Title Page

  • Client / Site

  • Location
  • Conducted on

  • Prepared by

  • Job description

  • People at Risk

Risk Assessment

  • Is the noise intrusive like a busy street, a vacuum cleaner or a crowded restaurant for most of the working day?

  • Do your employees have to raise their voices to carry out a normal conversation when about 2 meter apart for at least part of the day?

  • Do your employees use noisy powered tools or machinery for more than half an hour each day?

  • Do you work in a noisy industry, eg construction, demolition or road repair; woodworking; plastics processing; engineering; textile manufacture; general fabrication; forging, pressing or stamping; paper or board making; canning or bottling; foundries?

  • Are there noises due to impacts (such as hammering, drop forging, pneumatic impact tools etc), explosive sources such as cartridge operated tools or detonators, or guns?

Noise Profile

  • Record Leq (dB(A))

  • Record the dB(C) peak value

Control Measures

  • Are hearing protective equipment mandatory?

  • REFERENCE: Example of ear protection equipment
    [This is an example of how you can use iAuditor to include best practice reference images in your templates to assist with inspections]

    EarProtection.jpg
  • Can the noise source be eliminated?

  • Is additional maintenance required to reduce noise levels e.g. by lubrication, tightening, cleaning etc of equipment? (Reassess noise level after maintenance work is complete)

  • Can the equipment be modified to reduce noise at source, e.g. damping, silencers, baffles etc fitted?

  • Can inherently quieter components be selected e.g. slotted circular saw blades on woodworking equipment or quieter fans? (Reassess after replacement)

  • Can the equipment be Isolated i.e. removed to another location away from people at work?

  • Can the equipment be enclosed?

  • Is a noise refuge area needed?

  • Can absorptive material be used to deaden noise in the workspace?

  • Do staff need training or information on the noise risks?

  • Is health surveillance required?

Overall Risk Assessment

  • Provide overall risk rating

Recommendations

  • Enter recommendations here

Completion

  • Full Name and Signature of Inspector

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.