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rnvr vvinv uv+uain "". <br /> work activities will wear personal protective equipment and by the rate of work <br /> performed. Because the incidence of heat stress depends on a variety of factors, all <br /> workers will be monitored. <br /> b. Hazards associated with heat stress include the following: <br /> • Heat Rash - rosy result from continuous exposure to heat or humid <br /> air. <br /> • Heat Cramps- Caused by heavy sweating with inadequate electrolyte <br /> replacement. Heat cramps can cause muscle spasms, pain in the hands, <br /> feed and abdomen. <br /> • Heat Exhaustion- Occurs from increased stress on various body <br /> organs including inadequate blood circulation due to cardiovascular <br /> insufficiency or dehydration. Heat exhaustion can cause pale, cool, <br /> moist skin, heavy sweating, dizziness, nausea and fainting. <br /> • Heat Stroke- The most serious form of heat stress. Temperature <br /> ,regulation fails, and the body temperature rises to critical levels. <br /> Immediate action must be taken to cool the body before serious injury <br /> and death occur. Competent medical help must be obtained. Heat <br /> stroke can cause red,hot, unusually dry skin. Symptoms include: lack <br /> of or reduced perspiration, nausea, dimness, confusion and strong <br /> rapid pulse and coma. <br /> During the day-to-day field work, the Project Manager, Site Safety Officer and workers will be <br /> alert for the signs and symptoms of heat stress. A hazard exists when individuals are required to <br /> work in warm temperatures while wearing protective equipment. <br /> The Site Safety Officer will monitor the ambient air temperature utilizing local information <br /> sources. <br /> The field crew members working in chemical-resistant protective clothing will be observed for the <br /> following signs and symptoms of heat stress: dizziness and nausea, profuse sweating, skin color <br /> change,vision problems, fainting, weakness, fatigue, cramping, and hot, red, dry skin. <br /> Any team member who exhibits these symptoms will be monitored for heat stress. Heat stress <br /> monitoring will consist of measuring heart rate and/or body temperature (alternative)to prevent <br /> the onset of heat stress illness. <br /> Heart rate(HR)will be measured by the radial pulse of the wrist for thirty seconds as early as <br /> possible in the resting period. The HR at the beginning of the rest periods should not exceed 100 <br /> beats per minute. If the HR is in excess of the above guideline, the next work period will be <br /> shortened by one third, while the length of the rest period stays the same. If the pulse rate is in <br /> excess of 110 beats per minute at the beginning of the next rest period, the following work cycle <br /> will be further shortened by one third. <br /> Workers experiencing heat stress that is not relieved by rest period/work period modifications <br /> will be removed immediately from field work and be required, if conscious, to consume two to <br /> four pints of electrolyte fluid or cool water every hour while resting in a shaded area. The <br /> individual should not return to work until symptoms are no longer recognizable. If the symptoms <br />