Airborne Particulate Matter Risk Assessment Form
Project / Location:
Assessor Name:
Date:
Description of Task / Process:
Exposure Assessment
Source of Particulate Matter
Type (e.g. Dust, Fume, Fiber)
Estimated Concentration
Exposure Duration
Area
Affected Individuals/Groups:
Health Risks / Hazards Identified:
Risk Evaluation
Hazard
Likelihood
Severity
Risk Level
Control Measures
Existing Controls:
Additional Controls Recommended:
Monitoring & Review
Air Monitoring Requirements:
Review Date:
Remarks / Comments: