APPENDIX I
INDUSTRIAL HYGIENE FIELD NOTES
_____________________________________________________________________
LOCATION: Directorate, Branch, Building Number, Bay, Room, and so forth.
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OPERATION IDENTITY
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TYPE OF OPERATION:
SPACE: Describe room, Size in 3D, Operations isolated or not, and so forth.
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PROCEDURES: How done, Continuous, Intermittent, Permanent, Temporary,
and so forth
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PERSONNEL: No. of operators, helpers, others, male-female, and so forth.
_____________________________________________________________________
EXPOSURE AGENTS: Identify, explain source, no. of units, physical form, how
produced, at what temp, and so forth.
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PERSONNEL: Who, where, when, how many, how long.
_________________________________________________________________
MODE: Explain how exposure occurs, atmospheric contamination, direct contact,
ingestion, and so forth.
_________________________________________________________________
SAMPLING: What test made or samples collected, how many, where taken,
when, how long, conditions, instruments used, results, TLV or OSHA standard.
_________________________________________________________________
REMARKS: Trade name data, if no sample-why, adverse health effect
experienced or reported, by whom.
_____________________________________________________________________
ENGINEERING CONTROLS:
Ventilation natural, mechanical, general, local exhaust
and supply-rates, enclosed, remote control, and so forth.
_________________________________________________________________
PERSONAL PROTECTION: Measures and equipment-effectiveness,
maintenance, supervision, and so forth.
_________________________________________________________________
OTHER: Wet method for dust, limited quantities, medical control, and so forth.
_____________________________________________________________________
INADEQUACY: ________________________________________________________
RECOMMENDATION: __________________________________________________
END OF APPENDIX I
MD0165
I-1