Lyme Disease

Originally published 08/08/2017

During the construction season, we work outside from early spring until late fall. One of the hazards of working outside is Lyme Disease. We’ve all heard about it on the news, but what is it?

Lyme Disease is a bacterial infection transmitted by the bite of an infected tick. Rarely, if ever, fatal it can cause serious problems without proper and timely treatment. Generally, the symptoms include a rash and flu-like symptoms such as muscle aches, joint pains, lymph node swelling, neck stiffness, headaches, chills, fever and fatigue. If not caught and treated early, the symptoms can progress to severe fatigue, neck stiffness and aches, tingling or numbness in the arms/hands and legs/feet, and even facial paralysis.

How do you protect yourself?

  • Wear light-colored clothing to help spot the ticks more easily.
  • Wear long sleeves and long pants and tuck pant legs into socks or work boots.
  • Wear a hard hat or any type of hat that covers your head.
  • Use insect repellents containing DEET (Diethyl-meta-toulamide) on skin and clothes. Be careful not to spread the insect repellent on your face.
  • Avoid sitting directly on the ground or on stone walls.
  • Do a final, full-body tick check at the end of the day. Note: a shower and shampoo may help to dislodge crawling ticks but is only somewhat effective. Thoroughly inspect yourself after a shower.
  • Wash and dry your clothing at high temperatures to kill unseen ticks.

If you find a tick, what should you do? 

  • Don’t panic; not all ticks carry the bacteria. Using a pair of tweezers, grasp the tick by the head (not the body – you don’t want to squeeze the body). Pull firmly and steadily outward. Don’t twist the tick or use a hot match, alcohol, nail polish, petroleum jelly or other irritant on the tick. This could backfire.
  • Place the tick in a jar or vial with alcohol to kill it.
  • Clean the bite or wound with disinfectant.
  • Monitor the site of the bite for signs of a “bullseye rash” for one to two weeks, or the symptoms described above. If any of these symptoms occur, see a physician immediately. Again, don’t panic. Treatment with antibiotics will usually kill the bacteria.

Some commonly asked questions:

Do all ticks carry the Lyme Disease bacteria?
No, only the deer tick and its close relative, the Western black-legged tick are known to transmit the bacteria.

Is Indiana a high-risk state?
No, Indiana is a relatively low-risk state. Less than one person in 100,000 in Indiana will get Lyme Disease annually. Ohio and Missouri have a slightly higher risk than Indiana.

How do ticks get on a person?
They are found under leaf litter or on plant stems and blades of grass within three feet of the ground, especially at the edge of woodlands. Ticks will latch onto people as they brush by the tick, then it will climb until it reaches a protected or creased area of skin (often the back of a knee, groin, navel, armpit, ears or nape of the neck) and begin feeding.

Studies have shown that deer ticks begin transmitting Lyme Disease 36 to 48 hours after attachment. Therefore, if you remove a tick within 24 hours your chance of contracting the disease is greatly reduced.

References: Center for Disease Control, OSHA and the American Lyme Disease Foundation, Inc.

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Poisonous Plants

Originally published on 08/02/2019

Poisonous plants are common on or near construction sites. Most people develop a skin rash and skin irritations lasting up to three weeks when they contact poison ivy or poison oak. The reaction is caused by urushiol (“oo-roo-shee-ohl”) oil found in the sap. The oil is in the stems, leaves and berries of these plants and can be transmitted by brushing against the plant, or from secondary contact with animals or clothing.

Poison ivy

Found throughout the United States, except in the Southwest, Alaska and Hawaii, poison ivy has three shiny green leaves, a red stem and typically grows in the form of a vine, often along riverbanks, roadsides and woodlands. Old vines are very hairy; in late summer and fall the vines will have green-to-white berries. Poison ivy is most dangerous in the spring and summer, when they have plenty of sap and a high content of urushiol. However, cases have been reported in people who used the twigs of the plant for firewood or the vines for Christmas wreaths. Even dead plants can cause a reaction, because the oil remains active for several years after the plant dies.

Poison oak

Poison oak grows as a low shrub in the eastern part of the U.S. (from New Jersey to Texas), and as 6-foot-tall clumps or vines up to 30 feet long along the Pacific coast. It has oak-like leaves, usually in clusters of three and clusters of yellow berries.

Treatment if you’re exposed:

  • First, cleanse the exposed skin with generous amounts of isopropyl (rubbing) alcohol. (Note: alcohol removes your skin’s natural protection along with the urushiol, so avoid any additional contact because skin washed with alcohol will allow the urushiol to penetrate twice as fast.)
  • Second, wash the affected area with water.
  • Third, take a regular shower with soap and warm water. Do not use soap before this point because soap tends to pick up some of the urushiol from the skin’s surface and move it around.
  • Clean clothes, shoes, tools and anything else that may have been in contact with the urushiol with alcohol and water, then wash with soap and water. Be sure to protect your hands during this process.
  • To help reduce the itchiness, apply lotions with an anti-inflammatory and cooling effects (talc, calamine). Oral antihistamines can also relieve itching.

Poison ivy blisters don’t contain urushiol, so any oozing fluid is not contagious and will not spread the rash further. A rash will only occur where urushiol has touched the skin. However, the rash may seem to spread if it appears over time instead of all at once, because the urushiol is absorbed at different rates in different parts of the body, is trapped under the fingernails, or because of repeated exposure to contaminated objects.

The American Academy of Dermatology recommends that people who have had severe reactions in the past to any of these plants, contact a dermatologist as soon as possible after a new exposure.

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Trench and Excavation Safety

Originally published 07/12/2017

Trench collapses can occur without warning, regardless of the depth. The vast majority of trenching fatalities occur in trenches 5 to 15 feet deep. But trench cave-ins don’t have to happen. They are preventable with proper planning and execution of safety precautions.

Here are some practices that will help reduce the risk of on-the-job injuries or fatalities on excavation sites.

  1. Know where the underground utilities are located before digging.
  2. Keep excavated soil (spoils) and other materials at least two feet from trench edges.
  3. Keep heavy equipment away from trench edges.
  4. Identify any equipment or activities that could affect trench stability.
  5. Test for atmospheric hazards such as low oxygen, hazardous fumes, and toxic gases when workers are in trenches more than four feet deep.
  6. Inspect trenches at the start of each shift. This should be done by the competent person. The competent person should be authorized to order immediate corrective action, including restricting entry into the excavation, until any hazards or potential hazards have been eliminated.
  7. Ensure that employees working in trenches four feet deep or more have an adequate and safe means of exit, such as ladders, steps or ramps. These must be within 25 feet of all workers at all times and will need to be relocated as the job progresses.
  8. Inspect trenches following a rainstorm or other water intrusion.
  9. Inspect trenches after any occurrence that could have changed conditions in the trench.
  10. Do not work under suspended or raised loads or materials.
  11. Ensure that workers wear high-visibility or other suitable clothing when exposed to vehicular traffic.
  12. Develop a trench emergency action plan and train workers and supervisors on the proper actions to take in case of an emergency.

Remember: Unlike most accidents, the cave-in of an excavation can usually be predicted if closely watched. So stay alert. Don’t take anything for granted.

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Heat Stress

Originally published 7/18/2017

Working in a hot environment, such as a construction site, puts stress on the body’s cooling system. When heat is combined with other work stresses – like hard physical labor, loss of fluids, or fatigue – it may lead to heat-related illness, disability or even death. There are three stages to heat-related illness: heat cramps, heat exhaustion and heat stroke.

Heat cramps are painful, brief muscle cramps that are brought on because the body has lost minerals through sweating. If cramping occurs, move to a cool area at once. Loosen clothing and drink cool water or an electrolyte replacement beverage. Seek medical aid if the cramps are severe, or don’t go away.

Heat exhaustion can occur after you’ve been exposed to high temperatures for several days and have become dehydrated. Symptoms include confusion, dizziness, headache, fatigue and sometimes nausea. Without proper intervention, heat exhaustion can progress to heat stroke. If you experience heat exhaustion, get out of the heat immediately and rest, preferably in an air-conditioned environment. If you can’t get inside, try to find the nearest cool and shady place. Slowly drink fluids. If possible, lie down with your feet and legs slightly elevated.

Heat stroke is the most serious form of heat illness and is a medical emergency. It often occurs after heat cramps or heat exhaustion are not properly cared for. But it can strike even if you have no previous signs of heat illness.

Heat stroke can kill, or cause damage to the brain and other internal organs. Symptoms are similar to heat exhaustion, but the skin is hot and dry and breathing is deep and fast. The victim may collapse. The body is no longer able to sweat, and the body temperature rises dangerously. If you suspect that someone is a victim of heat stroke – also known as sun stroke – call 911 immediately. Move the victim to a cool area and remove excess clothing while waiting on help to arrive. Fan and spray them with cool water. Offer sips of water if the victim is conscious.

There are things you can do to prevent heat-related illnesses.

  • Drink plenty of fluids. Consider beverages that replace electrolytes. Stay away from beverages with caffeine. Caffeine contributes to dehydration.
  • Slow down in hot weather. Your body’s temperature-regulating system faces a much greater workload when the temperature and humidity are high.
  • If possible, get accustomed to the heat gradually.
  • Dress for hot weather. Light colored clothing reflects heat.
  • Get out of the heat occasionally. Take breaks in a cool, shady location.
  • Eat light, cool meals.

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Heavy Equipment Safety

Originally published 07/05/2017

Only trained, highly skilled construction workers should operate heavy equipment such as excavators, loaders, graders, rollers and bulldozers. Ground-based workers should be trained in how to work safely around the equipment or stay clear. Unsafe practices by either the operator or those around the equipment can create very dangerous situations. Some of the reasons for injury to heavy equipment operators and ground-based workers on a construction site include:

  • Repairing and servicing equipment in dangerous positions,
  • Striking individuals or other vehicles with the equipment – particularly the blade,
  • Unexpected tipping of equipment,
  • Uncontrolled traffic within or through the work area,
  • Unexpected shocks or jars to the machine,
  • Sudden movement of a power unit while it is being attached to earth moving equipment,
  • Limbs of trees or overhead obstructions,
  • Leaving equipment running or in dangerous positions while unattended, and
  • Lifting mechanism failure on the equipment.

Here are a few common safety rules for operators and ground-based workers to consider:

  • Inspect and service your equipment regularly. This should be done in accordance with the manufacturer’s recommendations and by qualified personnel. A pre-shift walk around inspection by the operator is highly recommended.
  • Do not wear loose clothing that can get caught in moving parts of the equipment.
  • Keep deck plates or steps on equipment free from grease, oil, ice and mud. Corded soled shoes are recommended.
  • Check the area for ground-based workers before operating the equipment.
  • Ground-based workers should wear high visibility clothing so they can be seen by the operator. They should also wear their personal protective equipment.
  • Establish a danger zone for ground workers. Be aware of the swing radius on certain equipment and, if possible, cordon off the area with barriers or caution tape.
  • Use a spotter and establish a standardized set of hand signals to be used by the operator and spotter. Two-way radios can sometimes be valuable communication tools.
  • The spotter should maintain eye contact with the operator. This will ensure that they are not in the operator’s blind spot.
  • Make sure the back-up alarm on the equipment is in working order and use it when backing.
  • Employees other than the operator should not ride on equipment.
  • Before starting the motor, the operator should make sure that all operating controls are in the neutral position.
  • Heavy equipment should have a rollover protective structure that meets OSHA requirements.
  • Operator should wear a seat belt at all times.
  • If working on slopes, try to avoid moving across the face of the slope. Operating up and down the slope is best.
  • Keep a safe distance from open excavations.
  • Wear hearing protection when required.
  • Never jump onto or off the equipment. Operators should always use the three-point contact rule when climbing on or off equipment. This means having either both feet and one hand, or having one foot and both hands in contact with the ladder access at all times.
  • If possible, drive equipment entirely off the road at night. If any portion of the machine projects into the road, it should be adequately marked with red lights or flares at night. Use red flags in the daytime.

Injury accidents involving heavy equipment have a high probability of fatality. It is critical that you know and follow your company’s safety rules and procedures when operating or working around heavy equipment.

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Hard Hat Inspection and Maintenance

Originally published 06/27/2017

The hard hat is one of the oldest, most widely used and important pieces of personal protective equipment on the construction site. In order for it to protect you, you must be regularly inspect it, maintain it and wear it properly. The following tips will help you keep your hard hat in optimal condition:

  1. Inspect your hard hat before each use. Begin with the shell, and look for cracks, nicks, dents, gouges and any damage caused by impact, penetration or abrasions. If your hat is made of thermoplastic materials, check the shell for stiffness, brittleness, fading, dullness of color or a chalky appearance. If any of these conditions are present, or if the shell is damaged, replace it immediately.If your work is predominantly in sunlight, consider replacing your hard hat more frequently. Ultraviolet light can cause the hat’s shell to deteriorate over time. Also, replace your hat’s shell if you work in an area with high exposure to temperature extremes or chemicals. You can find the date code on the underside brim of the cap.

    Inspect the suspension in your hard hat. The suspension absorbs the shock of a blow to the top of the hard hat. Look for cracks, tears, frayed or cut straps or lack of pliability. All keys should fit tightly and securely into their respective key slots. Refer to the manufacturer’s instructions for assembly. Replace your suspension if it shows signs of wear or damage.

  2. Limit the use of stickers. They won’t necessarily interfere with the hat’s performance, but they may interfere with your ability to thoroughly inspect the shell for signs of damage.
  3. Replace a hat that has been struck by a forcible blow. The impact can reduce a hard hat’s effectiveness.
  4. Never modify the shell or suspension. Do not drill ventilation holes in the shell. Never use a suspension that is not intended for use in your particular hard hat shell. Do not carry or wear anything inside of your hard hat between the suspension and the shell.
  5. Don’t wear your hard hat backwards unless the manufacturer certifies that it is safe to do so. You should have written verification from the manufacturer that your hard hat has been tested and that it complies with the requirements of the American National Standards Institute when worn with the bill turned to the rear. The manufacturer may specify that the suspension should be reversed in the helmet to ensure adequate protection. Always follow the manufacturer’s instructions.

Inspecting, maintaining and/or replacing your hard hat is well worth the effort and expense. You don’t want to be injured because you are wearing a hard hat that has outlived its usefulness.

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