Audiometric Baseline Revision Written by A. Gregg Moore, CCC-A
|
|
- Barry Frank Harmon
- 7 years ago
- Views:
Transcription
1 WHITE PAPER Audiometric Baseline Revision Written by A. Gregg Moore, CCC-A A Bit about Baseline Audiograms in General Hearing tests done in general industry are best thought of as screening audiograms. Where testing conducted in clinical environments (hospitals, physician s offices, Audiology clinics) often probe hearing ability using quite sophisticated methods, industrial hearing tests are simple and quick assessments of a person s basic ability to hear. When an industrial hearing test is evaluated, two basic questions are asked: A. Gregg Moore, CCC-A Senior Occupational Audiologist 1. What does the person s hearing look like currently?, and 2. Has this person s hearing changed over time? Leaving aside the first question for now, let us recognize the importance of the second. Changes in hearing over time can be caused by many factors including: 1. Earwax impaction 2. Upper respiratory issues (cold, flu, allergies) 3. Occupational noise exposure 4. Recreational noise exposure 5. Middle ear disease 6. A tumor on the Auditory Nerve 7. Chemical-induced hearing damage, including medicines and work-related chemicals While the above is not a comprehensive list, it will be observed that the causes of hearing loss range from the not-dangerous to the potentially deadly; from biological to chemical to noise and any combination thereof. Because of the medical seriousness of some of these factors, it is imperative that the Occupational Hearing Conservationist conducting hearing tests have a systematic means of screening for hearing change as well as hearing loss. Enter the OSHA Noise Standard which specifies that current hearing tests are compared to earlier hearing tests in order to detect change. Hopefully, the detection of change then leads to appropriate follow-up such that medical referrals are made, earplugs are refit, engineering controls are implemented to reduce noise exposure, and training is conducted to mitigate against further hearing loss. Please note that reviewing audiograms for potential medical conditions is far more complex than simply looking for Standard Threshold Shifts (STS). There are a whole range of criteria which may be used for
2 that purpose, but that is a topic for another day. The purpose of the present paper is to consider Standard Threshold Shifts and the role of the STS in baseline revision. This is the purpose of the baseline hearing test: to serve as the reference test against which future tests will be compared to look for change. Because of its importance, OSHA specifies that the baseline test is to be preceded by 14 hours of quiet. The idea is to obtain a baseline test uncontaminated by noise exposure so that it will serve as a sensitive reference for future comparisons. In terms of hearing change, OSHA s red flag in the Noise Standard is the Standard Threshold Shift. This is defined as an average change of at least 10 db at 2000, 3000 and 4000Hz in either ear. Here is an example of an STS. In order to keep things simple, age adjustments as allowed by OSHA are not included in this example. Current Test (2014) Baseline Test (1996) In this simple example, we subtract the sum of the Baseline thresholds (15) from the sum of the Current thresholds (75) and divide by = 60 db of total change. 60 divided by 3 = 20, thus this person has experienced an average change of 20 db easily meeting the 10 db trigger for an STS. Assuming the test is accurate we conclude that this person s hearing has changed substantially between the years 1996 and This test will most certainly be reviewed by an Audiologist or Physician who may probe further to ascertain when and why, leading to recommended follow-up. This follow-up could save this person s life. Baseline Revision Suppose that ABC Company hired a person 30 years ago obtaining a baseline hearing test at that time. When would it be appropriate to revise that baseline? Should it be revised just because the person s hearing worsened over time even though there is no STS? Audiologists and physicians reviewing hearing tests are familiar with this question as we address it frequently. The short answer is, probably not. Why, you ask? Because a person s hearing is expected to change over time to one degree or another simply due to aging. Losing hearing as we age is inevitable; it is just a matter of how much and when. Those genetically predisposed to hearing loss will begin losing their hearing at an earlier age while others keep excellent hearing into their 70s. The OSHA Noise Standard recognizes the role of aging in hearing loss providing age-correction charts to use when calculating STSs. Hopefully, a person s hearing never changes so much during their working years that a baseline revision is necessary. The OSHA Noise Standard states that baseline revision is at the discretion of the Audiologist or Physician who may revise the baseline in the presence of a persistent STS. Because baselines are so important to evaluation of the hearing health of individuals, the decision to revise baselines rests with healthcare professionals well versed in the medical implications of doing so. Note also the use of the word persistent. What does persistence mean? It obviously means, more than one STS but beyond this the
3 term is undefined in the Noise Standard. OSHA wisely leaves it to healthcare professionals to decide when to revise baselines. The downside of this non-specific language is lack of consistency among those professionally reviewing audiograms. Suppose a person has an earwax impaction (unbeknownst to the reviewer), has an STS, and the next day s retest also shows an STS. Has the definition of persistence been met? If the professional reviewer s definition of persistence is two consecutive STSs then, yes, the definition is met and the baseline may be revised. But is it really wise to revise a baseline based upon a temporary condition? After all, when the earwax impaction is removed it is quite likely that the STS will go away. This and other baseline revision scenarios created significant concern among professional reviewers seeking a consistent guideline for baseline revision, a definition of persistence less likely to lead to unwarranted baseline revisions. Due to this concern, the National Hearing Conservation Association (NHCA) established a 16-member committee to address this issue resulting in the 1996 issuance of the NHCA Professional Guide for Audiometric Baseline Revision. While this document is not a regulatory requirement, it has essentially become the gold standard for use by reviewing audiologists and physicians, and audiometric testing service providers. The guideline provides two rules: Rule 1: Revision for Improvement Those conducting hearing tests, and the professionals who review them, with some frequency note that a person s hearing may appear to improve when compared to the baseline. There are numerous reasons why a baseline audiogram may not be accurate, a few of which are listed below: Noise exposure contamination Upper respiratory conditions or earwax impactions Unfamiliarity with audiometric testing (test results can improve with practice, the learning curve effect) Fatigue Too much background noise in the audiometric testing room So it does make sense that the baseline should be revised for improved results in order to provide a more sensitive reference for future change. The NHCA guideline is to revise the baseline when the average change at 2000, 3000 and 4000Hz improves by at least 5 db on one test, and that change persists on the next test. Age correction factors are not typically used when looking for improved hearing. Here is an example: Annual Test 01/18/ Baseline Test Average improvement is 6.7 db.
4 Retest 01/19/ Baseline Test Average improvement is 8.3 db. In this case, there are consecutive tests each showing at least an average 5 db improvement compared to the existing baseline. Per the guideline, the baseline would revise but which current test becomes the new baseline? The guideline states that the baseline for that ear should be revised to the improved test which shows the lower (more sensitive) value unless the audiologist or physician determines and documents specific reasons for not revising. So as long as the audiologist or physician agrees to revise, the second test showing the average improvement of 8.3 db becomes the new baseline in this example. Rule 2: Revision for Persistent OSHA Standard Threshold Shift While revision for improvement does occur, the unfortunately far more common case is to revise for worsening hearing i.e. the presence of a persistent Standard Threshold Shift. When to revise hinges on the definition of persistence. The NHCA guideline specifies that the baseline should be revised for worsening hearing, unless the reviewing audiologist or physician notes specific reasons for not doing so, when two criteria are met: Consecutive Standard Threshold Shifts, and Separated in time by at least six months. Why the six-month time period between consecutive STSs? Ideally, baselines should be revised for permanent changes in hearing, not temporary conditions such as upper respiratory issues, transient middle ear disease, and earwax impactions, among others. The likelihood of revising a baseline due to a temporary condition is greatly reduced over a six-month time period. Earwax can be removed; earaches can be medically treated; cold and flu resolve quickly (though never quickly enough!). In the example below age corrections will not be used though such are commonly used in STS calculation except where it is legally impermissible to do so (the states of Washington and Oregon). Retest 01/30/ Annual Test 01/08/ Baseline Test The average change is 15 db on the 01/08/2013 and 18.3 db on the 01/30/2013 retest, thus there is an STS on both 2013 tests. Should the audiologist or physician revise the baseline? In this case, there are
5 consecutive STSs, but separated in time by only a few days, not six months. No, the baseline should not revise per the NHCA guideline. Now consider what happens on the next test: Annual Test 01/26/ Retest 01/30/ Annual Test 01/08/ Baseline Test Compared to the original baseline, there are STSs on 01/08/2013, 01/30/2013 and 01/26/2014. Note that there is now at least a six-month separation between the consecutive STSs on 01/30/2013 and 01/26/2014. Should the baseline revise? Yes, according to the NHCA guideline, as long as the reviewing audiologist or physician agrees. The 01/08/2013 test becomes the new baseline because of the three consecutive STSs this is the test with the least average hearing loss. What about this example? Annual Test 01/26/ Retest 01/30/ Annual Test 01/08/ Baseline Test In this case, the STS did not persist on the 01/26/2014 test so there is no need to revise the baseline. The temporary condition causing the STS on both 2013 tests later resolved. Are there times when a baseline should be revised apart from the NHCA Guideline? Albeit a very good guideline, the NHCA guideline is just a guideline and nothing more. Audiologists and Physicians are given latitude to revise baselines based on professional judgment. Each case is unique and can be considered on its own merit. In general, the NHCA guideline should be adhered to unless there is a strong reason to do otherwise, and this reason should be well documented.
6 Is there a Relationship between Baseline Revision and OSHA 300 Log Recordability? There is considerable misunderstanding of the relationship between recordability and baseline revision. The short answer is, no. 29 CFR Recording criteria for cases involving occupational hearing loss makes no mention of it. Baseline revision is governed entirely by 29 CFR , the OSHA Noise Exposure Standard which does not discuss recordability at all. OSHA 300 Log recordability and baseline revision are two entirely different subjects governed by two different though related regulations. What this means is that the fact an STS is recordable on the OSHA 300 Log has no bearing on baseline revision. Put another way, a baseline does not revise because an STS is recorded on the OSHA 300 Log. Baseline revision is based on STS persistence, not recordability.
S-822. Noise and Hearing Conservation RISK MANAGEMENT
RISK MANAGEMENT Noise and Hearing Conservation Resources and information for developing Patient handling programs in health care Employers with workplaces that have excessive levels of noise need to implement
More informationLoss Control TIPS Technical Information Paper Series
Loss Control TIPS Technical Information Paper Series Innovative Safety and Health Solutions SM Introduction Occupational Noise Exposure and Hearing Conservation Noise, or unwanted sound, is one of the
More informationCHAPTER 11 NOISE AND HEARING CONSERVATION PROGRAM
CHAPTER 11 NOISE AND HEARING CONSERVATION PROGRAM INTRODUCTION This program contains information on the effects, evaluation, and control of noise. For assistance in evaluating a noise problem, contact
More informationHearing Protection Standard OSHA Standard 29 CFR 1910.95
Hearing Protection Standard OSHA Standard 29 CFR 1910.95 The purpose of this standard is protect employees over exposure to noise and to prevent hearing loss. This standard also states that employees must
More informationNoise: Impact on Hearing; Regulation
Noise: Impact on Hearing; Regulation EOH 466A Fall 2008 Mechanism of Hearing Sound waves collected, focused by the outer ear. Humans have little control over muscles in outer ear. Many animals have the
More informationIAC Ch 8, p.1. Males Females 5.50 7.25 5.50 7.75 5.50 7.75 5.50 8.00 5.75 8.00 6.00 8.25 6.25 8.50 6.50 8.75 6.75 8.75 6.75 8.75 6.75 9.00 7.25 9.
IAC Ch 8, p.1 876 8.10 (85B) Apportionment of age-related loss for occupational hearing loss claims. 8.10(1) Effective date. This rule is effective for claims for occupational hearing loss filed on or
More informationTable of Contents. 1. Applicability. No. T-O&M X115 Title: Hearing Conservation Revised: 11-30-2011 TERMINALS O&M PROCEDURE
Table of Contents Table of Contents... 1 1. Applicability... 1 2. Scope... 2 3. Core Information and Requirements... 2 3.1. Hearing Conservation Program Description... 2 3.2. Action Level... 2 3.3. Occupational
More informationSAMPSON COMMUNITY COLLEGE
1. PURPOSE SAMPSON COMMUNITY COLLEGE HEARING CONSERVATION PROGRAM 1.1 The purpose of this program is to provide guidelines for employees exposed to occupational noise and to comply with the OSHA Occupational
More informationBest Practices in Implementing a Successful Hearing Conservation Program
in Implementing a Successful Hearing Conservation Program OSHA 29 CFR 1910.95 Though the language of OSHA s Occupational Noise Standard (29 CFR 1910.95) may appear convoluted, its dictates are rather straightforward:
More informationWho are you? Six Components of Hearing Conservation Program. Hearing is Precious!
Six Components of Hearing Conservation Program Helene R. Freed, Ed.M Public Relations Specialist Industrial Hearing Testing Who are you? Are you a student? Do you work in industry in H&S? Do you work in
More informationAudiometric (Hearing) Screening September November 2013
Audiometric (Hearing) Screening September November 2013 Sample Report QLD Prepared by: Name of Technician Qualified Audiometric Technicians INTRODUCTION Australasian Safety Services provided on-site audiometric
More informationSOUTHERN UTAH UNIVERSITY S WRITTEN HEARING CONSERVATION PROGRAM September 24, 2015
SOUTHERN UTAH UNIVERSITY S WRITTEN HEARING CONSERVATION PROGRAM September 24, 2015 1.0 PURPOSE: The objective of the Southern Utah University hearing conservation program is to minimize occupational hearing
More informationSample Written Program. For HEARING CONSERVATION
Sample Written Program For HEARING CONSERVATION 1 HEARING CONSERVATION PROGRAM Co Name Prepared by Date I. PURPOSE This purpose of this hearing conservation program is to prevent occupational hearing loss
More informationNHCA Guidelines for Recording Hearing Loss On the OSHA 300 Log
NHCA Guidelines for Recording Hearing Loss On the OSHA 300 Log Background The Need for Guidance For several years audiologists and other professionals who review audiograms have reported resistance from
More informationLeading the Advancement of Hearing Conservation
3M Occupational Health and Environmental Safety Division 3M E-A-Rfit Validation System Leading the Advancement of Hearing Conservation Look How Well It Fits Into Your Hearing Conservation Program Integrating
More informationAdolescents and Hearing Impairment
Adolescents and Hearing Impairment Mario R. Serra, - mserra@scdt.frc.utn.edu.ar Ester C. Biassoni, - cbiassoni@scdt.frc.utn.edu.ar Centre for Research and Transfer in Acoustics (CINTRA), Associated Unit
More informationUC Santa Barbara Hearing Conservation Program Manual
UCSB Hearing Conservation Program Manual Page 1 of 15 UC Santa Barbara Hearing Conservation Program Manual Rev. August 2014 Program Manager: Nick Nieberding Title: Industrial Hygiene Specialist Email:
More informationEnvironmental Health and Safety* 2809 Daley Drive * Ames, Iowa 50011-3660 * (515) 294-5359 * www.ehs.iastate.edu
Environmental Health and Safety* 2809 Daley Drive * Ames, Iowa 50011-3660 * (515) 294-5359 * www.ehs.iastate.edu Revision 2 October 2008 University Nondiscrimination Statement Iowa State University does
More informationProgram No. 7.2.1. Section Heading Page # 6.0 Monitoring 4. 7.0 Training 5. 8.0 Audiometric Testing 5. 9.0 Noise Exposure Control 6
ENVIRONMENTAL HEALTH AND SAFETY PROGRAM MANUAL Title 1.0 INTRODUCTION As part of the Weill Cornell Medical College (WCMC) Environmental Health and Safety (EHS) Manual, this recognizes the existence of
More informationDepartment of Defense INSTRUCTION
Department of Defense INSTRUCTION NUMBER 6055.12 December 3, 2010 USD(AT&L) SUBJECT: Hearing Conservation Program (HCP) References: See Enclosure 1 1. PURPOSE. This Instruction reissues DoD Instruction
More informationEARLY IDENTIFICATION OF NOISE INDUCED HEARING LOSS
EARLY IDENTIFICATION OF NOISE INDUCED HEARING LOSS Dr. Robert A. Bertrand, M.D. Emeritus member, University of Montreal, Medical Health Center Aim of a Hearing Conservation 2 Program (HCP) To prevent the
More informationNoise and Hearing Protection
Noise and Hearing Protection Noise and Hearing Safety Training This training module is designed to teach you about the purpose and benefits of a hearing conservation program. After completing the training,
More informationWhat causes noise induced hearing loss (NIHL)?
Hearing Safety What causes noise induced hearing loss (NIHL)? ʺNoise exposure, whether occupational or recreational, is the leading preventable cause of hearing loss.ʺ Peter M. Rabinowitz, M.D., M.P.H.,
More informationHearing Conservation Program
Hearing Conservation Program Document Number: Effective Date: 2/2012 Revision Date: 4/2013 1.0 Purpose and Applicability 1.1 The purpose of this Hearing Conservation Program is to provide for the protection
More informationWorkplace Health, Safety & Compensation Review Division
Workplace Health, Safety & Compensation Review Division WHSCRD Case No: 13111-04 WHSCC Claim No: 832088 Decision Number: 14017 Margaret Blackmore Review Commissioner The Review Proceedings 1. The hearing
More informationquick guide to hearing protection Oregon OSHA s What you should know and not a word more!
Oregon OSHA s quick guide to hearing protection What you should know and not a word more! A Division of the Department of Consumer and Business Services About this guide Oregon OSHA quick guides are for
More informationNoise at the Work Site
Noise at the Work Site Noise is one of the most common workplace hazards. Workers in many industries and occupations in Alberta are exposed to noise levels that are so high that their hearing can be damaged.
More information29 CFR Part 1904 Recording and Reporting Occupational Injuries and Illnesses
29 CFR Part 1904 Recording and Reporting Occupational Injuries and Illnesses Revised 3/06 1 Organization of the Rule Subpart A - Purpose Subpart B - Scope Subpart C - Forms and recording criteria Subpart
More informationUCSC HEARING CONSERVATION PROGRAM Environment, Health & Safety (EH&S) August 2007
UCSC HEARING CONSERVATION PROGRAM Environment, Health & Safety (EH&S) August 2007 Table of Contents Purpose Applicable Regulations and Standards Responsibilities Deans and Directors Department Heads, Managers,
More informationRecording and Reporting Occupational Injuries and Illnesses. Mike Minicky, CSP OSHA-St. Louis Area Office minicky.michael@dol.gov
Recording and Reporting Occupational Injuries and Illnesses Mike Minicky, CSP OSHA-St. Louis Area Office minicky.michael@dol.gov At the end of this session, participants will be able to Identify the OSHA
More informationHearing Safety Glossary
A-Weighting A filter applied to noise measurements, intended to replicate the frequency sensitivity of the human ear. The A-weighting is the most commonly-used weighting scale in hearing conservation programs,
More informationE-A-R/Aearo Technologies E-A-RCAL SM Laboratory 7911 Zionsville Road Indianapolis, IN 46268-1657 eberger@compuserve.com
Original April 24, 2007 Revised June 21, 2007 E-A-R/Aearo Technologies E-A-RCAL SM Laboratory 7911 Zionsville Road Indianapolis, IN 46268-1657 eberger@compuserve.com INTRODUCTION The E-A-RFit TM Validation
More informationADMINISTRATIVE INSTRUCTION
EFFECTIVE DATE: January 2, 2007 PAGE: 1 of 10 I. Purpose The purpose of the hearing conservation program is to protect City employees from occupational exposure to excessive noise levels while at work
More informationNCI-Frederick Safety and Environmental Compliance Manual 03/2013
C-6. Medical Surveillance I. Purpose The purpose of the medical surveillance of employees at the NCI-Frederick is to preserve health and prevent work related disease. The medical surveillance program will
More informationNoise Exposure: Explanation of OSHA and NIOSH Safe Exposure Limits and the Importance of Noise Dosimetry. by Patricia T.
Noise Exposure: Explanation of OSHA and NIOSH Safe Exposure Limits and the Importance of Noise Dosimetry by Patricia T. Johnson, AuD INTRODUCTION It s a noisy world, and hearing damage from loud sound
More informationStanford University. Hearing Conservation Program
Stanford University Hearing Conservation Program April 2006 Stanford University HEARING CONSERVATION PROGRAM CONTENTS PAGE 1.0 INTRODUCTION...1 1.1 Program Description...1 1.2 Scope...1 2.0 DEFINITIONS
More information4. Have you been exposed to loud noise or listened to music with headphone in the past 24 hours? [ ] Yes [ ] No [ ] Refused [ ] Don t know
PhenX Measure: Audiogram Hearing Test (#200100) PhenX Protocol: Audiogram Hearing Test (#200101) Date of Interview/Examination (MM/DD/YYYY): Preliminary Activities 1. Does the examinee have hearing aids
More informationOccupational Noise Exposure Requirements
Hearing Conservation Hearing conservation is a major issue in the construction industry and in roofing operations, as well. A wide variety of roofing equipment is capable of producing levels of noise that
More informationPractice Standards for Hearing Service Providers
Practice Standards for Hearing Service Providers The WCB has been unsuccessful in obtaining input from the SASLPA for the development of practice standards and a fee schedule to cover hearing service providers
More informationOccupational Noise Induced Hearing Loss: Final Program Policy Decision and Supporting Rationale
Occupational Noise Induced Hearing Loss: Final Program Policy Decision and Supporting Rationale October 2014 1 I Introduction: In September 2012, the WCB Board of Directors added Noise Induced Hearing
More informationOSHA Recordkeeping Policy #: OGP 600
OSHA Recordkeeping Policy #: OGP 600 APPROVED BY: Anthony Dallas, MD, CMO SUPERCEDES POLICY: 03/2006 ADOPTED: 03/2006 REVISED: 09/09/2015 REVIEWED: OBJECTIVE: To recognize, report, and record work-related
More informationHEARING SCREENING (May 2006)
HEARING SCREENING (May 2006) Definition Procedures for Hearing Screening Student with hearing loss School Nurse Role Referral Criteria Resources Definition: Hearing is the perception of sound. The normal
More informationOccupational Medical Monitoring Program California State University, Bakersfield Rev: 10/18/2012
Occupational Medical Monitoring Program California State University, Bakersfield Rev: 10/18/2012 Table of Contents 1.0 PURPOSE... 3 2.0 SCOPE... 3 3.0 AUTHORITY... 3 4.0 RESPONSIBILITIES... 4 4.1 Office
More informationHEARING SCREENING: PURE TONE AUDIOMETRY
HEARING SCREENING: PURE TONE AUDIOMETRY QUALIFIED SCREENERS 7-005.01 For the purposes of the school officials verifying that a qualified screener is carrying out the required screening activity, the qualified
More informationOregon OSHA s. quick guide to. hearing protection. What you should know and not a word more!
Oregon OSHA s quick guide to hearing protection What you should know and not a word more! About this guide Oregon OSHA s quick guide to hearing protection is an Oregon OSHA Standards and Technical Resources
More informationNoise Induced Hearing Loss and Hearing Conservation in 8 Primary Iron and Steel Companies in South Africa
Noise Induced Hearing Loss and Hearing Conservation in 8 Primary Iron and Steel Companies in South Africa Presenters: Dr Odette Abrahams Gabriel Mizan Background Noise: Sound that is undesirable, either
More informationARIZONA STATE UNIVERSITY Department of Environmental Health & Safety. Hearing Conservation Program Pursuant to 29 CFR 1910.95
ARIZONA STATE UNIVERSITY Department of Environmental Health & Safety Hearing Conservation Program Pursuant to 29 CFR 1910.95 Revision Date: Feb. 2010 Table of Contents Arizona State Univeristy Environmental
More informationNoise at work a guide for health and safety representatives
Noise at work a guide for health and safety representatives Hearing problems caused by noise at work are far too common. The HSE estimates that 170,000 people in the UK suffer deafness, tinnitus or other
More informationIf you do not use the calculator-generated text, you MUST notify the Rating Job Aids mailbox. Please describe the error in detail.
HEARING LOSS CALCULATOR USER GUIDE HL Calculator v4.7 Index Hearing Loss Calculator.....3 How to Navigate the Hearing Loss Calculator User Guide.4 Hearing Loss Calculator - Starting the Program..5 New
More informationOAK GROVE SCHOOL DISTRICT. Hearing Conservation Program
OAK GROVE SCHOOL DISTRICT Hearing Conservation Program CONTENTS PAGE 1.0 INTRODUCTION...1 1.1 Program Description...1 1.2 Scope...1 2.0 DEFINITIONS AND ACRONYMS...2 3.0 RESPONSIBILITIES...3 3.1 Supervisor/Department...3
More informationCourses offered regularly in Anchorage, Seattle or at your site or designated location throughout United States by contract
Council for Accreditation in Occupational Hearing Conservation Sandra MacLean Uberuaga, MA, CCC-A, F-AAA, CPS-A CAOHC Certified Course Director since 1988 CAOHC Certified Professional Supervisor/Audiometric
More informationVision and Hearing Screening Training 2014-2015
Vision and Hearing Screening Training 2014-2015 Kimberly H Bass, MA, CCC-A Educational Audiologist Bibb PEC 3600 Brookdale Ave. Macon, GA 31204 (478) 779-2771 Kimberly.bass@bcsdk12.net Meeting Norms Begin
More informationSCOPE OF PRACTICE POSITION STATEMENTS. Policy for Doctorate Degree Representation
SCOPE OF PRACTICE POSITION STATEMENTS Policy for Doctorate Degree Representation The Board of Examiners for Speech and Language Pathologists and Audiologists has established the following policy. It is
More informationYour Hearing ILLUMINATED
Your Hearing ILLUMINATED INFORMATION FROM YOUR HEARING CARE PROFESSIONAL REDISCOVER your hearing and reconnect 1 with the important things you might have been missing. Your sense of hearing is a vital
More informationReportable vs. Recordable. Recording and Reporting Occupational Injuries and Illnesses. Why Track Injuries? 1904.2 - Industry Exemption
Recording and Reporting Occupational Injuries and Illnesses 29 CFR Part 1904 Reportable vs. Recordable o Reportable BWC report claims ASAP there are only two reasons to report injuries to OSHA o Recordable
More informationHEARING CONSERVATION PROGRAM Prince Edward Island Government Departments
HEARING CONSERVATION PROGRAM Prince Edward Island Government Departments INTRODUCTION: The Government of PEI is committed to providing a healthy and safe work environment for our employees and to preventing
More informationSafety Issue: OSHA requires most employers to maintain. Recording and Reporting Occupational Injuries and Illnesses
Overview Safety Issue: Is your organization currently in compliance with OSHA s occupational injury and illness recording and reporting requirements? OSHA requires most employers to maintain occupational
More informationNote you MUST be certified at the time of the class to attend the recertification
Council for Accreditation in Occupational Hearing Conservation Sandra MacLean Uberuaga, MA, CCC-A, F-AAA, CPS-A CAOHC Certified Course Director www.alaskaoccupationalaudiology.com OCCUPATIONAL HEARING
More information29 CFR Part 1904. Revised 1/1/04
29 CFR Part 1904 Recording and Reporting Occupational Injuries and Illnesses Revised 1/1/04 1 Organization of the Rule Subpart A -Purpose Subpart B -Scope Subpart C -Forms and recording criteria Subpart
More informationPOLICY NUMBER: POL-09
Chapter: CLAIMS Subject: HEARING LOSS Effective Date: April 28, 1994 Last Updated: November 28, 2013 REFERENCE: Occupational Health And Safety Act R.S.P.E.I. 1988, Cap. 0-1.1, General Regulations, Section
More informationGuidance on professional practice for Hearing Aid Audiologists
Guidance on professional practice for Hearing Aid Audiologists Assuring High Quality Professional Hearing Care Introduction This booklet is intended to be guidance on good professional practices for Registered
More informationKUMC. Medical Surveillance Program
KUMC Medical Surveillance Program INTRODUCTION Employees at KUMC could potentially be exposed to safety hazards such as chemical, biological, and physical hazards. These hazards are most likely to occur
More informationInnovation Award. The Hearing Conservation Workshop. March 14, 2014
Innovation Award The Hearing Conservation Workshop March 14, 2014 HearTomorrow and The Hearing Conservation Workshop S. Benjamin Kanters, MM Associate Professor, Columbia College Chicago Associate Chair,
More informationPart 801 Recording and Reporting Public Employees' Occupational Injuries and Illnesses (Statutory authority: Labor Law 27-a)
Part 801 Recording and Reporting Public Employees' Occupational Injuries and Illnesses (Statutory authority: Labor Law 27-a) Sec. 801.0 Purpose 801.1 Reserved 801.2 Reserved 801.3 Reserved 801.4 Recording
More informationOSHA INJURY AND ILLNESS RECORDKEEPING 5 STEP PROCESS
29 CFR Part 1904 Recording and Reporting Occupational Injuries and Illnesses 1 Organization of the Rule Subpart A - Purpose Subpart B - Scope Subpart C - Forms and recording criteria Subpart D - Other
More informationTemporary Worker Safety Checklist
Temporary Worker Safety Checklist The following checklists provide guidance for staffing agencies and employers that hire temporary workers regarding the steps each party should take to ensure it is meeting
More informationSAFETY DOESN T HAVE TO BE EXPENSIVE! SAMPLE PAGES. OSHA Recordkeeping Policy
SAFETY DOESN T HAVE TO BE EXPENSIVE! OSHA Recordkeeping Policy Valued Customer, Thank you for selecting Affordable Safety Training safety solutions for your business. This OSHA Compliant Program will provide
More informationSAMPLE ACCEPTABLE PETITIONER'S OPENING BRIEF WORKERS' COMPENSATION CASE
SAMPLE ACCEPTABLE PETITIONER'S OPENING BRIEF WORKERS' COMPENSATION CASE (updated January 1, 2011) Disclaimer: This sample brief is adapted from a real brief filed in a real case. Identifying information,
More informationWe re here to change that. Transforming Occupational Medicine, one client at a time. Mission Statement
About Us is a privately owned company established in 1999 by its Founder, President & CEO Dr. Michael J. DeLitta. We believe that caring is the best medicine. This ideal is woven thoughout every aspect
More informationNational Institutes of Health
National Institutes of Health Hearing Conservation Program Division of Occupational Health & Safety May 2013 In compliance with 29CFR1910.95, this document provides information and services for the effective
More information29 CFR 1910 OSHA GENERAL INDUSTRY REGULATIONS
29 CFR 1910 OSHA GENERAL INDUSTRY REGULATIONS Subpart G Occupational Health & Environmental Control 1910.95 Occupational Noise Exposure 1910.95(c) Hearing Conservation Programs I Still Can t Hear You Experience
More informationBulletin Notifiable Occupational Diseases Information for Physicians
Occupational Health and Safety Bulletin Notifiable Occupational Diseases Information for Physicians Notifiable occupational diseases This Safety Bulletin is intended to remind physicians of their responsibilities
More informationHEARING CONSERVATION PROGRAM
HEARING CONSERVATION PROGRAM TABLE OF CONTENTS I. PURPOSE... 1 II. REGULATIONS AND OTHER APPLICABLE STANDARDS... 1 III. SCOPE... 1 IV. APPLICABILITY... 1 V. DEFINITIONS... 1 VI. RESPONSIBILITIES... 3 VII.
More informationOSHA Scripts. Hearing Protection CBT Script
Hearing Protection CBT Script Welcome / Splash Screen Welcome to the Florida Department of Transportation s computer-based training series on OSHA Construction Awareness Training. This is Chapter 3 Hearing
More informationHearing Test Results from 2009 Audio Engineering Society Convention Testing funded by Shure
Page 1 of 8 Hearing Test Results from 29 Audio Engineering Society Convention Testing funded by Shure SUMMARY The 127 th Audio Engineering Society (AES) convention was held in New York, New York from October
More informationConvincing More Patients to Get Help
Convincing More Patients to Get Help Practical Communication Skills from the Trenches by Gyl A. Kasewurm, Au.D. According to the National Institute of Health (NIH) sensory hearing loss is one of the most
More informationSECTION 4: OCCUPATIONAL HEALTH
SECTION 4: OCCUPATIONAL HEALTH 4.1 OCCUPATIONAL EXPOSURE ASSESSMENT The risk that an employee faces on the job is a function of the hazards present and his/her exposure level to those hazards. Exposure
More informationUnited States Department of Labor Employees Compensation Appeals Board DECISION AND ORDER
United States Department of Labor C.D., Appellant and U.S. POSTAL SERVICE, POST OFFICE, Chicago, IL, Employer Appearances: Appellant, pro se Office of Solicitor, for the Director Docket No. 15-1523 Issued:
More informationHEARING CONSERVATION PROGRAMS
HEARING CONSERVATION PROGRAMS Presented By: Roberto Sgrosso Occupational Hygienist WorkSafeNB October 8, 2015 OBJECTIVES At the end of this presentation, participants will be able to: Recognize the required
More informationGuide for families of infants and children with hearing loss
With early detection, Early Intervention can begin! Guide for families of infants and children with hearing loss Birth to 3 2008 Cover photograph Geneva Marie Durgin was born January 20, 2007. She lives
More informationAudio Examination. Place of Exam:
Audio Examination Name: Date of Exam: SSN: C-number: Place of Exam: The Handbook of Standard Procedures and Best Practices for Audiology Compensation and Pension Exams is available online. ( This is a
More informationThe NAL Percentage Loss of Hearing Scale
The NAL Percentage Loss of Hearing Scale Anne Greville Audiology Adviser, ACC February, 2010 The NAL Percentage Loss of Hearing (PLH) Scale was developed by John Macrae of the Australian National Acoustic
More informationNoise. CIH Review PDC March 2012
Noise CIH Review PDC March 2012 Learning Objectives Understand the concept of the decibel, decibel determination, decibel addition, and weighting Know the characteristics of frequency that are relevant
More informationHEARING LOSS CLAIM ASSESSMENT FORM
HEARING LOSS CLAIM ASSESSMENT FORM Name: Address: Post Code: Telephone: E-Mail: Date of Birth: Fire and Rescue Service: General Information: Making a claim against your employer for loss of hearing is
More informationDHS: PUBLIC HEALTH DIVISION. Occupational Public Health Program (OPHP) Introduction. Scope of the problem. Lauren Karam, M.P.H. Program Coordinator
DHS: PUBLIC HEALTH DIVISION Putting Data to Work Occupational Public Health Program (OPHP) Putting Data to Work is produced by the Occupational Public Health Program (OPHP) Oregon Department of Human Services,
More informationDr. Abdel Aziz Hussein Lecturer of Physiology Mansoura Faculty of Medicine
Physiological Basis of Hearing Tests By Dr. Abdel Aziz Hussein Lecturer of Physiology Mansoura Faculty of Medicine Introduction Def: Hearing is the ability to perceive certain pressure vibrations in the
More informationGuideline for Hearing Conservation and Noise Control
EVERYONE'S RESPONSIBILITY Guideline for Hearing Conservation and Noise Control February 2007 Guideline for Hearing Conservation and Noise Control Workplace Safety & Health Division 200 401 York Avenue
More information4. PROGRAM REQUIREMENTS
TABLE OF CONTENTS iv 4. PROGRAM REQUIREMENTS 413.401: Introduction... 4-1 413.402: Definitions... 4-1 413.403: Eligible Members... 4-3 413.404: Provider Eligibility... 4-3 413.405: Services Provided by
More informationThe New Airport Cabin Safety Rules for Flight Attendants
The Rules Are Changing How New OSHA Protections Will Affect You On August 22, 2013, the Association of Flight Attendants-CWA (AFA) hailed the announcement that some Occupational Safety and Health protections
More informationNoise. Patrick N. Breysse, PhD, CIH Peter S.J. Lees, PhD, CIH. Johns Hopkins University
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike License. Your use of this material constitutes acceptance of that license and the conditions of use of materials on this
More informationVeriPRO: Hearing protection fit testing has never been easier
VeriPRO: Hearing protection fit testing has never been easier Safety professionals have a universal challenge in protecting the hearing of their noise-exposed employees: how much protection do their employees
More informationMore information >>> HERE <<<
More information >>> HERE http://urlzz.org/hearloss/pdx/dcli864/ Tags: ## best way to get cheapest natural methods to
More information8.Audiological Evaluation
8. A U D I O L O G I C A L E V A L U A T I O N 8.Audiological Evaluation The external ear of the child with Progeria Behavioral testing for assessing hearing thresholds Objective electrophysiologic tests
More informationAudiology as a School Based Service. Purpose. Audiology (IDEA 2004) Arkansas SPED Regulations. IDEA 2004 Part B
Audiology as a School Based Service 2008 Medicaid in the Schools (MITS) Summit January 24, 2008 Donna Fisher Smiley, Ph.D., CCC-A Audiologist Arkansas Children s Hospital and Conway Public Schools Purpose
More informationEarly vs. Late Onset Hearing Loss: How Children Differ from Adults. Andrea Pittman, PhD Arizona State University
Early vs. Late Onset Hearing Loss: How Children Differ from Adults Andrea Pittman, PhD Arizona State University Heterogeneity of Children with Hearing Loss Chronological age Age at onset Age at identification
More informationCONTINUITY OF OPERATIONS AUDIT PROGRAM EVALUATION AND AUDIT
CONTINUITY OF OPERATIONS AUDIT PROGRAM EVALUATION AND AUDIT April 16, 2014 INTRODUCTION Purpose The purpose of the audit is to give assurance that the development of the Metropolitan Council s Continuity
More informationNOISE CONTROL AND HEARING CONSERVATION PROGRAM. University of Toronto
NOISE CONTROL AND HEARING CONSERVATION PROGRAM 1.0 INTRODUCTION AND SCOPE... 1 2.0 DEFINITIONS... 1 3.0 CRITERIA FOR NOISE EXPOSURE... 2 3.1 Individual Exposure... 2 3.2 Area Noise Levels... 3 4.0 RESPONSIBILITIES...
More informationEar Disorders and Problems
Ear Disorders and Problems Introduction Your ear has three main parts: outer, middle and inner. You use all of them to hear. There are many disorders and problems that can affect the ear. The symptoms
More informationUnited States Department of Labor Employees Compensation Appeals Board DECISION AND ORDER
United States Department of Labor Employees Compensation Appeals Board RAYMOND H. GUETTNER, Appellant and TENNESSEE VALLEY AUTHORITY, KINGSTON FOSSIL PLANT, Kingston, TN, Employer Appearances: Raymond
More informationACOUSTICAL CONSIDERATIONS FOR EFFECTIVE EMERGENCY ALARM SYSTEMS IN AN INDUSTRIAL SETTING
ACOUSTICAL CONSIDERATIONS FOR EFFECTIVE EMERGENCY ALARM SYSTEMS IN AN INDUSTRIAL SETTING Dennis P. Driscoll, P.E. and David C. Byrne, CCC-A Associates in Acoustics, Inc. Evergreen, Colorado Telephone (303)
More information