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cool, moist skin; profuse sweating; dizziness and <br /> lassitude. <br /> Pleat Stroke - This is the most severe form of heat <br /> stress which must be treated immediately by cooling the <br /> body, or death may result. Signs and symptoms include <br /> red, hot, dry skin; no perspiration; nausea; dizziness <br /> and confusion; strong, rapid pulse; and coma. If <br /> symptoms of heat stress are observed, the following <br /> procedures 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 /> 4.6.3.2 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 (98.5 degrees Fahrenheit) . Loner 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 can <br /> become 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 of coffee shall be limited because of the <br /> diuretic and circulatory effects. <br /> Workers observed shivering shall be taken to a suitably <br /> 4-16 <br />