Cleveland-Cliffs Industrial Hygiene Field Sampling Data Sheet

• Site conducted

  Northshore Mining

  Minorca Mine

  United Taconite

  Hibbing Taconite

  Michigan Operations

• Location / Building

• Conducted on

  Date

• Sample Conducted By

  Jacob Baxter

• Prepared by

  Jacob Baxter

Sample Information

• Employee Name/Sample Description:

• Employee Number:

• Job Title:

• Contaminant Sampling

  Select Respirable Crystalline Silica by XRD - NIOSH 7500 Respirable Dust - NIOSH 0600 Total Dust - NIOSH 0500 (gravimetric) Welding Fume Metal Profile - NIOSH 7303 Asbestos by TEM - NIOSH 7402 Asbestos & other Fibers by PCM - NIOSH 7400 Elongated Metal Particulate

  • Respirable Crystalline Silica by XRD - NIOSH 7500
  • Respirable Dust - NIOSH 0600
  • Total Dust - NIOSH 0500 (gravimetric)
  • Welding Fume Metal Profile - NIOSH 7303
  • Asbestos by TEM - NIOSH 7402
  • Asbestos & other Fibers by PCM - NIOSH 7400
  • Elongated Metal Particulate

• Cyclone Method:

  Aluminum Cyclone

  Dorr Oliver Cyclone

• Sample Medium:

  3 pc 37mm PVC 5.0 PW

  3 pc 37mm UW MCE

Personal Protective Equipment

• Respirator:

  Yes

  No

  N/A

• Ear Protection:

  Yes

  No

  N/A

• Eye Protection:

  Yes

  No

  N/A

• Head Protection:

  Yes

  No

  N/A

• Foot Protection:

  Yes

  No

  N/A

• Hand Protection:

  Yes

  No

  N/A

• Other:

Sample Type

• Personal

• Area

• Source

• STEL/Ceiling

Shift Length

• 8 hour

• 10 hour

• 12 hour

• Other

Pertinent Environmental & Operational Condutions

• Environmental Conditions

• Operational Conditions

Relevant Pictures

• Picture

  Media

Sample Details

Sample

• Sample ID

• Time On

  Date

• Time Off

  Date

• Minutes

• Air Volume

• Comments

Calibration & Sampler Info

• Sampling Instrument:

  Gilair

  Other

• Pump Number

Calibration Device

• Dry Flow

• Bubblemeter

• Rotameter

• Model

  TSI 4100 Series

Calibration Airflow Rate (L/min)

Calibration Airflow

• Calibrated By:

  Jacob Baxter

• Initial

• Final

• Average

• Volume Sampled