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High heat procedures must be implemented when temperatures reach 95°F. These procedures include: • Ensuring that effective communication by voice, observation, or electronic means is maintained so that employees at the work site can contact a supervisor when necessary. An electronic device, such as a cell phone or text messaging device, may be used for this purpose only if the reception in the area is reliable. • Observing employees for alertness and signs or symptoms of heat illness. The employer shall ensure effective employee observation/monitoring by implementing one or more of the following: o Supervisor or designee observation of 20 or fewer employees; o Mandatory buddy system; o Regular communication with sole employee such as by radio or cellular phone, or other effective means of observation; • Designating one or more employees on each worksite as authorized to call for emergency medical services and allowing other employees to call for emergency services when no designated employee is available. • Encouraging employees throughout the work shift to drink plenty of water. • A review of the high heat procedures during the daily tailgate meeting and remind employees of their right to take a cool-down rest when necessary. Heat illnesses includes heat cramps, heat exhaustion, heat syncope, and heat stroke. 7.5.1 Heat Stress Heat stress is the body's response to excessive heat and can be a significant potential hazard. The risk of heat stress can be increased with heavy physical activity and/or the use of personal protective equipment in hot, humid weather environments. There are also personal risk factors that can contribute to the risk of suffering from heat stress, such as obesity, water intake, alcohol and caffeine consumption, pregnancy, age, medication, etc. 7.5.2 Heat Cramps Heat cramps may be brought on by prolonged exposure to heat. As an individual sweats, water and salts are lost by the body resulting in painful muscle cramps, typically in the legs. First aid treatment includes, but is not limited to, shade, rest, and fluid replacement. Typically, the individual should recover within one-half hour while being monitored constantly. If the individual has not improved substantially within 30 minutes and the body temperature has not decreased, the individual should be transported to a hospital for medical attention. Per Cal/OSHA T8 CCR Section 3395, employees shall have access to potable drinking water that is fresh, pure, suitably cool, free of charge and in-sufficient quantities. Access to shade shall be present when temperatures exceed 80 degrees Fahrenheit and shall be available when temperatures do not exceed 80 degrees Fahrenheit. 7.5.3 Heat Exhaustion Heat exhaustion may occur in an individual who has been exposed to excessive heat while working or exercising. The circulatory system of the individual fails as blood collects near the skin to rid the body of excess heat through transference. The signs and symptoms of heat exhaustion are as follows: 3989.0001 S.104/HSP Site-Specific Health and Safety Plan I ROUX 123