HEAT ILLNESS PREVENTION LOG

Cal/OSHA §3395 daily record — water, shade, acclimatization, and high-heat procedures. Required for outdoor work in California.

Company / Craft

Date

Forecast high °F

Crew size

Project

Job #

Foreman / monitor

Water location

Shade location

Nearest emergency services / site address

Cal/OSHA §3395 — verify each control

Potable water available — 1 qt/hr per worker, fresh & coolShade present & open when temp ≥ 80°F (or on request)Acclimatization plan for new / returning workersWorkers trained on heat-illness signs & responseCool-down rest breaks encouraged / providedEmergency response & site address reviewedHigh-heat procedures in effect when temp ≥ 95°FBuddy / supervisor observation in place

Temperature & water/shade check log

#	Time	Temp °F	Shade open	Water replenished	Notes

Heat-illness signs observed / actions taken

Monitor sign-off

Foreman / heat monitor

Print name

clear

Signature

Date

High-heat procedures in effect today?

Select one

GEC2 / Apex Cabling — Low Voltage Division. Required under Cal/OSHA §3395 for outdoor work. Provide water and shade, watch for heat-illness signs, and apply high-heat procedures at 95°F and above.