Table 3.

Pre-heat acclimation coaches checklist.

Training Facility	Is there a cold-water immersion treatment area closely available to all athletes participating in the exercise-heat exposure?
	Are the signs and symptoms of exertional heat illness posted for all athletes so they are aware when they should immediately stop training?
	Is there a person besides the athlete designated to monitor the temperature and humidity of the training facility?
Individual Athlete	Has the athlete’s bodyweight changed by <1% from the previous day?
	Has the athlete had an adequate night of sleep >6 hours in a cool environment?
	Has the athlete avoided supplements that may affect thermoregulation within the past 6 hours (e.g., “pre-workout”)?
	Is the athlete free of any fever, flu, cold-like, or digestive problem symptoms in the previous 24 hours?

In both individual and team sports, coaches should review the following checklist regarding their heat acclimation environment and each individual athlete prior to every exercise-heat exposure session. If the answer to any question is “no”, exercise heat acclimation for the day should be suspended for the team or individual. The next exercise-heat bout should occur when all responses to these questions are “yes”, beginning with the missed training bout. See Casa et al. [20] for additional information on exertional heat illness prevention strategies.