AIHCE 98 Roundtable

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  Roundtable 227
Eight Year Review
Reg. Compliance
Program Analysis


AIHCE Roundtable 227, "The Hearing Conservation Amendment: Has it Protected the American Worker?"

It has been over 15 years since the Hearing Conservation Amendment to the occupational noise exposure standard was finalized. How has the amendment fared in protecting the hearing health of the American workforce? This roundtable provided a forum for this and other issues by placing the Amendment "on trial." Advocates for both sides presented their cases in front of the audience who, after a discussion period, voted on the Amendment's effectiveness.

Below you will find abstracts for and, in some cases, presentations from, this roundtable session.

Also, there is a summary of the roundtable and its results.

Supporting that the Amendment has accomplished its goals:

William W. Clark, Ph.D. - Criteria for Protecting Workers at Risk - Currently Unavailable

The criteria for identifying and protecting workers at risk of hearing loss due to occupational noise exposure is an issue under continuing debate.  The permissible exposure level of 90 dBA and 5dB exchange rate of the Ammendment are contrasted with the 85 dBA and 3dB exchange rate of the NIOSH criteria document.  This presentation will discuss the scientific approach to identifying action levels and people at risk, supporting the underlying assumptions of the Hearing Conservation Amendment.

Carl D. Bohl, D.Sc., CIH - Measuring Effective Hearing Conservation Programs - Currently Unavailable

The provisions of the Hearing Conservation Amendment with some exceptions, provides the complete framework for protecting workers.  Flexibility of the employer to adapt this framework to its own operations allow this to be accomplished cost-effectively.  This presentation will support the hypothesis that Hearing Conservation Programs, when applied properly, are a workable solution for the protection of workers from noise-induced hearing loss.

Timothy L. Rink, Ph.D. - Audiometric Testing: An Eight Year Review

A review of eight years of nearly 1 million audiometric tests conducted in mobile testing units, physicians' offices, hospitals, occupational health clinics, and in-plant facilities was performed.  The data show a significant decrease in both the number of noise-induced standard threshold shifts (STS) and persistent threshold shifts (PTS), supporting the viability of industrial hearing conservation programs and the effectiveness of the Hearing Conservation Amendment.  This presentation will present the findings of the review and offer strategic ideas of the reasons for the conclusions.

Questioning that the Amendment has accomplished its goals:

Richard R. James, INCE - Hearing Loss Prevention: A Business Process

Compliance with the regulation does not ensure that people will escape noise induced hearing loss.  Regardless of the sources of the hearing loss, it is likely that the employer will bear the responsibility for that loss.  Therefore, from a business standpoint, it would behoove an employer to adopt a Hearing Loss Prevention Process.   This presentation will discuss the rationale of a transition away from the Hearing Conservation Paradigm.

John R. Franks, Ph.D. - Relationships Among Hearing Loss Prevention Policies and Audiometric Outcomes

Experiences with successful hearing loss prevention programs have shown the importance of company policies covering the operation of the program and its integration into other company initiatives.  This presentation will review several case studies to compare outcomes from different hearing conservation/hearing loss prevention policies.

Thomas H. Simpson, Ph.D. - Audiometric Data and Hearing Conservation Program Analysis

There are currently no generally accepted methodologies for judging hearing conservation program (HCP) efficacy through audiometric database analysis.  To date, all efforts to identify reliable and valid audiometric markers of HCP efficacy have been retrospective, and existing data are insufficient to support HCP success or failure.   Consequently, we cannot judge regulatory impacts that noise control and hearing protection programs may have had on occupational hearing loss, even though these programs have been required for almost 30 years.  This presentation will summarize problems and pitfalls associated with audiometric database analysis and suggest possible solutions to this dilemma.

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