ALERT
Heat stress occurs when the body absorbs more heat than it can dissipate, exacerbated by exertion and equipment that trap heat, potentially leading to cramps, rashes, heat exhaustion, rhabdomyolysis, or heat stroke.
Heat illness is not just an outdoor concern; indoor crews often face equal or greater risk in commercial kitchens, manufacturing floors, warehouses, laundries, and greenhouses, which can sometimes be even hotter than outdoors. Heat stress occurs when the body absorbs more heat than it can dissipate, exacerbated by exertion and equipment that trap heat, potentially leading to cramps, rashes, heat exhaustion, rhabdomyolysis, or heat stroke.
Predictable causes include ovens, furnaces, and machines that heat enclosed spaces. Sun on roofs and walls raises the inside temperatures. High humidity and poor ventilation trap heat, making workspaces dangerous without airflow, water, or cool recovery areas.
The regulatory landscape is evolving. In August 2024, OSHA published a proposed Heat Injury and Illness Prevention rule and subsequently held public hearings. As of now, a permanent federal standard has not been finalized. (Source: osha.gov/sites/default/files/laws-regs/federalregister/2024-08-30.pdf) Separately, OSHA updated its National Emphasis Program on heat hazards: the new NEP takes effect from April 10, 2026, through April 2031 and expands the list of high-risk industries. (Source: https://www.osha.gov/news/newsreleases/osha-national-news-release/20260410). Where no specific standard exists, OSHA uses the General Duty Clause to cite employers, especially after fatalities and hospitalizations. (Source: osha.gov/enforcement/directives/cpl-03-00-024-0).
To prevent heat illness, structured and proactive planning is essential. The seven practices below cover what an effective program looks like in an indoor setting.
Summary / Next Steps
Heat illness is a serious occupational hazard and a largely preventable one. Temperature monitoring, work-rest cycles, accessible hydration, cooling PPE, cool recovery spaces and acclimatization protocols add up to a meaningful drop in risk. Measure current practices against these seven practices to reduce the risk of heat illness. Review your program and close gaps to keep everyone safe.
Additional Resources:
- OSHA Heat Illness Prevention Campaign
- OSHA Heat Exposure: Employer Responsibilities
- OSHA Heat Exposure: Water. Rest. Shade.
- OSHA Heat Exposure: Hazard Recognition
- OSHA Proposed Heat Injury and Illness Prevention Rulemaking
- OSHA Federal Register Proposed Rule: Heat Injury and Illness Prevention in Outdoor and Indoor Work Settings
- OSHA National News Release: Updated Heat National Emphasis Program
- OSHA Directive CPL 03-00-024: National Emphasis Program on Outdoor and Indoor Heat-Related Hazards
- OSHA Heat Stress Guide
- NIOSH Criteria for a Recommended Standard: Occupational Exposure to Heat and Hot Environments
- NIOSH Workplace Solutions: Heat Stress Work/Rest Schedules
- CDC/NIOSH Heat Stress Recommendations
- CDC/NIOSH Acclimatization Guidance
- CDC/NIOSH PPE and Heat Stress Guidance
- OSHA/NIOSH Heat Safety Tool App
Questions or Need Guidance?
For additional risk management guidance, contact us today.
DISCLAIMER: This guide is not intended to be exhaustive safety guidance, nor should it be construed as legal advice. Readers should contact legal counsel or an insurance professional for appropriate advice. The materials provided are for general informational purposes only. Your specific insurance policy and individual loss circumstances will determine coverage. Please consult your SterlingRisk Account Executive concerning any questions.




