Types of audiograms in occupational health Copy

Types of audiograms in occupational health

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.

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What does an Audiogram look like?

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