The physiological characteristics of work in cold stores, as a typical artificial cold environment, are reviewed mainly from our various field and experimental studies. There are about 4,000 cold stores in Japan, and 85% of them are kept at temperatures below −20°C. Although the duration of cold exposure per stay in a cold store was very short, forklift workers entered the cold stores very frequently. Cold stress and the decrease in workers' performance were the same as for continuous exposure to cold. Since the peripheral skin temperature of subjects at night is higher than that in the afternoon, they are less likely to feel cold or pain sensation at night. However, there was a marked decrease in rectal temperature and in manual performance. There is an increased risk of both hypothermia and accidents for those who work at night. The cold store workers, however, had adapted to cold through daily repeated cold exposures.