Milestone Baseline or Audiometric Zero Copy

Milestone Baseline or Audiometric Zero

In the mining industry from 2015 the Standard Threshold Shift (STS) guidelines were implemented as outlined in Chapter 3 – Legislation. As a result of this guideline milestone baselines were done on all existing employees until 31 December 20178,5. Thereafter all new employees into the mining sector have a milestone baseline done to calculate the audiometric zero. This audiogram is used to calculate the STS which is used only for the early detection and prevention of NIHL8,5,6,7.

WordPress Responsive Table

To calculate the milestone, baseline the frequencies 2000, 3000 and 4000Hz are used (unlike in PLHS calculations), thereafter this result is used to compare future audiograms against to determine the STS. Certain interventions are required when the STS levels reach 10dB or equal to or greater than 25dB at any frequency8. This will be covered in Chapter 12.

How to calculate the Milestone Baseline or Audiometric Zero

Using table 10.7 below as the manual audiogram results:

This was a baseline done on Mr. C on the 14 September 2018
This serves as the milestone baseline on Mr. C
The only numbers used for the audiometry zero are the frequencies 2000, 3000 and 4000Hz

Table 10.7: Numerical result of an audiogram

Using table 10.8 below as the manual audiogram results

This is the next audiogram done on Mr. C on the 14 March 2019
Focus of the same frequencies 2000, 3000 and 4000Hz
Compare the decibel results of the 2 tests on the same frequencies in each ear separately
Compare table 10.7 results against table 10.8 results per ear and per frequency
Note the change in the results
subtract the current test from the audiometric zero result
Add the 3 results of the subtracted sum done above together
Take this total and divide it by 3 (because 3 frequencies are used)
This result is the STS = it is the average change in dBs on these 3 frequencies in that specific ear

Table 10.8: Numerical result of an audiogram

Recording these results

It is important to record the PLH, PLHS and STS results when performing the manual test after the calculations have been done. Write the BL PLH onto the audiogram and then include the PLHS from BL and from previous test if the is another test. If the BL was not done or is not valid remember to calculate the PLHS from 0. Ensure that the STS has calculated in the mining industry if the calculation is missing insert it manually.

An example of a manual audiogram depicting PLH / STS and PLHS

The PLH calculation

The STS Calculation