Title Page
-
Work Area/Site Being Assessed
-
Assessed by
-
Conducted on
-
Location
Noise Hazard Indicators Checklist
-
If you tick 'Yes' to any of the following questions, a noise hazard may be present. With this, further risk and hazard assessments must be conducted.
-
Is a raised voice needed to communicate with someone about one meter away?
-
Do your employees notice a reduction in hearing over the course of the day? (e.g. Needing to turn up the radio/music playlist on the way home)
-
Are your employees using noisy powered tools or machinery?
-
Are there noises due to the impacts of explosive sources?
-
Are personal hearing protectors (PHP) used for some work?
-
Do your workers complain that there is too much noise that they can't clearly hear instructions or warning signals?
-
Do your workers experience ringing in the ears, blurred hearing, or sound heard differently in each ear?
-
Has any employee start experiencing difficulties in hearing after working here?
-
Does any equipment have manufacturer's information (including labels) indicating noise levels greater than any of the following:<br>(a) peak sound pressure level of 140dB(C)?<br>(b) sound pressure level of 82dB(A)?
-
Do results of past noise surveys indicate noise levels above 85dB?
-
Are there visible warning signs related to noise hazards?
-
Are noise barriers, machine enclosures, and/or sound-absorbing materials being used to minimize noise?
-
Have there been any industrial deafness claims?
-
Are any long-term employees hard of hearing?
-
Does the latest noise risk assessment indicate exposure to Noise Exposure Limit?
-
Are there any other issues that cause you to think there may be a noise hazard present? If yes, add a note to provide context.
Completion
-
Corrective actions and next steps
-
Other comments and recommendations
-
Sign-off