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72 <br /> <br />FORM SP-6 INDOOR ENVIRONMENTAL AUDIT <br /> <br /> This checklist provides general guidance for the identification of common work place hazards. It is not all inclusive. The employer must customize the form for the specific work place. <br /> <br /> Name of Facility: <br /> <br /> <br /> Conducted By: Date: <br /> Location Airborne Contaminants <br /> <br /> Lighting Noise Temperature <br />Humidity <br /> <br /> Oxygen <br />(percent) Carbon <br />Monoxide <br />(ppm) <br />% of LEL Ventilation <br /> <br />Light Level <br />(foot-candles) <br />Noise Level <br />(dB-A) Temperature <br />(Fo) Relative <br />Humidity <br />(percent) <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Comments: <br /> <br /> <br /> <br />