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SPECSPEC
Safety, Personnel, Environment, and CommunicationSafety, Personnel, Environment, and Communication
June 21, 2010June 21, 2010
 IntroductionIntroduction
 Safety StatisticsSafety Statistics
 May 2010May 2010
 Del Davis SurveyDel Davis Survey
 Heat StressHeat Stress
 Poisonous PlantsPoisonous Plants
 Ticks, Bees/WaspsTicks, Bees/Wasps
SpecPro Safety StatisticsSpecPro Safety Statistics
May 2010May 2010
(Last LTI: 5 Oct 09 Doug Jeske)
SpecProSpecPro BTSBTS SubsSubs MonthlyMonthly CombinedCombined
6  31 Oct 096  31 Oct 09 18,58518,585 1,4341,434 3,1833,183 23,20223,202 23,20223,202
1  30 Nov 091  30 Nov 09 17,79017,790 1,4711,471 5,8435,843 25,10425,104 48,30648,306
1  31 Dec 091  31 Dec 09 12,85812,858 1,4171,417 3,0313,031 14,27514,275 65,61265,612
1 31 Jan 101 31 Jan 10 10,311.510,311.5 1,4771,477 736736 12,524.512,524.5 78,136.578,136.5
1  28 Feb 101  28 Feb 10 8,908.58,908.5 1,5091,509 867867 11,284.511,284.5 89,42189,421
1  31 Mar 101  31 Mar 10 15,71615,716 1,8831,883 822822 18,42118,421 107,842107,842
1  30 Apr 101  30 Apr 10 20,28220,282 1,7081,708 1,6831,683 23,67323,673 131,515131,515
1  31 May 101  31 May 10 22,01822,018 1,6681,668 1,8241,824 25,51025,510 157,025157,025
May Safety StatisticsMay Safety Statistics
 Strain / Sprain:Strain / Sprain: 2 (hole, pipe)2 (hole, pipe) 55
 Cut / Laceration:Cut / Laceration: 00 11
 Fracture:Fracture: 00
 Contusion:Contusion: 1 (ribs)1 (ribs) 22
 Allergic Reaction:Allergic Reaction: 00
 Avulsion:Avulsion: 00
 Puncture:Puncture: 00
 Foreign Body (eye):Foreign Body (eye): 00
 Loss of Consciousness:Loss of Consciousness: 00
 Bee Sting:Bee Sting: 11 11
4 personal / 04 personal / 0
vehicularvehicular 20102010
80 DAYS TO HAIRCUT
60
June 10 SPEC
Guess which ones the new safety guy?
Name:Name: Jonathan JP PatlakJonathan JP Patlak
Previous Employment:Previous Employment: LVI Environmental Services,LVI Environmental Services,
etc.etc.
Waylon Jennings vs Willie Nelson =Waylon Jennings vs Willie Nelson =
Zeppelin vs The Who =Zeppelin vs The Who =
Coke vs Pepsi =Coke vs Pepsi =
McDonalds vs Burger King =McDonalds vs Burger King =
Walleye Fishin vs Salmon fishin =Walleye Fishin vs Salmon fishin =
Great Taste vs Less Filling =Great Taste vs Less Filling =
Willie NelsonWillie Nelson
Led ZeppelinLed Zeppelin
Diet Coke w/LimeDiet Coke w/Lime
SubwaySubway
Michigan CohoMichigan Coho
Great TasteGreat Taste
brightfuse.com/jonathan-patlak/projectsbrightfuse.com/jonathan-patlak/projects
DD
EE
V
O
What keeps me safe?What keeps me safe?
What keeps YOU safe?What keeps YOU safe?
OccupationalOccupational
Heat StressHeat Stress
Where the heat comes fromWhere the heat comes from
 We generate some by our metabolism byWe generate some by our metabolism by
converting our food to energy and usingconverting our food to energy and using
it to do workit to do work
 Some may be added by the environmentSome may be added by the environment
 Some may be taken away by theSome may be taken away by the
environmentenvironment
 Clothing can trap the heatClothing can trap the heat
Environmental FactorsEnvironmental Factors
 TemperatureTemperature
 Evaporative PotentialEvaporative Potential
 Air MovementAir Movement
 Radiant FactorRadiant Factor
Our Body RespondsOur Body Responds
 HypothalamusHypothalamus
-the bodys temperature-the bodys temperature
control centercontrol center
 Blood FlowBlood Flow
Circulation (2)
 PerspirationPerspiration
Heat Related IllnessesHeat Related Illnesses
Heat CrampsHeat Cramps
Reason:Reason: Lack of proper fluids in bodyLack of proper fluids in body
Sign and Symptoms:Sign and Symptoms:
Muscle spasmsMuscle spasms
Pain in extremities and abdomenPain in extremities and abdomen
Treatment:Treatment:
Move person to cool placeMove person to cool place
Give water / liquidsGive water / liquids
Heat Related IllnessesHeat Related Illnesses
Heat ExhaustionHeat Exhaustion
Mild form of shock causing stress on variousMild form of shock causing stress on various
organsorgans
Sign and SymptomsSign and Symptoms
Fatigue, dizziness,Fatigue, dizziness, profuse sweatingprofuse sweating, moist, moist
skin, shallow breathing, palenessskin, shallow breathing, paleness
TreatmentTreatment
Move person to cool placeMove person to cool place
Give water / liquidsGive water / liquids
Heat Related IllnessesHeat Related Illnesses
Heat StrokeHeat Stroke
Most SEVERE form of heat stressMost SEVERE form of heat stress
Sign and SymptomsSign and Symptoms
Red, hot,Red, hot, DRY skin without sweatDRY skin without sweat
Body temp 105*+Body temp 105*+
Dizziness, confusion, strong rapid pulseDizziness, confusion, strong rapid pulse
TreatmentTreatment
SEEK IMMEDIATESEEK IMMEDIATE
MEDICAL ATTENTIONMEDICAL ATTENTION
Apply cool packsApply cool packs
This is NOT he kind of cool place we use!
WWetet BBulbulb GGlobelobe TTemperatureemperature
 Wet Sensor assesses evaporationWet Sensor assesses evaporation
(humidity & air movement)(humidity & air movement)
- as distilled water evaporates- as distilled water evaporates
from cup, it cools the sensorfrom cup, it cools the sensor
 Globe Sensor assessesGlobe Sensor assesses
radiant componentradiant component
 Bulb Sensor assessesBulb Sensor assesses
ambient temperatureambient temperature
SpecPro Heat Categories and Work/Rest Cycles (Acclimatized)
Revised: 3 AUG 06
HEAT
CATEGORY
WBGT
INDEX
DEGREES F
EASY WORK
(Managers Discretion)
MODERATE WORK
(Managers Discretion)
HARD WORK
(Managers Discretion)
Work/Rest
Minutes
Water
Intake
Quart/Hour
Work/Rest
Minutes
Water Intake
Quart/Hour
Work/Rest
Minutes
Water Intake
Quart/Hour
1 78  81.9 No limit to
work time
遜 No
Limitations
他 40 Work
20 Rest
他
2
(Green)
82  84.9 No limit to
work time
遜 50 Work
10 Rest
他 30 Work
30 Rest
1
3
(Yellow)
85  87.9 No limit to
work time
他 40 Work
20 Rest
他 30 Work
30 Rest
1
4
(Red)
88  89.9 No limit to
work time
他 30 Work
30 Rest
他 20 Work
40 Rest
1
5
(Black)
> 90 50 Work
10 Rest
1 20 Work
40 Rest
1 10 Work
50 Rest
1
Wearing Tyvec and respirator adds 5 degrees Fahrenheit to the wet bulb globe thermometer (WBGT) index.
Operating in air conditioned vehicles can work continuously (normal scheduled rest breaks apply)
Rest: Minimal physical activity, which should be accomplished in the shade if possible; however, any activity
requiring only minimal physical activity can be performed during rest periods (safety meetings, minor
maintenance of equipment, personal hygiene activities, decon).
Acclimatized: The employee has worked in given heat conditions for 10  14 days.
Adapted from the Department of the US Army Field Hygiene and Sanitation FM 21-10, dated 21 June 2000.
SKIN CANCER
in Brief
SKIN CANCER
in Brief
Skin CancerSkin Cancer
 Most common form of cancer in the USMost common form of cancer in the US
 One in five Americans will develop skinOne in five Americans will develop skin
cancer in the course of a lifetimecancer in the course of a lifetime
 More than 1 million cases of non-melanomaMore than 1 million cases of non-melanoma
skin cancer a year / 60,000 melanoma casesskin cancer a year / 60,000 melanoma cases
 Outdoor workers are 2x as likely to develop skinOutdoor workers are 2x as likely to develop skin
cancer as indoor workerscancer as indoor workers
 Cases are on the riseCases are on the rise
Skin CancerSkin Cancer
How to Protect YourselfHow to Protect Yourself
 Seek shade between 10am and 4pmSeek shade between 10am and 4pm
 Light weight, long sleeve shirtLight weight, long sleeve shirt
 Neck protectionNeck protection
 Sunscreen (SPF 30 or higher)Sunscreen (SPF 30 or higher)
 Self ExaminationSelf Examination
Search for ticksSearch for ticks
at the same time!at the same time!
BlackleggedBlacklegged
Tick NymphTick Nymph
Trails andTrails and
Edge HabitatEdge Habitat
 Blacklegged ticksBlacklegged ticks
live in woody, brushylive in woody, brushy
areas that provideareas that provide
food and cover forfood and cover for
hosts such as micehosts such as mice
and deerand deer
 Exposure to theseExposure to these
ticks can be greatestticks can be greatest
along trails andalong trails and
edges of woodsedges of woods
Lyme DiseaseLyme Disease
Signs & SymptomsSigns & Symptoms
3 to 30 days after deer tick bite3 to 30 days after deer tick bite
 Rash (often bulls-eye)Rash (often bulls-eye)
 FeverFever
 ChillsChills
 HeadacheHeadache
 Muscle and joint painMuscle and joint pain
 FatigueFatigue
Rank State CasesRank State Cases
1 NY 7,7941 NY 7,794
2 MA 4,5822 MA 4,582
3 CT 3,8963 CT 3,896
4 PA 3,8184 PA 3,818
5 NJ 3,4855 NJ 3,485
6 MD 2,2186 MD 2,218
7 WI 2,0347 WI 2,034
8 NH 1,6018 NH 1,601
9 MN 1,2829 MN 1,282
10 VA 93310 VA 933
Erythema migrans (EM)Erythema migrans (EM)
rash characteristicrash characteristic
of Lyme diseaseof Lyme disease
Lyme disease rashLyme disease rash
without central clearingwithout central clearing
June 10 SPEC
How To Remove a TickHow To Remove a Tick
??
Hazardous Plants
BAAAP has four plants to considerBAAAP has four plants to consider
1)1) Poison IvyPoison Ivy
2)2) Poison SumacPoison Sumac
3)3) Wild ParsnipWild Parsnip
Hazardous PlantsHazardous Plants
Poison IvyPoison Ivy
Hazardous PlantsHazardous Plants
Poison SumacPoison Sumac
Hazardous
Plants
Wild ParsnipWild Parsnip
Lower Gate 16Lower Gate 16
Bees, Wasp, Hornet StingsBees, Wasp, Hornet Stings
Sting First AidSting First Aid
- Remove the stinger GENTLY- Remove the stinger GENTLY
- Avoid squeezing the poison sack- Avoid squeezing the poison sack
- Apply ice or sting kit to affected area- Apply ice or sting kit to affected area
- If allergic reaction, seek- If allergic reaction, seek
medical attentionmedical attention
June 10 SPEC
June 10 SPEC
June 10 SPEC
June 10 SPEC
June 10 SPEC
Slips, Trips, Falls RevisitedSlips, Trips, Falls Revisited
What are slips, trips & falls?What are slips, trips & falls?
Slip
A slip occurs when there is tooA slip occurs when there is too
little traction or friction betweenlittle traction or friction between
the shoe and walking surface.the shoe and walking surface.
A trip occurs when a persons footA trip occurs when a persons foot
contacts an object in their way orcontacts an object in their way or
drops to a lower level unexpectedly,drops to a lower level unexpectedly,
causing them to be thrown off-balance.causing them to be thrown off-balance.
Trip
Fall
A fall occurs when youA fall occurs when you
are too far off balance.are too far off balance.
STFsSTFs (Slips, Trips & Falls)(Slips, Trips & Falls) FactsFacts
STFs are second to vehicle accidents in causingSTFs are second to vehicle accidents in causing
personal injurypersonal injury
Industrial falls causeIndustrial falls cause 1000+ DEATHS/year1000+ DEATHS/year! In! In
2002,2002, 5100 died5100 died from work related falls!from work related falls!
Stairways falls alone result inStairways falls alone result in 2,000,0002,000,000
disabling injuries per yeardisabling injuries per year
Of 3.8 MILLION disabling injuries/year in theOf 3.8 MILLION disabling injuries/year in the
work place, 15% (work place, 15% (570,000570,000) are due to STFs.) are due to STFs.
Types of FallsTypes of Falls
Same-Level Falls:Same-Level Falls:
- High frequency- High frequency
low severitylow severity
Elevated Falls:Elevated Falls:
- Lower frequency- Lower frequency
high severityhigh severity
Causes of STF at BAAAPCauses of STF at BAAAP
??RespiratorsRespirators
PlasticPlastic
Mounting/DismountingMounting/Dismounting
Heavy EquipmentHeavy Equipment
Holes, Ruts, StumpsHoles, Ruts, Stumps
IceIce
Steep GradeSteep Grade
Use of WaterUse of Water
Lack of ProperLack of Proper
LightingLighting
Cords, HosesCords, Hoses
HousekeepingHousekeeping
VisibilityVisibility
Behaviors leading to fallsBehaviors leading to falls
 Walking too fast or runningWalking too fast or running
 Rapid change of directionRapid change of direction
 DistractionsDistractions
 Not watching where walkingNot watching where walking
 Carrying materials obstructing viewCarrying materials obstructing view
 Failure to use handrailsFailure to use handrails
 Wearing sunglasses in low-lightWearing sunglasses in low-light
conditionsconditions
 ImpatienceImpatience
Conditions creating fall hazardsConditions creating fall hazards
 Unsafe stairsUnsafe stairs
 Storing / leaving materials on stairsStoring / leaving materials on stairs
 Unsafe / improper ladder useUnsafe / improper ladder use
 Obstacles in walkwayObstacles in walkway
 Poor lightingPoor lighting
 Slippery / Uneven walking surfaceSlippery / Uneven walking surface
 Unmarked / unknown holes or trenchesUnmarked / unknown holes or trenches
 Improper footwearImproper footwear
Preventing STFsPreventing STFs
 Learn to recognize hazardous areasLearn to recognize hazardous areas
 Take steps to eliminate hazardsTake steps to eliminate hazards
 Stay alertStay alert
 Keep clutter picked up and area cleanKeep clutter picked up and area clean
 Use 3-point mount/dismount techniqueUse 3-point mount/dismount technique
 Clean up spills immediatelyClean up spills immediately
 DoDo NOTNOT use chairs as laddersuse chairs as ladders
 Inspect the work area regularly for hazardsInspect the work area regularly for hazards
If YouIf You DODO Find Yourself FallingFind Yourself Falling
 Roll with the fall; dont reach out.Roll with the fall; dont reach out.
 Bend your elbows and knees andBend your elbows and knees and
use your legs and arms to absorb the fall.use your legs and arms to absorb the fall.
 Protect the venerable parts of your body,Protect the venerable parts of your body,
like the head, neck and spine.like the head, neck and spine.
 Dont move if you think youve hurtDont move if you think youve hurt
yourself. Wait for help.yourself. Wait for help.

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June 10 SPEC

  • 1. SPECSPEC Safety, Personnel, Environment, and CommunicationSafety, Personnel, Environment, and Communication June 21, 2010June 21, 2010 IntroductionIntroduction Safety StatisticsSafety Statistics May 2010May 2010 Del Davis SurveyDel Davis Survey Heat StressHeat Stress Poisonous PlantsPoisonous Plants Ticks, Bees/WaspsTicks, Bees/Wasps
  • 2. SpecPro Safety StatisticsSpecPro Safety Statistics May 2010May 2010 (Last LTI: 5 Oct 09 Doug Jeske) SpecProSpecPro BTSBTS SubsSubs MonthlyMonthly CombinedCombined 6 31 Oct 096 31 Oct 09 18,58518,585 1,4341,434 3,1833,183 23,20223,202 23,20223,202 1 30 Nov 091 30 Nov 09 17,79017,790 1,4711,471 5,8435,843 25,10425,104 48,30648,306 1 31 Dec 091 31 Dec 09 12,85812,858 1,4171,417 3,0313,031 14,27514,275 65,61265,612 1 31 Jan 101 31 Jan 10 10,311.510,311.5 1,4771,477 736736 12,524.512,524.5 78,136.578,136.5 1 28 Feb 101 28 Feb 10 8,908.58,908.5 1,5091,509 867867 11,284.511,284.5 89,42189,421 1 31 Mar 101 31 Mar 10 15,71615,716 1,8831,883 822822 18,42118,421 107,842107,842 1 30 Apr 101 30 Apr 10 20,28220,282 1,7081,708 1,6831,683 23,67323,673 131,515131,515 1 31 May 101 31 May 10 22,01822,018 1,6681,668 1,8241,824 25,51025,510 157,025157,025
  • 3. May Safety StatisticsMay Safety Statistics Strain / Sprain:Strain / Sprain: 2 (hole, pipe)2 (hole, pipe) 55 Cut / Laceration:Cut / Laceration: 00 11 Fracture:Fracture: 00 Contusion:Contusion: 1 (ribs)1 (ribs) 22 Allergic Reaction:Allergic Reaction: 00 Avulsion:Avulsion: 00 Puncture:Puncture: 00 Foreign Body (eye):Foreign Body (eye): 00 Loss of Consciousness:Loss of Consciousness: 00 Bee Sting:Bee Sting: 11 11 4 personal / 04 personal / 0 vehicularvehicular 20102010
  • 4. 80 DAYS TO HAIRCUT 60
  • 6. Guess which ones the new safety guy?
  • 7. Name:Name: Jonathan JP PatlakJonathan JP Patlak Previous Employment:Previous Employment: LVI Environmental Services,LVI Environmental Services, etc.etc. Waylon Jennings vs Willie Nelson =Waylon Jennings vs Willie Nelson = Zeppelin vs The Who =Zeppelin vs The Who = Coke vs Pepsi =Coke vs Pepsi = McDonalds vs Burger King =McDonalds vs Burger King = Walleye Fishin vs Salmon fishin =Walleye Fishin vs Salmon fishin = Great Taste vs Less Filling =Great Taste vs Less Filling = Willie NelsonWillie Nelson Led ZeppelinLed Zeppelin Diet Coke w/LimeDiet Coke w/Lime SubwaySubway Michigan CohoMichigan Coho Great TasteGreat Taste brightfuse.com/jonathan-patlak/projectsbrightfuse.com/jonathan-patlak/projects DD EE V O
  • 8. What keeps me safe?What keeps me safe? What keeps YOU safe?What keeps YOU safe?
  • 10. Where the heat comes fromWhere the heat comes from We generate some by our metabolism byWe generate some by our metabolism by converting our food to energy and usingconverting our food to energy and using it to do workit to do work Some may be added by the environmentSome may be added by the environment Some may be taken away by theSome may be taken away by the environmentenvironment Clothing can trap the heatClothing can trap the heat
  • 11. Environmental FactorsEnvironmental Factors TemperatureTemperature Evaporative PotentialEvaporative Potential Air MovementAir Movement Radiant FactorRadiant Factor
  • 12. Our Body RespondsOur Body Responds HypothalamusHypothalamus -the bodys temperature-the bodys temperature control centercontrol center Blood FlowBlood Flow Circulation (2) PerspirationPerspiration
  • 13. Heat Related IllnessesHeat Related Illnesses Heat CrampsHeat Cramps Reason:Reason: Lack of proper fluids in bodyLack of proper fluids in body Sign and Symptoms:Sign and Symptoms: Muscle spasmsMuscle spasms Pain in extremities and abdomenPain in extremities and abdomen Treatment:Treatment: Move person to cool placeMove person to cool place Give water / liquidsGive water / liquids
  • 14. Heat Related IllnessesHeat Related Illnesses Heat ExhaustionHeat Exhaustion Mild form of shock causing stress on variousMild form of shock causing stress on various organsorgans Sign and SymptomsSign and Symptoms Fatigue, dizziness,Fatigue, dizziness, profuse sweatingprofuse sweating, moist, moist skin, shallow breathing, palenessskin, shallow breathing, paleness TreatmentTreatment Move person to cool placeMove person to cool place Give water / liquidsGive water / liquids
  • 15. Heat Related IllnessesHeat Related Illnesses Heat StrokeHeat Stroke Most SEVERE form of heat stressMost SEVERE form of heat stress Sign and SymptomsSign and Symptoms Red, hot,Red, hot, DRY skin without sweatDRY skin without sweat Body temp 105*+Body temp 105*+ Dizziness, confusion, strong rapid pulseDizziness, confusion, strong rapid pulse TreatmentTreatment SEEK IMMEDIATESEEK IMMEDIATE MEDICAL ATTENTIONMEDICAL ATTENTION Apply cool packsApply cool packs
  • 16. This is NOT he kind of cool place we use!
  • 17. WWetet BBulbulb GGlobelobe TTemperatureemperature Wet Sensor assesses evaporationWet Sensor assesses evaporation (humidity & air movement)(humidity & air movement) - as distilled water evaporates- as distilled water evaporates from cup, it cools the sensorfrom cup, it cools the sensor Globe Sensor assessesGlobe Sensor assesses radiant componentradiant component Bulb Sensor assessesBulb Sensor assesses ambient temperatureambient temperature
  • 18. SpecPro Heat Categories and Work/Rest Cycles (Acclimatized) Revised: 3 AUG 06 HEAT CATEGORY WBGT INDEX DEGREES F EASY WORK (Managers Discretion) MODERATE WORK (Managers Discretion) HARD WORK (Managers Discretion) Work/Rest Minutes Water Intake Quart/Hour Work/Rest Minutes Water Intake Quart/Hour Work/Rest Minutes Water Intake Quart/Hour 1 78 81.9 No limit to work time 遜 No Limitations 他 40 Work 20 Rest 他 2 (Green) 82 84.9 No limit to work time 遜 50 Work 10 Rest 他 30 Work 30 Rest 1 3 (Yellow) 85 87.9 No limit to work time 他 40 Work 20 Rest 他 30 Work 30 Rest 1 4 (Red) 88 89.9 No limit to work time 他 30 Work 30 Rest 他 20 Work 40 Rest 1 5 (Black) > 90 50 Work 10 Rest 1 20 Work 40 Rest 1 10 Work 50 Rest 1 Wearing Tyvec and respirator adds 5 degrees Fahrenheit to the wet bulb globe thermometer (WBGT) index. Operating in air conditioned vehicles can work continuously (normal scheduled rest breaks apply) Rest: Minimal physical activity, which should be accomplished in the shade if possible; however, any activity requiring only minimal physical activity can be performed during rest periods (safety meetings, minor maintenance of equipment, personal hygiene activities, decon). Acclimatized: The employee has worked in given heat conditions for 10 14 days. Adapted from the Department of the US Army Field Hygiene and Sanitation FM 21-10, dated 21 June 2000.
  • 19. SKIN CANCER in Brief SKIN CANCER in Brief
  • 20. Skin CancerSkin Cancer Most common form of cancer in the USMost common form of cancer in the US One in five Americans will develop skinOne in five Americans will develop skin cancer in the course of a lifetimecancer in the course of a lifetime More than 1 million cases of non-melanomaMore than 1 million cases of non-melanoma skin cancer a year / 60,000 melanoma casesskin cancer a year / 60,000 melanoma cases Outdoor workers are 2x as likely to develop skinOutdoor workers are 2x as likely to develop skin cancer as indoor workerscancer as indoor workers Cases are on the riseCases are on the rise
  • 21. Skin CancerSkin Cancer How to Protect YourselfHow to Protect Yourself Seek shade between 10am and 4pmSeek shade between 10am and 4pm Light weight, long sleeve shirtLight weight, long sleeve shirt Neck protectionNeck protection Sunscreen (SPF 30 or higher)Sunscreen (SPF 30 or higher) Self ExaminationSelf Examination Search for ticksSearch for ticks at the same time!at the same time!
  • 23. Trails andTrails and Edge HabitatEdge Habitat Blacklegged ticksBlacklegged ticks live in woody, brushylive in woody, brushy areas that provideareas that provide food and cover forfood and cover for hosts such as micehosts such as mice and deerand deer Exposure to theseExposure to these ticks can be greatestticks can be greatest along trails andalong trails and edges of woodsedges of woods
  • 24. Lyme DiseaseLyme Disease Signs & SymptomsSigns & Symptoms 3 to 30 days after deer tick bite3 to 30 days after deer tick bite Rash (often bulls-eye)Rash (often bulls-eye) FeverFever ChillsChills HeadacheHeadache Muscle and joint painMuscle and joint pain FatigueFatigue
  • 25. Rank State CasesRank State Cases 1 NY 7,7941 NY 7,794 2 MA 4,5822 MA 4,582 3 CT 3,8963 CT 3,896 4 PA 3,8184 PA 3,818 5 NJ 3,4855 NJ 3,485 6 MD 2,2186 MD 2,218 7 WI 2,0347 WI 2,034 8 NH 1,6018 NH 1,601 9 MN 1,2829 MN 1,282 10 VA 93310 VA 933
  • 26. Erythema migrans (EM)Erythema migrans (EM) rash characteristicrash characteristic of Lyme diseaseof Lyme disease
  • 27. Lyme disease rashLyme disease rash without central clearingwithout central clearing
  • 29. How To Remove a TickHow To Remove a Tick ??
  • 30. Hazardous Plants BAAAP has four plants to considerBAAAP has four plants to consider 1)1) Poison IvyPoison Ivy 2)2) Poison SumacPoison Sumac 3)3) Wild ParsnipWild Parsnip
  • 34. Bees, Wasp, Hornet StingsBees, Wasp, Hornet Stings Sting First AidSting First Aid - Remove the stinger GENTLY- Remove the stinger GENTLY - Avoid squeezing the poison sack- Avoid squeezing the poison sack - Apply ice or sting kit to affected area- Apply ice or sting kit to affected area - If allergic reaction, seek- If allergic reaction, seek medical attentionmedical attention
  • 40. Slips, Trips, Falls RevisitedSlips, Trips, Falls Revisited
  • 41. What are slips, trips & falls?What are slips, trips & falls? Slip A slip occurs when there is tooA slip occurs when there is too little traction or friction betweenlittle traction or friction between the shoe and walking surface.the shoe and walking surface. A trip occurs when a persons footA trip occurs when a persons foot contacts an object in their way orcontacts an object in their way or drops to a lower level unexpectedly,drops to a lower level unexpectedly, causing them to be thrown off-balance.causing them to be thrown off-balance. Trip Fall A fall occurs when youA fall occurs when you are too far off balance.are too far off balance.
  • 42. STFsSTFs (Slips, Trips & Falls)(Slips, Trips & Falls) FactsFacts STFs are second to vehicle accidents in causingSTFs are second to vehicle accidents in causing personal injurypersonal injury Industrial falls causeIndustrial falls cause 1000+ DEATHS/year1000+ DEATHS/year! In! In 2002,2002, 5100 died5100 died from work related falls!from work related falls! Stairways falls alone result inStairways falls alone result in 2,000,0002,000,000 disabling injuries per yeardisabling injuries per year Of 3.8 MILLION disabling injuries/year in theOf 3.8 MILLION disabling injuries/year in the work place, 15% (work place, 15% (570,000570,000) are due to STFs.) are due to STFs.
  • 43. Types of FallsTypes of Falls Same-Level Falls:Same-Level Falls: - High frequency- High frequency low severitylow severity Elevated Falls:Elevated Falls: - Lower frequency- Lower frequency high severityhigh severity
  • 44. Causes of STF at BAAAPCauses of STF at BAAAP ??RespiratorsRespirators PlasticPlastic Mounting/DismountingMounting/Dismounting Heavy EquipmentHeavy Equipment Holes, Ruts, StumpsHoles, Ruts, Stumps IceIce Steep GradeSteep Grade Use of WaterUse of Water Lack of ProperLack of Proper LightingLighting Cords, HosesCords, Hoses HousekeepingHousekeeping VisibilityVisibility
  • 45. Behaviors leading to fallsBehaviors leading to falls Walking too fast or runningWalking too fast or running Rapid change of directionRapid change of direction DistractionsDistractions Not watching where walkingNot watching where walking Carrying materials obstructing viewCarrying materials obstructing view Failure to use handrailsFailure to use handrails Wearing sunglasses in low-lightWearing sunglasses in low-light conditionsconditions ImpatienceImpatience
  • 46. Conditions creating fall hazardsConditions creating fall hazards Unsafe stairsUnsafe stairs Storing / leaving materials on stairsStoring / leaving materials on stairs Unsafe / improper ladder useUnsafe / improper ladder use Obstacles in walkwayObstacles in walkway Poor lightingPoor lighting Slippery / Uneven walking surfaceSlippery / Uneven walking surface Unmarked / unknown holes or trenchesUnmarked / unknown holes or trenches Improper footwearImproper footwear
  • 47. Preventing STFsPreventing STFs Learn to recognize hazardous areasLearn to recognize hazardous areas Take steps to eliminate hazardsTake steps to eliminate hazards Stay alertStay alert Keep clutter picked up and area cleanKeep clutter picked up and area clean Use 3-point mount/dismount techniqueUse 3-point mount/dismount technique Clean up spills immediatelyClean up spills immediately DoDo NOTNOT use chairs as laddersuse chairs as ladders Inspect the work area regularly for hazardsInspect the work area regularly for hazards
  • 48. If YouIf You DODO Find Yourself FallingFind Yourself Falling Roll with the fall; dont reach out.Roll with the fall; dont reach out. Bend your elbows and knees andBend your elbows and knees and use your legs and arms to absorb the fall.use your legs and arms to absorb the fall. Protect the venerable parts of your body,Protect the venerable parts of your body, like the head, neck and spine.like the head, neck and spine. Dont move if you think youve hurtDont move if you think youve hurt yourself. Wait for help.yourself. Wait for help.

Editor's Notes

  • #23: In the spring and summer of the ticks second year, primarily from May through August, the nymph becomes active and takes its second feeding from a mammal.油 If the tick received the bacteria from its first feeding in the larva stage, it can transmit the bacteria during this second feeding.油油 Nymph stage ticks often look like a speck of dirt or a freckle on a persons skin.
  • #24: Blacklegged ticks live in wooded, brushy areas that provide food and cover for white-footed mice, deer and other small or large mammals. Exposure to ticks may be greatest in the woods (especially along trails) and the fringe area between the woods and border.
  • #25: The signs and symptoms of Lyme disease can vary among individuals.油 Three to 30 days after a bite from an infected deer tick, look for: A distinctive rash (bulls-eye or erythema migrans)油油油油油油油油油油油油油油油油油油油油油 Fever Chills Headache Muscle and joint pain Fatigue Swollen lymph nodes A person may not have all of these symptoms. People often feel like they have the flu.
  • #26: In 2002, nearly 24,000 cases of Lyme disease were reported to the Centers for Disease Control and Prevention.油 While dated, it continues to represent current distribution of cases on a national level. This map shows reported cases by state of residence that is, where people live who have this disease.油 The map does not necessarily demonstrate where people were exposed to blacklegged ticks, since some people are exposed to ticks when they travel. Lyme disease occurs primarily in three regions of the United States: in the Northeast (from Massachusetts to Maryland), in the Midwest (Wisconsin and Minnesota), and in the West (northern California and Oregon).油 油油油 Lyme disease is also widespread throughout much of Eurasia.
  • #27: The most common early sign of Lyme disease is a skin rash that has a bulls eye appearance.油 It begins as a reddened area near the tick bite.油 As the rash increases in size, it clears in the middle and develops a red ring around the outside.油 This rash: May expand to a very large size, Is usually not painful or itchy, and Often appears on the thighs, groin, trunk, armpit, or back. The rash has been reported in about 60 to 80 percent of adults and 50 percent of children.油油 The classic rash has central clearing as shown here, but not all rashes have this presentation.
  • #28: Sometimes the rash does not have a bulls eye appearance.油 It may appear as a reddened area without an outer ring. Lyme disease is not transmitted from person to person. Not everyone gets a rash with Lyme disease. The early signs and symptoms of Lyme disease (fever, chills, headache, muscle/joint pain and fatigue) are similar to other ailments.油油 Therefore, it may be difficult to diagnose Lyme disease if a person does not have the rash.油
  • #29: Take preventive actions to protect yourself from tick bites, especially from May through July in Minnesota. Wear long pants and long-sleeved shirts. Tuck pants into boots or socks and shirt into pants to create a barrier to ticks. Wear light-colored pants and shirt so ticks can be easily seen. We also recommend the use of repellents containing DEET (up to 30% for children and adults) or permethrin.
  • #30: Use these steps to remove a tick: Use forceps or tweezers, Grasp the tick close to the skin, Pull the tick outward slowly, gently and steadily, Do not squeeze the tick, and Use an antiseptic on the bite. Do not use Vaseline to smother the tick; you cant smother ticks that way. Also, dont try to burn the tick with a match; this will not cause the tick to pull out and you could get burned.
  • #42: Friction: The resistance encountered when an object (foot) is moved in contact with another (ground). Friction is necessary in order to walk without slipping.
  • #49: Slap the ground with your hand and extended fingers to absorb impact