Site inspection records · used by 5 trades
KD-INS-NS-015
Noise Exposure Record
Noise sources, levels, durations, daily exposure and controls; hearing-protection zones; people above the upper action value for health surveillance.
1 page · 100 fillable fields · works in Adobe Reader, Preview, Chrome, or on a phone — or complete it online in your browser and download the finished document.
Page 1 of 1 — click to enlarge
Read all 1 page first — watermarked sample, no email Before you submit: the checklist
Statutory basis, cited on the form
- Control of Noise at Work Regulations 2005 regs 5, 6 and 7
What it is not
It is not a completed document and it is not health and safety advice. You must adapt it to your site and have a competent person complete and sign it off. See why we don't say "compliant".
Format
AcroForm fillable PDF. Every field has a tooltip. Tab order follows the reading order. Works on desktop and mobile, in Adobe and non-Adobe readers.
This revision was prepared against legislation current at 10 August 2026. Revision A0. Check kubitdocs.com/revisions for the current revision before use.
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