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Identification and Treatment • When an employee displays possible signs or symptoms of heat illness, a trained first aid worker or supervisor will check the sick employee and determine whether resting in the shade and drinking cool water will suffice, or if emergency service providers will need to be called. • Emergency service providers will be called immediately if an employee displays signs or symptoms of heat illness (decreased level of consciousness, staggering,vomiting, disorientation, irrational behavior, incoherent speech, convulsions, red and hot face), does not look OK or does not get better after drinking cool water and resting in the shade. • If an employee displays signs or symptoms of severe heat illness(decreased level of consciousness, staggering, vomiting, disorientation, irrational behavior, incoherent speech, convulsions, red and hot face), and the worksite is remote or located more than 20 minutes away from a hospital, call emergency service providers, communicate the signs and symptoms of the victim and request Air Ambulance. Illness Symptoms First Aid* Heat stroke • Red, hot, dry skin or Call 911 excessive sweating • Very high body temperature While waiting for help: • Confusion • Place worker in shady, cool area • Seizures • Loosen clothing, remove outer clothing • Fainting • Fan air on worker; cold packs in armpits • Wet worker with cool water; • apply ice packs, cool compresses, or ice if available • Provide fluids (preferably water)as soon as possible • Stay with worker until help arrives Heat • Cool, moist skin • Have worker sit or lie down in a cool, shady area exhaustion • Heavy sweating • Give worker plenty of water or other cool beverages • Headache to drink • Nausea or vomiting • Cool worker with cold compresses/ice packs • Dizziness • Take to clinic or emergency room for medical • Light headedness evaluation or treatment if signs or symptoms worsen • Weakness or do not improve within 60 minutes. • Thirst • Do not return to work that day • Irritability • Fast heart beat Heat • Muscle spasms • Have worker rest in shady, cool area cramps . Pain • Worker should drink water or other cool beverages • Usually in abdomen, arms, • Wait a few hours before allowing worker to return to or legs strenuous work • Have worker seek medical attention if cramps don't o away Heat rash • Clusters of red bumps on • Try to work in a cooler, less humid environment skin when possible • Often appears on neck, • Keep the affected area dry upper chest, folds of skin VII. Emergency Procedures Emergency contacts, emergency medical facility, hospital directions, and routes are provided on page 1 of the site-specific health and safety plan. The below guidance is for reference to responding to on-site Heat-related Illnesses only. City of Stockton Phase II ESA SAC24O174591 - Kleinfelder Confidential:APPENDICES TO Site Visit HASP (HSP-5-06_Form 1) Last Updated: 10/08/2020 Page 4