Carbon monoxide is colorless, odorless, and kills without warning. It is produced by every internal combustion engine and any device burning fossil fuel — generators, propane heaters, concrete saws, and forklifts. On NYC construction sites, CO poisoning spikes every winter when combustion equipment is brought indoors for warmth or convenience. Multiple workers have died in NYC building construction from CO poisoning in the last decade.
How CO Poisoning Happens
- CO is lighter than air but mixes rapidly with room air — it concentrates in any area where combustion equipment operates without adequate ventilation
- At 70 ppm: headache, dizziness, and fatigue begin. Workers often attribute these symptoms to dehydration or tiredness and stay on the job
- At 200 ppm: severe symptoms develop within 2–3 hours. OSHA PEL: 50 ppm (8-hour TWA)
- At 1,200 ppm (IDLH): unconsciousness within minutes; death follows quickly
- Because early symptoms mimic other conditions, workers frequently do not recognize CO poisoning until it is severe
Prevention — The Only Effective Strategy
- Never operate any gasoline, diesel, or propane combustion equipment inside a building — period. This includes generators, concrete saws, air compressors, and forklifts
- Electric tools and equipment inside buildings only — if the task requires an engine-powered tool, the exhaust must vent to the exterior
- CO detectors: required in all enclosed work areas where combustion equipment might operate nearby. Test monthly; replace per manufacturer schedule
- Propane heaters (salamanders): require 4 ACH (air changes per hour) minimum ventilation — document ventilation adequacy in the CSFSM daily log
What to Do If CO Alarm Sounds- Evacuate all workers from the enclosed area immediately — do not investigate the source before evacuating
- Call 911 and account for all workers at the assembly point
- Any worker with headache, dizziness, or nausea: transport to hospital for CO blood level testing — do not wait for symptoms to resolve
- Do not re-enter the space until FDNY has cleared it and the CO source has been identified and eliminated
Discussion Questions- What are the early symptoms of carbon monoxide poisoning, and why might a worker mistake them for something else?
- Your foreman says to run the generator inside to keep it warm. What do you say and what do you do?
- A CO alarm sounds in your work area. What are your steps, in order?
- What is OSHA's PEL for carbon monoxide exposure over an 8-hour shift?
Sign-Off
Foreman / Supervisor
SSM / SSC Name & License No.
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