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Arcadis Heat Illness Prevention Plan (HIPP) <br />HASP Supplement <br />Procedure for Handling a Sick Employee <br />Signs of Heat Stress: Excessive fatigue, heavy sweating, headaches, abdominal and/or upper <br />thigh cramps, mild dizziness, elevated pulse. <br />Signs of Heat Exhaustion: Cool, moist, pale or flushed skin, nausea or vomiting, <br />disorientation or confusion. <br />Signs of Heat Stroke: Hot, red skin which can feel dry to the touch, or moist from overexertion, <br />changes in consciousness, rapid or weak pulse, shallow rapid breathing. <br />The SSO or designee is responsible for implementing the following procedures for <br />emergency response. These procedures include, but are not limited to, the <br />following: <br />1. Prior to assigning staff to a particular work site, during the Tailgate H&S Safety Meeting all site <br />workers will review the HASP along with the identified Hospital precise directions (such as streets or <br />road names, distinguishing features, and distances to major roads), to avoid a delay of emergency <br />medical services. <br />2. Prior to work, efforts will be made to ensure that a qualified, appropriately trained and equipped <br />personnel are consistently available to render first aid. <br />3. Prior to the morning Tailgate Safety Meeting, an evaluation of whether or not a language barrier is <br />present at the site for understanding the necessary preventative measures and emergency <br />notifications procedures can be completed. Necessary steps will be taken (such as assigning the <br />responsibility to call emergency medical services to the SSO or an English speaking worker) to <br />ensure that emergency medical services can be immediately called in the event of an emergency. <br />4. All SSOs and supervisors will carry cell phones or other means of communication to ensure that <br />emergency medical services can be called. Routine checks will be made to ensure the devices are <br />allowed on site, have adequate reception across the site, and are functional prior to each shift. <br />5. When an employee reports symptoms, or displaying symptoms of possible heat illness, steps will <br />be taken immediately to keep the affected employee cool and comfortable. Evaluate whether 1st aid <br />is to be administered or emergency services are to be contacted or the employee is to be taken to <br />an emergency facility for care. <br />either through voice, direct observation or electronic means such as via mobile <br />phones or 2-way radios. In an emergency situation it is critical that employees <br />understand the process and contact information for requesting emergency medical <br />support. The reception coverage for the site must be evaluated and understood to <br />ensure adequate communication is in place across the project site. During a heat <br />wave or hot temperatures, workers will be reminded and encouraged to <br />immediately report to the SSO any signs or symptoms of the onset of heat stress <br />they are experiencing. <br />Procedure for Emergency Response Continued <br />Rev 8 13 June 2019