Get Audiometric Test Booth Certification Form Command Owning Booth ... - Med Navy

This guide provides step-by-step instructions on how to accurately complete the Audiometric Test Booth Certification Form Command Owning Booth. Properly filling out this form is essential for ensuring compliance and maintaining optimal testing conditions.

Follow the steps to fill out the form effectively.

1. Press the ‘Get Form’ button to obtain the Audiometric Test Booth Certification Form and open it in your browser's editor.
2. Identify the command owning the booth and fill in the appropriate name in the designated space.
3. Record the date of certification in the specified field.
4. Select the type of booth—choose from shore stationary, MOHCAT/MOHCAV booth, shipboard booth, pier-side/cold iron, or pier-side/lit-off—by marking the corresponding checkbox.
5. Enter the underway speed in knots if applicable.
6. Provide the booth location, including building, room, or space designation.
7. Indicate whether the booth has a single or double wall by marking the relevant option.
8. Complete the booth manufacturer and serial/prop number fields with accurate information.
9. Specify the status of the booth lights (on/off) and fan (on/off).
10. Fill in the octave band center frequency table with maximum sound pressure level (SPL) allowed for each frequency, including all required entries.
11. Indicate whether you are certified to conduct each type of audiometric testing by marking 'Yes' or 'No'.
12. Record the SPL measured inside the booth and any measured outside values (for informational purposes only) in the specified fields.
13. Provide field pre-calibration and post-calibration details, including reference and measured dB values.
14. Complete the equipment data section with manufacturer, model number, serial number, and calibration date for each piece of equipment.
15. Add any relevant comments or notes in the designated area.
16. Print and sign your name, enter the certification date, and provide your command and contact phone number.
17. Once all sections are filled out correctly, save your changes, download the completed form, print it, or share it as required.

Complete your Audiometric Test Booth Certification Form online today to ensure compliance and enhance testing efficiency.