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Sample NOISE DOSIMETRY DATA SHEET

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Sample NOISE DOSIMETRY DATA SHEET Sample Date: Sample Number: employee Name: EID: employee Job Class Work Location DEPT/UNIT: SITE/AREA: WORK CONDITIONS Work Conditions/Degree of exposure : ___ Routine ___ Worst-Case ___Other (specify)_______________________________ ______ Ear Protection Used: ___ None Required ___ Headset

Employee Job Class Work Location ... Can a single noise source be identified which contributes the greatest to the employees overall noise exposure? Exposure Task Frequency (circle): Daily Weekly Monthly Other (Specify): CALIBRATION DATA Noise Dosimeter Mfg & Model: dose 2

  Employee, Noise, Exposure, Noise exposure

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