Noise Checklist

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Labor Occupational Health Program
  • Noise - LOHP

    The Labor Occupational Health Program (LOHP) at UC Berkeley developed toolbox talks and forms for 28 subject areas. You can access the introduction and reference sections in the "More like this" area and the other subjects by searching on 'LOHP'.

Summary Statement

Training on potential harmful effects of noise on hearing - includes hazard identification, training, ear protection, and an inspection form. Part of a collection. Click on the 'collection' button to access the other items.

These tailgate/toolbox talks were developed for use under California OSHA regulations. The complete set is available from the Labor Occupational Health Program at UC Berkeley. For ordering information, visit the website ( The American Conference of Government Industrial Hygienists (ACGIH) has adapted these talks to apply to federal OSHA regulations. To contact ACGIH, visit its web site (

Date Prepared:_________________________ By:______________________
Project Name/No.______________________ Location:__________________

  • Check the box if the statement is true.

  • Fill in the blanks where the Pencil Iconappears.


  • The company has a written Injury and Illness Prevention Program (IIPP) that meets all Cal/OSHA requirements. It includes identification of noise hazards on the site, regular inspections, accident investigation, and correction of hazardous conditions. [1509]
  • Operations or equipment that are likely to produce a noise hazard have been identified. [1509]
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Has Noise monitoring been done on this site? Yes___ No___
Results (locations and dB levels):



  • Workers have been informed of the results of noise monitoring performed on themselves, in their work area, and/or for their trade. [3204(e)(2)(A)]
  • Exposure has been reduced as much as possible by providing quieter
    equipment, modifying processes, installing sound barriers, or rotating
    employees. [5096(b)]
  • Workers have been trained about the hazards of noise exposure and
    the means they can take to prevent hearing loss. [1509]


  • If employees may be exposed to noise in excess of the Cal/OSHA permissible exposure limit (PEL) of 90 dB, appropriate ear protection is provided and workers are required to use it. [1521 and 5096(b)]
  • The ear protection provided (ear plugs, ear muffs, etc.) is effective—it is sufficient to reduce noise exposure to a level below the PEL. [5096(b)]
  • If disposable ear plugs are used, a sufficient supply is kept on site, and workers are instructed to change them when they become dirty.
  • Ear protection devices fit the worker and are reasonably comfortable. [1514]
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Locations where hearing protectors are available on this site:



Other Hazards Noted Action

Near Miss Reports: