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NATIONAL ADVERTISING COMPANY- ADDITIONAL SUBSURFACE INVESTIGATION HEALTH AND SAFETI' PLAN J 11.6.1 Medical Assistance Telephone numbers and locations for local fire department, hospitals, ambulance service, and other emergency services shall be maintained at the site by the PM/SSO (see Section 11.8). Information regarding non -emergency medical treatment for onsite injury, onsite illness, or onsite exposure to chemical contaminants will be provided to the hospital by the Site Supervisor. 11.6.2 Treatment in Case of Electrical Shock. The nearest medical treatment facility will be notified in.all cases involving injury from electrical shock. y The employee is not permitted to resume work until given clearance by the Health and Safety ` Professional after consultation with Earth Tech's,occupational physician. 11.6.3 Heat -Related Illnesses + The following guidance w' n can be used in the identification and treatment of:heat related illness. #� Heat Stress: The mildest form of heat -related illness. Victims exhibit irritability, lethargy, :and lr� significant sweating. The victim may complain of headache or nausea. This'. is the initial stage of overheating, and prompt action at this point may prevent more severe heat -related illness from occurring. First Aid: Provide the victim with a work break during which he/she may relax,, -remove any excess protective clothing, and drink cool fluids. If an air conditioned spot is available this is an ideal break s location. Once the victim shows ' improvement he/she may resume working, however the work pace 1 should be moderated to prevent recurrence of the symptoms. Heat Exhaustion:. Usually begins with muscular weakness, dizziness, nausea,: and ; a staggering gait. Vomiting is frequent. The bowels may move involuntarily, The victim is very pale, with clammy skin, and he or she may perspire profusely. The pulse is weak and fast, breathing is shallow. He or she may faint unless they lie down. First Aid: Immediately remove the victim to.the'work area, in a shady or cool area with good air circulation (avoid drafts or sudden chilling). Remove all protective outer wear. Call a physician. Treat the victim for shock. (Make the victim lie down, raise his or her feet 6-12 inches and keep him or, her warm but loosen all clothing.) If the victim is consciods, it may be helpful to give him or her, sips of water. Transport victim to a medical facility as.soon as possible. Heat Stroke. This is the most serious of heat illness, and represents the collapse of the body's cooling mechanisms. As a result,, body temperatures often rise to between 105-110 degrees Fahrenheit. As the victim progresses toward heat stroke symptoms such as headache, dizziness, nausea, oppression can be noted, and the skin is observed to be dry, red, and hot. Sudden collapse and loss of consciousness fol lows quickly and death is imminent if exposure continues. Heat stroke can occur suddenly.' First Aid: Immediately evacuate the victim to a cool and shady area. Remove all protective outer wear and all personal clothing. Lay the victim on his or her back with the head and shoulders slightly elevated. Apply cold wet towels, ice bags, etc. to the head, armpits, and thighs. Sponge off;the bare skin with cool water or rubbing alcohol, if available, or even place the victim in a tub of cool water. 7 The main objective is to cool without chilling the victim. Give no stimulants or hot drinks. Since'heat stroke is a severe medical condition requiring professional medical attention emergency medical help should be summoned immediately to provide on-site treatment of the victim and proper transport to a medical facility. hslprojsuplcominachasp.doc 11-3 02/09/98