Previous inspection

  • Are there any outstanding items from the last visit report?

Work area inspected.

Observations

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Industrial Hygiene

  • What type of IH hazards have been observed through your walk-through?

  • Respirable dust

  • Noise

  • Welding fumes

  • Other

  • Please explain

  • Using your cell phone's SLM(Sound Level Meter). Take readings and pictures of the top two noise sources at the site. Record below.

  • Source 1 dBA level

  • Source 1 picture

  • Location

  • Source 2 dBA level

  • Source 2 picture

  • Location

  • Respirable dust sources (take pictures of up to three)

  • Source 1

  • Location

  • Source 2

  • Location

  • Source 3

  • Location

  • Ask the site manager about the following:

  • Does the site have past IH reports?

  • Does the site have a sound map?

  • Does the manager have any IH concerns/questions/things to be sampled for?

  • Explain.

  • Risk level?

  • Low

  • Moderate

  • High

  • Explanation of your decision

Comments

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. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.