Noise Risk Assessment Template Checklist

The noise at a work area must be below lower exposure action values. If the noise is at or exceeds lower exposure action values, noise risk assessment should happen to control the noise and safeguard employees’ health. This assessment helps to find out different sources of noise and analyze the ways to diminish the noise generated.

General
Machine
Machine ID
Machine type
Out of service since when
Carried out remedial action
Picture of service engineer's report
Parts that were repaired
Parts that were replaced
When was repair done
Picture of Test run report done after repair
Sign off
Signature
Date
Is further inspection needed?
Comments
Supervisor name
Is the item fit for use?

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