Heat illness is preventable, yet it still kills workers every summer, often on their first days on the job. There is no final federal OSHA heat standard yet, but employers still have duties. This quiz reviews the signs, the first aid and the rules, keeping federal and state requirements apart.
Federal rules: no heat standard yet
OSHA published a proposed rule, Heat Injury and Illness Prevention in Outdoor and Indoor Work Settings, on August 30, 2024; the public hearing ended in July 2025 and post-hearing comments closed on October 30, 2025. As of this page's update there is no final federal heat standard (OSHA heat rulemaking).
Federal OSHA cites heat hazards under the General Duty Clause, Section 5(a)(1) of the OSH Act. Its heat National Emphasis Program, Directive CPL 03-00-024 (April 10, 2026), targets high-risk industries, treats days with a heat index of 80°F or more as heat priority days, and schedules inspections when the National Weather Service issues a heat warning or advisory. Related rules apply too: potable water (29 CFR 1910.141(b)(1)(i), 1926.51(a)(1)), trained first aid responders where no clinic is close (1910.151(b)), and reporting a work-related fatality within 8 hours and an inpatient hospitalization within 24 hours (29 CFR 1904.39).
State heat rules
According to OSHA's heat standards page, California, Colorado (agriculture), Minnesota (indoor workplaces), Oregon and Washington have their own heat standards under their State Plans. California's Heat Illness Prevention Standard (Title 8, section 3395) requires training, water, shade and planning, triggered at 80°F. These are state rules: check the full text with the state agency if you work there.
Signs, first aid and new workers
- Heat stroke: confusion, slurred speech, unconsciousness, seizures. Call 911 and cool the worker immediately; cold water or ice bath immersion is the fastest method. Never leave the worker alone (OSHA first aid page).
- Do not try to diagnose which heat illness it is: when in doubt, cool the worker and call 911.
- Almost half of heat-related deaths happen on a worker's first day, or first day back after an absence; new and returning workers need time to acclimatize, with workloads increased gradually.
- Drink water regularly, not only when thirsty; for jobs over two hours, electrolyte drinks too. Rest breaks get longer as heat stress rises, in shade or a cool area.
Using the quiz
Play it at a short safety talk before the hot season and again on the first hot days. Quizhat is an independent tool, not affiliated with or endorsed by OSHA.