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Construction workers are considered one of the most vulnerable health group workers. Exertional heat illness (EHI) is a well-recognized health hazard that causes significant sickness and death. The purpose of this study was to assess construction workers’ environment and hydration status and to evaluate the effect of health education program on workers. An interventional study was conducted on 89 construction workers in Port Said City. Assessments of workplace environment and workers’ hydration status were done by using workplace evaluation checklist, wet-bulb globe temperature, urine specific gravity, and urine color chart. A pre-post-test design was used in the evaluation of workers’ knowledge and behavior regarding EHI. A health education program was conducted to improve workers’ knowledge and behavior; then, evaluation was done after 1 month. The most reported symptoms of heat illness …