Está en la página 1de 2

RISK ASSESSMENT - NOISE

Workplace/Work Activity/Process

Assessment Ref

!ate

S"mmary of Noise S"rvey W#at $as t#e #i%#est &aily / $eekly ' e(pos"re )*EP+&,Below the first action level (80 dBA LEP,d ) (Peak 135dBA) Between the first and second action levels (80 85 dBA LEP,d) A ove the second action level (85 dBA LEP,d) (Peak 13!dBA) A ove the li"it val#e (8! dBA LEP,d) (Peak 1$0 dBA) Were t#e peak action levels e(cee&e& at any timeW#o co"l& .e #arme&E"'lo(ees %o#n, 'ersons 2isa led Persons 4ther )t#dents *ontractors +isitors P# lic &ew.E0'ectant 1others Lone 3orkers ' !elete as necessary

%es

&o

I&entify any ot#er in&ivi&"als or %ro"ps of in&ivi&"als especially at risk -rainees./ne0'erienced 'ersons &ew E"'lo(ees

(please specify).

E(istin% Preca"tions (complete where appropriate) /elo$ t#e 0irst Action *evel 1as t#e noise level .een re&"ce& to t#e lo$est level reasona.ly practica.leIf yes, please specify steps taken below

2es

No

/et$een t#e 0irst an& Secon& Action *evels 1as a noise risk assessment .een "n&ertaken1as information an& instr"ction .een provi&e& to employeesPlease specify

2es 2es

No No

1as noise protection .een ma&e availa.le to employeesPlease specify

2es

No

A.ove t#e Secon& Action *evel 1as a noise risk assessment .een "n&ertaken1ave noise levels .een re&"ce& .y met#o&s ot#er t#an Personal Protective E3"ipmentPlease specify

2es 2es

No No

1ave ear protection 4ones .een i&entifie&Please specify

2es

No

1as information an& instr"ction .een provi&e& to employeesPlease specify

2es

No

1as noise protection .een provi&e& to employees an& enforce&Please specify

2es

No

*ist t#e feat"res t#at #earin% protection m"st #ave to .e effective a%ainst t#e risks

!oes t#e #earin% protection #ave t#ese feat"res2es No

A"&io-metric Testin% Are e(pose& $orkers s".5ect to perio&ic a"&io-metric testsPlease specify

2es

No

!o t#e e(istin% preca"tions re&"ce t#e risk 2es to t#e lo$est level t#at is reasona.ly practica.le- )refer to Safe Workin% 6"i&elines, .

No

If a NO answer is entered, a Remedial Action Plan must be developed and a re-assessment carried out when the Remedial Actions have been completed. Assessment revie$ &ate Assessment complete& .y )i,ned5 &a"e5 ('rint) -itle5 2ate5