Lockton Health and Safety Manual

What is peak noise exposure of those likely to be  exposed at or above the peak action level?  

YES / NO  

What is the source of the noise?  

What is currently being done to reduce noise levels?  

Are existing controls adequate?  

Which areas require marking as ‘Ear Protection  Zones?’   (use correct sign)   Can more be done to control noise other than PPE,  e.g. sound‐proof panels, anti‐vibration mounts,  baffles or boxing (see later examples of possible  controls)?  

If ‘YES’ include details in action plan.  

Assessment done by:                                                    Date:  

Printed name:                                                               Review date:

107 V7 01/12/2017 uncontrolled Document when printed