Noise Monitoring and Risk Assessment

• Document No.

• Audit Title

• Location/Site

• Area being assessed

• Conducted on

  Date

• Prepared by

• Other persons present

• Reason for survey

Noise Survey and Exposure

• Background Noise/Normal Noise Level (db)

Noise Survey Data and Exposure

• Location/Item of Equipment

• Average Noise Level (LAeq) (Decibels)*

• L CPeak* (Peak Measurement) (Decibels)

• Exposure Time (Hours)

• Exposure Points (See HSE Calculator) ://www.hse.gov.uk/noise/calculator.htm

• Equivalent Lep,d for this location/item of equipment (Daily Noise Exposure)

• Assess another item of equipment?

  Yes

  No

  N/A

• Cumulative Lep,d for exposure to multiple noise sources

Further Details

• Who is exposed to the noise risk?

• Are any of these individuals known to have pre-existing susceptibility to noise?

  Yes

  No

• Is hearing protection mandatory - i.e. hearing protection zones must be marked?

  Yes

  No

• Is hearing protection recommended?

  Yes

  No

• Can the noise source be eliminated?

  Yes

  No

• Is additional maintenance required to reduce noise levels e.g. by lubrication, tightening, cleaning etc of equipment? (Reassess noise level after maintenance work is complete)

  Yes

  No

• Can the equipment be modified to reduce noise at source e.g. damping, silencer, baffles?

  Yes

  No

• Can inherently quieter components be selected? (Reassess after replacement)

  Yes

  No

• Can the equipment be isolated i.e. removed to another location away from people at work?

  Yes

  No

• Can the equipment be enclosed?

  Yes

  No

• Is a noise refuge area required?

  Yes

  No

• Can absorptive material be used to deaden noise in the workspace?

  Yes

  No

• Do staff need training or information on the noise risks?

  Yes

  No

• Is health surveillance required? (For all with Lep,d in excess of 85db)

  Yes

  No

• Survey Summary

Risk Assessor

• Add signature

  Sign

• Job Title

• Select date

  Date