Current through Register 2024 Notice Reg. No. 38, September 20, 2024
(a) General. The employer shall administer a
continuing, effective hearing conservation program, as described in this
section, whenever employee noise exposures equal or exceed an 8-hour
time-weighted average sound level (TWA) of 85 decibels measured on the A-scale
(slow response) or, equivalently, a dose of fifty percent. For purposes of the
hearing conservation program, employee noise exposures shall be computed in
accordance with Appendix A and Table A-1 and without regard to any attenuation
provided by the use of personal protective equipment.
(b) Monitoring.
(1) When information indicates that any
employee's exposure may equal or exceed an 8-hour time-weighted average of 85
decibels, the employer shall obtain measurements for employees who may be
exposed at or above that level. Such determinations shall be made by December
1, 1982.
(2) The monitoring
requirement shall be met by either area monitoring or personal monitoring that
is representative of the employee's exposure.
(A) The sampling strategy shall be designed
to identify employees for inclusion in the hearing conservation program and to
enable the proper selection of hearing protectors.
(B) Where circumstances such as high worker
mobility, significant variations in sound level, or a significant component of
impulse noise make area monitoring generally inappropriate, the employer shall
use representative personal sampling to comply with the monitoring requirements
of this section unless the employer can show that area sampling produces
equivalent results.
(C) All
continuous, intermittent and impulsive sound levels from 80 dB to 130 dB shall
be integrated into the computation.
(D) Instruments used to measure employee
noise exposure shall be calibrated to ensure measurement
accuracy.
(3) Monitoring
shall be repeated whenever a change in production, process, equipment or
controls increases noise exposures to the extent that:
(A) Additional employees may be exposed at or
above the action level; or
(B) The
attenuation provided by hearing protectors being used by employees may be
rendered inadequate to meet the requirements of Section
5098(b).
(4) The employer shall provide affected
employees or their representatives with an opportunity to observe any
measurements of employee noise exposure which are conducted pursuant to this
section.
(5) The employer shall
notify each employee exposed at or above the action level of the results of the
monitoring.
(c)
Audiometric Testing Program.
(1) The employer
shall establish and maintain an audiometric testing program as provided in this
section by making audiometric testing available to all employees whose
exposures equal or exceed the action level.
(2) The program shall be provided at no cost
to employees.
(3) Audiometric tests
shall be performed by a licensed or certified audiologist, otolaryngologist, or
other physician, or by a technician who is certified by the Council of
Accreditation in Occupational Hearing Conservation, or who has satisfactorily
demonstrated competence in administering audiometric examinations, obtaining
valid audiograms, and properly using, maintaining and checking calibration and
proper functioning of the audiometers being used. A technician who performs
audiometric tests must be responsible to an audiologist, otolaryngologist or
physician.
(4) All audiograms
obtained pursuant to this section shall meet the requirements of Appendix B:
Audiometric Measuring Instruments.
(5) The employer shall establish for each
employee exposed at or above the action level a valid baseline audiogram
against which subsequent audiograms can be compared.
(6) Testing to establish a baseline audiogram
shall be preceded by at least 14 hours without exposure to workplace noise.
This requirement may be met by wearing hearing protectors which will reduce the
employee's exposure to a sound level of 80 dBA or below.
(7) The employer shall notify employees of
the need to avoid high levels of non-occupational noise exposure during the
14-hour period immediately preceding the audiometric examination.
(8) Audiometric tests shall be made available
to employees by June 1, 1983 or within 6 months of an employee's first exposure
at or above the action level, except that where a mobile test van is used to
conduct the audiometric test, the test shall be made available within one year
of an employee's first exposure at or above the action level provided that all
such employees are given an opportunity for testing.
NOTE: This requirement may be met by an audiogram
available to the employer upon the effective date of this section provided the
conditions under which the audiometric test was performed were the same as
prescribed by this section.
(9) Where an employer chooses to have
audiometric tests performed by a mobile test van in accordance with Section
5097(c)(8) and an
employee's baseline audiogram has not been obtained within 6 months of the
employee's first exposure at or above the action level, the employer shall make
hearing protectors available to the employee in accordance with Section
5098 and require that the hearing
protectors are worn by the employee until the baseline audiogram is
obtained.
(10) At least annually
after obtaining the baseline audiogram, the employer shall obtain a new
audiogram for each employee exposed at or above the action
level.
(d) Evaluation of
Audiogram.
(1) Each employee's annual
audiogram shall be compared to that employee's baseline audiogram to determine
if the audiogram is valid and if a standard threshold shift, as defined in
Section 5097(d)(8), has
occurred. This comparison may be done by a technician.
(2) If the annual audiogram shows that an
employee has suffered a standard threshold shift, the employer may obtain a
retest within 30 days and consider the results of the retest as the annual
audiogram.
(3) An audiologist,
otolaryngologist or physician shall review problem audiograms and shall
determine whether there is a need for further evaluation. The employer shall
provide to the person performing this evaluation the following information:
(A) A copy of the requirements for hearing
conservation as set forth in Sections
5097,
5098,
5099 and
5100.
(B) The baseline audiogram and most recent
audiogram of the employee to be evaluated.
(C) Measurements of background sound pressure
levels in the audiometric test room as required in Appendix C, Audiometric Test
Rooms.
(D) Records of audiometric
calibrations required by paragraph (f) of this section.
(4) If a comparison of the annual audiogram
to the baseline audiogram indicates a standard threshold shift as defined by
Section 5097(d)(8), the
employee shall be informed of this fact, in writing, within 21 days of the
determination.
(5) Unless a
physician determines that the standard threshold shift is not work related or
aggravated by occupational noise exposure, the employer shall ensure that the
following steps are taken when a standard threshold shift occurs:
(A) An employee not using hearing protectors
shall be fitted with hearing protectors, trained in their use and care, and
required to use them; and
(B) An
employee already using hearing protectors shall be refitted and retrained in
the use of hearing protectors and provided with hearing protectors offering
greater attenuation if necessary.
(C) Refer the employee for a clinical
audiological evaluation or an otological examination, as appropriate, if
additional testing is necessary or if the employer suspects that a medical
pathology of the ear is caused or aggravated by the wearing of hearing
protectors.
(D) Inform the employee
of the need for an otological examination if a medical pathology of the ear
which is unrelated to the use of hearing protectors is
suspected.
(6) If
subsequent audiometric testing of an employee whose exposure to noise is less
than an 8-hour time-weighted average of 90 decibels indicates that a standard
threshold shift is not persistent, the employer:
(A) Shall inform the employee of the new
audiometric interpretation; and
(B)
May discontinue the required use of hearing protectors for that
employee.
(7) An annual
audiogram may be substituted for the baseline audiogram when in the judgment of
the audiologist, otolaryngologist or physician who is evaluating the audiogram:
(A) The standard threshold shift revealed by
the audiogram is persistent; or
(B)
The hearing threshold shown in the annual audiogram indicates significant
improvement over the baseline audiogram.
(8) As used in this section, a standard
threshold shift is a change in hearing threshold relative to the baseline
audiogram of an average of 10 dB or more at 2000, 3000 and 4000 Hz in either
ear.
(9) In determining whether a
standard threshold shift has occurred, allowance may be made for the
contribution of aging (presbycusis) to the change in hearing level by
correcting the annual audiogram according to the procedure described in
Appendix F: Determination and Application of Age Correction to
Audiograms.
(e)
Audiometric Test Requirements.
(1) Audiometric
tests shall be pure tone, air conduction, hearing threshold examinations, with
test frequencies including as a minimum 500, 1000, 2000, 3000, 4000 and 6000
Hz. Tests at each frequency shall be taken separately for each ear.
(2) Audiometric tests shall be conducted with
audiometers (including microprocessor audiometers) that meet the specifications
of, and are maintained and used in accordance with, ANSI S 3.6-1969.
(3) Pulsed-tone and self-recording
audiometers, if used, shall meet the requirements specified in Appendix B,
Audiometric Measuring Instruments.
(4) Audiometric examinations shall be
administered in a room meeting the requirements listed in Appendix C,
Audiometric Test Rooms.
(f) Audiometer Calibration.
(1) The functional operation of the
audiometer shall be checked before each day's use by testing a person with
known, stable hearing thresholds, and by listening to the audiometer's output
to make sure that the output is free from distorted or unwanted sounds.
Deviations of 10 dB or greater shall require an acoustic calibration.
(2) Audiometer calibration shall be checked
acoustically at least annually in accordance with Appendix D, Acoustic
Calibration of Audiometers. Test frequencies below 500 Hz and above 6000 Hz may
be omitted from this check. Deviations of 15 dB or greater necessitate an
exhaustive calibration.
(3) An
exhaustive calibration shall be performed at least every two years in
accordance with Sections 4.1.2, 4.1.3, 4.1.4.3, 4.2, 4.4.1, 4.4.2, 4.4.3, and
4.5 of ANSI S 3.6-1969. Test frequencies below 500 Hz and above 6000 Hz may be
omitted from this calibration.
1.
Amendment filed 10-3-83; effective thirtieth day thereafter (Register 83, No.
41).
Note: Authority cited and Reference: Section
142.3, Labor
Code.