HEARING CONSERVATION Trina Redford, Industrial Hygienist National Naval Medical Center 1 NOISE EVALUATION OBJECTIVE To familiarize ourselves with – – – the anatomy and physiology of the ear the purpose of a noise evaluation types of sound level meters utilized to collect measurements 2 ANATOMY AND PHYSIOLOGY OF THE EAR 3 Main Components of the Hearing Mechanism: Outer Ear Middle Ear Inner Ear Central Auditory Nervous System 4 Structures of the Outer Ear Auricle (Pinna) – – – Collects sound Localization Amplifies sound (approx. 5-6 dB) 5 External Auditory Canal: Approx. 1 inch in length “S” shaped Lined with cerumen glands Outer 1/3 surrounded by cartilage Inner 2/3’s surrounded by mastoid bone 6 Mastoid Process Bony ridge behind the auricle Provides support to the external ear and posterior wall of the middle ear cavity 7 Tympanic Membrane: Thin membrane Forms boundary between outer and middle ear Vibrates in response to sound Changes acoustical energy into mechanical energy 8 The Ossicles: A: Malleus B: Incus C: Stapes – – – Smallest bones in the body Acts as a lever system Footplate of stapes enters oval window of the cochlea Stapedius Muscle – – Connects stapes to wall of middle ear Contracts in response to loud sounds (called the Acoustic Reflex) 9 Eustachian Tube (AKA: “The Equalizer”) Lined with mucous membrane Connects middle ear to nasopharynx “Equalizes” air pressure 10 Structures of the Inner Ear Cochlea – – Snail shaped organ with a series of fluid-filled tunnels Converts mechanical energy to electrical energy 11 Organ Of Corti: The end organ of hearing Contains stereocilia and hair cells. 12 Hair Cells: Frequency specific – – High pitches= base of cochlea Low pitches= apex of cochlea 13 Vestibular System Consists of three semicircular canals Shares fluid with the cochlea Controls balance 14 Central Auditory System VIIIth Cranial nerve or “Auditory Nerve” – Carries signals from cochlea to brain Auditory Cortex – Temporal lobe of the brain where sound is perceived and analyzed 15 How Sound Travels Through The Ear... 1. Acoustic energy, in the form of sound waves, is channeled into the ear canal by the pinna 2. Sound waves hit the tympanic membrane and cause it to vibrate, like a drum, changing it into mechanical energy 3. The malleus, which is attached to the tympanic membrane, starts the ossicles into motion 4. The stapes moves in and out of the oval window of the cochlea creating a fluid motion 5. The fluid movement causes membranes in the Organ of Corti to shear against the hair cells 6. This creates an electrical signal which is sent up the Auditory Nerve to the brain The brain interprets it as sound! 16 QUESTIONS? 17 NOISE HAZARDS 18 NOISE HAZARD EVALUATION Purpose – – – – – To identify noise hazardous areas To document the magnitude of the noise hazard To aid in the implementation of a hearing conservation program To protect personnel from developing a noiseinduced hearing loss To implement engineering controls 19 Survey Intervals Annually-in all areas to identify potential noise hazards AND to re-survey all previously identified noise hazards Within 30 days of a procedural or equipment change that affect ambient noise Whenever noise makes it difficult for two people, with good hearing, to converse at arm’s length 20 Who can perform sound level surveys? Audiologist Industrial Hygienist A suitably trained technician 21 Sound Level Meters Calibrated noise measuring device which meets the criteria of ANSI Standard S1.4-1971 (R 1983) Microphone (transducer) Amplifier Weighting network Slow/fast averager Display meter – – Analog Digital 22 Type I Precision SLM Tolerance of + or –1 dB accuracy Individual octave band measurements Required for booth certification Cost: $2,000.00 23 Type II SLM Used routinely for surveys in the field Has individual weightings networks: – – – A weighing B weighing C weighing Cost: $400.00 to $600.00 24 Procedures for operation Check electroacoustic calibration date-must be within one year Set meter response to appropriate weighing for calibrator, and slow response Check meter response with field calibrator –must be within 1 dB of calibration source level Set weighing to “A” and meter response to Slow Adjust meter range until display is seen Read display Record results on NEHC form 5100/17Recheck field calibration Maintain records for 40 years 25 Source of Error Reading (averaging) errors Wrong scale setting Wrong microphone position 26 Distance from Source Inverse square law applies: – – Each time the distance from a source is doubled, in a free field, the sound pressure level drops by 6dB This principal is used to define the noise hazard radius 27 Care of SLM Things to Avoid Excessive heat High humidity (>90%) Hard blows or shocks Handling of microphone Excessive dust Strong electromagnetic fields Pegging the needle 28 Sound Levels and Hearing Conservation Noise measurements are essential HCP enrollment base on: – – – Noise survey data-sound level surveys or dosimetry Job/task factors-length of exposure, level of noise/vibration Patient specific factors-pre-existing hearing loss or ear disease 29 Test Room Certification Principals of Sound Reduction – – – Permit test signal to be heard at threshold levels Reduce sound by producing an acoustical barrier to sound transmission Reduce high frequencies more than low 30 Factors Affecting Performance Vibration – Vibration isolators or shock mounts for control Ventilation systems and muffler Door seals – Test with the light test or paper test Lighting 31 Accuracy of Sound Level Readings – Affecting Factors The body baffle effect Shielding effect Wind noise 32 Masking Masking Effect: when two sounds are present at the same time – – One signal may mask or cover up the other This can result in false threshold for hearing during audiometric testing Masking typically occurs when the interfering noise is low in frequency 33 CONCLUSION Questions Comments Thank you for your attention & participation 34