Noise Monitoring Form

• Document No. SES-South-13

• Audit Title: Noise Monitoring

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Noise Monitoring Form

• Date and time of noise monitoring

  Date
• Address of site
  Address

• Exact location I.e. platform, open section, tube section etc.

• Nature of works

• Maximum Level (db)

• Safe level = 85 db.

• Distance to where noise level is less than 85 db (metres)

• Ear Defenders Required.

  Yes

  No

  N/A

• Make and model of tools being used I.e. Bosch Breakers.

• Maximum db level at commencement of works

• Maximum db level at 1/2 hour into works

• Maximum db level at 1 hour into works

• Maximum db level at 1 1/2 hours into works

• Maximum db level at 2 hours into works

• Average db level over all 5 readings

• Current position of Site Safety Board.

• Add media

  Media

• Correct position of Site Safety Board.

• Add media

  Media

• Instruction on how to use the noise monitor.

• 1) Turn 'off' button to 'A' setting for general sounds level measurement

• 2) Select 'F' button for a fast normal measurement reading

• 3) Select the green 'Hi' button (displayed on the screen)

• 4) Press 'max' button to measure levels of sound

• 5) Maximum sound level (db) is displayed on the screen

• 6) Press the 'max' button again and walk away from the noise source to measure the distance to where 85 db or less is shown.

• Add signature

  Sign