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  • PM10 Monitoring Report: Rev. Issued For General Use Reference No. HSE-PRO-05-F03 0.0 Serial No. 1 of 3

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    This 3-page document is a PM10 monitoring report form used by Archirodron Group NV to record particulate matter levels. It includes sections to note the surveyor's name and equipment used, record PM10 levels in micrograms per cubic meter at various locations and times, evaluate the results against limits, propose corrective actions if needed, and attach graphs and a location sketch. The completed report requires signatures from the surveyor and approver before being distributed.

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    Monitoring Report

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    This 3-page document is a PM10 monitoring report form used by Archirodron Group NV to record particulate matter levels. It includes sections to note the surveyor's name and equipment used, record PM10 levels in micrograms per cubic meter at various locations and times, evaluate the results against limits, propose corrective actions if needed, and attach graphs and a location sketch. The completed report requires signatures from the surveyor and approver before being distributed.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    51 views3 pages

    PM10 Monitoring Report: Rev. Issued For General Use Reference No. HSE-PRO-05-F03 0.0 Serial No. 1 of 3

    Uploaded by

    subhanmusadiq
    This 3-page document is a PM10 monitoring report form used by Archirodron Group NV to record particulate matter levels. It includes sections to note the surveyor's name and equipment used, record PM10 levels in micrograms per cubic meter at various locations and times, evaluate the results against limits, propose corrective actions if needed, and attach graphs and a location sketch. The completed report requires signatures from the surveyor and approver before being distributed.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    of 3

    ARCHIRODON GROUP NV Integrated Management System

    Health, Safety & Environment (HSE) Rev. Issued For General Use Reference No. HSE-PRO-05-F03 Serial No. Page 1 of 3

    FORM

    0.0

    PM10 Monitoring Report

    NAME OF SURVEYOR: PM10 LEVEL METER MAKE & SERIAL:

    POSITION: CALIBRATION DATE:

    Survey Methodology

    PM10 level details for the period: No. Location 1. 2. 3. 4. 5. 6. Evaluation of Results:

    Time

    PM10 Levels g/m3 (Limit)

    Remarks

    Proposed Corrective / Preventive Action:

    Note: Action Items to be transferred to HSE-PRO-05-F02 - Action Tracking and Recording Register

    Completed by
    Job Position Name Surname Signature Date

    Approved by
    Job Position Name Surname Signature Date

    Distribution List
    Job Position Name Surname

    ARCHIRODON GROUP NV Integrated Management System

    Health, Safety & Environment (HSE) Rev. Issued For General Use Reference No. HSE-PRO-05-F03 Serial No. Page 2 of 3

    FORM

    0.0

    PM10 Monitoring Report


    Graph 1 (Location 1):

    Graph 2 (Location 2):

    ARCHIRODON GROUP NV Integrated Management System

    Health, Safety & Environment (HSE) Rev. Issued For General Use Reference No. HSE-PRO-05-F03 Serial No. Page 3 of 3

    FORM

    0.0

    PM10 Monitoring Report


    LOCATION SKETCH OF SURVEY POINTS

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