Information
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Noise Induced Hearing Loss
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Conducted on:
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Auditor:
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Person being Audited:
Hearing Protection Devices
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Have you isolated sources of noise?
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Do you reduce your exposure to noise through task rotation?
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Are you wearing adequate hearing protection?
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Do you substitute noise hazards with plant or processes that are quieter?
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Additional comments/observation
Observation
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Add observations/comments here.
Signatures
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I hereby certify that all information is accurate and that an actual inspection was conducted.
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Auditor's Printed Name & Signature
