Noise assessment field note

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Source noise / issue

Offensive noise test

• Is the noise loud either in an absolute sense or relative to other noise in the area

  Yes

  No

  N/A

• Is the noise well above the background noise level?

  Yes

  No

  N/A

• Does the noise include any tones, impulses or fluctuations in volume?

  Yes

  No

  N/A

• Does the noise occur at times when unreasonable interference with comfort or repose occurs or is likely? For example evening or night

  Yes

  No

  N/A

• How often does the noise occur?

  Select daily monthly weekly monthly hourly

  • daily
  • monthly
  • weekly
  • monthly
  • hourly

• Is the volume, duration or character of the noise typical of the type of activity in question?

  Yes

  No

  N/A

• Is the noise affecting or likely to adversely affect people's activities? For example conversation, reading, studying, watching TV, or sleeping.

  Yes

  No

  N/A

• Is the noise typical of the activities conducted in the area?

  Yes

  No

  N/A

• Only one person needs to be affected as described in the definition for noise to be deemed offensive. However consideration should be given to how many other people are/may be affected by the noise.

  Yes

  No

  N/A

• Location/description

• Weather conditions, field observations

• Photos

  Media

• Noise reading undertaken

Noise measurements undertaken

• Noise meter details (type, date of last calibration etc.)

Noise reading 1 - Background noise

• Is the source noise audible / is the source noise operating?

  Yes

  No

  N/A

• Calibration performed

  Yes

  No

  N/A

• General notes during measurement (anomalies, addition noises or interuptions)

• Photos

  Media

• Calibration performed

  Yes

  No

  N/A

• Add noise reading

Additional noise reading taken

Noise reading 2

• Is the source noise audible / is the source noise operating?

  Yes

  No

  N/A

• Calibration performed

  Yes

  No

  N/A

• General notes during measurement (anomalies, addition noises or interuptions)

• Calibration performed

  Yes

  No

  N/A

• Photos

  Media

• Add noise reading

Additional noise reading taken

Noise reading 3

• Is the source noise audible / is the source noise operating?

  Yes

  No

  N/A

• Calibration performed

  Yes

  No

  N/A

• General notes during measurement (anomalies, addition noises or interuptions)

• Calibration performed

  Yes

  No

  N/A

• Photos

  Media

• Add Noise reading

Additional noise reading undertaken

Noise reading 4

• Is the source noise audible / is the source noise operating?

  Yes

  No

  N/A

• Calibration performed

  Yes

  No

  N/A

• General notes during measurement (anomalies, addition noises or interuptions)

• Calibration performed

  Yes

  No

  N/A

• Photos

  Media

• Add noise reading

Additional noise reading taken

Noise reading 5

• Is the source noise audible / is the source noise operating?

  Yes

  No

  N/A

• Calibration performed

  Yes

  No

  N/A

• General notes during measurement (anomalies, addition noises or interuptions)

• Calibration performed

  Yes

  No

  N/A

• Photos

  Media

• Environmental Health Officer

  Sign

• Witness / other

  Sign