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Step 7 · The sample report template
Client: BMR Industrial
Project: Hazards Survey
Sample Data Sheet
Job#
BR-0621-2024
Client
BMR Industrial
Sample ID
BR-062124-001
Project name
Hazards Survey
Sampler name
Sam Garrison
Project Location
123 Ardmore Road Rd
70820 Chambersburg
PA United States
70820 Chambersburg
PA United States
Date
06/21/24
Subject Data
Employee name
Garage
Sampling conditions
Average (Normal Operations)
Employee ID #
N/A
Work environment
Open area
Ventilation
Natural
Welding process
N/A
Job title
—
Metal
—
Shift length
—
Electrode
—
Description
Three story structure, parking spaces are very small
Exposure control
—
IH Sample Equipment
Sample ID: #SG-062124-001
IH instrument
N/A for passive badges
Calibration device
N/A for passive badges
Sample media
Assay 566 Badge
Serial number
N/A
Serial number
N/A
Serial number
11223344
Sample Data
| Start time | Stop time | Total time | Flow rate | Total volume |
|---|---|---|---|---|
| 06:55 AM | 03:05 PM | 490 min | N/A (passive badge) | N/A (passive badge) |
Analytical Results
| Hazard | CAS # | Result | Action level | OEL | % of OEL |
|---|---|---|---|---|---|
| Benzene | 71-43-2 | 0.32 ppm | 0.5 ppm | 1 ppm | 32% |
Daily Log — Tagged Entries
7:57 AM — Demonstration Person: Checked on $CR-050224-01 and it was operating correctly
7:58 AM — Demonstration Person: Observed @Walter Paton standing downwind of the welding fumes
9:08 AM — Demonstration Person: Observed @Walter Paton working in the shop MIG welding on carbon steel with no ventilation other than natural ventilation through the shop assisted by a shop fan
7:58 AM — Demonstration Person: Observed @Walter Paton standing downwind of the welding fumes
9:08 AM — Demonstration Person: Observed @Walter Paton working in the shop MIG welding on carbon steel with no ventilation other than natural ventilation through the shop assisted by a shop fan
Prompted Question Responses
Product drip during sampling
No drip
Engineering controls operating
Yes
Respiratory protection worn
Yes — Half-face APR, OV cartridge
Sampling interruptions
None
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Bridget SheltonDEMO
Note: this is not the full environment, but a limited mirror to show key features.
Industrial hygiene field notes & compliance reporting
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myIH's prompted questions and tagged daily log capture it in the moment, turning field data into clean, report-ready inputs.
Every result, banded by % of OEL — the moment it's entered
< 1%
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>100%
< 1% of OEL
1–10%
10–50%
50–100%
> 100% of OEL
The science of exposure
On the plant floor
A personal pump runs the full shift, pulling the worker's air across a sampling medium.
Air Sampling Pump
2.0 L/min
Personal pump · full-shift · calibrated
Benzene · CAS 71-43-2
0.32 ppm
32% of OELGC–MS Analyzer
Run 04
12 samples · chain-of-custody verified
PCM Fiber Count
0.04 f/cc
< 1% of OELRespirable Dust
4.8 mg/m³
Respirable fraction · full-shift TWA
Exposure vs. OEL
118%
Over limit — flagThe full spectrum of exposure
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Sample tables, question-group responses, and the time-stamped daily log compile into formatted Excel and PDF summaries with one click — chain-of-custody detail attached, ready for direct upload into your administration system. No hassle, no extra steps.
Sample Data Sheet — one-click export
Sample IDBR-062124-001
HazardAirborne fiber sample · CAS 71-43-2
Result0.32 ppm · 32% of OEL
Tagged log3 entries · chain-of-custody attached
Prompted questions6 / 6 answered
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