Audiometric testing in the occupational setting is performed as part of the medical surveillance programme that should be in place for all employees exposed to noise equal to or above the noise rating limit (85dB(A)). All audiometric testing must be conducted by a competent person. The requirements of the various audiograms are specified in the:
OHS Act No. 85 of 1993 (Noise Induced Hearing Loss regulations) MHS Act No. 29 of 1996 (including R389) COID Act No. 130 of 1993 (including Instruction 171) SANS 10083:2013
Table 8.1: The names of Audiograms as denoted in Legislation7,9,11.
MHS Act No. 29 of 1996
OHS Act No. 85 of 1993
Baseline
Baseline
Milestone Baseline
Not Applicable
Initial - not specified in legislation but performed as per best practice
Entry, pre-employment, pre-placement - not specified in legislation but performed as per best practice
At this stage it is important to know what the circles and crosses represent. Decibels increase in fives and tens represented by the lines for 10’s and in the middle of the block are the 5’s. Frequencies go across the top of the graph and decibels run down the left of the graph. How to read the graph and make a clinical interpretation follows in later chapters. This is a typical normal air pure tone audiogram where the hearing levels are within normal limits.
Figure 8.4: An example of a screening audiogram4
Adapted from: WALKER, JJ MD: American Family Physician Journal. Audiometry Screening and Interpretation 2013 Jan 1;87(1):41-47 U.S https://www.aafp.org/afp/2013/0101/p41.html4
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Following the pre-learning phase, participants will have the opportunity to meet with the facilitator in a physical classroom setting. This direct interaction is crucial for addressing any questions or concerns that may have arisen during the self-study period.
Additionally, the physical classroom component is designed to facilitate hands-on practical training. This aspect of the program allows participants to apply theoretical knowledge in real-world scenarios, enhancing their understanding and retention of the material. Working under the guidance of an experienced facilitator, learners can practice skills, collaborate with peers, and gain valuable insights that are difficult to achieve through online learning alone.
Overall, this structured approach—combining pre-learning with direct facilitator contact and practical classroom experiences—ensures a comprehensive and effective learning journey that accommodates various learning styles and maximizes participant engagement.
Blended Learning
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This combination allows learners to work through the theory at their own pace while still interacting with instructors on a weekly basis through regular question and answer online contact sessions.
The online part is flexible, letting learners study whenever it works best for them.
Live sessions help build a sense of community and support.
The in-person classes are important for hands-on learning, giving learners the chance to practice their skills with guidance from experienced mentors.
This well-rounded approach improves learning by meeting different learning styles and preferences.
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