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• Examination of proper insertion of the cartridges into the facepiece and a check <br /> of the gaskets inside the cartridge holder <br /> • Examination of air cylinders for adequate air volume <br /> 3.6.3 Heat and Cold Stress <br /> 3.6.3.1 Heat Stress <br /> One or more of the following control measures will be used to help control heat stress <br /> • Provision for adequate liquids to replace lost body fluids will be made <br /> Replacement fluids can be a 01 percent salt water solution, commercial mixes <br /> such as Gatorade or Quick Kick, or a combination of these with fresh water <br /> • Establishment of a work regimen that will provide adequate restPe nods for <br /> cooling down <br /> • All breaks are to be taken m a cool area <br /> • Employees shall be informed of the importance of adequate rest, acclimation, <br /> and proper diet in the prevention of heat stress <br /> The site Field Supervisor will observe the workers for symptoms of heat stress, especially in <br /> areas where protective clothing is being worn Symptoms may include fatigue, irritability; <br /> headache; faintness; weak, rapid pulse, shallow breathing, cold, clammy skin, profuse <br /> perspiration Heat related problems are presented below: <br /> • Heat Rash - This is caused by continual exposure to heat and humid air, and <br /> aggravated by chaffmg clothes Heat rash decreases a person's ability to tolerate <br /> heat as well as becoming an irritating nuisance. <br /> • Heat Cramps - This is caused by profuse perspiration with inadequate water <br /> intake and chemical electrolyte imbalance This results in muscle spasm and <br /> pain in the extremities and abdomen <br /> • Heat Exhaustion - Increased stress on vanous organs to meet increasing demands <br /> to cool the body will result in signs and symptoms including shallow breathing; <br /> pale, cool, moist skin; profuse sweating; dizziness and lassitude <br /> • Heat Stroke <br /> - This is the most severe form of heat stress which must be treated <br /> unmediately by cooling the body, or death may result. Signs and symptoms <br /> include red, hot, dry skin; no perspiration, nausea, dizziness and confusion, <br /> MZVM21-93/ENG/93-0127 bk <br /> 19 <br />