Thursday, August 21, 2014

Hearing loss - How's that again?

Identify the Loss Problem


  Cuts & scrapes heal and can leave behind scar tissue depending in the severity and treatment in the process, in some instances a story to tell.  Broken bones can mend back into close to their original condition with proper placement and time.  Our hearing is another story.  It can degrade as we age and damaged in the industrial realm by overexposure to noise.  According to Mosby's dictionary of medicine, nursing, & health professions (2012), Hearing Loss is defined as "an inability to perceive the normal range of sounds audible to an individual with normal hearing." Most damage caused to the inner ear is irreversible and cannot be healed naturally.  There are electro-mechanical means of amplifying sound to the damaged inner ear, but it would be best to implement defensive tactics beforehand so that we can maintain our hearing.  Excessive noise created in an industrial area is recurrently permanent.  Practicing hearing conservation through the usage of distance, physical barriers and wearing hearing protection are strongly encouraged, if not mandated by AFOSH, OSHA and other regulations.  Routine audiology exams can determine the employees ability to differentiate frequencies to detect loss of hearing.


Mosby's dictionary of medicine, nursing, & health professions. Retrieved from http://ezproxy.libproxy.db.erau.edu/login?url=http://search.credoreference.com.ezproxy.li            bproxy.db.erau.edu/content/entry/ehsmosbymed/hearing_loss/0

History
 
  Hearing loss can be traced back prior to The Industrial Age through the artillery utilized in war.  Cannon fire could be slightly muffled when the soldiers would cover their ears when firing and is still a major disability rating within veterans of today.  In an article by Kay Miller (2013) War is Loud: Hearing Loss is Most Common Veteran Injury, she states that " On flight decks, noise levels are around 130 decibels and helicopter noise is around 100 decibels, according to military noise assessment. A soldier near an M60 machine gun is exposed to 150 decibels and within 50 feet of an exploding grenade, 160 decibels."
 
 
  Hearing loss within industry has been around as the long as the noise producing machines.  Most workers just learned to live with it as it was part of the job.  When hearing protection was made available, it was usually uncomfortable and was not used with great regularity.  Comfort should be incorporated into the selection of hearing protection and not solely based upon price. 
 
An Article in Noise and Health by Davis (2008)  stated that "The most effective hearing protector is the one that is worn consistently and correctly. When workers are asked why they are not wearing their hearing protector in noise, two reasons are the most common: the inability to communicate and discomfort"

 

Hazard Analysis
 
  A common question is;  when should hearing protection be worn?  Each work center should have a noise level survey accomplished to determine whether or not hearing protection should be used.  When necessary hearing protection is required, signage should/shall be placed in conspicuous areas prior to entering the noise-prone area.
 
  Hearing loss can contribute to other disfunctions which rely upon your hearing capability.  In a blog written by Danny Gnewikow (2014), he addressed several other functions which could be encountered through the loss of hearing,
 
 
 
Laws and Regulations
 
  OSHA has predetermined exposure limits within noise-prone areas and is identified as such;  "OSHA sets legal limits on noise exposure in the workplace. These limits are based on a worker's time weighted average over an 8 hour day. With noise, OSHA's permissible exposure limit (PEL) is 90 dBA for all workers for an 8 hour day. The OSHA standard uses a 5 dBA exchange rate. This means that when the noise level is increased by 5 dBA, the amount of time a person can be exposed to a certain noise level to receive the same dose is cut in half."
 
 


Scope and Magnitude

  Hearing loss induced by noise within the delicate inner structure of the ear can be sudden from a single highly percussive event like an explosion, or can be strung out over extended periods of time in an industrial setting like years of flight line work in the presence of high frequency engine run-ups.   The hearing loss can be temporary or permanent, minor or severe, depending upon the incidence(s) and the individual.
  An article from Machinery & Equipment (2007), it is stated that "Lower overall daily exposure to noise will help prevent hearing loss in workers, which led to an estimated $100 million in compensation costs being paid out by the Workplace Safety and Insurance Board (WSIB) over the past decade." Not only does the loss of an employee's hearing effect the individual, it cost the company money in compensation and potential loss of production.
ONTARIO TO FURTHER PROTECT INDUSTRIAL WORKERS FROM HEARING LOSS. (2007). Machinery & Equipment, 23(1), 8. Retrieved from http://search.proquest.com.ezproxy.libproxy.db.erau.edu/docview/228257616?accountid=27203


Status of Prevention

- Administrative and Engineering Controls 

  Exposure to noise can be controlled to an extent by applying a few simple, cost effective measures;
 
  - Using noise generating machines when fewer people are around
 
  - Rotating individuals who are exposed to the noise so that they encounter it on a reduced basis
 
  - Using engineering controls can muffle the noise by designing a shielding enclosure to minimize exposure to the worker. 
 
  - Proper maintenance can aide in the reduction of noise generated by grinding parts which are in need of service of lubrication and cleaning.
 
  - Hearing protection is a less costly, but widely accepted alternative to engineering out the noise cause.  Earmuffs and earplugs provide a reduction of noise level that is being generated, but may be uncomfortable for extended use.

 
 - Hearing Protection Program
 
  OSHA guidelines for the Hearing Protection Program must be implemented whenever the conditions that the worker is exposed to a decibel rating of 85 or higher within 8 hours.  OSHA makes the following important elements of a proper effective hearing conservation program;
 
  • Workplace noise sampling including personal noise monitoring which identifies which employees are at risk from hazardous levels of noise.
  • Informing workers at risk from hazardous levels of noise exposure of the results of their noise monitoring.
  • Providing affected workers or their authorized representatives with an opportunity to observe any noise measurements conducted.
  • Maintaining a worker audiometric testing program (hearing tests) which is a professional evaluation of the health effects of noise upon individual worker's hearing.
  • Implementing comprehensive hearing protection follow-up procedures for workers who show a loss of hearing (standard threshold shift) after completing baseline (first) and yearly audiometric testing.
  • Proper selection of hearing protection based upon individual fit and manufacturer's quality testing indicating the likely protection that they will provide to a properly trained wearer.
  • Evaluate the hearing protectors attenuation and effectiveness for the specific workplace noise.
  • Training and information that ensures the workers are aware of the hazard from excessive noise exposures and how to properly use the protective equipment that has been provided.
  • Data management of and worker access to records regarding monitoring and noise sampling.






  •  What can be done to address the hazard or exposure?
     
     
    - Training and Education
     

    - Supervision involvement

     
    - Hearing Protection Program


    - Advertising
      The music industry can parallel some of the dangers of hearing loss as well as industrial. 
     
    May has been designated Better Hearing (and Speech) Month since 1927
     





    
     
     
     
     
     Constant exposure to high decibel noises over a long period of time without hearing protection is a recipe for disaster. 
     
      Cory Schaeffer co-founded Listen Technologies in 1998 and posted this in her blog (2013) May Is Hearing Loss Awareness Month;
     
    Practice what to say if friends ask why you wear hearing protectors.
    Be blunt: “It’s earplugs now . . . or hearing aids later.”
    Be funny: “My career goal is to be an underwater piano tuner. Hearing loss will kill my dream.”
    Be smart: “I wear a bicycle helmet to protect my head and earmuffs to protect my hearing.”
    Be a friend: “Hearing loss from too much noise is permanent —and totally preventable. Want to know how?”
     Getting the story-line first-hand is probably the best way to get a point across, hearing-loss is no different.  We can harp on the subject day in and day out but there will always be those who think that they are immune to the not-so-silent killer of hearing loss.  Have individuals who have learned the hard way is a get-in-your-face tactic which would bring the subject matter close to heart.  Once your hearing is gone, it will not come back naturally. 
     



     
     
     


     
     
     
     
     
     
     
     
     


     
     

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