OSHA Employee Exposure Monitoring Checklist

1. Is there silica in the workplace that can be released into the workplace air?

• Yes
• No
• N / A

2. If "yes", have you made a written determination that states whether any employee may be exposed to airborne concentrations of silica?

• Yes
• No
• N / A

a. Any information, observations, or calculations that would indicate employee exposure?

• Yes
• No
• N / A

b. If employees are exposed to toxic material, statement that exposure is at or above the Permissible Exposure Limit for crystalline quartz?

• Yes
• No
• N / A

c. Any employee complaints of symptoms attributable to exposures? If "yes", go to symptoms list.

• Yes
• No
• N / A

d. Date of determination, work being performed, location within the worksite, identification of employees possibly exposed?

• Yes
• No
• N / A

e. Any concentration measurements (area or personal) taken?

• Yes
• No
• N / A

f. Any comments from medical examinations that may point to possible exposures?

• Yes
• No
• N / A

4. Is there any reasonable possibility of any employee being exposed above the Permissible Exposure Limit according to the written determination?

• Yes
• No
• N / A

5. If "yes", have you measured the exposure of the employee (s) most likely to have the greatest exposure (maximum risk employees)?

• Yes
• No
• N / A

6. If "no", have you repeated Step 2 and succeeding steps each time there has been a change in production, process, or control measures that could result in an increase in airborne concentrations of any material in Step 2?

• Yes
• No
• N / A

a. Identified all employees so exposed?

• Yes
• No
• N / A

b. Sampled those employees so identified?

• Yes
• No
• N / A

c. Classified all employees according to noncompliance exposure, possible overexposure, or compliance exposure?

• Yes
• No
• N / A

a. Re sampled employees with noncompliance exposures within 1 month and decided whether controls are to be instituted?

• Yes
• No
• N / A

b. Re sampled employees with possible overexposures within 2 months and reclassified them if appropriate?

• Yes
• No
• N / A

c. Re sampled employees with compliance exposures every 2 months (or if changes occurred in the operation) and reclassified them if appropriate?

• Yes
• No
• N / A

9. Have employees with exposures exceeding Federal standards been informed?

• Yes
• No
• N / A

10.Have all employee exposure measurements been properly recorded and filed?

• Yes
• No
• N / A

11. Have you instituted appropriate controls for those exposed employees needing them?

• Yes
• No
• N / A