Heat Action Plan

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

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?

  Media

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

  Date

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?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Heat Safety Training

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Sign