Request Health Monitoring Proposal - Welding Fume
About Your Company
Company Name
Contact First Name
Contact Last Name
Contact Email
Contact Phone Number
About the site
Site Name if applicable
Site Address
Site Activities
About the activities
Welding Type
What type of welding (Mild Steel, stainless, aluminium, other metals) - please list all metals involved?
Health Risk
Have you determined there is significant risk to health, and health monitoring is required?
Yes
No
Thank you we will be in touch to clarify any information and provide you with quote.
Please indicate what services you are interested in
Risk assessment to review requirement for Health Monitoring
Occupational Hygiene - Personal Welding Fume Monitoring
Provision of standard welding fume health monitoring
About the activities
You have indicated you are interested in occupational hygiene monitoring for Welding Fume.
In order for us to provide you with a proposal for Welding Fume please provide the below information.
The Work Area
Work area name
Number of welders
Number of other workers working in the area
Work Area 1
Work Area 2
Work Area 3
Work Area 4
Work Area 5
Is welding area well ventilated?
Work Rostering
How many days per week does welding take place
Is welding all day or intermittent
Controls
Do welders use PAPR?
Is there Local Exhaust Ventilation?
Yes
No
Is there local exhaust ventilation used?
Yes
No
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Contact Information