Page 93 - Safety Memo
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        To help employers develop, implement, and monitor their heat   •  Fainting
        illness prevention procedures, CAL/OSHA has provided a      •  Pulse fast and weak
        number of materials on heat illness prevention including:
                                                                    •  Breathing fast and shallow
        •  Educational resources including Employer’s Training Kit
          (www.dir.ca.gov/DOSH/HeatIllnessInfo.html)                •  Clammy, pale, cool, and/or moist skin
        •  eTool (www.dir.ca.gov/dosh/etools/08-006/index.htm)      Note: Heat exhaustion can occur because of the high core
                                                                    body temperature even when an individual is well hydrated.
        •  Employer’s Sample Procedures
          (www.dir.ca.gov/dosh/dosh_publications/ESPHIP.pdf)     Heat stroke—General Symptoms:
        •  “Protect Yourself from Heat Illness” publication         •  No sweating, the body cannot release heat or cool down
          (www.dir.ca.gov/dosh/dosh_publications/                   •  Mental confusion, delirium, convulsions, dizziness
          HeatIllnessEmployeeEngSpan.pdf)
                                                                    •  Hot and dry skin (e.g., red, bluish, or mottled)
        Signs and symptoms of heat illness conditions may include:
                                                                    •  Muscles may twitch uncontrollably
        Heat Rash (Prickly Heat)—General Symptoms:
                                                                    •  Pulse can be rapid and weak
          •  Can cover large parts of the body
                                                                    •  Throbbing headache, shallow breathing, seizures/fits
          •  Looks like a red cluster of pimples or small blisters
                                                                    •  Unconsciousness and coma
          •  Often on the neck, chest, groin, under the breasts, or in
             elbow creases                                          •  Body temperature may range from 102–104 ˚F or higher
                                                                      within 10–15 minutes
          •  Feels uncomfortable, can disrupt sleep and work
             performance                                            Note: A heat stroke victim may die within 30 to 60 minutes
                                                                    unless treated properly, and survivors may have some degree
          •  Complicated by infections                              of permanent neurological impairment.
        Heat Cramps—General Symptom:                             Requirements and guidance for heat illness prevention
          •  Painful muscle spasms in the stomach, arms, legs, and   in the workplace:
             other body parts may occur after work or at night   A.  All employers, having employees exposed in outdoor places
        Fainting—General Symptoms:                                  of employment, must have a written heat illness prevention
                                                                    plan and implement effective procedures for the prevention of
          •  Sudden dizziness, light-headedness                     heat illness.
          •  Unconsciousness                                     B.  The plan must be employer specific and be available on site or
                                                                    immediately available on the request of the employee or
          Notes:
                                                                    the Division.
             »  Provide first aid immediately
                                                                 C.  Heat illness prevention plan, at a minimum, must include: 3395(i)
             »  Never give liquids to an unconscious person
                                                                    1.  Procedures for providing sufficient water
        Heat Exhaustion—General Symptoms:                           2.  Procedures for providing access to shade
          •  Heavy sweating, painful muscle cramps, extreme         3.  High-heat procedures
             weakness and/or fatigue
                                                                    4.  Emergency response procedures
          •  Nausea, vomiting, dizziness, headache
                                                                    5.  Acclimatization methods and procedures
          •  Body temperature normal or slightly high
    74    Cal/OSHA Pocket Guide for the Construction Industry | June 2015  Cal/OSHA Pocket Guide for the Construction Industry | June 2015    75
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