Elder Conservatorium of Music
Noise Hazard Survey – Music Ensemble Director
School/Branch:
Building(s): / Room(s):
Ensemble:
Item/Activity:
Assessed by:
Date: / Semester:
This Survey must be completed at the beginning of the semester rehearsal schedule for each program of music.Results of any related noise assessment, and report of any program-specific noise controls are to be attached to the survey. To arrange a noise assessment please contact the Elder Conservatorium Music Office.
Answering ‘Yes’ to any of the following questions may indicate the need to carry out a noise assessment if exposure to the noise cannot be immediately controlled. Specific controls such as risers, acoustic wrap around screens, ear plugs, the distance between musicians andhearing recovery time should be used to minimise noise exposure.
For Information about noise risk and minimisation requirements, hearing protection and the Elder Conservatorium Noise Management Plan consult the following link .
Hazard identification questions / Yes / No
1. / Are sound levels during rehearsal/performance uncomfortably loud or do they cause pain? /  / 
2. / Has there been a significant change in the set-up of the orchestra or rehearsal/performance venue that could impact on the acoustic and/or sound exposure levels? /  / 
3. / Are additional acoustic screens required to meet the ECM noise management plan?
( /  / 
4. / Are there any extraneous noises to the musical content (such as cannon blasts or gun shots) involved in the rehearsal or performance? /  / 
5. / Have students previously complained that sound levels are too high or that they can’t clearly hear their own instruments while playing? /  / 
6. / Have you or any participating students either verbally or through an incident report form reported any ongoing tinnitus, reduced/dulled hearing following any rehearsals or performances? Or have any been reported the last time this program was used? /  / 
7. / Does the program involve
(a) / A massed or significantly augmented brass section? /  / 
(b) / A massed or significantly augmented percussion section? /  / 
(c) / Extended passages that requires very high dynamic levels from the ensemble as a whole or the brass/percussion sections? /  / 
8. / Has the program/rehearsal duration exceeded 3 hours in a 24-hour period? /  / 

Ensemble Director Name: ………………..……… Signature:..……….…..…..….… Date: ………….…

Ensemble Manager Name: …………………………Signature:…….….….….……… Date: ……………

Report to be submitted to the Elder Music Office.

Internal use only

Copy to be forwarded to the Faculty HSW Coordinator

Elder Conservatorium of Music / Noise Hazard Survey / Effective Date: / 17 March 2016 / Version2
Authorised by / G Koehne, Director / Review Date: / January 2017 / Page 1 of 1
Warning / This process is uncontrolled when printed. The current version of this document is available on the Faculty HSW Website.