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Health and Safety Plan 1319 & 1327 South Madison Street, Stockton, CA 432770 a. Water intake should be about equal to the amount of sweat produced (i.e., drinking 5-7 ounces of water every 15-20 minutes). Electrolyte fluids may also be necessary. b. Whenever possible, gradual exposure to heat is preferred to allow the body's internal temperature to actuate to the working conditions. c. Whenever possible, adjust the work schedule to reduce risk of heat stress. For example, postpone nonessential or heavier work to the cooler part of the day and perform work in the shade if portable. d. Rotate personnel to reduce the amount of time spent working in direct sun and heat. e. Increase the number and/or duration of rest breaks, and whenever possible, rest break areas should be in a cool area and as close to the work area as is feasible. Wear appropriate PPE when necessary, such as thermally conditioned clothing, self-contained air conditioning in a backpack, and plastic jackets/vests with pockets that can be filled with dry ice or ice. However, based on the type of work being done, where work is being performed, or other required PPE, these options may be prohibited or make the use of this PPE impossible or impractical. Heat-Related Illnesses Heat Stress: This is the mildest heat-related illness, but prompt action may prevent it from turning into a more severe heat-related illness. Symptoms include irritability, lethargy, significant sweating, headache, or nausea. The following guidance can be used in the identification and treatment of heat related illness. Heat Stress First Aid; • Take victim to a protected (e.g., shaded, cool) area, remove any excess protective clothing, and provide cool fluids. • If an air-conditioned spot is available, this is an ideal break location. • Once the victim shows improvement he/she may resume working, however the work pace and practices (e.g., does fluid intake need to be increased) should be moderated to prevent recurrence of the symptoms. Heat Exhaustion;Usually begins with muscular weakness, dizziness, nausea, and a staggering gait. Symptoms include pale, clammy skin, and profuse sweating, vomiting, and the bowels may move involuntarily. The pulse is weak and fast, breathing is shallow. Fainting can occur. Heat Exhaustion First Aid; • Immediately remove the victim from the work area to a shady or cool area with good air circulation (avoid drafts or sudden chilling —you do not want the victim to shiver). • Call a physician or emergency service, or transport the victim to medical care. • Remove all protective outerwear. • If the victim is conscious, it may be helpful to give him/her sips of water. Heat Stroke; Heat stroke is a severe medical condition requiring first aid and emergency treatment by a medical professional as death can occur without appropriate care. Heat Stroke