Thermal Discomfort Notification

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							Thermal Discomfort Notification

This form is to be used when work activities have been disrupted due to thermal
discomfort. This includes employee relocation, stopping work activities or sending
staff home or heat related staff illness.

Date: ____________                  Time: ________________


Department: __________________________________________


Description of problem:
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Action Taken:

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Recommendations for preventing a recurrence:

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Signed: ________________________                 Name: ______________________________

Position: -----------------------------------


    Copies to:
     HOD
     Departmental Health and Safety Officer
     Property Services
     Health and Safety Manager