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  • Milwaukee Ear Plug Feedback Form

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    shinos.shameem
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    This document is a test feedback form for ear plugs. It collects information about a wearer trial for new ear plugs, including the wearer's name, work type, trial date and location. It evaluates the new ear plugs on performance, fitting, and comfort compared to the wearer's current ear plugs. The form requests that sample ear plugs be returned after trials for analysis and includes a section for additional comments.

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    This document is a test feedback form for ear plugs. It collects information about a wearer trial for new ear plugs, including the wearer's name, work type, trial date and location. It evaluates the new ear plugs on performance, fitting, and comfort compared to the wearer's current ear plugs. The form requests that sample ear plugs be returned after trials for analysis and includes a section for additional comments.

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    © All Rights Reserved
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    6 views1 page

    Milwaukee Ear Plug Feedback Form

    Uploaded by

    shinos.shameem
    This document is a test feedback form for ear plugs. It collects information about a wearer trial for new ear plugs, including the wearer's name, work type, trial date and location. It evaluates the new ear plugs on performance, fitting, and comfort compared to the wearer's current ear plugs. The form requests that sample ear plugs be returned after trials for analysis and includes a section for additional comments.

    Copyright:

    © All Rights Reserved
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    Test Feedback Form

    EAR PLUGS

    Date: ___________________________________

    Initiated By: ____________________________

    Ref#: _____________________________

    Hearing Protection Type: Foam Disposable Corded Reusable Banded

    WEARER TRIAL INFO

    Wearer’s Name: _______________________________________________ Work Type/Application: __________________________________________

    Wearer Trial Date: ____________________________________________ Current Ear Plug Brand: _____________________________________

    Wearer Trial Location: ___________________________________________ Current Ear Plug Ref: ______________________________________

    TEST PARAMETERS
    Compared to your Current
    Ear Plug
    Excellent Good Average Poor N/A Inferior Equal to Better
    A) Performance Performance
    Noise Attenuation
    B) Fitting Fitting
    Foam Expansion
    Silicon Quick Fitting
    Wearable Positions (Banded)
    C) Comfort Comfort
    Pressure Distribution

    Samples Returned
    We highly recommend that you send back sample to Milwaukee, after trials, for analysis

    Comments/Suggestions: ______________________________________________________________________________________________________________

    _______________________________________________________________________________________________________________________________________

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