Noise monitoring survey checklist | Noise monitoring checklist
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Noise monitoring |
Date: _______________________
Location:_____________________
Checked By:_____________________
CHECK |
YES |
NO |
N/A |
Identification of noise
hazards |
|
|
|
Has a hazard identification
for noise been carried out? For example, do people need to raise voices to
speak with someone one meter away? Are there very loud impact noises? |
☐ |
☐ |
☐ |
Have there been any
workers’ compensation claims for hearing loss? |
☐ |
☐ |
☐ |
Noise risk assessment |
|
|
|
Have noise risk assessments
been carried out by a competent person? |
☐ |
☐ |
☐ |
Are any workers exposed
above the exposure standard? |
☐ |
☐ |
☐ |
Is the noise risk
assessment current? Is it less than five years ago, and has noise
exposure not substantially changed since? |
☐ |
☐ |
☐ |
Hazard controls |
|
|
|
Is there a ‘buy/hire quiet’
policy to choose quieter tools and equipment? For example, noise-reducing
circular saw blades. |
☐ |
☐ |
☐ |
Does the workplace layout
position noisy work well away from quiet work? For example, tile cutting and
brick cutting. |
☐ |
☐ |
☐ |
Are tools/equipment and
noise controls maintained to minimize noise? |
☐ |
☐ |
☐ |
Is work planned to minimize
the time workers are exposed to excessive noise? |
☐ |
☐ |
☐ |
Are noise sources and noise
controls maintained to minimize noise? |
☐ |
☐ |
☐ |
Personal hearing
protectors |
|
|
|
Are compliant hearing
protectors supplied to and correctly worn by workers who may be exposed to a
noise hazard? |
☐ |
☐ |
☐ |
Do hearing protector areas
have signs? |
☐ |
☐ |
☐ |
Are workers trained in
fitting, use, selection, maintenance, replacement, and storage of hearing
protectors? |
☐ |
☐ |
☐ |
Information and
training |
|
|
|
Are information and
training on noise hazards, effects and controls provided? |
☐ |
☐ |
☐ |
Noise Monitoring |
|
|
|
Is a Noise Monitoring program available to workers exposed above the exposure standard? |
☐ |
☐ |
☐ |
Is the Noise level less than
85db? |
☐ |
☐ |
☐ |
Are Employees Using Ear
Plug/ Ear Muff when the noise Level is above 85 DB |
☐ |
☐ |
☐ |
Are appropriate actions
taken? |
☐ |
☐ |
☐ |
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