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Mine Health and Safety Act, 1996 (Act No. 29 of 1996)

Regulations

Chapter 21 : Forms

Form 21.9(2)(a)

 

 

Annual Airborne Pollutants Personal Exposure Report Form Report Form 21.9(2)(a)

 

In terms of regulation 9.2.(7)

 

General:        1. Quarterly Commodity Sampling Periods

Commodity

Annual Reporting Period

Gold; Diamond; Processed Minerals

Oct - Sept

Coal; Asbestos; Aggregate and Sand

Nov - Oct

Platinum; Base Metals

Sept - Aug

2. The monitoring frequency and number of samples to be used are specified in the SAMOHP                Total Number of Pages of Complete Report...................

3. Complete one form for each homogeneous exposure group

4. Codes to be used in this form are specified in the SAMOHP

5. Attach Operation Details - Report Form on an annual basis

6. The results of samples taken from randomly selected occupations within a HEG must be assigned to that specific occupation code

 

Main Commodity Code:



DME Mine Code

Sample Area




Activity Area Code:



Quarter Ending:

HEG Classification Band:




 

HEG

Pollutant

 

Code

Concentration

 

Per Occupation

Average Of HEG

90 th percentile of HEG

Analysis

Dose allocated to medical record

OEL

Pollutant Index

AQI

Occupations in HEG

 

Codes

 

No of persons per Occupation

 

 

 

 

 

mg/m3

 

%

mg/m3

 

mg/m3

 

 

 

ppm

 

 

ppm

 

ppm

 

 

 

f/ml

 

 

f/ml

 

f/ml

 

 

 

(A)

(B)

(C)

(D=BxC%)

(E)

 

(F=D/E)

(G=SUM F)