COHC study materials
COHC study resources

COHC key terms

COHC · Get comfortable with the vocabulary.

Hearing conservation program

A written employer program required when noise exposure reaches or exceeds 85 dBA as an eight-hour time-weighted average, covering monitoring, audiometric testing, hearing protection, training, and recordkeeping.

Related: Action level, Standard threshold shift, Annual audiometric testing
Action level

The 85 dBA eight-hour time-weighted average exposure that triggers most hearing conservation requirements under OSHA, including monitoring, audiometric testing, training, and offering hearing protectors to employees.

Related: Hearing conservation program, Permissible exposure limit, Noise dosimeter
Permissible exposure limit

OSHA's maximum allowable noise exposure, 90 dBA as an eight-hour time-weighted average with a 5 dB exchange rate; exposures above this level require feasible engineering or administrative controls.

Related: Action level, Exchange rate, Mandatory hearing protection
Mandatory hearing protection

Requirement that employees wear hearing protectors when exposed above the permissible exposure limit, when not yet tested, or when a standard threshold shift has occurred.

Related: Permissible exposure limit, Standard threshold shift, Noise Reduction Rating
Professional supervisor

A physician or audiologist who oversees the hearing conservation program, reviews audiometric results, interprets problem audiograms, and decides whether referral or follow-up is needed.

Related: Hearing conservation program, Standard threshold shift, Baseline revision
Annual audiometric testing

OSHA requirement that each employee exposed at or above the action level receive a valid audiogram within six months of the baseline and at least annually thereafter.

Related: Baseline audiogram, Standard threshold shift, Audiometric test booth
Sound level meter

An instrument with a microphone and calibrated amplifier that measures sound pressure level at a location; useful for area surveys but it does not capture a worker's full-shift personal exposure.

Related: Noise dosimeter, A-weighting, Exchange rate
Noise dosimeter

A wearable instrument worn near the ear that records sound levels throughout a work shift and computes a time-weighted average, capturing the worker's actual varying exposure.

Related: Sound level meter, Time-weighted average, Exchange rate
Time-weighted average

The steady sound level that, averaged over a defined period such as eight hours, represents the same noise dose as a worker's varying exposure.

Related: Noise dosimeter, Permissible exposure limit, Exchange rate
Exchange rate

The sound level increase that halves the allowed exposure duration; OSHA uses 5 dB, so every 5 dB rise cuts permissible exposure time by half.

Related: Time-weighted average, Permissible exposure limit, A-weighting
A-weighting

A frequency filter that approximates the sensitivity of the human ear at moderate sound levels, used for most occupational noise measurements and hearing conservation decisions.

Related: Sound level meter, Time-weighted average
Peak sound pressure level

The maximum instantaneous sound pressure during an exposure, measured without averaging; OSHA limits peak exposure to 140 dB regardless of duration.

Related: Impulse noise, A-weighting, Permissible exposure limit
Impulse noise

A brief, sharp sound such as a gunshot, hammer strike, or blast that rises and falls rapidly; it is more damaging than steady noise carrying the same total energy.

Related: Peak sound pressure level, Temporary threshold shift, Noise-induced hearing loss
Tympanic membrane

The eardrum, a thin membrane that vibrates when sound waves strike it and passes that motion to the bones of the middle ear.

Related: Ossicular chain, Cochlea
Ossicular chain

The three tiny middle-ear bones, the malleus, incus, and stapes, which amplify and transmit eardrum vibrations to the fluid-filled inner ear.

Related: Tympanic membrane, Cochlea
Cochlea

The snail-shaped, fluid-filled organ of the inner ear containing sensory hair cells that convert sound vibrations into nerve signals sent to the brain.

Related: Hair cells, Ossicular chain
Hair cells

Sensory cells in the organ of Corti whose microscopic stereocilia bend in response to sound; noise damage or loss of these cells is permanent and irreversible.

Related: Cochlea, Noise-induced hearing loss, Permanent threshold shift
Noise-induced hearing loss

Permanent hearing loss caused by accumulated loud sound exposure, usually beginning at higher frequencies and worsening with continued exposure; it is preventable but not medically reversible.

Related: Permanent threshold shift, Temporary threshold shift, Hair cells
Temporary threshold shift

A reversible rise in hearing threshold after loud sound exposure that gradually recovers, often within hours to days; repeated episodes may lead to permanent loss.

Related: Permanent threshold shift, Noise-induced hearing loss, Standard threshold shift
Permanent threshold shift

An irreversible elevation of hearing threshold caused by damage to sensory cells or nerve fibers; it does not recover and is the outcome hearing conservation aims to prevent.

Related: Temporary threshold shift, Noise-induced hearing loss, Hair cells
Presbycusis

Age-related hearing loss, usually gradual and greatest at high frequencies, that can be mistaken for noise-induced loss and is addressed through age correction in audiogram comparison.

Related: Age correction, Permanent threshold shift
Tinnitus

Ringing, buzzing, or other sound perceived without an external source; it commonly accompanies noise-induced hearing loss and can be an early warning of cochlear damage.

Related: Noise-induced hearing loss, Hair cells
Pure-tone audiometry

Testing in which tones of specific frequencies are presented at controlled levels to find the softest level a person can hear, producing a threshold audiogram.

Related: Threshold, Hughson-Westlake method, Audiometric test booth
Audiometric test booth

A sound-treated enclosure with controlled background noise that keeps ambient sound below required limits at each test frequency so threshold testing remains valid.

Related: Pure-tone audiometry, Threshold
Threshold

The lowest sound level at which a listener responds to a test tone in a specified proportion of presentations, recorded in decibels hearing level for each frequency.

Related: Pure-tone audiometry, Hughson-Westlake method
Hughson-Westlake method

The standard ascending threshold procedure: after each response the level is lowered 10 dB, and after no response it is raised 5 dB, bracketing the threshold.

Related: Threshold, Pure-tone audiometry
Otoscopic examination

Visual inspection of the ear canal and eardrum before audiometry to detect wax, drainage, or structural problems that could invalidate testing or require medical referral.

Related: Pure-tone audiometry, Annual audiometric testing
Acoustic calibration

Laboratory measurement of an audiometer's output levels and frequencies using a sound-level meter and acoustic coupler to verify accuracy across the required frequency range.

Related: Biological check, Daily listening check
Biological check

A routine listening test in which a person with stable hearing is tested on the audiometer to confirm that output is reasonable and has not changed noticeably.

Related: Acoustic calibration, Daily listening check
Daily listening check

A quick check of the audiometer before testing, listening for correct tone quality, clean switches, and absence of distortion, crackles, or unexpected noise.

Related: Biological check, Acoustic calibration
Standard threshold shift

A change from baseline of at least 10 dB averaged at 2000, 3000, and 4000 Hz in either ear, triggering notification, protector refitting, and follow-up.

Related: Baseline audiogram, Age correction, Mandatory hearing protection
Baseline audiogram

The initial audiogram used as the reference for later comparisons, ideally obtained before noise exposure begins and after enough quiet time away from workplace noise.

Related: Standard threshold shift, Baseline revision, Annual audiometric testing
Baseline revision

Replacing the original baseline with a later audiogram when it is more medically appropriate, such as when the first test was unreliable or a persistent improvement is documented.

Related: Baseline audiogram, Standard threshold shift, Professional supervisor
Age correction

Adjusting audiometric comparisons for expected hearing loss from aging, so a standard threshold shift is attributed to workplace noise rather than to normal aging.

Related: Standard threshold shift, Presbycusis, Baseline audiogram
Noise Reduction Rating

A single-number laboratory rating of a hearing protector's attenuation; it is combined with derating and exposure data to estimate protected exposure in the workplace.

Related: Personal attenuation rating, Fit testing, Dual protection
Personal attenuation rating

A measure of how well a specific hearing protector fits an individual worker, obtained through fit testing rather than relying on a laboratory rating alone.

Related: Fit testing, Noise Reduction Rating
Fit testing

A procedure that measures real-world attenuation for a worker wearing a specific protector, revealing leaks and teaching better insertion so protection matches the assumed value.

Related: Personal attenuation rating, Noise Reduction Rating
Dual protection

Wearing earplugs and earmuffs together when exposure exceeds limits even with one protector; combined attenuation is estimated as the higher protector's rating plus a small added amount.

Related: Noise Reduction Rating, Fit testing
Program evaluation

Periodic review of hearing conservation activities using audiometric trends, exposure data, and training records to judge effectiveness and make improvements.

Related: Recordkeeping, Standard threshold shift, Hearing conservation program
Recordkeeping

Maintaining noise measurements, audiograms, and training records for required periods so compliance, exposure trends, and each employee's hearing history can be verified.

Related: Program evaluation, Annual audiometric testing, Hearing conservation program