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03.08 & 03.09 - Lockout Tagout Program & Hearing Protection Program
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04-03-2007 Council Meeting
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03.08 & 03.09 - Lockout Tagout Program & Hearing Protection Program
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Table of Contents <br /> (continued) <br /> Section 3. FORMS NEEDED FOR COMPLIANCE <br /> A. Form NSE 1 Noise Survey Form......................................................................40-41 <br /> B. Form NSE2 Noise Monitoring Equipment...........................................................42 <br /> C. Form NSE3 Employee Notification......................................................................43 <br /> 1. Noise Monitoring Results <br /> 2. Inclusion in the Program and Scheduled Hearing Test <br /> D. Form NSE4 Supervisor Notification: Employees Included in the Program........45 <br /> E. Form NSE5 Employee Audiometric Record...................................................46-47 <br /> F. Form NSE6 Employee Notification.................................................................48-50 <br /> 1. Normal Hearing Test <br /> 2. Hearing Re-test <br /> 3. Standard Threshold Shift <br /> G. Form NSE7 Record of Employee Training ..........................................................51 <br /> H. Form NSE8 Determining Employee Adjusted dB Loss .................................52-53 <br /> 1. Calculation Form <br /> 2. Example Calculation <br /> Section 4. APPENDICES <br /> I. OHSA Acceptable Exposure Limit........................................................................55 <br /> II. Hearing Conservation Program Flowchart.............................................................56 <br /> III. Noise Hazard Warning Signs and Labels...............................................................57 <br /> IV. Master List of Employees Included in the Program...............................................58 <br /> V. Agreement with the Recognized Professional Conducting <br /> AudiometricTesting...............................................................................................59 <br /> VI. Hearing Protection Devices....................................................................................60 <br /> VII. Employee Training Outline...............................................................................61-63 <br /> VIII. Full Text of OSHA Occupational Noise Exposure <br /> Standard,29CFR 1910.95.................................................................................64-73 <br /> IX. Glossary of Terms..................................................................................................74 <br />
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