VALERO – KROTZ SPRINGS SHG #47 Page 1 of 5 Approved 10/11/01 HEAT STRESS GUIDELINE 1.0 PURPOSE To provide employee and supervisory guidance in best practices to prevent, manage and treat heat related illnesses. 2.0 SCOPE This guideline applies to work activities of all company employees. 3.0 DEFINITIONS Acclimatization - Physiological adjustments made by your body in response to regular exposure to heat or cold. In the case of heat, some of the adjustments made include sweating sooner in response to heat stress, lowering of the salt content in perspiration, slower heart beat and improvement in the blood flow to the skin. It does NOT make an individual immune to heat illness. Conductive Heat - A direct means of transferring heat from a warmer body to a colder body by direct contact. Convective Heat - An indirect means of transferring heat from heated air around or near a hot surface to a cooler body. Heat Cramps - Muscle spasms induced by hard work in intense heat, accompanied by severe pain; often related to body fluid or electrolyte deficiencies or imbalances. Some cases have been attributed to prior over indulgence in alcohol. Heat Exhaustion - A form of heat illness caused by excessive loss of fluid and/or electrolytes. Signs and symptoms include cool, clammy and pale skin, nausea, vomiting, profuse sweating, headaches, trembling, weakness and a rapid, weak pulse. Heat Stress - The changes that occur in your body in response to increases in body temperature. Heat Stroke - A LIFE THREATENING heat illness in which the body temperature rises drastically, usually above 104 degrees F. Its symptoms include skin which is hot, flushed, and dry (sweating has stopped), a rapid weak or bounding pulse, increased respiratory rate, decreased level of consciousness, seizures, and/or coma. Radiant Heat - Heat that is transferred to a cooler body by absorption of infrared rays from a heated surface or the sun. VALERO – KROTZ SPRINGS 4.0 RESPONSIBILITIES GROUP Employees SHG #47 Page 2 of 5 Approved 10/11/01 Supervision Refinery Safety Personnel 5.0 RESPONSIBILITY Understand the hazards related to heat stress and how to properly manage these risks on an individual level. Adhere to good heat stress prevention practices outlined in this document. Participate in heat stress management training provided. Understand the hazards related to heat stress and how to properly manage these risks on an individual level. Adhere to good heat stress prevention practices outlined in this document. Recognize in their employees and contractors working in their area early stages of heat illness and encourage adjustments in work practices and rest periods to prevent further progression of heat illness. Where possible, see that work environmental conditions are adjusted prior to the start of work to minimize heat stress potentials. Provide timely and regular awareness training and/or materials to each refinery organization regarding heat stress potentials and how to manage, prevent and respond to heat illnesses. Provide assistance to refinery operations and maintenance in the technical aspects of heat illness prevention or treatment, particularly with regard to advice and expertise on the use of cool vests or equipment. HEAT STRESS MANAGEMENT 5.1 Applicability to Refinery Operations Heat stress is a very real work place hazard. Due to the geographical location of this refinery, we experience long periods of high heat and humidity conditions each year. Strenuous work activities need special attention given to proper heat stress management practices during these environmental conditions. Significant examples include: Tank or vessel cleaning, catalyst changeouts or other similar work; Wearing of vapor barrier personal protective clothing when handling corrosive materials; Working in full sunlight during the hottest portions of the day; Work activities around process heaters or hot vessels where excessive radiant heat loads add to other high heat load conditions; Fire fighting and hazardous material response activities during actual emergencies or training exercises; and Welding in enclosed spaces. VALERO – KROTZ SPRINGS SHG #47 Page 3 of 5 Approved 10/11/01 5.2 Heat Stress Management Philosophy An individual’s fitness to withstand heat stress varies daily due to circumstances within and outside of their personal control. Factors influencing an individual’s susceptibility to heat illness include: Increasing age; General state of physical fitness; Alcohol intake (tends to dehydrate the body); Medications (prescription and over the counter, e.g., diuretics and cold/allergy medications) Smoking (constricts the blood vessels in the skin); and Mild to severe illnesses and surgeries. Due to these factors and the variability of work activities within the refineries, no single work/rest or heat index guideline is either practical or suitable in properly managing and preventing heat related illnesses. Heat stress hazards are best managed under these conditions by each individual having a good understanding of the factors that can cause heat related illnesses as well as the symptoms, prevention and proper treatment. 5.3 Prevention Practices 5.3.1 Supervisors When work conditions are present which could be reasonably anticipated to increase heat illness potentials, supervisors will take some or all of the following actions: Providing easy access to clean drinking water at or near the work area as well as a dilute (half strength) electrolyte drink (e.g., “Gatorade) for prolonged jobs (the use of or provision of salt tablets is prohibited); Allowing Ensuring employees/contractors working in hot environments to take their rest breaks in cooler areas; Inform employees of the heat stress hazards associated with smoking / caffeine use during breaks. Discouraging smoking by employees/contractors working in hot environments when taking their rest breaks; If practical and as needed for prolonged high heat jobs, providing workers shielding from sources of excessive radiant heat; Obtaining assistance and guidance from refinery safety personnel on obtaining when agreed needed worker cool vests; Allowing Ensuring employees working in high heat environments to self-pace themselves in deciding when rest breaks are needed. Refer workers to refinery medical personnel for prompt evaluation if a heat related illness is suspected. VALERO – KROTZ SPRINGS 5.3.2 SHG #47 Page 4 of 5 Approved 10/11/01 Employees When work conditions are present which could be reasonably anticipated to increase heat illness potentials, employees will take some or all of the following actions: 6.0 Consuming at least 8 ounces of water, or Gatorade, for each hour worked in a hot environment, starting to drink even before they get thirsty; Avoiding heavy meals before working a hot job; Avoiding consumption of excessive alcohol at least a day before working a prolonged hot job; Avoiding smoking when taking rest breaks when working a hot job; Taking rest breaks when needed but not abusively; and Informing their coworkers and their supervisor at the first symptoms of the onset of heat illness and stopping to rest and drink plenty of fluids in a cool location. HEAT ILLNESSES - SYMPTOMS & TREATMENT 6.1 Heat Illness Symptoms and Treatment 6.1.1 HEAT CRAMPS Heat Cramps are muscle spasms that occur due to deficiencies or imbalances in body fluids and electrolytes. They typically occur at the beginning of summer and/or during hot jobs before acclimatization occurs. Some cases have been attributed to compromised health due to illness, medications, or improper diet. It should be recognized that heat cramps could be caused either by an excess of electrolytes (dehydration) or a deficiency of electrolytes, particularly potassium. They are quite painful and typically occur first in the primary muscle groups (stomach, legs, arms, etc.) being used to perform the work activity. Untreated, the prevalence of the spasms can increase in both severity and the number of muscle groups involved. Heat Cramps represent a signal to an individual to stop working and to head promptly to a cool place to rest and recover while drinking plenty of fluids. Before acclimatization occurs, individuals tend to loose more electrolytes through sweating. During the early stages of acclimatization, it is important to consume some electrolytes with water during rest breaks. A dilute (half strength) electrolyte drink is recommended and should be available at or near the work area. Consumption of excessive quantities of full strength electrolyte drinks both during the acclimatization process and even after acclimatization has occurred can result in excess blood levels of electrolytes and actually promote the occurrence of muscle cramps! If full strength electrolyte drink is made available due to taste preferences, it should only be consumed in conjunction with an equal quantity of water. VALERO – KROTZ SPRINGS 6.1.2 SHG #47 Page 5 of 5 Approved 10/11/01 HEAT EXHAUSTION HEAT EXHAUSTION is classified as an acute reaction to heat exposure. It is caused by the loss of fluid and/or electrolytes from the body. It can easily progress to HeatStroke. Signs and symptoms of heat exhaustion include rapid heartbeat, low blood pressure, headache, trembling, dizziness and weakness, nausea and/or vomiting, and are sometimes accompanied by muscle cramps. The skin is often cool, moist and clammy. The treatment for HEAT EXHAUSTION is very similar to the treatment described above for heat cramps. At the onset of symptoms, an individual should promptly move to a cool place to rest and recover while drinking plenty of fluids. Water should be consumed; a dilute (1/2 strength) electrolyte drink such as Gatorade or 10K can also be consumed and is especially important if heat cramps are present or beginning. Drinks containing caffeine are not recommended during these rest periods. Recovery will occur slowly as the fluid replacement and rest restore blood circulation. 6.1.3 HEAT STROKE HEAT STROKE IS A LIFE THREATENING CONDITION! An individual suffering from heat stroke will be noted to have hot, dry, flushed skin (sweating has stopped), an elevated heart rate, headache, nausea and/or vomiting, weakness, dizziness, seizures, decreased level of consciousness, up to and including coma. It is the eventual result of heat illness left untreated or improperly treated. Without immediate and prompt treatment, heat stroke can result in brain damage and death. HEAT STROKE treatment MUST BEGIN IMMEDIATELY! Do not wait for medical help to arrive if a person is experiencing the symptoms of heat stroke. The body must be cooled by running cool water over the body. If available, ice cold towels or ice packs should be applied to areas such as the armpits, neck, groin, knee, and ankle areas. Increase evaporative cooling by fanning the person while cooling with water or ice. Medical help will continue these treatments to return the body temperature to normal.