Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Heat Action Plan

Initial Check

  • How many documented incidents of heat-related illnesses have been reported in the past year, if any?

  • Can you provide a copy of the heat action plan for review purposes?

  • When was the last time the heat action plan was reviewed and updated?

Heat Risk Assessment

  • Identify heat risks within the indoor working area

  • Identify heat risks within the outdoor working area

  • What control measures are in place to mitigate these risks?

Existing Heat Safety Practices

  • Are all workers provided with adequate breaks and access to shaded or air-conditioned rest areas during hot weather?

  • Are there adequate water breaks and water refilling stations accessible to all employees?

  • Are there multiple control measures in place for various risks, incidents, and accidents?

  • Have these control measures properly communicated to all employees in the last quarter?

  • Is there a documentation practice in place for recording any heat-related illnesses and their respective corrective action or control measure?

Heat Safety Training

  • Are employees properly trained on heat safety practices and emergency procedures regarding heat illnesses and injuries?

  • Are employees provided with the right educational materials for heat safety?

  • Are simulated heat emergencies carried out regulary as part of employee training for heat safety?

Emergency Preparedness

  • Please describe the procedures outlined in the heat action plan for heat stress prevention and response.

  • Is there an alert system in place for when heat levels exceed safe working levels?

  • Have all the emergency preparedness procedures been properly communicated to employees?

  • Are reminders regarding heat and summer safety sent to employees regularly, even outside of summer?

  • Is the business properly equipped with the right supplies to deal with a heat emergency, should one arise?

Notes

  • Are there any feedbacks from employees regarding this heat action plan? If yes, list them down here.

  • Are there any points for improvement or review, if needed? If yes, list them down here.

  • Signature

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