Title Page
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Client / Site
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Location
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Conducted on
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Prepared by
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Has the noise risk assessment been out and is it still valid?
Noise Survey and Exposure
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Click + to add equipment producing noise
Equipment
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Item Name
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Location of equipment
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Noise level (LAeq)*
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EXPOSURE
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Exposure duration
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Enter control measures required
Completion
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Full Name and Signature of Inspector
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Is the personal noise dose likely to be below the lower exposure action values for everyone involved?
Noise Survey and Exposure
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Click + to add equipment producing noise
Equipment
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Item Name
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Location of equipment
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Noise level (LAeq)*
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EXPOSURE
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Exposure duration
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Enter control measures required
Completion
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Full Name and Signature of Inspector
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Try a simple listening check
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Is the personal noise dose likely to be below the lower exposure action value for everyone involved?
Noise Survey and Exposure
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Click + to add equipment producing noise
Equipment
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Item Name
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Location of equipment
-
Noise level (LAeq)*
-
EXPOSURE
-
Exposure duration
-
Enter control measures required
Completion
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Full Name and Signature of Inspector
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Will the personal noise dose be below the lower exposure action values for everyone involved?
Noise Survey and Exposure
-
Click + to add equipment producing noise
Equipment
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Item Name
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Location of equipment
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Noise level (LAeq)*
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EXPOSURE
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Exposure duration
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Enter control measures required
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Will the personal noise dose be below the upper exposure action for everyone involved?
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Recommendation: Implement health surveillance for any employees susceptible to noise. Make hearing protection available.
Establish maintenance programme for hearing protection and other noise-reduction equipment. Provide training.
Noise Survey and Exposure
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Click + to add equipment producing noise
Equipment
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Item Name
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Location of equipment
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Noise level (LAeq)*
-
EXPOSURE
-
Exposure duration
-
Enter control measures required
Completion
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Full Name and Signature of Inspector
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Will the personal noise dose be below the exposure limit values for everyone involved?
Noise Survey and Exposure
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Click + to add equipment producing noise
Equipment
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Item Name
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Location of equipment
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Noise level (LAeq)*
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EXPOSURE
-
Exposure duration
-
Enter control measures required
Completion
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Full Name and Signature of Inspector
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Recommendation: Immediately reduce noise exposure and/or provide suffiecient hearing protection
Noise Survey and Exposure
-
Click + to add equipment producing noise
Equipment
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Item Name
-
Location of equipment
-
Noise level (LAeq)*
-
EXPOSURE
-
Exposure duration
-
Enter control measures required
Completion
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Full Name and Signature of Inspector
