1. Readiness Through Hearing Conservation A Commander’s Guide OUCH!!!

2. Outline Hearing and combat readiness Hearing and combat readiness Your hearing conservation program Your hearing conservation program Hearing Profiles Hearing Profiles Summary Summary Questions Questions Conclusion Conclusion

3. “Shortly after moonrise, Howe was startled by loud voices… over where Stebbins and Heard had been hit… He popped an earplug and listened harder. The voices were speaking Somali. They must have been half deaf like everyone else from all the explosions, and didn’t realize how loud they were talking. Sometimes it took soldiers two or three days to regain full hearing after a fight.” Battle of the Black Sea Mogadishu, Somalia Delta Force, SFC Paul Howe

4. DETECTION OF SOUND BY HEARING ABILITY 100m 180m 1000m 5.5m 100m 210m 0.6m 32m 46m 02004006008001000 Footsteps in Leaves Normal Voice Rifle Bolt Closing Poor Hearing (H-2) Acceptable Hearing (H-1) Poor Hearing w/ TTS (H-3) Detection Decreases Rapidly as Hearing Loss Increases

5. The Hearing Conservation Program It’s the Commander’s Program AR 40-5 Preventive Medicine AR 40-5 Preventive Medicine DA PAM 40-501 Hearing Conservation DA PAM 40-501 Hearing Conservation Insert USAEUR’s Policy Insert USAEUR’s Policy Part of Command Inspection Program Part of Command Inspection Program

6. HC Program Elements Noise hazard identification Noise hazard identification Engineering controls Engineering controls Hearing protectors Hearing protectors Health Education Health Education Monitoring Audiometry Monitoring Audiometry Enforcement Enforcement Program evaluation Program evaluation

7. What is required of you? IMPLEMENT A UNIT LEVEL PROGRAM IMPLEMENT A UNIT LEVEL PROGRAM –Assign a unit level hearing conservation officer/NCO –Command emphasis letter (sample provided) –SOP (sample provided) ENFORCE THE PROGRAM ENFORCE THE PROGRAM –Soldiers use hearing protection in noise –Noise-hazardous areas and equipment identified –Soldier’s report for annual education –Soldier’s report for annual hearing testing

8. Annual Hearing Testing / Training Annual testing Annual testing –A deployment requirement –Available at all military treatment facilities –Hours (consult local facility for hours) Annual training Annual training –Can be completed by unit training NCO –Videos/presentations available for check-out –Document training –Must cover all areas outlined in DA-PAM 40-501

9. Annual Hearing Testing / Training (Cont.) Standard Threshold Shift (STS) Standard Threshold Shift (STS) –A significant change in hearing from baseline –Commander must be notified of all STS –What caused this? (Lack of Education? New Noise Hazard? Non-compliance with program?) OSHA Reportable STS OSHA Reportable STS –A significant change in hearing resulting in material hearing impairment. –CA-1, CA-2, DA-285 must be completed by Commander –Notify Command Safety –Name of soldier goes on OSHA 300 Log

10. Hearing Profiles Issued by Audiologist or Physician Issued by Audiologist or Physician H1 = Good to go H1 = Good to go H2 = Some hearing loss (one ear may be deaf). Know your soldiers and don’t put them in positions which may compromise the mission or safety of the troops. H2 = Some hearing loss (one ear may be deaf). Know your soldiers and don’t put them in positions which may compromise the mission or safety of the troops. H3 = Significant hearing loss that may affect communication ability. NON-DEPLOYABLE without MMRB/MEB. H3 = Significant hearing loss that may affect communication ability. NON-DEPLOYABLE without MMRB/MEB. H4 = Significant hearing loss and significant communication deficit even with amplification. NON- DEPLOYABLE without MMRB/MEB H4 = Significant hearing loss and significant communication deficit even with amplification. NON- DEPLOYABLE without MMRB/MEB

11. COMBAT ARMS EARPLUG Keep filter holes free of earwax and other debris. Check proper insertion for slight tension by gently tugging on plugs. Ensure that plugs are cleaned with soap and water and dry when returned to case. NSN 6515-01-466-2710 Keep filter holes free of earwax and other debris. Check proper insertion for slight tension by gently tugging on plugs. Ensure that plugs are cleaned with soap and water and dry when returned to case. NSN 6515-01-466-2710 Insert YELLOW plugs for weapons fire in dismounted mode. Insert OLIVE DRAB plugs for steady state noise in and around aircraft, noisy vehicles and watercraft, etc.

12. SUMMARY Hearing and combat readiness Hearing and combat readiness Your hearing conservation program Your hearing conservation program Hearing Profiles Hearing Profiles

13. QUESTIONS???????

14. Conclusion “If I could change one thing from the past 20 years, it would be the constant ringing in my ears I live with now - all because I didn’t wear hearing protection when I should have… The only thing I can change now are the batteries in my hearing aids.” After 20 Years of Service…Only One Regret SGM Kevin M. Skelly NCO Journal, Fall 95

15. Contacts USAREUR HCPM-CPT Kel Kratzer CHPPMEUR USAREUR HCPM-CPT Kel Kratzer CHPPMEUR DSN: 486-6034 kel.kratzer@us.army.mil kel.kratzer@us.army.mil Wuerzburg HCPM-CPT Andy Merkley Wuerzburg HCPM-CPT Andy Merkley DSN: 350-3201 john.merkley@us.army.mil john.merkley@us.army.mil Landstuhl HCPM-LTC Angela Williamson Landstuhl HCPM-LTC Angela Williamson DSN: 486-8188 angela.williamson@amedd.army.mil angela.williamson@amedd.army.milangela.williamson@amedd.army.mil Heidelberg HCPM-Hal McPherson Heidelberg HCPM-Hal McPherson DSN: 371-3224 hal.mcpherson@us.army.mil hal.mcpherson@us.army.mil