Gmail - Deklarasi Kedua - Noise Checkpoint

1/9/24, 10:18 AM Gmail - DEKLARASI KEDUA : NOISE CHECKPOINT
D Mohd Edzhar D Harun <dmohdedzhar@gmail.com>
DEKLARASI KEDUA : NOISE CHECKPOINT

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Google Forms <forms-receipts-noreply@google.com> Thu, Oct 19, 2023 at 11:22 AM

To: dmohdedzhar@gmail.com
Thanks for filling out DEKLARASI KEDUA : NOISE CHECKPOINT

Here's what was received.
DEKLARASI KEDUA : NOISE

CHECKPOINT
Majikan perlu membuat Deklarasi Pertama bermula pada 1 Mei – 31 Ogos. Borang Deklarasi ini
perlu diisi dan dihantar oleh PIC Enabler dalam tempoh yang ditetapkan.
Deklarasi Pertama bertujuan untuk menilai tahap pematuhan semasa oleh tempat kerja bagi
mematuhi peruntukan perundangan berkaitan Pengurusan Pendedahan Bising.
Kehendak di dalam Checkpoint Pengurusan Pendedahan Bising ini adalah berdasarkan kepada
Peraturan KKP (Pendedahan Bising) 2019.
Email *
dmohdedzhar@gmail.com
Nama Syarikat *
WELDAN MARINE SERVICES SDN BHD
Negeri *
https://mail.google.com/mail/u/0/?ik=9809b82785&view=pt&search=all&permthid=thread-f:1780152561759809758&simpl=msg-f:178015256175… 1/17
Sabah
ARAS 2
N3 : Person in charge (PIC) attended SOHELP Training program *

In order to participate PIC must attend SOHELP training program by DOSH (Category 3 - 5) or or by
conglomerate company (Category 1 & 2).
YES NO
N4: Provide a place for workers' meeting & training *
YES NO
N5 : PIC to conduct internal SOHELP training *

In order to proceed the programme PIC must organize and conduct the internal SOHELP training
YES NO
N6 : PIC prepare Action Plan *

In order to proceed the programme PIC must prepare the plan and action to be taken for each checkpoint.
YES NO
ARAS 3
N7 : Identification of excessive noise *

If noise hazard Identification checklist have indicates "YES" at one of any element, NRA must be
conducted.
YES NO
N8 : Conduct noise risk assessment (NRA) *

Any exposure monitoring conducted under revoked Regulation shall continue to be valid for a period of
twelve months after enforcement of new regulation.
YES NO
NA
Date of Noise Risk Assessement *

If NO or NA please state 11/11/1111
MM DD YYYY
01 / 31 / 2023
Name of Noise Risk Assessor *

If NO or NA please state NONE
DR. MOHD AZIZAN BIN ABDUL AZIZ
Registration number of Noise Risk Assessor *

If NO or NA please state NONE
HQ/18/PEB/00/00024
N9 : Re-Identification of excessive noise *

Re-Identification of Excessive noise when ; Change in machinery, equipment, process, work, control
measures or operation; After 1 year from the date of the previous identification- If directed by Director
General
YES NO
NA
N10 : Assessment of practicability noise control measures *
YES NO
NA
N11 : Execution on Noise Control Measures *

Any engineering control or administrative control conducted under the revoked Regulations shall be
deemed to have been carried out under the Occupational Safety and Health (Noise Exposure)
Regulations 2019 and shall continue to be valid for the purpose of reference and record.
YES NO
NA
N12 : Hearing Protection Zone *
YES NO
NA
N13 : Personal Hearing Protector (PHP) *

Please refer to noise risk assessment report.
YES NO
NA
N14 : Information, Instruction, Training & Supervision *

Any employer who has instituted only one training programme for his employees before the coming into
operation of the Occupational Safety and Health (Noise Exposure) Regulations 2019 shall provide not less
than one training programme for his employees after the coming into operation of the Occupational Safety
and Health (Noise Exposure) Regulations 2019 to comply the requirement under the Regulations
YES NO
NA
N15 : Good record system *

All records kept and maintained under the revoked Regulations shall continue to be in force and have
effect as if they were kept and maintained under the Occupational Safety and Health (Noise Exposure)
Regulations 2019.
YES NO
ARAS 4
N16 : Implementation of audiometric testing *

Any audiometric testing conducted under the revoked Regulations which is still pending immediately
before the coming into operation of the Occupational Safety and Health (Noise Exposure) Regulations
2019 shall continue to be valid and shall be dealt with under the revoked Regulations as if the revoked
Regulations had not been revoked.
YES NO
NA
Audiometric testing centre: *
DAB OH SDN BHD
Name OHD: *
DONNY CRISTANTO
Date of testing *
MM DD YYYY
08 / 26 / 2023
N17 : Notification of occupational noise induced hearing loss (NIHL), hearing

impairment or permanent threshold shift *
Pelase refer the audiometric testing report.
YES NO
NA
N18 : Implement 50% of action to be taken in the noise risk assessment report *
Please refer recommendation from noise risk assessment report
YES NO
ARAS 5
N19 : Implement ALL action to be taken in the Noise assessment report *

Please refer recommendation from noise risk assessment report
YES NO
NA
N20 : Review effectiveness on Noise Control Measures *
YES NO
N21 : No new cases of confirmed occupational noise induced hearing loss (NIHL),
hearing impairment or permanent threshold shift *
YES NO
NA
N22 : Implement Hearing Conservation Promotion *
YES NO
N23 : Review OSH policy,budget and planning *

In order to complete this level employer must conduct the promotion programme.
YES NO
Dengan menghantar Deklarasi Kedua (NOISE CHECKPOINT) ini kami: *
Bertanggungjawab sepenuhnya di atas maklumat yang dikemukakan, mengisi Checkpoint

✓ Noise (format excel) sebagai log pelaksanaan SOHELP DIY dan melaksanakan segala
pematuhan yang diarahkan dari semasa ke semasa
PIC ENABLER SOHELP DIY *
D MOHD EDZHAR BIN D HARUN
TAMAT
Sila tekan submit bagi menghantar Deklarasi Kedua. Deklarasi Ketiga perlu dikemukakan bermula 1 Sep -
31 Dis.
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1/9/24, 10:18 AM Gmail - DEKLARASI KEDUA : NOISE CHECKPOINT

D Mohd Edzhar D Harun <dmohdedzhar@gmail.com>

DEKLARASI KEDUA : NOISE CHECKPOINT

Google Forms <forms-receipts-noreply@google.com> Thu, Oct 19, 2023 at 11:22 AM

Thanks for filling out DEKLARASI KEDUA : NOISE CHECKPOINT

DEKLARASI KEDUA : NOISE

WELDAN MARINE SERVICES SDN BHD

N3 : Person in charge (PIC) attended SOHELP Training program *

N4: Provide a place for workers' meeting & training *

N5 : PIC to conduct internal SOHELP training *

N6 : PIC prepare Action Plan *

N7 : Identification of excessive noise *

N8 : Conduct noise risk assessment (NRA) *

Date of Noise Risk Assessement *

Name of Noise Risk Assessor *

DR. MOHD AZIZAN BIN ABDUL AZIZ

Registration number of Noise Risk Assessor *

N9 : Re-Identification of excessive noise *

N10 : Assessment of practicability noise control measures *

N11 : Execution on Noise Control Measures *

N12 : Hearing Protection Zone *

N13 : Personal Hearing Protector (PHP) *

N14 : Information, Instruction, Training & Supervision *

N15 : Good record system *

N16 : Implementation of audiometric testing *

Audiometric testing centre: *

DAB OH SDN BHD

N17 : Notification of occupational noise induced hearing loss (NIHL), hearing

N19 : Implement ALL action to be taken in the Noise assessment report *

N20 : Review effectiveness on Noise Control Measures *

N22 : Implement Hearing Conservation Promotion *

N23 : Review OSH policy,budget and planning *

Dengan menghantar Deklarasi Kedua (NOISE CHECKPOINT) ini kami: *

Bertanggungjawab sepenuhnya di atas maklumat yang dikemukakan, mengisi Checkpoint

PIC ENABLER SOHELP DIY *

D MOHD EDZHAR BIN D HARUN

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