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-Salt depletion. Signs include nausea and vomiting, muscle cramps, and dizziness. "Heat Illness" means a serious medical condition resulting from the body's inability to cope with a particular heat load, and includes heat cramps, heat exhaustion, heat syncope and heat stroke. "Heat stroke" is the most serious form of heat injury and is considered a medical emergency. If you suspect that someone has heat stroke --also known as sunstroke--call 911 immediately and give first aid until paramedics arrive. The hallmark symptom of heat stroke is a core body temperature above 104' F Other symptoms of Heat Stroke may include: *Throbbing headache *Rapid heartbeat,which may • Dizziness and light- be either strong or weak headedness -Rapid, shallow breathing -Lack of sweating despite the -Behavioral changes such as heat confusion, disorientation, or •Red, hot, and dry skin staggering -Muscle weakness or cramps -Seizures • Nausea and vomiting *Unconsciousness "Environmental risk factors for heat illness" means working conditions that create the possibility that heat illness could occur, including air temperature, relative humidity, radiant heat from the sun and other sources, conductive heat sources such as the ground, air movement, workload severity and duration, protective clothing and personal protective equipment worn by employees. "Landscaping" means providing landscape care and maintenance services and/or installing trees, shrubs, plants, lawns, or gardens, or providing these services in conjunction with the design of landscape plans and/or the construction (i.e., installation) of walkways, retaining walls, decks,fences, ponds, and similar structures, except for employment by an employer who operates a fixed establishment where the work is to be performed and where drinking water is plumbed. "Personal risk factors for heat illness" means factors such as an individual's age, degree of acclimatization, health, water consumption, alcohol consumption, caffeine consumption, and use of prescription medications that affect the body's water retention or other physiological responses to heat. "Shade" means blockage of direct sunlight. One indicator that blockage is sufficient is when objects do not cast a shadow in the area of blocked sunlight. Shade is not adequate when heat in the area of shade defeats the purpose of shade,which is to allow the body to cool. For example, a car sitting in the sun does not provide acceptable shade to a person inside it, unless the car is running with air San Joaquin County Department of Public Works County of San Joaquin Dept of Public Works IIPP Rev 2020-01-31.docx P a g e 149