it for $220. Proof lands onchain when it's done.
$220 proposed
Not funded yet. Settles as earned credit, $220 proposed.
- Proofheat-illness/medication screen + WBGT-and-workload reading + a work/rest cycle set from the NIOSH/ACGIH table + a hydration schedule + an acclimatization ramp for new/returning workers, with any current heat-illness symptom routed to EMERGENCY and any red flag routed to a clinician
- Open until2027-01-02
- Levelentry
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What the work involvesNot every hospital heat exposure is outdoors: commercial kitchens and industrial laundries are among NIOSH's own named example industries for indoor occupational heat stress (ovens, steam kettles, dish machines, industrial dryers and pressers), and OSHA maintains a dedicated guidance page for hospital food-service heat stress specifically. A hospital's own kitchen and laundry staff work in that heat every shift, with no structured work/rest cycle, hydration schedule, or acclimatization ramp for new hires — the same gap this standard already closes for outdoor trades.
How this work is done
A documented method, so this packet comes out the same whoever does it.
Bring
- WBGT meter or a validated on-site heat-index estimate (OSHA-NIOSH Heat Safety Tool app, or a site WBGT reading) for the shift
- the NIOSH/ACGIH WBGT-based work/rest and workload table (light/moderate/heavy metabolic rate x WBGT band)
- a hydration log (water intake and timing, electrolyte use) and a marked water source at the job site
- an identified shade/cool-down location at the job site
- an acclimatization tracking log (days on this job/site, workload percent, symptoms) for new or returning workers
- a clothing/PPE note (fabric, layers) for the WBGT clothing-adjustment factor
Steps
- 1. Screen first: heat-illness history, cardiovascular or kidney disease, pregnancy, and any medication that impairs heat tolerance (diuretics, some cardiac or psychiatric medications). Anyone symptomatic right now (confusion, collapse, hot/dry or profusely sweating skin with altered mental status) STOPS the assessment immediately and routes to EMERGENCY (call 911) — do not proceed with planning.
- 2. Record the worker's exposure status: days worked on this job or job site, and any absence of more than a week (illness, vacation, injury, seasonal layoff, weather shutdown). NIOSH/CDC surveillance places most occupational heat fatalities in the first days of heat exposure on a job, before the body has adapted (Bonauto 2017) — this status decides the acclimatization ramp below.
- 3. Estimate or record the workday's WBGT (site meter reading, or the OSHA-NIOSH Heat Safety Tool app using local temperature and humidity), and classify the task's metabolic workload (light/moderate/heavy) and clothing.
- 4. Look up the matching NIOSH/ACGIH work/rest ratio for that WBGT-and-workload cell and set the shift's work/rest cycle (minutes worked per hour vs. minutes resting in shade or a cool area). Unacclimatized, new, or returning workers use the lower, more protective action limit for that cell, never the full-exposure limit.
- 5. Set a hydration schedule: about one cup (~237 mL) of water every 15-20 minutes of work in the heat, not exceeding roughly 1.5 L/hour or 12 L/shift (over-hydration risks exertional hyponatremia), with electrolyte replacement for sweating beyond about 2 hours or visibly heavy sweat loss.
- 6. Build the acclimatization ramp for a new or returning worker: start at roughly 20% of the full workload/duration on day 1, increase by no more than about 20% per day, reaching full exposure over roughly 7-14 days. Hold or restart the ramp after any absence longer than a week.
- 7. Record the WBGT/workload band, the work/rest cycle, the hydration schedule, the acclimatization day and ramp step, and a self-monitoring symptom checklist (cramps, heavy sweating, dizziness, nausea, headache = STOP, cool, hydrate; confusion, slurred speech, collapse, seizure, or hot/dry OR profusely sweating skin with altered mental status = EMERGENCY, call 911, cool immediately); sign.
What counts as done
- Completed heat-illness history / cardiovascular-kidney-pregnancy / medication screen (cleared, or routed to a clinician; any current symptom routed to EMERGENCY before proceeding)
- WBGT or validated heat-index estimate and task workload recorded near the ovens, kettles, dish machines, dryers or pressers actually worked, with the matching work/rest cycle set from the NIOSH/ACGIH table
- A hydration schedule (timing, volume, electrolyte trigger) and, for a new or returning worker, a recorded acclimatization ramp (day count, workload percent)
- A self-monitoring symptom checklist recorded, with the emergency route for confusion/collapse/altered-mental-status named explicitly
Proof is measured against these, not judged by taste.
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