NOISE+AND Noise Acoustics ACOUSTICS ~ Hierarchy of Controls Ototoxic Chemical Exposures Confirmed Ototoxics • Ethyl Benzene • Lead and Inorganic Compounds (Pb) Ototoxic Chemicals Noise • Styrene • Toluene • Trichloroethylene Possible • Carbon disulfide • n-Hexane • Xylene Hearing Loss How We Hear The Auditory System Chem/Elec Acoustical Hydraulic Mechanical Hearing Protection Selection Hearing Protection Devices (HPDs) Single-Use / Multiple-Use / Detectable Earplugs Banded Earplugs Radio & Stereo Earmuffs Sound Amplification Earmuffs Passive Earmuffs Intelligent Hearing Protection Hearing Protection Selection Uniform / Flat Attenuation HPDs PRO • More natural sounds • Lower attenuation ideal for moderate noise environments • Ideal for hearing-impaired workers CON • Lower attenuation than most earplugs • Slightly higher cost Hearing Protection Selection Uniform / Flat Attenuation HPDs Speech will sound more natural with this earplug. 8000 4000 2000 1000 500 250 125 50 Attenuation in dB Variation in attenuation is only 5 dB in speech range (250 - 4kHz) 63 Frequency in Hz 45 40 35 30 25 20 15 10 5 0 Uniform Attenuation Earplug Conventional Earplug Hearing Protection Selection Intelligent Hearing Protection PRO • Communicate in high, changing noise • Increased situational awareness • Can integrate active hearing protection, ANR, fit testing, PSEM • Connect with radios • Compatible with other PPE CON • Higher cost than passive HPD • Control unit as additional PPE to wear • Appropriate for specific applications or environments (eg. intrinsically safe) Hearing Protection Selection Hazards of Overprotection Choosing a protector with an NRR higher than necessary may result in overprotection • Verbal communication may be hindered • Warning alarms may not be heard • Machine noises may be too diminished • HPDs may be removed Hearing Protection Selection Hazards of Overprotection Insufficient Protection 85 dB Acceptable Protection 80 dB Optimal Protection 75 dB Acceptable Protection 70 dB Possible Overprotection Hearing Protection Selection Hazards of Overprotection In the United States, 76% of noise-exposed workers need no more than 10 dB of protection. 90% need no more than 15 dB of protection. Hearing Protection Selection Hearing Protection Selection Factors Comfort • The right hearing protector should feel comfortable • One protector may not satisfy all workers • Offer a variety of earplugs or earmuffs to meet varying worker needs and preferences Hearing Protection Selection Hearing Protection Selection Factors Noise Reduction • Selecting HPDs with suitable attenuation for noise environment • Avoid overprotection in marginal noise environments • Consider banded earplugs for intermittent noise or electronic earmuffs for impact noise. Hearing Protection Selection Hearing Protection Selection Factors Size • Every ear canal has its own shape and size • Ensure proper fit with variety of earplug sizes and shapes • Sized multiple-use earplugs • Low-pressure foam earplugs for smaller ear canals Hearing Protection Selection Hearing Protection Selection Factors Communication • Keep workers connected to their environment • Uniform attenuation allows speech/signals to be hear more naturally • Sound amplification earmuffs for workers with hearing impairment Hearing Protection Selection Hearing Protection Selection Factors Job Requirements • Consider job requirements in HPD selection • Detectable earplugs for process industries • Hi-visibility earmuffs for dark/high traffic areas • Dielectric HPDs for electrical environments Hearing Protection Selection Hearing Protection Selection Factors •• Proper Roll vs.care No-Roll and earplugs maintenance can lifemultiple-use and • extend Foam vs. performance of HPDs earplugs Hygiene •• Examine cleanear Clean andand replace all multiple-use cushions on earmuffs every 4-6 months earplugs daily •• Clean replace Clean and and examine ear cushions on multi-use earplugs daily earmuffs every 4-6 months Hearing Protection Selection Hearing Protection Selection Factors Use w/ Other PPE • Cap-mounted earmuffs for hard hats • Multiple-position earmuffs for full-brim hard hats • Ultraslim neckband earmuffs with welding shields • Respirators preventing communication • Eyewear interfering w/seal of earmuffs, attenuation Hearing Protection Selection Hearing Protection Selection Factors • Awareness of surroundings • Understand what is happening around you • Communicate with coworkers (face-to-face or 2way radios) • Increased personal safety, avoid other risks • Avoid isolation from environment Connect w/ Environment Noise Reduction Rating How much noise is reaching the ear of the worker ? Noise Level NRR 100 dBA 25 dB It’s completely UNKNOWN! Noise Reduction Rating Noise Reduction Rating • A laboratory estimate of the amount of attenuation achievable by 98% of users when properly fit • A population-based rating ― some users will get more attenuation, some will get less The NRR is only a population estimate, not a predictor of individual attenuation. Noise Reduction Rating Determining the NRR • 10 human subjects tested in a simulated industrial room • Tested with ears open / occluded at nine frequencies • Each subject tested 3x • NRR calculated to be population average A test subject in the Howard Leight Acoustical Lab, San Diego, CA, accredited by the National Voluntary Laboratory Accreditation Program (NVLAP) Noise Reduction Rating NRR Determining the NRR NRR Number of test subjects 5 4 3 2 1 14 18 19 20 22 23 Attenuation 24 26 28 25 27 30 32 Noise Reduction Rating De-Rating Methods (US/CAN) NRR ÷ 2 Reduce NRR Class System pending feasibility of engineering controls Earmuffs NRR – 25% Formable Earplugs NRR – 50% All Other Earplugs NRR – 70% A up to 100 Fit Test B up to 95 C up to 90 Noise Reduction Rating Real-World Attenuation ≠ NRR 50 Attenuation in dB 40 30 20 10 Retraining and refitting resulted in an average +14 0 -10 192 Users of a Flanged Multiple-Use Earplug (NRR 27) Noise Reduction Rating Three New Labels LABEL DESCRIPTION Conventional HPD Perform lab test with subjects who fit the protector after brief training Estimates the range of protection achieved by 20% and 80% of users Active Noise Reduction (ANR) • Uses a Microphone-in-Real-Ear (MIRE) method to estimate protection • Measured with ANR turned OFF and ON to show the additional attenuation from the ANR Level Dependent/ Impulse Noise Reduction • Testing will occur over a range of impulse noise levels. Multiple tests to determine lower and upper ranges of impulse noise reduction • Will include two ranges to identify attenuation for passive and active modes Noise Reduction Rating Determining New NRR • 20 human subjects tested in a simulated industrial room • Subject trained then fits their own earplugs • Tested with ears open / occluded at 9 frequencies • Each subject tested 2x • NRR calculated to be population average Noise Reduction Rating New NRR (NRsa) 20% achieved > 26 dB Number of test subjects 5 80% achieved > 20 dB 4 3 2 1 11 14 18 19 20 22 23 24 26 28 25 27 Attenuation 30 33 Noise Reduction Rating How to Apply the New Label Two-number range displays the estimated protection achievable by minimally-trained users [80%] versus proficient users [20%]. 80% 20% A wider range indicates greater variability in the fit of that HPD. Smaller ranges indicate more consistency of fit. For example, earmuffs will usually have a tighter fitting range than earplugs, and may have a smaller NRR range. Noise Reduction Rating NRR Change Resources PDF and other articles available at www.hearforever.org Noise Reduction Rating Biggest Factors in Achieving PAR 2. WEAR TIME 1.FIT A worker who selects an earplug with an PAR of 30 but then removes that HPD for just … effectively reduced his 8-hour PAR to just … 30 dB 5 min 10 min 15 min 30 min 26 dB 24 dB 22 dB 18 dB In noise exposures, small intervals of no protection quickly void large intervals of adequate protection. Noise Reduction Rating Dual Protection EARPLUG + EARMUFF • For extreme noise environments • To estimate the protected noise level, add about 5 dB to the higher NRR protector = DUAL PROTECTION Earplug PAR Earmuff NRR Maximum Dual Protection 29 dB 29 dB 34 dB Noise Reduction Rating What Can I Do Now? Although the new labeling regulation takes effect whenever the final rule is published by the EPA, there are a number of actions you can take now to prepare your Hearing Conservation Program for the change. Evaluate Noise Spectra • Determine if spectral balance corrections will be necessary One-on-One Training • Research studies confirm that one-onone training is superior to group training Noise Reduction Rating What Can I Do Now? Evaluate HPD Selection • Determine whether they are appropriate for your noise environment. • Use the Howard Leight Hearing Protector Selector for recommendations. Update Training Program • Hold “Toolbox Training” with fit training refresher Noise Reduction Rating What Can I Do Now? Use Earplug Fit Testing • Train how to properly fit HPDs • Select appropriate HPDs • Document adequate protection Use In-Ear Dosimetry • Measure, document noise dose employee is exposed to during work shift Next Generation of Hearing Conservation Technology Next Generation of Hearing Conservation Technology New Measurement Technologies Earplug Fit Testing Personal Sound Exposure Monitoring (PSEM) Next Generation of Hearing Conservation Technology Earplug Fit Testing Provides an accurate, real-world picture of your employees’ hearing protector effectiveness. ID if your employees are • Getting the right protection • Need additional training • Need different earplug Problem Solver: • Eliminate De-Rating Schemes • Improve One-on-One Training • Validate Hearing Protector Selection • Adapt to Impending NRR Change Next Generation of Hearing Conservation Technology Fit Testing Systems Real Ear at Above Threshold (REAAT) Loudness Balance Commercial Available System Next Generation of Hearing Conservation Technology Personal Measurement Systems Personal Sound Exposure Monitoring (PSEM) Commercial Available Systems Next Generation of Hearing Conservation Technology Fit Testing as Best Practice OSHA / NIOSH / NHCA Alliance Research studies have suggested that when individuals are involved in the fitting process and receive positive feedback on the proper fit of their earplug, they will be more likely to have a positive attitude about protecting their hearing and will be more apt to use hearing protection correctly and consistently in the workplace. This positive outcome should result in reducing noise-induced hearing loss in the workplace. Available for download at www.hearingconservation.org Next Generation of Hearing Conservation Technology Fit Testing Comments from Workers "I know how to better fit my earplugs now.” "Recently had a threshold shift. Found better earplugs." "I had no idea I was not using my earplugs correctly." "Learned A LOT about best earplugs for me." "I found a more comfortable fit. It was very beneficial." "Very glad I did the fitting test. Now I know the correct way to fit my ear plugs.” "I was amazed with the results after being shown the proper way to use earplugs. "Feel like am protected now!" Next Generation of Hearing Conservation Technology PROs & CONs of Fit Testing PRO CON Estimate / Measure Cost NRR Obsolete Time Investment Fulfills OSHA Compliance Not Standardized Eliminate De-Ratings Medico-Legal Cases Work-Relatedness No Dual Protection Employee Feedback Hearing Protector Fitting 0 dB 0 dB >33 dB EAR #1 EAR #2 EAR #3 How much protection? Hearing Protector Fitting Good Fit vs Bad Fit 90 Attenuation in dB 80 70 60 50 40 30 20 10 0 -10 Max Good Fit NRR = 33dB Max Poor Fit NRR = 0dB 8000 6300 4000 3150 2000 1000 500 250 125 Frequency in Hz Hearing Protector Fitting Roll-Down Foam Earplugs 1. Roll entire earplug into a crease-free cylinder 2. Pull Back pinna by reaching over head with free hand, gently pull top of ear up and out 3. Insert earplug well into ear canal and hold until it fully expands Training + Motivation Personalize Hearing Loss Show, Don’t Tell • Provide copy of annual audiogram to worker • Use personal examples to demonstrate consequences of hearing loss • Ask questions: • What is your favorite sound? • What sound would you miss the most if you couldn’t hear? • What sounds connect you to people and your environment? Training + Motivation Demonstrate Future Risk Training Materials www.hearforever.org www.hearingconservation.org www.grc.nasa.gov/www/acoustics www.cdc.gov/niosh/topics/noise www.dangerousdecibels.org www.hearforever.org/ AIH Training + Motivation www.hearforever.org Training + Motivation Send Clear Message On + Off Job HC Part of Everyday Life • Include recreational hearing conservation in annual training • Provide extra HPDs for home use • Promote Hearing Conservation at company/family events Training + Motivation Remove Barriers to HPD Use Make HPDs Available • Highlight “where to find HPDs” in annual training • Make sure HPDs are wellstocked and accessible • Include group of workers in selection process for increased acceptance • Offer wide variety to match comfort, job requirements Training + Motivation Checking Off the OSHA Amendment List Health effects of noise Purpose of hearing protection Advantages/ disadvantages of various Selection, fit, use and care of HPD Purpose and procedures of audiometric testing Training + Motivation Professional Organizations www.hearingconservation.org Training + Motivation Online Resources www.youtube.com/hlhearforever Bringing It Together Challenges in Industry Hearing Protection vs Situational Awareness Hearing Protection vs Two-Way Communication Situational Awareness vs Two-Way Communication Bringing It Together Challenges in Industry Too LITTLE Hearing Protection Noise Exposure, Risk for Occ Hearing Loss Too MUCH Hearing Protection Worker Isolation, Safety Risk to Self and Others Bringing It Together Challenges in Industry Difficulties in managing two-way communications in extreme noise environments Bringing It Together Challenges in Industry High Noise Exposure • Most provide attenuation >25 dB (without de-ratings) • Oil platforms > 110 dBA • Mining > 105 dBA Passive Protection • Most designed for constant noise levels • Do not adapt for changing noise levels or types of noise (intermittent, impact) • Communication without two-way radios Photo: Øyvind Hagen / Statoil Bringing It Together Challenges in Industry Difficult Speech Intelligibility • Communication in high noise levels requires concentration by the user • Often raise headset volume to compensate for high ambient noise • Additional risk for NIHL • Boom microphones may pick up ambient sound when transmitting speech • Position critical for boom mics • Outgoing communications may be compromised Bringing It Together Challenges in Industry Wear with Other PPE • Hearing protectors with headsets or boom mics not always compatible with other PPE Dual Protection Requirements • Requirements for earplugs and earmuffs in noise levels >100-105 dBA • Properly fit earplug inhibits worker’s ability to hear through a headset • Workers do not like to wear both Bringing It Together Challenges in Industry Improper Use = Unknown Attenuation? • Workers wearing one cup on, one cup off to hear surroundings • At risk for binaural NIHL Extreme Climates / Weather • Earmuffs very uncomfortable to wear in very hot and humid conditions • Earmuffs preferred in colder climates • Wear with hats and balaclavas may compromise optimal attenuation Bringing It Together Challenges in Industry Low Frequency Sounds • Noise felt as vibration • More intense in closed or confined spaces • Continued exposure can lead to worker fatigue, annoyance Mobile Workers • Exposed to changing noise throughout work day • May require different hearing protectors for each environment or task • Intelligent protection solutions Photo: Helge Hansen / Statoil Bringing It Together Case Study #1: Shaw Industries Noise Levels 105-112 dBA HPD Requirements Dual Protection Key Challenges •Reducing noise levels, especially in high noise areas, via engineering controls •Ensuring workers wearing hearing protection properly, especially in extreme heat/humidity •Validate amount of attenuation each worker achieves Bringing It Together Case Study #1: Shaw Industries Tactic #1: Engineering Controls Location Pre-Enclosure dBA Post-Enclosure dBA Hood Insulation dBA Total Reduction dB F/16 #2 111.4 104.9 103.9 7.5 F/16 #6 110.8 102.7 101.8 9.0 F/16 #11 107.3 100.2 99.7 7.6 Packout Table 106.4 98.6 96.8 9.6 Bringing It Together Case Study #1: Shaw Industries Tactic #2: Earplug Fit Testing Site Procedure • All workers showing a shift (decrease) in hearing now receive a fit-test as part of “retraining.” • All new (or re-hire) employees receive a fit-test prior to beginning work to • Departments prioritized and tested per protocol • Find the appropriate earplug • Ensure they know how to fit it properly. Bringing It Together Case Study #1: Shaw Industries The Results The Data • 17% achieved adequate Personal Attenuation Rating (PAR) on their first test • 78% were able to achieve adequate protection at their first training session to bring their noise exposure to 82 dB or below • 67% of workers changed from their initial ear plug selection, mostly due to comfort of proper fit Bringing It Together Case Study #1: Shaw Industries The Results: Distribution of PAR Shifted Goal of > 25 dB of protection achieved by most workers Bringing It Together Case Study #1: Shaw Industries The Results: Reduction in Recordables Year 2006 2007 2008 2009 2010 Confirmed STS 5 Comment Prior to noise control 0 0 1 0 Non-production associate Best practices at this plant have been adopted at other Shaw locations Bringing It Together Case Study #1: Shaw Industries The Results: Hearing Conservation Program Changes HC Program Improvements •Expanded HPD offerings from 3 to 6 choices • Workers are “certified” to a particular earplug • Mandated job rotation in departments • Emphasis on equipment maintenance www.hearforever.org/shaw Bringing It Together Case Study #1: Shaw Industries The Results: Award Winner www.safeinsound.us Recognized for the demonstrated results in noise control and its use of fit testing to better train and protect workers Bringing It Together Case Study #2: Gulfstream Aerospace Noise Levels 87-90 dBA TWA HPD Requirements 100% wear when on plant floor (even walking through) Key Challenges •Intermittent noise exposures •Moderately low TWAs •Possible overprotection Bringing It Together Case Study #2: Gulfstream Aerospace Tactic #1: Engineering Controls Quieter Equipment •Purchase new equipment that does not exceed 82 dB during normal operation •Implement engineering controls around test generator www.buyquietroadmap.com Bringing It Together Case Study #2: Gulfstream Aerospace Tactic #2: Earplug Fit Testing Test Worker with Usual Earplug “Fit the way you normally wear it.” Pass > 15 dB Next Fit Training with Same Earplug Try a Different Earplug Photo courtesy of Gulfstream Aerospace Bringing It Together Case Study #2: Gulfstream Aerospace Earplug Fit Testing: Value-Added Time Investment 1600 Number of Employees 1400 1200 Did not meet 15 dB criterion 688 Met 15 dB criterion 1000 800 600 320 400 852 200 345 0 Test 1 55% Test 2 52% 142 118 70 32 16 9 Test 3 45% Test 4 31% Test 5+ 36% Identified workers with poor fit and spent value-added time Bringing It Together Case Study #2: Gulfstream Aerospace Earplug Fit Testing: Goal Personal Attenuation n = 688 60 Light Blue – Initial Fitting Dark Blue = Final Fitting Number of Employees 50 40 30 20 10 0 0 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40 42 44 46 Mean Personal Attenuation in dB Goal of > 15 dB protection now achieved by most workers Bringing It Together Case Study #2: Gulfstream Aerospace The Results: OSHA Recordable Drop Dramatic Drop in Recordable Hearing Loss Cases Bringing It Together Case Study #2: Gulfstream Aerospace The Results: Hearing Conservation Program Changes HC Program Improvements • Workers are “certified” to a specific earplug • High worker engagement in safety solution • Continued earplug fit testing in other business units • Possible development of earplug fit testing stations throughout facility • Expanded hearing protector offering