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Following Instructions

Learning through Communication

Hearing is a very important part of your day to day life. Hearing enhances almost every facet of your life. It enables you to communicate, learn, and follow instructions.

Hearing provides you enjoyment when listening to television, movies, radio, and concerts. But when you are exposed to harmful sounds--sounds that are too loud or loud sounds over extended periods of time--sensitive structures of your inner ear can be damaged, causing noise-induced hearing loss. Some hearing loss may be temporary, but if exposure continues it could be permanent. 
 

Noise-induced hearing-loss is 100% preventable. However, once acquired, hearing loss is permanent and irreversible.

According to the National Institute on Deafness and Other Communication Disorders (NIDCD) 30 million Americans suffer some degree of hearing loss. One-third can attribute their hearing loss to noise exposure. Noise-induced hearing loss is the second most self-reported occupational illness or injury.

For additional information, see  Noise and Hearing Conservation. OSHA Safety and Health Topics Page.

Youth Restaurant Worker Wearing Headset
Fast food worker - wearing headset turned up too high may be a candidate for hearing loss.

The following are commonly asked questions and answers about noise and hearing loss: 


What is noise-induced hearing loss?

Hearing is a series of events in which the ear converts sound waves into electrical signals that are sent to the brain and interpreted as sound.  Image of the inner ear
Exposure to harmful sounds causes damage to the sensitive hair cells of the inner ear as well as the hearing nerve. Once these structures are damaged noise induced hearing loss occurs and cannot be reversed. Two types of noise can injure these structures and lead to noise-induced hearing loss:
  • Loud impulse noise - hearing a gunshot at close range.
  • Loud continuous noise - repeated exposure to loud sounds over the 85-90-decibel level, for extended periods of time. (For example, listening to loud music in headphones, or working around noisy equipment like jackhammers).
What are the symptoms associated with hearing loss?
  • Ringing or buzzing in the ears.
  • Difficulty in understanding speech.
  • Slight muffling of sounds.
  • Difficulty understanding speech in noisy places or places with poor acoustics.
Once you have symptoms permanent damage may have already occurred. 
  • If you are having symptoms of hearing loss, have your hearing tested by a licensed audiologist, or have your ears examined by an ear doctor.
  • Facts on Noise. League for the Hard of Hearing. Provides multiple fact sheets about noise and related topics.
How can hearing loss be prevented?
  • Pay attention to the noises around you and turn down the volume whenever possible.
  • Use headphones that contain acoustical limiting devices. Headsets that use acoustical limiting devices are designed to provide sufficient protection to keep the noise level below the level that causes ear damage.
  • Avoid the continuous use of portable stereos in noisy conditions. (Listeners tend to turn up their personal stereos too high, to overcome the noisy environment and cause hearing damage).
  • Avoid or limit time spent in noisy sports events, rock concerts, and night clubs. 
  • Wear adequate hearing protection, such as foam ear plugs or ear muffs, when you must be in a noisy environment or when using loud equipment.
  • For additional information, see: Noise and Hearing Loss Prevention. National Institute of Occupational Safety and Health (NIOSH) Safety and Health Topic Page.
How do I know how much sound is too much?

If you have to shout when you talk to a coworker who is standing next to you, the noise level at your workplace may be hurting your ears.

Sound is measured in decibels. Eight hours of hearing noise at 85 decibels could hurt your hearing. At higher sound levels, you could lose hearing in even less time.

Workplaces where sound levels are an average of 85 decibels or higher for more than eight hours must have programs to save the hearing of workers. These workplaces must give free hearing protection devices to workers.
What can I do if I work in a noisy environment?
  • Your employer must follow OSHA's Occupational Noise Exposure Standard, 29 CFR 1910.95, if applicable and:
  • Implement feasible administrative and engineering controls whenever employee noise exposures exceed 85 dBA (eight-hour time-weighted average (TWA).
  • When this occurs, OSHA requires employers to notify employees, to establish and maintain a hearing test program, and to train workers how to prevent occupational hearing loss. 
  • Wear hearing protection provided by your employer.
What can I do if I work around noisy equipment?


Youth Occupations with Noise Exposures

Approximate noise levels teens are exposed to in some typical youth occupations.
 
Youth Occupations  (dB)
decibels
Activity
phone operator 60dB everyday conversation, ringing telephone
waitress, waiter, dishwasher 70dB   restaurant atmosphere
clean-up jobs 80dB heavy city traffic, alarm clock at 2 feet, factory noise, vacuum cleaner, garbage disposal
Experts agree that continued noise exposure above this level (85 dBA) over time, will eventually harm hearing. In general the louder the sound, the less time required before hearing will be affected.
lawn-care worker 90dB  subway trains, motorcycle, workshop tools, lawn mower
record/music store
worker, auto body mechanic ,
construction/carpenter,
copy center worker,
ushers at operas or musicals
100dB working near a chain saw, pneumatic drill, loud music in headphones
manufacturing employee,
snowmobile operator,
video arcade worker,
agricultural worker,
amusement park worker
110dB farm machinery, other machinery certain children's toys, 
dance club
disc jockey 120dB  rock concert speaker sound, sandblasting, thunderclap
  130dB  jet during take off, gunfire

Links for Teens

Links for Parents

Links for Employers
  • Noise-Induced Hearing Loss - Attitudes and Behaviors of U.S. Adults. National Institute of Safety and Health (NIOSH) Safety and Health Topic. Reports that 48% of US adults believe that they have suffered some hearing loss, including 35% of those 18 to 29 years of age.
  • Noise-Induced Hearing Loss (N-IHL) Fact Sheet. Canadian Association of Speech-Language Pathologists and Audiologists (CASLPA), 113 KB PDF, 2 pages. Reports effects of excessive noise, aside from a hearing loss, also include balance problems, and increase in heart rate, blood pressure or respiration, tension, anxiety, tinnitus (or ringing in the ears), nausea, sleep disturbance, irritability, shallow breathing, and headaches.
  • Work-Related Hearing Loss. US Department of Health and Human Services (DHHS), National Institute of Occupational Safety and Health (NIOSH) Publication No. 2001-103, (2001).
  • Noise-Induced Hearing Loss in Construction. Electronic Library of Construction Occupational Safety and Health (eLCOSH). Reports that more than 60% of construction workers experienced hearing loss, and the amount of hearing loss varies by occupation.
Accessibility Assistance: Contact the OSHA Directorate of Science, Technology and Medicine at 202-693-2300 for assistance accessing PDF materials.

Links for Educators
  • Ten Ways to Recognize Hearing Loss. National Institute on Deafness and Other Communication Disorders (NIDCD). Learn to recognize the symptoms of hearing loss. Take the test.
  • Noise Exposure and Agriculture. National Ag Safety Database (NASD). Indicates that farmers and other agricultural workers may experience substantial hearing loss by the age of 30.
  • Dangerous Decibels. A Public Health Partnership for the Prevention of Noise Induced Hearing Loss.
    • Approximately 30 million Americans are affected by hearing loss and 50 million have tinnitus: an early indicator of hearing loss.
    • 5.2 million 6-19 year olds have hearing loss directly related to noise exposure.
  • Occupational and Community Noise. World Health Organization (WHO). Estimates that globally, some 120 million people have disabling hearing difficulties. The health effects of the hazardous noise exposure are now considered to be an increasingly important public health problem.

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