Plant Noise Report

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Personnel

Noise Report

• Equipment Type:

• Equipment Photo:

  Media

• Plant Hazard Assessment No.

• Sound Level Meter Unit Used:

• Background Noise Level:

Operators Station Results

• dBA - High Idle:

• dBA - Low Idle:

• Comments:

Bystander Position Results

• At 7 meters from side of equipment - Equipment operating at High Idle

• dBA - Front:

• dBA - Rear:

• dBA - Left:

• dBA - Right:

• Comments:

• Date and Time of Assessment:

  Date

• Completed By:

  Sign