Project Name:

Contract N°:
ELEMENT 2.20
NOISE SURVEY

Contractor Name Date of Assessment

Assessor Name Instrument Use
Duration hrs/day Sound Level dBA Some Typical Noise level found on Construction Site
8 90 Pile Driver 112 Jack Hammer 96
6 92 Air arcing gouging 110 Quick cut Saw 96
4 95 Impact Wrench 108 Masonry Saw 95
Ref. OSHA
3 97 Bulldozer - no muffle 107 Compactor - No cab 94
1926.52 Occupation noise
2 100 Air grinder 102-104 Crane - insulated cab 90
exposure level
1 1/2 102 Crane - un insulated cab 102 Loader/Backhoe - insulated cab 87
1 105 Bulldozer - No cab 101-103 Grinder 86
1/2 110 Chipping Concrete 97 Welding Machine 85-90
1/4 or less 115 Circular saw & hammering 96 Bulldozer - insulated cab 85
Is the level
Length of Action Done
Source of Noise (equipment, Manufacture/ Measured of noise Action to be taken
SN Activity/Location Who exposed to Noise Exposure and Followed
tools, machine etc.,) Standard dBA dBA acceptable (Hierarchy of control measures)
(Hours)
Yes No Yes No

Note: RAISE THE ISSUES THROUGH CORRECTION REPORT (BEFORE & AFTER PHOTO) FOR ACTION TAKEN

Safety Engineer Name: __________________ Signature: ________________ Date: ___________

Site Manager Name: _______________ Signature: _________________ Date: ___________

CORRECTION REPORT

Page 1 of 2 Rev.3 [July-2020] Projects Business Unit

 Project Name:
Contract N°:
ELEMENT 2.20
NOISE SURVEY

Date Date
Inspection Report Inspected by Correction Report Corrected by
Signature Signature

BEFORE AFTER

Safety Observation 1: Actioned Taken:

Safety Observation 2: Actioned Taken:

Site Manager Name: _______________ Signature: _________________ Date: ___________

Page 2 of 2 Rev.3 [July-2020] Projects Business Unit