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■ A worker trained in first aid and recognizing signs of heat illness shall evaluate the employee to determine if emergency services are required to be called to the location. 2.6.9 Calling Emergency Medical Services The following steps are implemented to summon emergency services if determined necessary for the treatment of an employee suffering heat illness: When it is determined emergency medical services are needed, any employee shall either use a phone or radio to call for services: ➢ A call is placed to 911: ■ If there is a belief that the situation is a medical emergency, a call to 911 should be made immediately ■ After calling 911, call the supervisor and advise the supervisor that a call was made to 911 for emergency help ■ The supervisor will then contact appropriate county staff to advise of the situation and the request for emergency medical aid ■ If there is doubt about whether the situation is a medical emergency or if the call to 911 does not provide immediate response, a call should be made to the supervisor and the supervisor will assist If the site is not accessible to emergency vehicles, the affected worker shall be transported to an accessible location, in accordance with the following procedures: ➢ Transport the worker in an air conditioned vehicle, if available; ➢ If the worker can sit, have him/her remain in the vehicle; ➢ If the worker cannot sit, have him/her lie in the shade of the vehicle; ➢ Encourage the worker to drink water; ➢ Observe and report condition of worker; ➢ Do not leave the worker unattended. Identify the exact location of the work site for the medical service provider or the dispatch center; ✓ If the worker has been transported to a transfer point, give the location of the point: • Nearest intersection or; • Nearest mile-marker or; • Identifiable monument. County of San Joaquin Dept of Public Works IIPP Rev 2020-01-31.docx Page 59