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Heat Illness Prevention Plan

Document Number: DETM-19830-E

Description: Employers are required to establish, implement, and maintain an effective heat illness prevention (See Wis. Admin. Code § DWD 301.09(2m)(d)2.) Employers are free to adjust this sample heat illness prevention plan to suit their individual needs. However, the main elements of the sample plan must comply with the requirements of § DWD 301.09(2m)(d)2.

Employers, and migrant labor contractors who employ migrant workers, must post this plan at the migrant labor camp and encourage migrant workers to read the plan and understand their own risk factor and the signs and symptoms heat related illnesses.

Comments: This form can be filled out on the computer as a fillable Word document. Please contact DWD Migrant Labor team at MSFW@dwd.wisconsin.gov with questions.

Document Attachment: DETM-19830-E (English Electronic Version - Word/654 KB)

Document Attachment: DETM-19830-E (English Electronic Version - pdf/1.01 MB)

Document Attachment: DETM-19830-E-S (Spanish Electronic Version - Word/944 KB)

Document Attachment: DETM-19830-E-S (Spanish Electronic Version - pdf/1.06 MB)

Content Contact: MSFW Team

Note: If you need this form in an alternate format, please send a message to the Content Contact listed above.