KD-OH-NA-003
Noise Risk Assessment by Activity
The noise assessment by activity: the level at the operator written in from a meter or the manufacturer, the duration and daily exposure, the action values written in from the Regulations, the controls before protection, the hearing protection zones, and the decision on audiometry.
2 pages · 123 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 2 — click to enlarge
Read all 2 pages 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, 7, 9 and 10
- MHSWR 1999 reg 3
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.
More in Occupational health
10 documents