FORM No. 31

(Prescribed under Rule 129 A Schedule)


 

Register containing particulars of monitoring of working environment required under Section 7-A (2) (e)

 

1.       Name of the Department/Plant

2.       Raw materials, by-products and finished products involved in the process

3.       Particulars of sampling

Airborne Contamination

Sl. No.

Location/Operation
monitored

Identified contaminant

Sampling instrument used

Number of samples

Range

Average

TWA Concentration
(As given in Second
Schedule)

Reference/method

Number of workers
exposed at the location
being monitored

Remarks

Signature of person
taking samples

Name (in block letters)

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)