Dr. Juan Carlos Olmo
Doctor Tinnitus
Audiologist, Hearing Test and Hearing Aids
Tel: (506) 22905239
WhatsApp: (506) 87230197
info@clinicasdeaudicion.com
San Jose Costa Rica
Occupational hearing conservation
What is a Hearing Conservation Plan according to OSHA, and what are its parts?
A Hearing Conservation Plan (HCP) is a set of measures and actions designed to protect the auditory health of workers exposed to dangerous noise levels in the workplace. According to OSHA (Occupational Safety and Health Administration), HCPs are an important part of any workplace hearing health program and must be in place in any workplace where workers are exposed to dangerous noise levels.
An HCP should include the following elements:
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Evaluation of workplace noise levels: You must assess noise levels in the workplace to determine if there is a risk of damaging workers' hearing health. This can be done by taking noise measurements and comparing the results to the maximum noise exposure limits established by OSHA.
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Identification of workers exposed to dangerous noise levels: You must identify workers who are exposed to dangerous noise levels to take steps to protect their hearing health.
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Evaluation of hearing health hazards: You must evaluate the hearing health hazards to determine which control measures are necessary to protect workers' hearing health.
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Determination of necessary control measures: You must determine which control measures are necessary to protect the hearing health of workers exposed to dangerous noise levels. This may include using hearing protection equipment, implementing safe work procedures, soundproofing work areas, and training workers on the proper use of hearing protection.
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Action plan to control noise levels: You must have an action plan to control noise levels in the workplace and protect workers' hearing health. This plan should include a description of the control measures that have been implemented and how these measures will be applied and monitored.
What are Dangerous Noise Levels according to OSHA?
According to OSHA (Occupational Safety and Health Administration), dangerous noise levels are those that can damage workers' hearing. OSHA sets maximum exposure limits (MELs) to protect the hearing health of workers.
The MELs are set based on exposure time and noise level. OSHA sets a MEL of 90 decibels (dB) for eight hours of noise exposure. If a worker is exposed to noise levels above 90 dB for eight hours, they are considered to be exposed to dangerous noise levels and must use hearing protection.
Workers who are exposed to dangerous noise levels must use appropriate hearing protection to protect their hearing health. Employers must provide adequate hearing protection to workers who are exposed to dangerous noise levels and must provide instructions on how to use the hearing protection correctly.
It's important to note that dangerous noise levels depend not only on the noise level but also on the exposure time. For example, a worker who is exposed to a noise level of 95 dB for only one hour would not be exposed to dangerous noise levels, while a worker who is exposed to a noise level of 95 dB for eight hours would be. Therefore, it is important to consider both the noise level and the time of noise exposure when evaluating whether a worker is exposed to dangerous noise levels and if they need hearing protection.
OSHA also sets maximum noise exposure limits for different shorter time periods. For example, the MEL for a 15-minute exposure is 115 dB, and the MEL for a 30-minute exposure is 110 dB. If a worker is exposed to noise levels above these limits for a shorter period, they are also considered to be exposed to dangerous noise levels and must use hearing protection.
What is Occupational Hearing Screening or Annual Monitoring Audiometry?
Occupational hearing screening is a hearing evaluation for workers who are exposed to dangerous noise levels at work. The goal of occupational hearing screening is to detect hearing disorders in workers early and take steps to protect their auditory health.
Occupational hearing screening is carried out by performing an audiometry. The hearing test is performed in a quiet, controlled environment and consists of presenting workers with a series of pure tones at different intensities and frequencies to evaluate their ability to hear and understand sounds.
The results of the occupational hearing screening are compared with maximum noise exposure limits established by OSHA (Occupational Safety and Health Administration) and are used to determine if workers have hearing loss and to what degree. If the results indicate that a worker has hearing loss, they should be provided with hearing protection equipment, and measures should be taken to control noise levels in the workplace.
It is important to perform occupational hearing screenings regularly to ensure that workers who are exposed to dangerous noise levels receive adequate protection and to detect any hearing disorders early.
What is an Audiometer?
An audiometer is an electronic device used by audiologists and other hearing health professionals to measure a person's hearing. Audiometers are used to evaluate a person's ability to hear and understand speech sounds at different tones and volumes.
Audiometers typically have a series of headphones and a screen or control panel. The audiologist or hearing health professional selects different tones and volumes of sound and plays them through the headphones. The patient indicates when they hear the sound, and the audiometer records the results.
The results of the audiometry test are presented in a graph called an audiogram, which shows the patient's hearing ability at each tone and volume. The audiologist or hearing health professional analyzes the audiometer's results to determine the type and degree of hearing loss the patient has.
Audiometers are used to evaluate the hearing of people of all ages, from infants to older adults. They are also used to evaluate the hearing of people who have had previous hearing loss and to determine if they need hearing aids or prosthetic devices. Audiometers are an important tool for diagnosing and treating hearing loss.
What is an Audiogram?
The graph that shows the results of the audiometry test is called an audiogram. An audiogram is a graph that shows a person's hearing ability in decibels (dB) at different tones and frequencies (Hz). Audiograms typically have two axes: the vertical axis represents the volume or sound level, and the horizontal axis represents the frequency or tone of the sound.
Audiograms are used to evaluate the hearing of people of all ages, from infants to older adults. They are also used to evaluate the hearing of people who have had previous hearing loss and to determine if they need hearing aids or prosthetic devices. Audiograms are an important tool for diagnosing and treating hearing loss.
What Types of Audiometers Exist According to ANSI?
The ANSI S3.6-2017 standard establishes the minimum requirements for the quality, accuracy, and performance of audiometers. According to this standard, there are three types of audiometers:
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Manual Audiometers: These audiometers require the operator to manually handle the tone and volume controls and provide feedback to the patient. They are ideal for hearing evaluations in medical settings and for performing hearing tests on people with intellectual disabilities or young children.
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Automatic Audiometers: These audiometers have an automatic system that controls the tone and volume and provides feedback to the patient. They are ideal for hearing evaluations in medical settings and for performing hearing tests on people with intellectual disabilities or young children.
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Computerized Audiometers: These audiometers use a computer to control the tone and volume and provide feedback to the patient. They are ideal for hearing evaluations in medical settings and for performing hearing tests on people with intellectual disabilities or young children.
Manual, automatic, and computerized audiometers must meet the minimum accuracy and performance requirements established by the ANSI S3.6-2017 standard. Audiometers must be calibrated regularly to ensure they provide accurate and consistent results.
What is Occupational Audiometry?
Occupational or workplace audiometry is a type of hearing test performed in the workplace to evaluate a worker's ability to hear and understand speech sounds at different tones and volumes. Occupational audiometry is used to determine if a worker has hearing loss that may affect their ability to perform their job effectively and safely.
Occupational audiometry is performed using an audiometer, an electronic device that measures a person's hearing through a series of sound tones and volumes. The test results are presented in a graph called an audiogram, which shows the worker's hearing ability at each tone and volume.
Occupational audiometry is an important tool for protecting the hearing health of workers and for preventing exposure to dangerous noise levels at work. It is also useful for determining if a worker needs hearing aids or prosthetic devices to improve their ability to hear and understand speech at work.
What is a Baseline Audiometry?
Baseline audiometry is a type of hearing test performed to determine a worker's hearing level before they are exposed to dangerous noise levels at work. According to OSHA (Occupational Safety and Health Administration), baseline audiometry is an important tool for protecting the hearing health of workers and for preventing exposure to dangerous noise levels at work.
Baseline audiometry is performed using an audiometer, an electronic device that measures a person's hearing through a series of sound tones and volumes. The test results are presented in a graph called an audiogram, which shows the worker's hearing ability at each tone and volume.
Baseline audiometry is performed in a controlled test environment with no noise exposure. This allows for an accurate measure of a worker's hearing level before they begin working in a noisy environment. Baseline audiometry is generally performed when a worker joins a company or when they change jobs and are expected to be exposed to dangerous noise levels.
Baseline audiometry is an important part of a workplace hearing health program and is necessary to establish a baseline for a worker's hearing. This allows for the detection of any hearing loss that may occur as the worker is exposed to dangerous noise levels at work.
Método OSHA para medir la efectividad de la protección auditiva: NRR



Método de Verificación de la Protección Auditiva según CAOHC y OSHA y el Nivel de Reducción de Ruido (NRR)
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En el ámbito de la salud auditiva ocupacional, una de las mayores preocupaciones es la exposición a niveles de ruido dañinos que pueden llevar a una pérdida de audición permanente. Tanto el Consejo de Conservación Auditiva Ocupacional de Estados Unidos (CAOHC) como la Administración de la Salud y Seguridad Ocupacional de Estados Unidos (OSHA) establecen pautas estrictas para garantizar la efectividad de la protección auditiva en el entorno laboral.
Nivel de Reducción de Ruido (NRR)
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El Nivel de Reducción de Ruido (NRR, por sus siglas en inglés) es una medida estándar utilizada para determinar la efectividad de un protector auditivo, como tapones o orejeras. Se expresa en decibelios (dB) y representa la cantidad teórica de reducción de ruido que el dispositivo puede proporcionar en un entorno de laboratorio. Un NRR de 30 dB, por ejemplo, sugiere que el protector puede reducir el nivel de ruido en 30 dB. Es importante destacar que el NRR se basa en un cálculo que no siempre refleja la atenuación real que se obtiene en el mundo real, ya que el ajuste y uso correctos son cruciales.
Método alternativo de comprobación de la efectividad de la protección auditiva con equipo de oído real.
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Para verificar la efectividad de la protección auditiva de forma individual, OSHA y CAOHC recomiendan el uso de pruebas de ajuste personalizadas. Estas pruebas, conocidas como Fit-Testing, evalúan la verdadera atenuación que un trabajador específico logra con su protector auditivo. El proceso implica:
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Medición del ruido ambiental: Se mide el nivel de ruido al que está expuesto el individuo.
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Medición con el protector: Se mide el nivel de ruido percibido por el trabajador mientras lleva puesto su protector auditivo.
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Cálculo de la atenuación real: La diferencia entre el ruido ambiental y el ruido percibido con el protector puesto, da como resultado la atenuación real del dispositivo para ese usuario específico. Este valor se conoce como la clasificación de atenuación personal (PAR).
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La atenuación personal (PAR) es más precisa que el NRR, ya que considera el ajuste individual del protector. El objetivo principal es que, una vez que se utiliza la protección, el nivel de exposición al ruido en el canal auditivo sea inferior al límite permitido por OSHA.
Cálculo del Nivel de Exposición
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Para determinar el nivel de ruido al que está expuesto un trabajador con su protección auditiva, se utiliza la siguiente fórmula:
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Nivel de Exposición = Nivel de Ruido Ambiental - NRR
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Sin embargo, para cumplir con las regulaciones de OSHA, se debe aplicar un ajuste para reflejar las condiciones de uso en el mundo real. OSHA requiere un factor de descuento, por lo que la fórmula corregida es:
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Nivel de Exposición = Nivel de Ruido Ambiental - [(NRR - 7) / 2]
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Este ajuste del factor de 7 dB y la división entre 2 es una medida de seguridad que compensa las diferencias entre los resultados de laboratorio y el uso práctico.
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La conservación auditiva es un compromiso continuo y la medición de la efectividad de los protectores auditivos de forma individual es un paso fundamental para prevenir la pérdida de audición inducida por ruido.
Fuentes de consulta
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U.S. Department of Labor. Occupational Safety and Health Administration. OSHA Technical Manual. Chapter 1: Noise and Hearing Conservation. 2024. [consultado 19 Sep 2025]. Disponible en: https://www.osha.gov/otm/section-3-health-hazards/chapter-5-noise-and-hearing-conservation
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Council for Accreditation in Occupational Hearing Conservation (CAOHC). CAOHC Manual. 2023. [consultado 19 Sep 2025]. Disponible en: https://www.caohc.org/resources/caohc-manual
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Hearing Conservation [Internet]. Centers for Disease Control and Prevention. 2024. [consultado 19 Sep 2025]. Disponible en: https://www.cdc.gov/niosh/topics/noise/default.html









