“…However, workers encounter various barriers, such as inadequate cool housing designs for rest [ 38 ], a lack of management and engineering commitment [ 41 , 42 , 47 ], heavy physical workloads for long hours [ 16 , 47 ] or physically demanding jobs [ 44 , 46 ], insufficient awareness and prevention training [ 38 , 40 , 41 , 43 , 47 ], a lack of knowledge regarding adaptive behavior [ 41 , 43 ], the absence of occupational heat stress guidelines and adaptation strategies [ 38 , 41 , 46 , 47 ], a lack of regular training on adaptation measures [ 41 ], limited management commitment [ 41 ], the nature of the physical workload [ 16 , 40 , 41 , 46 , 47 ], the absence of specific thermal stress-related policy regulations [ 41 ], working in proximity to heat sources [ 16 , 44 , 47 ], the type of protective clothing [ 16 , 40 , 47 ], limited access to innovative technology and equipment [ 41 ], the nature of the work [ 40 , 41 , 46 , 47 ], inadequate management commitment, work-break regimes [ 43 , 47 ] and cooling systems [ 26 , 28 , 40 , 41 , 47 , 48 ]. Additionally, workers face challenges such as inadequate knowledge of adaptive behavior [ 41 , 46 ], a lack of regular training on thermal stress risk, adaptation, and safety measures [ 41 , 47 ], a deficiency in specific heat-related policies and regulations [ 41 ], limited management commitment to heat-related health a...…”