title: Impact of OSHA final rule--recording hearing loss: an analysis of an industrial audiometric dataset.
abstract: The 2003 Occupational Safety and Health Administration (OSHA) Occupational Injury and Illness Recording and Reporting Final Rule changed the definition of recordable work-related hearing loss. We performed a study of the Alcoa Inc. audiometric database to evaluate the impact of this new rule. The 2003 rule increased the rate of potentially recordable hearing loss events from 0.2% to 1.6% per year. A total of 68.6% of potentially recordable cases had American Academy of Audiology/American Medical Association (AAO/AMA) hearing impairment at the time of recordability. On average, recordable loss occurred after onset of impairment, whereas the non-age-corrected 10-dB standard threshold shift (STS) usually preceded impairment. The OSHA Final Rule will significantly increase recordable cases of occupational hearing loss. The new case definition is usually accompanied by AAO/AMA hearing impairment. Other, more sensitive metrics should therefore be used for early detection and prevention of hearing loss.
authors.affiliation: Yale University School of Medicine, New Haven, Connecticut 06510, USA. peter.rabinowitz@yale.edu
authors.forename: Peter M
authors.initials: PM
authors.lastname: Rabinowitz
authors.forename: Martin
authors.initials: M
authors.lastname: Slade
authors.forename: Christine
authors.initials: C
authors.lastname: Dixon-Ernst
authors.forename: Kanta
authors.initials: K
authors.lastname: Sircar
authors.forename: Mark
authors.initials: M
authors.lastname: Cullen
mesh_terms: D000328:Adult; D000367:Age Factors; D001299:Audiometry / Q000592:standards*; D016208:Databases, Factual / Q000592:standards; D005260:Female; D006317:Hearing Loss, Noise-Induced / Q000175:diagnosis*; D006801:Humans; D007221:Industry; D008297:Male; D009623:Noise, Occupational / Q000009:adverse effects*; D013997:Time Factors; D014481:United States; D014489:United States Occupational Safety and Health Administration