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San Joaquin County <br />Department of Public Works <br />County of San Joaquin Dept of Public Works IIPP Rev 2020-01-31.docx P a g e | 49 <br />•Salt depletion. Signs include nausea and vomiting, muscle cramps, and dizziness. <br />“Heat Illness” means a serious medical condition resulting from the body's inability <br />to cope with a particular heat load, and includes heat cramps, heat exhaustion, <br />heat syncope and heat stroke. <br />“Heat stroke” is the most serious form of heat injury and is considered a medical <br />emergency. If you suspect that someone has heat stroke -- also known as <br />sunstroke -- call 911 immediately and give first aid until paramedics arrive. The <br />hallmark symptom of heat stroke is a core body temperature above 104⁰ F <br /> Other symptoms of Heat Stroke may include: <br /> <br />•Throbbing headache <br />• Dizziness and light- <br />headedness <br />•Lack of sweating despite the <br />heat <br />•Red, hot, and dry skin <br />•Muscle weakness or cramps <br />• Nausea and vomiting <br />•Rapid heartbeat, which may <br />be either strong or weak <br />•Rapid, shallow breathing <br />•Behavioral changes such as <br />confusion, disorientation, or <br />staggering <br />•Seizures <br />•Unconsciousness <br /> <br />“Environmental risk factors for heat illness” means working conditions that create <br />the possibility that heat illness could occur, including air temperature, relative <br />humidity, radiant heat from the sun and other sources, conductive heat sources <br />such as the ground, air movement, workload severity and duration, protective <br />clothing and personal protective equipment worn by employees. <br />“Landscaping” means providing landscape care and maintenance services and/or <br />installing trees, shrubs, plants, lawns, or gardens, or providing these services in <br />conjunction with the design of landscape plans and/or the construction (i.e., <br />installation) of walkways, retaining walls, decks, fences, ponds, and similar <br />structures, except for employment by an employer who operates a fixed <br />establishment where the work is to be performed and where drinking water is <br />plumbed. <br /> “Personal risk factors for heat illness” means factors such as an individual's age, <br />degree of acclimatization, health, water consumption, alcohol consumption, <br />caffeine consumption, and use of prescription medications that affect the body's <br />water retention or other physiological responses to heat. <br />“Shade” means blockage of direct sunlight. One indicator that blockage is sufficient <br />is when objects do not cast a shadow in the area of blocked sunlight. Shade is not <br />adequate when heat in the area of shade defeats the purpose of shade, which is to <br />allow the body to cool. For example, a car sitting in the sun does not provide <br />acceptable shade to a person inside it, unless the car is running with air