Mining Dust Monitoring Log
Use this form to log dust monitoring activity at the mining site. All fields are required for accurate record keeping.
Date of Monitoring
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time of Monitoring
*
Hour Minutes
AM
PM
AM/PM Option
Site/Area Monitored
*
Please Select
Pit A
Pit B
Processing Plant
Stockpile
Haul Road
Workshop
Other (specify below)
Monitor Name
*
First Name
Last Name
Weather/Environmental Conditions
*
Please Select
Clear
Cloudy
Rainy
Windy
Humid
Dry
Other (specify below)
Dust Source/Activity Observed
*
Please Select
Blasting
Crushing
Hauling
Loading/Unloading
Stockpile Management
Vehicle Movement
Other (specify below)
Dust Level Reading (mg/m³)
*
Equipment Used for Monitoring
*
Please Select
Gravimetric Sampler
Real-Time Dust Monitor
High Volume Sampler
Personal Dust Monitor
Other (specify below)
Corrective Actions Taken
*
Please Select
Water Spraying
Dust Suppression Agent Applied
Reduced Activity
Equipment Maintenance
No Action Required
Other (specify below)
Additional Notes/Observations
Submit Monitoring Log
Should be Empty: