Occupational heat stress remains a prevalent hazard in industrial settings. In 2023, Nebraska identified 28% of all emergency department visits for heat-related illnesses where the activity before the visit was noted as a work-related activity (Rachael Birn, personal communication, March 29, 2024). Further, Nebraska incurred a heat death rate of 1.97 per 1 million workers, ranking the state among one of the highest reportable rates in the United States (Bogage and Tan Citation2023).