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the body, or death may result . Signs and symptoms <br /> include red, hot, dry skin; no perspiration; nausea; <br /> dizziness and confusion; strong, rapid pulse; and <br /> ' coma. <br /> If symptoms of heat stress are observed, the following procedures <br /> ' will be implemented: <br /> • Instruct victim to lie down in a cool, shaded area or <br /> ' air-conditioned room. Elevate feet . <br /> Call ambulance. <br /> Cold Stress <br /> Workers should be protected from exposure to extreme cold <br /> temperatures so that the body temperature does not fall below 36 <br /> degrees Celsius (98 . 6 degrees Fahrenheit) . Lower body <br /> temperature may result in reduced mental alertness, in irrational <br /> decision making or loss of consciousness. <br /> When the air temperature is below 40 to 45 degrees Fahrenheit, <br /> ' workers shall have warm clothing, gloves and heavy socks, such as <br /> whole-body thermal underwear, wool socks, or insulated gloves and <br /> knit caps or hard hat liners . If the clothing of the worker <br /> becomes wet on the job site, an outer impermeable layer will be <br /> worn. When the worker' s underclothing becomes wet, the worker <br /> ' will change into dry clothing. The following provisions will <br /> also be made: <br /> • Hot liquids shall be provided in the break area, but <br /> ' the intake ofcoffee shall be limited because of the <br /> diuretic and circulatory effects . <br /> • Workers observed shivering shall be taken to a <br /> suitably heated area (greater than 65 degrees <br /> Fahrenheit) immediately . <br /> • Workers shall wear multiple layers of clothing with <br /> the thinner clothing next to the body and the heavier <br /> clothing on the outside . <br /> • worker should be advised against overdressing that <br /> could lead to heat stress . <br /> A-18 <br /> ' MA:ENG:9262-AppA/041291 <br />