Extreme thermal environment harms the health of outdoor workers and poses a potential threat to workplace safety. A field survey, including thermal parameter measurements, was conducted at construction sites in South China during the summer of 2019. The relationship between health risk and thermal parameters was obtained. The thermal sensation and satisfaction rate of the workers at different outdoor environmental conditions were analyzed, and recommendations were made based on the comparison of thermal indices. The thermal stress categories of the thermal indices were also investigated. The results suggest that the intensity of working conditions should be reduced when the air temperature is higher than 34 degrees C; the satisfaction rate of workers was found to be relatively high when the outdoor temperature is lower than 34 degrees C and the wind speed is greater than 1.3 m/s. Thermal indicators used to evaluate the comfort level of outdoor workers need to be modified according to the local climate and working environment to avoid excessive exposure to high-temperature work environments.