RECORDED BY: Chelsea Ford-Gladieux DATE: September 9, 2014 SIGNATURE: //s// COMMAND: Facilities Maintenance UIC NUMBER: M30001012 Section SHOP PRIORITY: 2 Shop Process (if applicable) Recommended # Of Medical Surveillance Personnel Hearing Conservation 35 FMS Building & Trades 41 Program (503) Hearing Conservation 11 FMS Production Control 20 Program (503) FMS Electric/HVAC/Mechanical Hearing Conservation 49 Shop 51 Program (503) Hearing Conservation 26 FMS GUAD Service 34 Program (503) Hearing Conservation 8 FMS Heating Plant 81 Program (503) Hearing Conservation 42 FMS Roads & Grounds 71 Program (503) Hearing Conservation 25 FMS Service 32 Program (503) Hearing Conservation 21 FMS Utilities 61 Program (503) FMS Waste Water Treatment Plant Hearing Conservation 12 84 Program (503) Hearing Conservation 11 FMS Water Treatment Plant 83 Program (503) FMS Electric/HVAC/Mechanical Maintaining and repairing Freon Surveillance Shop 51 refrigeration and A/C units Program (718) 22 FMS Electric/HVAC/Mechanical Soldering/brazing Sight Conservation Shop 51 Program (708) 19 FMS Electric/HVAC/Mechanical Welding Sight Conservation Shop 51 Program (708) 2 FMS Roads & Grounds 71 Grounds Grounds keeping Vibration (508) 17 keeping FMS Roads & Grounds 71 Grounds Minor road patching Vibration (508) 3 keeping FMS Roads & Grounds 71 Grounds Concrete repair Vibration (508) 17 keeping FMS Roads & Grounds 71 Grounds Heavy equipment operation Vibration (508) 6 keeping FMS Roads & Grounds 71 Grounds Tree Work Vibration (508) 2 keeping 2 Attachment (3) TABLE 1.1
RECORDED BY: Chelsea Ford-Gladieux SIGNATURE: //s// UIC NUMBER: M30001012 SHOP PRIORITY: 2 DATE: September 9, 2014 COMMAND: Facilities Maintenance Section Shop Process (if applicable) Recommended Medical Surveillance # Of Personnel FMS Building & Trades 41 Hearing Conservation Program (503) 35 FMS Production Control 20 Hearing Conservation Program (503) 11 FMS Electric/HVAC/Mechanical Shop 51 Hearing Conservation Program (503) 49 FMS GUAD Service 34 Hearing Conservation Program (503) 26 FMS Heating Plant 81 Hearing Conservation Program (503) 8 FMS Roads & Grounds 71 Hearing Conservation Program (503) 42 FMS Service 32 Hearing Conservation Program (503) 25 FMS Utilities 61 Hearing Conservation Program (503) 21 FMS Waste Water Treatment Plant 84 Hearing Conservation Program (503) 12 FMS Water Treatment Plant 83 Hearing Conservation Program (503) 11 FMS Electric/HVAC/Mechanical Shop 51 Maintaining and repairing refrigeration and A/C units Freon Surveillance Program (718) 22 FMS Electric/HVAC/Mechanical Shop 51 Soldering/brazing Sight Conservation Program (708) 19 FMS Electric/HVAC/Mechanical Shop 51 Welding Sight Conservation Program (708) 2 FMS Roads & Grounds 71 Grounds keeping Grounds keeping Vibration (508) 17 FMS Roads & Grounds 71 Grounds keeping Minor road patching Vibration (508) 3 FMS Roads & Grounds 71 Grounds keeping Concrete repair Vibration (508) 17 FMS Roads & Grounds 71 Grounds keeping Heavy equipment operation Vibration (508) 6 FMS Roads & Grounds 71 Grounds keeping Tree Work Vibration (508) 2 2 Attachment (3) TABLE 1.1
2014%20FMS%20PERIODIC%20INDUSTRIAL%20HYGIENE%20SURVEY.docx