Abstract: On June 29, 2019, an employee was planting shrubs at a city property when he complained about cramps and feeling dehydrated. A medic transported the employee to the hospital were he was treated for a possible heat-related illness and returned to work on July 2, 2019. On July 11, 2019, the employee and two coworkers were performing erosion control mulch blanketing and seeding at a bridge over a interstate highway when he complained about the same symptoms. A coworker (Foreman) told him to sit in the truck and he later called for an ambulance. At 1:00 p.m. on July 16, 2019, the employee was hospitalized to treat rhabdomyolysis that was possibly exacerbated by preexisting medical conditions.