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Heat Stress Check List

Author: Novade Solutions

Published on: 10/4/2021

Heat Stress Check List

General information

Name of risk assessor:

Date of assessment:

Job being assessed:

Location of assessment:

Name of employee being assessed:

Personal status of employee

Employees age:

*Is the employee male or female

*Is the employee acclimatised:

If Yes provide details of acclimation:

*Is the employee experienced in the job?

*Is the employee experienced in working in the heat?

*Has the employee been trained to work in the heat?

Please provide a brief description of the work being performed:

How many employees are involved in this task?

Where was the assessment conducted? (Please provide a description of the workplace. If necessary use the back of the page to provide a diagram of the workplace and the area)

*How long (in minutes) does the work typically take?

*How often will this task take place:

*Is refresher training given to employees?

If YES, how often?

What were the external climatic conditions? (If measurements are not available, provide a brief description).

Air temperature:

Radiant temperature:

Air velocity:

Relative humidity:

Description:

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Heat Stress Check List

General information

Name of risk assessor:

Date of assessment:

Job being assessed:

Location of assessment:

Name of employee being assessed:

Personal status of employee

Employees age:

*Is the employee male or female

*Is the employee acclimatised:

If Yes provide details of acclimation:

*Is the employee experienced in the job?

*Is the employee experienced in working in the heat?

*Has the employee been trained to work in the heat?

Please provide a brief description of the work being performed:

How many employees are involved in this task?

Where was the assessment conducted? (Please provide a description of the workplace. If necessary use the back of the page to provide a diagram of the workplace and the area)

*How long (in minutes) does the work typically take?

*How often will this task take place:

*Is refresher training given to employees?

If YES, how often?

What were the external climatic conditions? (If measurements are not available, provide a brief description).

Air temperature:

Radiant temperature:

Air velocity:

Relative humidity:

Description: