Risk Management of Working in Cold Environments
A Scoping Review
DOI:
https://doi.org/10.36368/jns.v17i2.1318Keywords:
cold climate, working conditions, protective measures, primary prevention, implementation science, occupational health, risk assessment, protective clothing, legislationAbstract
Millions of people are exposed to cold environments daily. Adverse health risks are prominent for outdoor and cold storage workers. Therefore, a systematic risk management approach is highly motivated. This scoping review aimed to describe the current knowledge regarding risk management of cold exposure hazards in the occupational setting. We also examined differences between sexes in risk management practices regarding cold exposure.
The review included 25 peer-reviewed papers from 1980 to current in English and the Nordic languages, which could be divided into two categories: risk assessment and risk treatment. The risk assessment category included 17 papers, which investigated specific topics such as personal protective equipment, models for thermal balance, and individual differences regarding sex and body mass index. The risk treatment category included eight peer-reviewed papers, which emphasised the use of different protective or preventive measures and highlighted the importance of successful implementation and improvement of good practices.
To conclude, the previous literature on risk management of cold work was mainly oriented around technical risk assessment. However, there seems to be a lack of knowledge regarding implementation, resulting in inadequate protection for workers. Moreover, research was scarce regarding sex-dependent differences in risk management among workers exposed to cold.
References
Alfano, F.R.D., Palella, B.I. & Riccio, G. (2013). “Notes on the implementation of the IREQ model for the assessment of extreme cold environments,” Ergonomics, 56:4, pp. 707–724.
Anttonen, H. & Niskanen, J. (1995). “Prevention of the adverse health effects of cold by using infrared heaters,” Arctic Medical Research, 54:2, pp. 55–59.
Anttonen, H. & Virokannas, H. (1994). “Assessment of cold stress in outdoor work,” Arctic Medical Research, 53:1, pp. 40–48.
Aptel, M. (1988). “Comparison between required clothing insulation and the actually worn by workers exposed to artificial cold,” Applied Ergonomics, 19:4, pp. 301–305.
Bjertnaes, L.J., Naesheim, T.O., Reierth, E., Suborov, E.V., Kirov, M.Y., Lebedinskii, K.M. & Tveita, T. (2022). “Physiological changes in subjects exposed to accidental hypothermia. An update,” Frontiers in Medicin (Lausanne), 9; https://doi.org/10.3389/fmed.2022.824395; accessed on 21 April 2023.
Castellani, J.W. & Young, A.J. (2016). “Human physiological responses to cold exposure. Acute responses and acclimatization to prolonged exposure,” Autonomic Neuroscience, 196; https://doi.org/10.1016/j.autneu.2016.02.009; accessed on 20 Nov. 2022.
Ceballos, D., Mead, K. & Ramsey, J. (2015). “Recommendations to improve employee thermal comfort when working in 40 degrees F refrigerated cold rooms,” Journal of Occupational and Environmental Hygiene, 12:9; https://doi.org/10.1080/15459624.2015.1047023; accessed on 29 May 2023.
Falla, M., Micarelli, A., Hüfner, K. & Strapazzon, G. (2021). “The effect of cold exposure on cognitive performance in healthy adults. A systematic review,” International Journal of Environmental Research and Public Health, 18:18; https://doi.org/10.3390/ijerph18189725; accessed on 25 Nov. 2022.
Friedman, L.S., Abasilim, C., Fitts, R. & Wueste, M. (2020). “Clinical outcomes of temperature related injuries treated in the hospital setting, 2011–2018,” Environmental Research, 189; https://doi.org/10.1016/j.envres.2020.109882; accessed on 28 Nov. 2022.
Gao, C., Holmér, I. & Abeysekera, J. (2008). “Slips and falls in a cold climate. Underfoot surface, footwear design and worker preferences for preventive measures,” Applied Ergonomics, 3:3, pp. 385–391.
Garcia, G.M. & de Castro, B. (2017). “Working conditions, occupational injuries, and health among Filipino fish processing workers in Dutch Harbor, Alaska,” Workplace Health & Safety, 65:5; https://doi.org/10.1177/21650799166653; accessed on 29 May 2023.
Gavhed, D. (2008). “Arbete i kyla och värme” [‘Work in cold and heat’], in Arbetslivsfysiologi, eds. A. Toomingas, S.E. Mathiassen & E. Wigaeus Tornqvist, Lund: Studentlitteratur, pp. 307–346.
Giesbrecht, G.G., Arnett, J.L., Vela, E. & Bristow, G.K. (1993). “Effect of task complexity on mental performance during immersion hypothermia,” Aviation, Space, and Environmental Medicine, 64, pp. 206–211.
Golbabaei, F., Azrah, K., Goodarzi, Z., Ahmadi, O. & Karami, E. (2022). “Risk assessment of cold stress in petroleum transfer station in the northwestern regions of Iran. Subjective and field measurements,” Journal of Thermal Biology, 110; https://doi.org/10.1016j.jtherbio.2022.103335; accessed on 29 May 2023.
Griefahn, B. (2000). “Limits of and possibilities to improve the IREQ cold stress model (ISO/TR 11079). A validation study in the field,” Applied Ergonomics, 31:4, pp. 423–431.
Griefahn, B. & Forsthoff, A. (1997). “Technical note. Comparison between estimated worn clothing insulation and required calculated clothing insulation in moderately cold environments (0 degree C < or = ta < or = +15 degrees C),” Applied Ergonomics, 28:4, pp. 295–299.
Hassi, J., Mäkinen, T.M., Holmér, I., Påsche, A., Risikko, T. & Toivonen, L. (2002). Handbok för kallt arbete [‘Handbook for coldwork’], Oulu: Arbetslivsinstitutet.
Hassi, J., Raatikka, V.P. & Huurre, M. (2003). “Health-check questionnaire for subjects exposed to cold,” International Journal of Circumpolar Health, 62:4; https://doi.org/10.3402/ijch.v62i4.17587; accessed on 25 Nov. 2022.
Havenith, G., Heus, R. & Daanen, H.A. (1995). “The hand in the cold, performance and risk,” Arctic Medical Research, 54:2, pp. 37–47.
Holmér, I. (1984). “Required clothing insulation (IREQ) as an analytical index of cold stress,” ASHRAE Transactions, 90:1B, pp. 1116–1128.
Holmér, I. (1993). “Work in the cold. Review of methods for assessment of cold exposure,” International Archives of Occupational and Environmental Health, 65:3; https://doi.org/10.1007/BF00381150; accessed on 20 Nov. 2022.
Holmér, I. (2001). “Assessment of cold exposure,” International Journal of Circumpolar Health, 60:3, pp. 413–421.
Ikäheimo, T.M., Kuklane, K., Jaakkola, J.J.K. & Holmér, I. (2021). “Cold stress,” in Patty’s Industrial Hygiene 3, ed. B. Cohrssen, Hoboken: John Wiley & Sons Inc, pp. 189–217.
Inaba, R., Kurokawa, J. & Mirbod, S.M. (2009). “Comparison of subjective symptoms and cold prevention measures in winter between traffic control workers and construction workers in Japan,” Industrial Health, 47:3, pp. 283–291.
Indreiten, M., Albrechtsen, E. & Cohen, S.M. (2018). “Field operations in the high arctic-experienced feedback and tacit knowledge as key tools for safety management,” in Safety and Reliability. Safe Societies in a Changing World, eds. S. Haugen, A. Barros, C. Gulijk, T. Kongsvik & J.E. Vinnem, London: CRC Press, pp. 1939–1945.
ISO = International Organization for Standardization 11079:2007. Ergonomics of the thermal environment. Determination and interpretation of cold stress when using required clothing insulation (IREQ) and local cooling effects, Switzerland: ISO.org.
ISO = International Organization for Standardization 15743:2008. Ergonomics of the thermal environment. Cold workplaces. Risk assessment and management, Switzerland: ISO.org.
ISO = International Organization for Standardization 31000:2018. Risk management. Guidelines, Switzerland: ISO.org.
Jussila, K., Rissanen, S., Aminoff, A., Wahlström, J., Vaktskjold, A., Talykova, L., Remes, J., Mänttäri, S. & Rintamäki, H. (2017). “Thermal comfort sustained by cold protective clothing in Arctic open-pit mining. A thermal manikin and questionnaire study,” Industrial Health, 55:6, pp. 537–548.
Kummu, M. & Varis, O. (2011). “The world by latitudes. A global analysis of human population, development level and environment across the north–south axis over the past half century,” Applied Geography, 31:2, pp. 495–507.
Mäkinen, T.M. & Hassi, J. (2002). “Usability of isothermal standards for cold risk assessment in the workplace,” International Journal of Circumpolar Health, 61:2; https://doi.org/10.3402/ijch.v61i2.17447; accessed on 23 Nov. 2022.
Mäkinen, T.M. & Hassi, J. (2009). “Health problems in cold work,” Industrial health, 47:3; https://doi.org/10.2486/indhealth.47.207; accessed on 23 Nov. 2022.
Mäkinen, T.M., Hassi, J., Pasche, A., Abeysekera, J. & Holmér, I. (2002). “Project for developing a cold risk assessment and management strategy for workplaces in the Barents region,” International Journal of Circumpolar Health, 61:2, pp. 136–141.
Mäkinen, T.M., Raatikka, V.P., Rytkönen, M., Jokelainen, J., Rintamäki, H., Ruuhela, R., Näyhä, S. & Hassi, J. (2006). “Factors affecting outdoor exposure in winter. Population-based study,” International Journal of Biometeorology, 51:1, pp. 27–31.
Naesgaard, O.P., Storholmen, T.C.B., Wiggen, O.N. & Reitan, J. (2017). “A user-centred design process of new cold-protective clothing for offshore petroleum workers operating in the Barents Sea,” Industrial Health, 55:6, pp. 564–574.
Noroozi, A., Abbassi, R., MacKinnon, S., Khan, F. & Khakzad, N. (2014). “Effects of cold environments on human reliability assessment in offshore oil and gas facilities,” Human Factors, 56:5; https://doi.org/10.1177/0018720813512328; accessed on 29 May 2023.
Olesen, B.W. (1995). “International standards and the ergonomics of the thermal environment,” Applied Ergonomics, 26:4, pp. 293–302.
Oliveira, A.V., Gaspar, A.R. & Quintela, D.A. (2008). “Occupational exposure to cold thermal environments. A field study in Portugal,” European Journal of Applied Physiology, 104:2, pp. 207–214.
Oliveira, A.V., Gaspar, A.R., Raimundo, A.M. & Quintela, D.A. (2014). “Evaluation of occupational cold environments. Field measurements and subjective analysis,” Industrial Health, 52:3, pp. 262–274.
Parsons, K. (2021). Human Cold Stress, Boca Raton: CRC Press.
Raimundo, A.M., Oliveira, A.V., Gaspar, A.R. & Quintela, D.A. (2015). “Thermal conditions in freezing chambers and prediction of the thermophysiological responses of workers,” International Journal of Biometeorology, 59:11, pp. 1623–1632.
Reiman, A., Sormunen, E. & Morris, D. (2016). “Ergonomics in the Arctic. A study and checklist for heavy machinery in open pit mining,” Work. A Journal of Prevention Assessment & Rehabilitation, 55:3, pp. 643–653.
Risikko, T., Mäkinen, T.M., Pasche, A., Toivonen, L. & Hassi, J. (2003). “A model for managing cold-related health and safety risks at workplaces,” International Journal of Circumpolar Health, 62:2, pp. 204–215.
Risikko, T., Remes, J. & Hassi, J. (2008). “Implementation of cold risk management in occupational safety, occupational health and quality practices. Evaluation of a development process and its effects at the Finnish maritime administration,” International Journal of Occupational Safety and Ergonomics, 14:4, pp. 433–446.
Soares, E.B. (2012). “Organizational issues that impact on non-use of equipment for individual protection. A view of ergonomics,” Work, 41:1, pp. 2668–2674.
Stjernbrandt, A. (2021). Cold Exposure and Health. A Study on Neurological and Vascular Hand Symptoms in Northern Sweden, diss., Umeå: Umeå University; https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-182187; accessed on 20 Jan. 2023.
Stocks, J.M., Taylor, N.A., Tipton, M.J. & Greenleaf, J.E. (2004). “Human physiological responses to cold exposure,” Aviation, Space, and Environmental Medicine, 75:5, pp 444–457.
Swedish Work Environment Authority (2022). The Work Environment 2021 (report 2022:2), Swedish Work Environment Authority; https://www.av.se/globalassets/filer/statistik/arbetsmiljon-2021/arbetsmiljostatistik-arbetsmiljon-2021-rapport-2022-2.pdf; accessed on 3 Feb. 2024.
Tirloni, A.S., Reis, D.C.D., Dias, N.F. & Moro, A.R.P. (2018). “The use of personal protective equipment. Finger temperatures and thermal sensation of workers’ exposure to cold environment,” International Journal of Environmental Research and Public Health, 15:11; https://doi.org/10.3390/ijerph15112583; accessed on 14 May 2023.
Tirloni, A.S., Reis, D.C.D., Ramos, E. & Moro, A.R.P. (2017). “Thermographic evaluation of the hands of pig slaughterhouse workers exposed to cold temperatures,” International Journal of Environmental Research and Public Health, 14:8; https://doi.org/10.3390/ijerph14080838; accessed on 30 March 2023.
Tricco, A.C., Lillie, E., Zarin, W., O’Brien, K.K., Colquhoun, H., Levac, D., Moher, D., Peters, M.D.J., Horsley, T., Weeks, L., Hempel: S., Akl, E.A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M.G., Garritty, C. & Straus, S.E. (2018). “PRISMA Extension for scoping reviews (PRISMA-ScR). Checklist and explanation,” Annals of Internal Medicin, 169:7; https://doi.org/10.7326/M18-0850; accessed on 31 Oct. 2022.
Tsang, Y.P., Choy, K.L., Wu, C.H., Ho, G.T.S., Lam, C.H.Y. & Koo, P.S. (2018). “An internet of things (IoT)-based risk monitoring system for managing cold supply chain risks,” Industrial Management & Data Systems, 118:7; https://doi.org/10.1108/IMDS-09-2017-0384; accessed on 15 May 2023.
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Copyright (c) 2025 Rebecca Tapper, Hans Pettersson, Tiina Maria Ikäheimo, Tohr Nilsson, Eirik Reierth, Albin Stjernbrandt
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