DEPARTMENT OF OCCUPATIONAL SAFETY AND HEALTH

MINISTRY OF HUMAN RESOURCES

NOISE CHECKPOINTS
CHECKLIST AND IMPROVEMENTS RECORD

A. Company Particulars
Name :

Address :

Contact Person :
Telephone No. : Fax No. :
Email :

Commencement of
Operation :
DOSH Reg. No. :
Type of Industry :
No. of Workers : ( Male : ; Female : )

B. Assessment Particulars

Enabler Team
Name Contact No.
1.
2.
3.
4.

Assessment by SoHELP Verifier

1st (M1) 2nd (M6) 3rd (M10) 4th (M13)
Date of Assessment
Level Achieved (E)
Level Confirmation (V)
Verifier:
1. Name
Signature
2. Name
Signature
3. Name
Signature
4. Name
Signature
 Noise Checkpoints

Check
point Date of Evidence (Photos or
reference Description Remark Standard Activity
Implementation documents)
no.

A. Level 1 (Entry)
N1 Commitment from management to Letter of aggreement from management Yes – Letter of Agreement (LOA) from
to participate in programme employer to participate the programme.
implement programme. LOA must be prepared by employer.
Yes No
No - No LOA from employer

Notes: In order to participate the

programme employer must prepared the
LOA

N2 Appointment of person-in-charge Letter of appoinment for PIC Yes – Employer appoint the PIC and
(PIC) to implement programme issued/endorsed by management issue letter of appointment

Yes No No – PIC not appointed

Notes: In order to participate the

programme, employer must appoint the
PIC (SHO/OSH-C/Safety & Health
Representatives)
 Noise Checkpoints

Notes : To proceed to the next level employer must full fill all the checkpoint in this level.
LEVEL ACHIEVED : LEVEL ……..
B. Level 2 (Basic)
N3 Person in charge (PIC) attended Proof of attendance (certificate) Yes – PIC attended the SoHELP training
conducted by DOSH (Category 3 - 5) or
SOHELP Training program by conglomerat company (Category 1 &
2) and given certificate of attendance.

No – PIC not attend SoHELP training.

Yes No
Notes : In order to participate PIC must
attend SOHELP training program by
DOSH (Category 3 - 5) or or by
conglomerat company (Category 1 & 2).

N4 Provide a place for workers' Proof of meeting & training facilities Yes – Employer provide proper place for
worker’s meeting & training (training
meeting & training room, meeting room and etc)

No – No proper place provided

Yes No

N5 PIC to conduct internal SOHELP Proof of conduct training Yes – PIC to organize and conduct
internal SOHELP training to
training SHC/Workers etc)
Yes No
No – PIC not conduct the internal
SOHELP training.

Notes: In order to proceed the

programme PIC must organize and
conduct the internal SOHELP training
 Noise Checkpoints

N6 PIC prepare Action Plan Gantt chart/action plan Yes – PIC to prepare Gantt chart/ action
plan for SOHELP programme consist of
planning and action to be taken for each
Yes No checkpoint.

No – No action plan prepared by PIC.

Notes: In order to proceed the

programme PIC must prepare the plan
and action to be taken for each
checkpoint.
 Noise Checkpoints

Notes : To proceed to the next level employer must full fill all the checkpoint in this level.
LEVEL ACHIEVED : LEVEL ……..
C. Level 3 (Intermediate)
N7 Identification of excessive noise Date of identification noise hazard Identification checklist Yes - Employer have conducted
Identification of excessive noise at all
Yes No area of work place.

No - Employer have conducted

Identification of excessive noise at
partially area of work place or not yet
conducted.

Notes: If noise hazard Identification

checklist have indicates "YES" at one of
any element, NRA must be conducted.

N8 Conduct noise risk assessment Date of NRA noise risk assessment report Yes - Employer have conducted noise
risk assessment* by Noise Risk
(NRA) Assessor.
Yes No NA
No - Employer have not conducted noise
Name of Noise Risk Assessor: risk assessment.
______________________________
______________________________ NA - No requirement to conduct Noise
__ risk assesment due to no excessive noise
at work place.
Registration No:
Notes : Any exposure monitoring
______________________________
conducted under revoked Regulation
_ shall continue to be valid for a period of
twelve months after enforcement of new
regulation.
 Noise Checkpoints

N9 Re-Identification of excessive Date of Re-identification noise hazard Identification checklist Yes - Employer have conducted Re-
Identification of excessive noise at all
noise area of work place.

Yes No NA No - Employer have conducted

Identification of excessive noise at
partially area of work place or not yet
conducted.

NA - Re-Identification of excessive noise

is not required.

Notes: Re-Identification of Excessive

noise when ;-
- Change in machinery, equipment,
process, work, control measures or
operation;
- After 1 year from the date of the
previous identification
- If directed by Director General

N10 Assessment of practicability noise Practicability noise control assesment YES - Employer have conducted noise
report control assessment whether it is
control measures practicable to reduce such excessive
Yes No NA noise exceeding the limit by way of
engineering control or administrative
control.

NO - Employer not conduct noise control

assessment whether it is practicable to
reduce such excessive noise exceeding
the limit by way of engineering control or
administrative control.

NA - No requirement to conduct
praticability noise control assessment due
to no excessive noise exceeding the limit
at work place.
 Noise Checkpoints

N11 Execution on Noise Control Yes -

1. Employer implement noise control
Measures No
Yes NA measures proposed by Noise Risk
Assessor (NRA).
2. Employer provide suitable & effective
noise control measures and comply with
Noise Level at source.
3. Employer implement maintenance on
Engineering Noise Control

No – Employer not execute on Noise

Control Action Plan

NA
No requirement to implement noise
control measures due to no excessive
noise exceeding the limit at work place

Notes: Any engineering control or

administrative control conducted under
the revoked Regulations shall be deemed
to have been carried out under the
Occupational Safety and Health (Noise
Exposure) Regulations 2019 and shall
continue to be valid for the purpose of
reference and record.

N12 Hearing Protection Zone Proof of Protection Zone Yes – Any area where a person is
exposed to excessive noise exceeding
the limit is marked with the words
Yes No NA 'HEARING PROTECTION ZONE'.

No – Any area where a person is

exposed to excessive noise exceeding
the limit is not marked with the words
'HEARING PROTECTION ZONE'.

NA - No requirement to mark with the

words 'HEARING PROTECTION ZONE'
due to no excessive noise exceeding the
limit at work place
 Noise Checkpoints

N13 Personal Hearing Protector (PHP) Proof of PHP record issuance Yes - Employer to provide of Personal
Hearing Protector (PHP) to employees
that exposed to essessive noise
Yes No NA exceeding the limit;
1. Suitable and efficient
2. Properly inspected, maintain and made
available at all time.
3. Reasonably attenuate the employee
noise exposure below the limit when PHP
is worn properly.
4. Approved by the Director General

No - No PHP provided to the employees.

NA - No requirement to provide PHP to

employee due to no excessive noise
exceeding the limit at work place

Notes: Please refer to noise risk

assessment report.
 Noise Checkpoints

N14 Information, Instruction, Training & Proof of record is not only limited to; Yes - Employer have provided;
1. List of attendance 1. Adequate informations relating to the
Supervision 2. Training modules effect of noise exposure on the hearing of
3. Training programmes a person and the requirement to undergo
an audiometric testing.
2. Training and instruction on the proper
Yes No NA usage of a PHP to such employees.
3. Supervision on the implementaion of
noise exposure control at the workplace.
4. Training must be conducted at least
once a year.

No - Employer not provide any

Information, Instruction, Training &
Supervision.

NA - No requirement to provide
Information, Instruction, Training &
Supervision to employee due to no
excessive noise at work place.

Note: Any employer who has instituted

only one training programme for his
employees before the coming into
operation of the Occupational Safety and
Health (Noise Exposure) Regulations
2019 shall provide not less than one
training programme for his employees
after the coming into operation of the
Occupational Safety and Health (Noise
Exposure) Regulations 2019 to comply
the requirement under the Regulations
 Noise Checkpoints

N15 Good record system Yes - Employer have keep and maintain
a record which contains the following:
1. Report of noise risk assessment is
Yes No keep and maintain for a period of not less
than 30 years.
2. Report of the Audiometric Testing of
the employees is keep and maintain as
the employee is employed and for a
period of 5 years after employee ceased
from employment.

No - Employer have not keep and

maintain a record.

Notes: All records kept and maintained

under the revoked Regulations shall
continue to be in force and have effect as
if they were kept and maintained under
the Occupational Safety and Health
(Noise Exposure) Regulations 2019.
 Noise Checkpoints

Notes : To proceed to the next level employer must full fill all the checkpoint in this level.
LEVEL ACHIEVED : LEVEL ……..
D. Level 4 (Advanced)
N16 Implementation of audiometric Audiometric Testing Report by Yes -Employer have implement
Registered Audiometric Testing Center Audiometric testing, that should be
testing conducted at registered audiometric
testing center and provided with complete
Yes No NA audiometric report

No
Audiometric testing centre: Date of testing: 1. Employer not implement the
audiometric testing.
2. Employer have implement audiometric
OHD: testing but not provide complete
audiometric report.

NA - No requirement to implement
audimetric testing to employee due to no
excessive noise exceeding the limit at
work place.

Notes: Any audiometric testing

conducted under the revoked Regulations
which is still pending immediately before
the coming into operation of the
Occupational Safety and Health (Noise
Exposure) Regulations 2019 shall
continue to be valid and shall be dealt
with under the revoked Regulations as if
the revoked Regulations had not been
revoked.
 Noise Checkpoints

N17 Notification of occupational noise JKKP 7 Form / e-JKKP 7 Yes - Employer notified cases of
Occupational Noise Induced Hearing
induced hearing loss (NIHL), Loss, Hearing Impairment or permanent
hearing impairment or permanent threshold shift to DOSH within 7 days
threshold shift after receiving the report.

No - Employer not notifiy cases of

Yes No NA Occupational Noise Induced Hearing
Loss, Hearing Impairment or permanent
threshold shift to DOSH within 7 days
after receiving the report.

NA - No case of Occupational Noise

Induced Hearing Loss, Hearing
Impairment or permanent threshold shift
has reported.

Notes : Pelase refer the audiometric

testing report.

N18 Implement 50% of action to be Yes - Employer implement 50% of action

to be taken in the Noise risk Assessment
taken in the noise risk assessment Report.
report
No - Employer not implement 50% of
action to be taken in the Noise risk
Yes No Assessment Report.

Notes: Please refer recommendation

from noise risk assessment report
 Noise Checkpoints

Notes : To proceed to the next level employer must full fill all the checkpoint in this level.
LEVEL ACHIEVED : LEVEL ……..
E. Level 5 (Excellent)
N19 Implement ALL action to be taken Yes - Employer to ensure that the
implementation of action to be taken in
in the Noise assessment report the Noise Assessment Report should be
Yes No NA 100%.

No - Employer not implement action to be

taken in noise assessement report.

NA - No action to be taken indicated from

noise assessment

Notes: Please refer recommendation

from noise risk assessment report

N20 Review effectiveness on Noise Yes - Employer must provide proof

before and after that indicate the
Control
Yes Measures
No effectiveness of noise control measures.

No - Employer did not provide proof on

effectiveness of noise control measures.

N21 No new cases of confirmed Yes - No new NIHL cases confirmed by

OHD/ENT specialist.
occupational noise induced
hearing loss No
Yes (NIHL), hearing
NA No - There is a new NIHL cases
impairment or permanent confirmed by OHD/ENT Specialist.
threshold shift
NA - Not applicable if no previous NIHL
case.
 Noise Checkpoints

N22 Implement Hearing Conservation Proof of activity photo Yes - Employer conduct any Hearing
Conservation programme such as
Promotion Campaign, quiz and competition, safety
Yes No day/week/month, exhibitions, talk, posters
or banner and etc at work place.

No - There is a no promotion activity.

Notes: In order to complete this level

employer must conduct the promotion
programme.

N23 Review OSH policy,budget and Yes - Employer has review the OSH
Policy, budget and OSH planning during
planning company management review meeting.

Yes No No - No review OSH Policy and etc by

management.
 Noise Checkpoints

LEVEL COMPLETE
LEVEL ACHIEVED : LEVEL ……..
Date : No. of NIHL cases :
Level Achieved : Update 23/11/2018 11.44am
Remarks (Enabler):

Remarks (Verifier):