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� p r MEDICAL SURVEILLANCE PROGRAM Prior to assignment to any task requiring a level of personnel protection above Level D, personnel will submit evidence that they have received a physical examination within the previous twelve months which incorporates the following: An occupational and general physical history Complete physical examination Chest X-ray Audiometric exam for persons working around drill rigs Laboratory testing of blood Vision test Electrocardiogram Symptoms of Overexposure: Petroleum vapors may be irritating to the skin, eyes, and respiratory tract. These vapors may also affect the central nervous system and may cause headaches and dizziness. First Aid Procedures: Eye contact: Flush eyes with clear water for 10 minutes or until irritation subsides. See a physician. Skin contact: Wash thoroughly with soap and clean water. Inhalation: Leave area of vapor exposure. Call physician and start resuscitation immediately if breathing has stopped. Ingestion: Do not induce vomiting, call physician immediately. To aid in the prevention of heat stress, the following will be provided for personnel working at the site: • Potable water will be within easy access to all workers. • Work/rest regimens will be developed. The initial work schedule will consist of a 55- minute work regime followed by a 5-minute rest period. This work schedule will be modified as necessary to conform with the heat stress monitoring criteria outlined below. Personnel will be instructed to look for the following initial symptoms of heat stress: • Heat Exhaustion Pale, clammy skin Profuse perspiration Tiredness, weakness Headache, cramps Nausea, dizziness (possible vomiting and fainting) • Heat Stroke High body temperature Skin is characteristically hot, red, and dry