The purpose of this consensus document was to develop feasible, evidence-based occupational heat safety recommendations to protect the US workers that experience heat stress. Heat safety recommendations were created to protect worker health and to avoid productivity losses associated with occupational heat stress. Recommendations were tailored to be utilized by safety managers, industrial hygienists, and the employers who bear responsibility for implementing heat safety plans. An interdisciplinary roundtable comprised of 51 experts was assembled to create a narrative review summarizing current data and gaps in knowledge within eight heat safety topics: (a) heat hygiene, (b) hydration, (c) heat acclimatization, (d) environmental monitoring, (e) physiological monitoring, (f) body cooling, (g) textiles and personal protective gear, and (h) emergency action plan implementation. The consensus-based recommendations for each topic were created using the Delphi method and evaluated based on scientific evidence, feasibility, and clarity. The current document presents 40 occupational heat safety recommendations across all eight topics. Establishing these recommendations will help organizations and employers create effective heat safety plans for their workplaces, address factors that limit the implementation of heat safety best-practices and protect worker health and productivity.

中文翻译：

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工作场所的热安全：修改德尔福共识以建立保护美国工人的策略和资源

该共识文件的目的是制定可行的、基于证据的职业热安全建议，以保护遭受热应激的美国工人。制定了热安全建议以保护工人健康并避免与职业热应激相关的生产力损失。这些建议是为安全经理、工业卫生师和负责实施热安全计划的雇主量身定制的。召集了一个由 51 位专家组成的跨学科圆桌会议，以创建一个叙述性回顾，总结八个热安全主题中的当前数据和知识差距：(a) 热卫生，(b) 水合作用，(c) 热适应，(d) 环境监测， (e) 生理监测，(f) 身体冷却，(g) 纺织品和个人防护装备，(h) 紧急行动计划的实施。每个主题的基于共识的建议是使用 Delphi 方法创建的，并根据科学证据、可行性和清晰度进行评估。当前文件提出了涵盖所有八个主题的 40 条职业热安全建议。制定这些建议将有助于组织和雇主为其工作场所制定有效的热安全计划，解决限制热安全最佳实践实施的因素，并保护工人的健康和生产力。