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04 January 2013 AGE -NC Project No. 12-2179 Page 7 of 16 • Take frequent short breaks. Open or remove protective clothing while on break. • The SHIP shall include a telephone number for the local hospital, ambulance and rescue squad. • Drink cool water or an electrolyte solution while on the site/scene. Vary your intake of both fluids. While working on site/scene, drink 1 cup of replacement fluid every 15 — 20 minutes. Remember that the sensation of thirst is not a good gauge for the need for replacement fluids. • Work using the buddy system. Watch out for your buddy and fellow workers. Look for the signs and symptoms of heat related emergencies. Workers with heat related emergencies may have physiological as well as physical problems. Workers may do unsafe things, make poor decisions, or act hastily due to the situation. • If you experience the symptoms of heat related emergencies, STOP WORK, notify your onsite supervisor, then go to a cool, shaded area and rest. If the condition persists or worsens, consider seeking advance medical care. If in doubt, call for an ambulance. • Monitoring for Heat Stress shall be performed by the SO. Workers shall be advised of precautions and symptoms of Heat Stress. Heat stress or related illnesses could arise at any time during the course of this project. Wearing protective clothing under confining conditions, increased energy expense and elevated surrounding temperatures could cause personnel to experience symptoms of a heat related disorder. Advanced GeoEnviron mental shall ensure the T.V. established for Heat Stress by the ACGIH is not exceeded for workers who wear permeable clothing (cloth coveralls). Work/rest schedules shall be based upon ambient temperature and direct sunlight intensity. Monitoring of workers who wear protective clothing (chemically resistant coveralls) shall be implemented where ambient temperatures reach or exceed 75 degrees F. The following procedures shall be used to determine the work/rest periods: Measure heart rate (HR) by the radial pulse for 30 seconds as early as possible in the rest period. If the HR exceeds 110 beats per minute (BPM), the next work period shall be shortened by, while the rest period stays the same. If the HR is 110 BPM at the beginning of the next rest period, the following work cycle shall be shortened by another, while the length of the rest period again remains the same. Measure body temperature using a fever strip or oral thermometer as early as Advanced GeoEnvironmental, Inc.