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Levine-Fricke-Recon • • ' Section: 5 Date Initiated:September 23, 1996 , Revision No.: 1 Date Revised:August 21, 1998 Page 12 of 34 5.2.2.3 Symptoms of Heat-Related Illness ' There are four types of illness for which workers must be monitored during times of i prolonged exposure to heat: heat rash, heat cramps, heat exhaustion, and heat stroke. The causes and symptoms of each are detailed below. , • Heat Rash or Prickly Heat. Prolonged continuous exposure to heat or humid air. Symptoms may include: red rash, intense itching, and inflammation. This condition , is not serious. Increase fluid intake and observe affected worker. • Heat Cramps. Heavy sweating with inadequate electrolyte replacement. Symptoms may include: muscle spasms; pain in feet, hands, and abdomen. This condition is ' generally not serious; however, it is often a precursor to more dangerous forms of heat-related illness. Increase fluid intake and rest periods. Closely observe affected worker for more serious symptoms. , • Heat Exhaustion. Injury to internal organs from inadequate blood circulation due to lower cardiac output or dehydration. Symptoms may include: pale, cool, moist , skin; heavy sweating; dizziness; nausea; and fainting. If a worker exhibits signs of heat exhaustion, remove worker to a cool, shady area. Administer fluids and allow worker to rest until fully recovered. Increase rest periods and closely observe , worker for additional signs of heat exhaustion. If symptoms of heat exhaustion recur, treat as above and release worker from the day's activities after he/she has fully recovered. ' • Heat Stroke. Temperature regulation in the body fails leading to rapid rise in body temperature causing severe damage to internal organs and possible death. Symptoms may include: red, hot, usually dry skin; lack of or reduced perspiration; ' nausea; dizziness and confusion; strong, rapid pulse; and coma. Heat stroke is a TRUE MEDICAL EMERGENCY. Immediately contact emergency medical services by dialing 911. Remove the victim to a cool, shady location and observe ' for signs of shock. Attempt to comfort and cool the victim by administering small amounts of cool water (if conscious), loosening clothing, and placing cool compresses at locations where major arteries occur close to the body's surface ' (neck, underarms, and groin areas). Carefully follow instructions given by emergency medical services until help arrives. 5.2.3 Noise ' Noise may result primarily from concrete and asphalt breaking, drill rig operation, ' excavation equipment, and other equipment or machinery. The use of heavy equipment may generate noise above the Cal/OSHA permissible exposure limit for noise of 90 ' dBA for an 8-hour time-weighted average, in accordance with the Cal/OSHA requirements in 8 CCR 5096. Workers shall wear ear plugs when operating or working Page F-12 RIFSWP-AppF-Rev1-04111:SRL '