#112 Cold Weather
Working under cold conditions can lead to various injuries or health effects – known as cold stress. Construction workers may experience cold stress when working: outdoors on a cold day, in a refrigerated room, in an unheated building, in cold water, rain, or snow, or while handling cold objects or materials. The hazardous effects of cold on the body may include dehydration, numbness, shivering, frostbite, immersion/trench foot and hypothermia.
Hypothermia is the most serious effect of cold stress. Once the body loses the ability to maintain its normal temperature, the body temperature lowers, and other symptoms such as violent shivering, slow or slurred speech, confusion, hallucinations, a weak and irregular pulse, or unconsciousness occurs. Certain people are more susceptible than others to cold stress. People who are not physically fit, have a chronic illness, drink alcohol or take drugs (including prescription drugs), are wet or damp from work or weather, are fatigued, are exposed to vibration from tools, don’t wear the right clothing, or are not used to working in cold have a higher risk from cold stress.
Shivering is the body’s response to cold stress and serves as a protection mechanism by increasing the rate of metabolism. Worker behaviors that may indicate cold stress exposures include seeking warm locations, adding layers of clothing, or increasing the work rate.
Employers can help protect workers from cold stress by providing training, controlling temperature and wind when possible by using heaters and windbreaks, rotating workers in cold jobs so that no one is exposed too long, scheduling work at warmest times, encouraging self-pacing and extra breaks if necessary, establishing a buddy system, and keeping first aid supplies and equipment available.
Employees can do their part to prevent cold stress. Proper insulation and good ventilation is critical for clothing worn during cold stress exposures. Better insulation is achieved by layering clothes rather than by wearing just one warm garment. Layering allows a person to add or remove layers to adjust for different insulation needs during the work period. Insulation quality of clothing may be greatly decreased by moisture. Thus, water vapor permeability is also important. A waterproof shell may not allow sweat to escape. A water repellent shell may keep a worker warmer. Seek warm locations during breaks and replace lost fluids with warm, sweet, non-caffeine-containing drinks to avoid dehydration. By taking the necessary precautions, employers and workers together can minimize the potential for cold stress.