Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

QUARTERLY VENTILATION STUDY (INTERNAL)

  • AREA

  • Department/Area:

  • Date:

  • Name:

  • 2017

  • NOTE:Ventilation should be adequate in all areas so that the air breathed by employees does not endanger their health.
    Where a health hazard exists the employer shall provide adequate extraction systems to ensure the safety of employees and if this is not possible he shall provide respiratory equipment of a type that reduces the exposure of the employee to a safe level.

  • Department/Area:

  • Schedule of Checks

  • What to do?

  • IRRITATING FUMES

  • 1. Bad odors

  • 2. Process odor

  • 3. Welding Fumes

  • DUSTS

  • 1. Hazardous dust?

  • 2. Red eyes, etc.

  • 3. Dust explosion?

  • MISTS OR VAPOUR

  • 1. Solvent vapor?

  • 2. Acid?

  • 3. Alkaline?

  • GASES

  • 1. Ammonia

  • 2. LPG

  • 3. Flammable/Explosive

  • Ventilator opening

  • Air conditioner

  • Air filters and ducts

  • Regular inspection

  • Employee complaints

  • Other observation

Signatures

  • Date of Inspection:

  • Inspector Signature:

  • Spot check/audit (Date and Initial)

  • Check only

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