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At 1 minute into the rest period, the recovery HR will be determined. The recovery HR should <br />not exceed 110 beats per minute. <br />3. If the initial HR exceeds the age-adjusted maximum HR, or the 1 -minute recovery HR is greater <br />than 110 beats per minute, then the next work period will be decreased by 10 minutes. <br />Heat stress due to water loss can be prevented. To prevent dehydration, water must approximate sweat <br />loss. Water intake guidelines are as follows: <br />1. The sense of thirst is not an adequate regulator of water replacement needs during heat exposure. <br />Therefore, water must be replaced at prescribed intervals. <br />a. Before work begins, drink two 8 -ounce glasses of water. <br />b. During each rest period, drink at least two 8 -ounce glasses of water. <br />2. Plain water, served cool, is excellent. An adequate supply of potable water and drinking cups will <br />be readily available, such as in a support vehicle, to provide water during rest periods. <br />3. Adding salt to water is not recommended. However, other fluids, in addition to water, could <br />include dilute fruit juices and electrolyte replacement drinks diluted 3:1 with water. Do not use <br />salt tablets! <br />An initial work/rest cycle of 1 hour work and 15 minutes rest is recommended for protection of staff <br />when the heat stress hazard is high. The recommended cycle will be adjusted up or down based upon <br />worker monitoring, environmental conditions, and the judgement of the site safety officer. At any time, <br />field team members recognize the signs or symptoms of heat stress prior to a scheduled rest period, they <br />ill notify the SSO immediately in order that rest period can be called. <br />Heat stress, if not prevented, results in heat stress illnesses. Two critical illnesses, if not recognized and <br />treated immediately, can become life-threatening. These are heat exhaustion and heat stroke. Heat <br />exhaustion will result if the prevention measures described above are not implemented. Ignoring the signs <br />and symptoms of heat exhaustion will lead to the development of heat stroke, if unsafe condition persist. <br />Heat stroke is an immediate, life threatening condition that results because the body's heat regulating <br />mechanisms shut down, and the body cannot cool itself sufficiently. As heat is excessively stored in the <br />body, brain damage can result causing permanent disability or death. <br />Heat Exhaustion. The signs and symptoms of heat exhaustion are headache; dizziness; nausea; weakness; <br />fainting; profuse sweating; loss of appetite; approximately normal body temperature; dilated pupils; weak <br />and rapid pulse; shallow and rapid breathing; possible cramps in abdomen and extremities; possible <br />vomiting, difficulty walking; cool and sweaty skin to the touch: pale to ashen gray coloring. <br />First aid for heat exhaustion is as follows: <br />1. Immediately remove victim t the support area, or if you are the victim proceed to the support <br />area. <br />2. Start cooling, but be careful not to cause a chill (i.e. rest in shade and apply wet towel to <br />