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===Hearing protection=== {{Main|Hearing protection}} [[File:SafetyGlassesAndEarplugs.jpg|thumb|A PPE station, containing [[eye protection]] and [[Earplug|earplugs]], as well as a place to dispose of dirty glasses.]] [[Industrial noise]] is often overlooked as an occupational hazard, as it is not visible to the eye. Overall, about 22 million workers in the United States are exposed to potentially damaging noise levels each year.<ref name="noise">[https://www.cdc.gov/niosh/topics/noise/stats.html CDC - Noise and Hearing Loss Prevention - Facts and Statistics - NIOSH Workplace Safety and Health Topic] {{webarchive|url=https://web.archive.org/web/20160703145248/http://www.cdc.gov/niosh/topics/noise/stats.html |date=2016-07-03 }}. The National Institute for Occuaptional Safety and Health.</ref> Occupational hearing loss accounted for 14% of all occupational illnesses in 2007, with about 23,000 cases significant enough to cause permanent hearing impairment.<ref name="noise" /> About 82% of occupational hearing loss cases occurred to workers in the manufacturing sector.<ref name="noise" /> In the US the [[Occupational Safety and Health Administration]] establishes occupational noise exposure standards.<ref name="oshanoise">[https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=standards&p_id=9735 Occupational noise exposure - 1910.95] {{webarchive|url=https://web.archive.org/web/20150402213424/https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=standards&p_id=9735 |date=2015-04-02 }}. The Occupational Safety and Health Administration.</ref> The [[National Institute for Occupational Safety and Health]] recommends that worker exposures to noise be reduced to a level equivalent to 85 dBA for eight hours to reduce occupational [[noise-induced hearing loss]].<ref name="criteria">[https://www.cdc.gov/niosh/docs/98-126/pdfs/98-126.pdf Criteria for a Recommended Standard: Occupational Noise Exposure] {{webarchive|url=https://web.archive.org/web/20170202172749/https://www.cdc.gov/niosh/docs/98-126/pdfs/98-126.pdf |date=2017-02-02 }}. DHHS (NIOSH) Publication No. 98-126.</ref> PPE for hearing protection consists of [[earplugs]] and [[earmuffs]]. Workers who are regularly exposed to noise levels above the NIOSH recommendation should be provided with hearing protection by the employers, as they are a low-cost intervention. A personal attenuation rating can be objectively measured through a [[hearing protection fit-testing]] system. The effectiveness of hearing protection varies with the training offered on their use.<ref>{{Cite journal|last1=Tikka|first1=Christina|last2=Verbeek|first2=Jos H|last3=Kateman|first3=Erik|last4=Morata|first4=Thais C|last5=Dreschler|first5=Wouter A|last6=Ferrite|first6=Silvia|date=2017-07-07|title=Interventions to prevent occupational noise-induced hearing loss|journal=The Cochrane Database of Systematic Reviews|volume=2017|issue=7|pages=CD006396|doi=10.1002/14651858.CD006396.pub4|issn=1469-493X|pmc=6353150|pmid=28685503}}</ref> On January 2025 NIOSH published a Science Policy Update recommending employers use individual, quantitative fit testing to evaluate the attenuation received by workers from their hearing protection devices.<ref>{{Cite journal |last=NIOSH |first=National Institute for Occupational Safety and Health |date=2025-01-16 |title=NIOSH science policy update: individual fit-testing recommendation for hearing protection devices |url=https://www.cdc.gov/niosh/docs/2025-104/ |journal=NIOSH Policy Update |language=en-us |doi=10.26616/NIOSHPUB2025104}}</ref>
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