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Industrial Hygiene Qualitative Survey Form

2 Jun 2024 Incomplete

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Conducted on 2 Jun 2024 10:00 +03

Prepared by Jaydeep Solanki

7896, 5059, An Nawah, Yanbu Al

Location Bahr 46452, Saudi Arabia
(23.9927296, 38.2140416)
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Description of process & flow chart

Equipment and machinery utilized

List of Raw material & chemicals used

Availability of Safety Data Sheet (SDS)

List of job task activity done at location

Are there physical hazard like Noise , Heat stress in the area
?

Are there physical hazard like Illumination, social wellbeing

in the area ?

Are there Ergonomic Hazard related to plant/office?

Are there Chemical Hazard (Gases, vapors, dusts, fumes,

mists, or smoke) in the area ?

Are there hazards related to Indoor Air Quality or biological

No. of employees exposed

Duration and frequency of job

daily/weekly/monthly/yearly

Quantity handled of hazard

Environmental Condition/ House keeping condition in the

area ?

Is there a good conditioned availability of drinking water &

rest room

Are there Information of signage compliant with respect to

the hazard?

Are there Maintenance schedule and record of equipment

Job position working here from employee list or SEG list

Potential health Effects (Acute, chronic)

Control Methods present at the location