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Run: Industrial Hygiene Air Monitoring Log

Log industrial hygiene air monitoring results by area, task, and exposure limit so you can document PEL, TLV, TWA, and STEL findings in one place. Use it to ...

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Inspection Details

Inspection date and time recorded critical (required)

Record when the air monitoring inspection was performed.

Facility, department, and work area identified critical (required)

Identify the location, department, process, or production area covered by this log.

Inspector or competent person identified critical (required)

Enter the name and role of the person completing the monitoring review.

Monitoring purpose documented

Select the reason the monitoring was performed.

Sampling Plan and Method

Sampling type selected critical (required)

Identify whether the sample represents a worker breathing zone, a fixed location, or both.

Contaminant or agent monitored critical (required)

Enter the airborne contaminant, dust, fume, vapor, mist, or gas being monitored.

Sampling method and media documented

Record the method, cassette, tube, badge, pump, or analytical approach used.

Calibration and flow rate verified critical (required)

Confirm pre- and post-sampling calibration, pump flow rate, and equipment readiness.

Yes No N/A

Sampling duration recorded

Enter the sampling period used for the result, including full-shift or short-term duration.

Note (optional)

Exposure Limits and Results

PEL documented critical (required)

Enter the applicable OSHA permissible exposure limit for the contaminant.

Note (optional)

TLV documented

Enter the applicable ACGIH threshold limit value if used by the program.

Note (optional)

TWA result recorded critical (required)

Record the measured time-weighted average exposure result.

Note (optional)

STEL result recorded

Record the measured short-term exposure result, if applicable.

Note (optional)

Result compared to applicable limit critical (required)

Summarize whether the measured result exceeds or approaches the applicable exposure limit.

Work Area Distribution

Sampling locations listed critical (required)

Select all work areas included in the monitoring event.

Highest exposure area identified

Identify the work area or task with the highest measured concentration.

Exposure distribution summarized

Summarize how results varied across work areas, tasks, or shifts, including any hotspots or low-exposure zones.

Employees potentially affected documented

Enter the number of workers who may have been exposed in the monitored areas.

Note (optional)

Findings, Corrective Actions, and Sign-Off

Deficiency or non-conformance identified critical (required)

Indicate whether the monitoring results revealed an exposure concern, exceedance, or program deficiency.

Yes No N/A

Corrective action documented

Describe the corrective action, such as engineering controls, PPE changes, work practice changes, retesting, or medical follow-up.

Follow-up monitoring required

Confirm whether additional monitoring is required after corrective actions or process changes.

Yes No N/A

Inspector signature critical (required)

Signature of the person completing the inspection log.

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