r. j. matetic...introduction to noise-induced hearing loss r. j. matetic the findings and...

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Introduction to Noise Introduction to Noise - - Induced Induced Hearing Loss Hearing Loss R. J. Matetic R. J. Matetic The findings and conclusions in this presentation have not been The findings and conclusions in this presentation have not been formally disseminated by the National formally disseminated by the National Institute for Occupational Safety and Health and should not be c Institute for Occupational Safety and Health and should not be c onstrued to represent any agency onstrued to represent any agency determination or policy. determination or policy.

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Page 1: R. J. Matetic...Introduction to Noise-Induced Hearing Loss R. J. Matetic The findings and conclusions in this presentation have not been formally disseminated by the National Institute

Introduction to NoiseIntroduction to Noise--Induced Induced Hearing LossHearing Loss

R. J. MateticR. J. Matetic

The findings and conclusions in this presentation have not been The findings and conclusions in this presentation have not been formally disseminated by the National formally disseminated by the National Institute for Occupational Safety and Health and should not be cInstitute for Occupational Safety and Health and should not be construed to represent any agency onstrued to represent any agency determination or policy.determination or policy.

Page 2: R. J. Matetic...Introduction to Noise-Induced Hearing Loss R. J. Matetic The findings and conclusions in this presentation have not been formally disseminated by the National Institute

OverviewOverview

•• The problem: NoiseThe problem: Noise--Induced Hearing Induced Hearing LossLoss

•• Engineering noise controls (and the Engineering noise controls (and the rest of the hierarchy)rest of the hierarchy)

•• Workshop planWorkshop plan–– Practical, effective noise control Practical, effective noise control

principlesprinciplesIndustry, NIOSH, MSHAIndustry, NIOSH, MSHA

–– Apply the principles to real problemsApply the principles to real problemsHandsHands--on exerciseson exercises

Page 3: R. J. Matetic...Introduction to Noise-Induced Hearing Loss R. J. Matetic The findings and conclusions in this presentation have not been formally disseminated by the National Institute

Why Noise is Bad for YouWhy Noise is Bad for You

•• It makes your ears It makes your ears ringringall the timeall the time

•• It causes It causes permanentpermanenthearing losshearing loss

Page 4: R. J. Matetic...Introduction to Noise-Induced Hearing Loss R. J. Matetic The findings and conclusions in this presentation have not been formally disseminated by the National Institute

Miners Suffer Higher Rates of Hearing Miners Suffer Higher Rates of Hearing Impairment than NonImpairment than Non--exposed Malesexposed Males

0

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20 25 30 35 40 45 50 55 60 65Age

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ent w

ith h

earin

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pairm

ent Metal/Nonmetal

CoalNon-noise exposed

Source: John Franks, NIOSHImpairment: > 25 decibel hearing loss (averaged over 4 frequencies in each ear)

Page 5: R. J. Matetic...Introduction to Noise-Induced Hearing Loss R. J. Matetic The findings and conclusions in this presentation have not been formally disseminated by the National Institute

Hearing Loss TypesHearing Loss Types

•• ConductiveConductive–– Outer and Middle EarOuter and Middle Ear–– Usually low frequency, correctableUsually low frequency, correctable–– Ex: earwax, hole in eardrum, head coldEx: earwax, hole in eardrum, head cold

•• SensoriSensori--neuralneural–– Inner EarInner Ear–– Usually high frequency, not correctableUsually high frequency, not correctable–– Ex: aging, diseases, medications, Ex: aging, diseases, medications, noisenoise

Page 6: R. J. Matetic...Introduction to Noise-Induced Hearing Loss R. J. Matetic The findings and conclusions in this presentation have not been formally disseminated by the National Institute

CochleaCochlea

HealthyHealthy DamagedDamaged

Noise damages Noise damages ““hair cellshair cells”” in the in the inner earinner ear

Page 7: R. J. Matetic...Introduction to Noise-Induced Hearing Loss R. J. Matetic The findings and conclusions in this presentation have not been formally disseminated by the National Institute

This Is Your EarThis Is Your Ear……Healthy

Damaged

This Is Your Ear This Is Your Ear on Noiseon Noise……

Page 8: R. J. Matetic...Introduction to Noise-Induced Hearing Loss R. J. Matetic The findings and conclusions in this presentation have not been formally disseminated by the National Institute

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LeftRight

Hearing is measured with an Hearing is measured with an audiogramaudiogram

Normal hearing

Below-normal hearing

Page 9: R. J. Matetic...Introduction to Noise-Induced Hearing Loss R. J. Matetic The findings and conclusions in this presentation have not been formally disseminated by the National Institute

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Effect of loud [95dB(A)] noise Effect of loud [95dB(A)] noise over a career*over a career*

Start of career: Normal hearing

*(estimated based on ANSI S3.44 standard)

Lower limitof normal

10 years

30 years

20 years

• Noise-induced loss greatest at 4000 Hz

• Some of this hearing loss is due to aging, but most is due to noise

Page 10: R. J. Matetic...Introduction to Noise-Induced Hearing Loss R. J. Matetic The findings and conclusions in this presentation have not been formally disseminated by the National Institute

What Does a NoiseWhat Does a Noise--Induced Induced Hearing Loss Sound Like?Hearing Loss Sound Like?

•• WindowsWindows--based softwarebased software•• Trainees can hear the Trainees can hear the

effect of noise exposureeffect of noise exposure

NIOSH Hearing Loss Simulator

Page 11: R. J. Matetic...Introduction to Noise-Induced Hearing Loss R. J. Matetic The findings and conclusions in this presentation have not been formally disseminated by the National Institute

NIOSH Hearing Loss Simulator NIOSH Hearing Loss Simulator FeaturesFeatures

Adjust age effects

Adjust exposure timeand sound level

Predicted hearing level – Shows noise “notch”

Select voice, background noiseRecord your own sounds

Page 12: R. J. Matetic...Introduction to Noise-Induced Hearing Loss R. J. Matetic The findings and conclusions in this presentation have not been formally disseminated by the National Institute

NIOSH Hearing Loss SimulatorNIOSH Hearing Loss Simulator

Normal

Impaired25 years of 95 dB(A) exposure, 55-year old worker – noise “notch” at 4,000Hz

Click on picture for sound

Simulates effects of exposure, age, sex based on ANSI S3.44 method

Click to stop sound

Severely Impaired25 years of 105 dB(A) exposure, 55-year old worker – noise “notch” at 4,000Hz

Page 13: R. J. Matetic...Introduction to Noise-Induced Hearing Loss R. J. Matetic The findings and conclusions in this presentation have not been formally disseminated by the National Institute

What workers tell us:What workers tell us:““My dad worked at [company] for thirtyMy dad worked at [company] for thirty--something something years and I hope I donyears and I hope I don’’t end up like him. You got to t end up like him. You got to scream for him to hear you.scream for him to hear you.””

““ItIt’’s almost like yous almost like you’’re mad at yourself because why re mad at yourself because why can he hear? He works in the same atmosphere; why can he hear? He works in the same atmosphere; why can he hear and I cancan he hear and I can’’t?t?””

“…“…machine backing up, beeping the safety alarm or machine backing up, beeping the safety alarm or something, you might not hearsomething, you might not hear””

“…“…you canyou can’’t hear that little whistling noise, something thatt hear that little whistling noise, something that’’s s a little bit out of the ordinary, it could be very dangerous.a little bit out of the ordinary, it could be very dangerous.””

““It seems like new peopleIt seems like new people……theythey’’re the ones that might get re the ones that might get hurthurt””

““Loss of hearing could put you or maybe your buddy Loss of hearing could put you or maybe your buddy in jeopardy if you donin jeopardy if you don’’t see something or hear t see something or hear somethingsomething””

Page 14: R. J. Matetic...Introduction to Noise-Induced Hearing Loss R. J. Matetic The findings and conclusions in this presentation have not been formally disseminated by the National Institute

Where Hazardous Noise Comes Where Hazardous Noise Comes FromFrom

•• HighHigh--powered powered motorized equipmentmotorized equipment

•• Striking, drilling, Striking, drilling, diggingdigging

•• AirAir--powered toolspowered tools

Page 15: R. J. Matetic...Introduction to Noise-Induced Hearing Loss R. J. Matetic The findings and conclusions in this presentation have not been formally disseminated by the National Institute

When is Loud TOO LOUD?When is Loud TOO LOUD?

•• Risk of damage starts at Risk of damage starts at 85 85 decibelsdecibels (dB(A)) or higher(dB(A)) or higher

•• Longer exposure times increases Longer exposure times increases your riskyour risk

•• Measure with instruments orMeasure with instruments or……..•• Look for warning signsLook for warning signs

–– Too loud for conversation 3Too loud for conversation 3’’ awayaway–– Everything sounds Everything sounds ““dulldull””–– Ears Ears ““ringring””

Page 16: R. J. Matetic...Introduction to Noise-Induced Hearing Loss R. J. Matetic The findings and conclusions in this presentation have not been formally disseminated by the National Institute

Typical Noise LevelsTypical Noise Levels

Continuous Continuous mining mining machinemachine102 dB(A)102 dB(A)

Over 35 ton, nonOver 35 ton, non--insulated cab: insulated cab: 97 dB(A)97 dB(A)Under 35 ton, nonUnder 35 ton, non--insulated cab: insulated cab: 94 dB(A)94 dB(A)

insulated cab: insulated cab: 84 dB(A)84 dB(A)

Light duty: Light duty: 96dB(A)96dB(A)

Heavy duty dozerHeavy duty dozer99 dB(A)99 dB(A)

Air rotary drill rig Air rotary drill rig (no cab)(no cab)99 dB(A)99 dB(A)

Crawler craneCrawler crane

Page 17: R. J. Matetic...Introduction to Noise-Induced Hearing Loss R. J. Matetic The findings and conclusions in this presentation have not been formally disseminated by the National Institute

OverviewOverview

•• The problem: NoiseThe problem: Noise--Induced Hearing Induced Hearing LossLoss

•• Engineering noise controls (and the Engineering noise controls (and the rest of the hierarchy)rest of the hierarchy)

•• Workshop planWorkshop plan–– Practical, effective noise control Practical, effective noise control

principlesprinciplesIndustry, NIOSH, MSHAIndustry, NIOSH, MSHA

–– Apply the principles to real problemsApply the principles to real problemsHandsHands--on exerciseson exercises

Page 18: R. J. Matetic...Introduction to Noise-Induced Hearing Loss R. J. Matetic The findings and conclusions in this presentation have not been formally disseminated by the National Institute

Practical Hearing Loss PreventionPractical Hearing Loss PreventionUsing the hierarchy of controlsUsing the hierarchy of controls

•• First:First: Get rid of the noiseGet rid of the noiseEngineering controlsEngineering controls

•• Second:Second: Stay away from the noiseStay away from the noiseAdministrative controlsAdministrative controls

•• Third:Third: Protect yourself from the Protect yourself from the noisenoisePersonal protective equipmentPersonal protective equipment

How can workers and manager use these controls?

Page 19: R. J. Matetic...Introduction to Noise-Induced Hearing Loss R. J. Matetic The findings and conclusions in this presentation have not been formally disseminated by the National Institute

First:First: Get rid of the Get rid of the noisenoise

““Engineering controlsEngineering controls””•• Keep doors SHUTKeep doors SHUT

–– Reduces noise by 10Reduces noise by 10--20 dB(A)20 dB(A)

•• Maintain cab sealsMaintain cab seals•• Take care of mufflers and other Take care of mufflers and other

controlscontrols•• Report worn or broken noise controlsReport worn or broken noise controls

Page 20: R. J. Matetic...Introduction to Noise-Induced Hearing Loss R. J. Matetic The findings and conclusions in this presentation have not been formally disseminated by the National Institute

Then:Then: Stay away Stay away from noisefrom noise

•• Have a hearing conservation Have a hearing conservation program? program? Ask for list of Ask for list of ““administrative controlsadministrative controls””..

•• Noisy and you donNoisy and you don’’t have to be there? t have to be there? Leave!Leave!

•• Have a noisy task? Have a noisy task? Break it up!Break it up!

Page 21: R. J. Matetic...Introduction to Noise-Induced Hearing Loss R. J. Matetic The findings and conclusions in this presentation have not been formally disseminated by the National Institute

NIOSH Studies for NIOSH Studies for Administrative ControlsAdministrative Controls

Hazardous areasHazardous areasSound level contour plot for Sound level contour plot for a duala dual--boom roof bolting boom roof bolting machinemachine

Hazardous tasksHazardous tasksCumulative dose plot for a Cumulative dose plot for a roof bolter operatorroof bolter operator

IdenficationIdenfication ofof……

Page 22: R. J. Matetic...Introduction to Noise-Induced Hearing Loss R. J. Matetic The findings and conclusions in this presentation have not been formally disseminated by the National Institute

Finally:Finally: Protect your ears:Protect your ears:

•• Noise high, but hearing protection low: Noise high, but hearing protection low: For instance: only For instance: only 48%48% of sand & gravel of sand & gravel miners miners everever use it! use it! (Deborah (Deborah LandenLanden, 2004), 2004)

•• Find comfortable hearing protectionFind comfortable hearing protection–– Muffs, plugs, canal capsMuffs, plugs, canal caps

•• Learn to wear them correctlyLearn to wear them correctly•• Practice listening through protectionPractice listening through protection

–– Hard, but easier than listening through Hard, but easier than listening through damaged ears!damaged ears!

•• DonDon’’t go into noise without it!t go into noise without it!

Page 23: R. J. Matetic...Introduction to Noise-Induced Hearing Loss R. J. Matetic The findings and conclusions in this presentation have not been formally disseminated by the National Institute

NIOSH RollNIOSH Roll--PullPull--Hold earplug Hold earplug techniquetechnique

You’ve heard of: Stop, Drop, Roll

Now there’s Roll, Pull, Hold

Roll PullHold

Page 24: R. J. Matetic...Introduction to Noise-Induced Hearing Loss R. J. Matetic The findings and conclusions in this presentation have not been formally disseminated by the National Institute

OverviewOverview

•• The problem: NoiseThe problem: Noise--Induced Hearing Induced Hearing LossLoss

•• Engineering noise controls (and the Engineering noise controls (and the rest of the hierarchy)rest of the hierarchy)

•• Workshop planWorkshop plan–– Practical, effective noise control Practical, effective noise control

principlesprinciplesPresented by Industry, NIOSH, MSHAPresented by Industry, NIOSH, MSHA

–– Apply the principles to real problemsApply the principles to real problemsHandsHands--on exerciseson exercises

Page 25: R. J. Matetic...Introduction to Noise-Induced Hearing Loss R. J. Matetic The findings and conclusions in this presentation have not been formally disseminated by the National Institute

For more informationFor more information

R. J. MateticR. J. Matetic

Phone: 412Phone: 412--386386--65606560Fax: 412Fax: 412--386386--48644864

[email protected]@cdc.govwww.cdc.govwww.cdc.gov/niosh/mining/niosh/miningwww.cdc.govwww.cdc.gov/niosh/topics/noise/niosh/topics/noise