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Office of Management & Finance

Bureau of Internal Business Services

BIBS is the provider of central services for the City of Portland

1120 SW 5th Avenue, Room 1250, Portland, OR 97204

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Hearing Conservation Program Enrollment Letter

 

City Risk LogoLoss Prevention

Risk Management, Portland, OR


Notification Letter

Noise Exposure at

or Above Action Level

 Date:

Employee name

Personnel Number

Job title

RE:  Workplace Noise Exposure

At the time of this notice, your job classification has been identified as being potentially exposed to a daily dose of noise which exceeds Permissible Exposure Level for an 8 hour shift.  The Action Level for noise exposure is one-half of the Permissible Exposure Limit. 

Because of possible noise exposure, you have been enrolled in the City of Portland’s Hearing Conservation Program (HCP). By following the provisions of the HCP, your chances of sustaining a serious hearing loss as a result of on-the-job noise exposure will be greatly reduced.  If you have not already received specialized hearing conservation training and audiometric testing, within the next 30 days, you will receive training and offered both audiometric testing and hearing protection.  In some cases, double hearing protection may be required.

If you have any questions, please feel free to contact me or your supervisor.

Sincerely,

 

Name

Title

Bureau

City ofPortland