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Project:

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Company Name
Ref No.:

Rev No.:
NOISE MONITORING FORM
Page: 1 of 1

DATE: _____________

DISTANCE
Sr # LOCATION TIME MEASURED VALUE SOURCE FROM THE REMARKS
SOURCE (M)

Tested by: Verified by:


Signature Signature

Noise Levels in Places of Work and the Allowable Period for Exposition
1. The noise level in a workplace must not exceed 85 decibels for an exposure of 8 hours
a day 5 days a week and a one time exposure must not exceed 115 decibels.
2. Noise should be measured at different distances from the sources starting within 1 m
of the sources & hen increasing the distance by 10 m intervals
3. The distance at which the noise level falls below the TLV i.e, 85 dba should be
demarcated & Signs / Barriers should be placed to indicate that hearing protection is
required beyond that point

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