Page 261 - Safety Memo
P. 261

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

    80 Cal/OSHA Pocket Guide for the Construction Industry | June 2019   Cal/OSHA Pocket Guide for the Construction Industry | June 2019 81
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