SEA/General/TBT-SEA-013

Heat Stress Action Plan

Seasonal & WeatherGeneralHeat Stress Action Plan

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Heat Stress Action Plan

Toolbox Talk Record

Ref: TBT-SEA-013  |  Issue: 1  |  Date: March 2026
PresenterProject
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What?

  • A heat stress action plan sets out the triggers and responses for managing extreme heat on construction sites.
  • Heat stress occurs when the body cannot cool itself sufficiently, leading to heat exhaustion and heat stroke.
  • UK heatwaves are becoming more frequent and intense, with construction workers among the most exposed groups.
  • Trigger temperatures should be defined — typically 25°C ambient temperature initiates additional controls.
  • The plan should include rest schedules, hydration targets, shade provision, and work rescheduling options.
  • Workers in direct sunlight wearing PPE can experience effective temperatures 10–15°C higher than ambient.
  • Acclimatisation takes 7–14 days — new workers and those returning from leave are at higher risk.
  • Heat stroke is a medical emergency — core body temperature exceeds 40°C with confusion and collapse.
  • Supervisors must be trained to recognise heat illness symptoms and take immediate action.
  • The MHSWR 1999 requires employers to assess and manage temperature-related risks in the workplace.

Why?

Prevent fatalitiesHeat stroke is a medical emergency that can be fatal if not recognised and treated within minutes.
Worker performanceHeat stress reduces concentration, coordination, and decision-making — increasing the risk of accidents.
Employer dutyMHSWR 1999 requires assessment and control of heat-related risks for outdoor construction workers.
Do Don't
  • Establish temperature triggers that activate additional heat stress controls on site
  • Provide free cold drinking water at multiple accessible locations around the site
  • Schedule the heaviest physical work for cooler parts of the day where possible
  • Provide shaded rest areas where workers can cool down during breaks
  • Increase the frequency and duration of rest breaks as temperatures rise
  • Train supervisors to recognise heat exhaustion and heat stroke symptoms
  • Allow new workers 7–14 days to acclimatise before full physical workloads
  • Monitor workers for signs of heat illness including confusion and excessive sweating
  • Apply sunscreen and wear lightweight breathable clothing under PPE where permitted
  • Call emergency services immediately for any worker showing heat stroke symptoms
  • DON'T wait for workers to collapse before activating the heat stress plan
  • DON'T rely on workers self-managing hydration — provide water and enforce breaks
  • DON'T schedule heavy manual tasks during the hottest afternoon hours in summer
  • DON'T ignore early symptoms of heat exhaustion such as headache and nausea
  • DON'T assume fit workers are immune — heat stroke can affect anyone
  • DON'T restrict water intake or skip rest breaks to meet production targets
  • DON'T give a heat stroke casualty cold water to drink if they are confused
  • DON'T allow new or returning workers to work at full pace without acclimatisation
  • DON'T dismiss heat stress as minor discomfort — it can escalate rapidly to emergency
  • DON'T remove the action plan triggers because the forecast looks mild for tomorrow

See also: Summer Heat and Hydration | Heat Exhaustion and Heat Stroke

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