1. Hearing Conservation Theresa Y. Schulz, PhD. Lt. Col. USAF (ret.)

2. Topics How We Hear Noise And AcousticsMotivating Workers Noise Reduction Selecting Hearing Protection Reducing Costs for Hearing LossHearing Protection Fitting Tips

3. Noise + Acoustics

4. Hazardous noise exposures occur On the Job Off the Job

5. Noise + Acoustics Noise-Induced Hearing Loss Causes no pain Causes no visible trauma Leaves no visible scars Is unnoticeable in its earliest stages Accumulates with each overexposure Takes years to notice a change Is Permanent + 100% Preventable

6. Noise + Acoustics Noise-induced hearing loss is the most common permanent and preventable occupational injury in the world. World Health Organization

7. Noise + Acoustics Worker’s Compensation In many countries, excessive noise is the biggest compensable occupational hazard. Cost of NIHL to developed countries ranges from 0.2 to 2% of its GDP. NIHL is on the rise globally. (Source: WHO)

8. Noise + Acoustics Canadian Statistics Canadian Hearing Society Awareness survey (2000) 25 % of people with hearing loss are under 40 70 % are under 60 Average age of those experiencing hearing loss = 51 16 % of 6 -19 year olds have early signs of hearing loss

9. Each year in Ontario there are about 300 new compensation claims for noise-induced hearing loss (NIHL) in the industry. NIHL can and should be prevented.

10. Noise + Acoustics Non-OccupationalOccupational

11. Noise + Acoustics If you must SHOUT to be understood over background noise… …when standing one arm-length away from another person, that background noise is HAZARDOUS.

12. Noise + Acoustics Do jets, stereos, my neighbor’s dog, air conditioner or mobile phones cause NIHL ? To damage hearing, noise must be of sufficient intensity and duration Annoyance noises generally do not have the same intensity or duration to cause damage

13. Noise + Acoustics The decibel (dB) scale is a logarithmic scale, not a linear scale 89 Small increases in decibel level The noise level only goes up 3 dB 86 83 If the noise source is doubled 92 Represent enormous increases in noise level and risk

14. Noise + Acoustics Time Weighted Average Permissible Exposure Limits

15. Noise + Acoustics Time Weighted Average Permissible Exposure Limits

16. Noise + Acoustics Time Weighted Average Permissible Exposure Limits

17. Noise + Acoustics Regulations in Canada / US NewFoundland/ Labrador O.C. 2009-233 US -OSHA 29 CFR 1926.52 Construction Permissible Exposure Limits 85 dB90 dB Action Level 80 dB85 dB Noise Monitoring RequiredNot Required Audiometric Testing AnnualNot Required Training Required - New Hires/Annual Not Required Hearing Protectors Required @ PEL Recordkeeping Required duration of employment Not Required

18. Noise + Acoustics Hearing Conservation & Noise Control Action Level – 80 dB Inform worker of hazardous noise level Hearing protectors made available Meeting CSA Standard Provide info re: selection, use, care 80 dB TWA 85 90 Permissible Exposure Limit – 85 dB  Practical noise controls  Hearing protectors required  Reduce to <85 dB  Info re selection, care, use  Audiometric testing

19. Noise + Acoustics Overprotection/Underprotection 20-25% workers exposed between 80-90 dB will still get NIHL. While HPD use is mandatory at 90 dB, you should protect to at least 85 dB. Avoid overprotection – protected levels below 65-70 dB can create additional safety risk.

20. Noise + Acoustics Noise Measurement Devices SOUND LEVEL METER Sound is measured immediately in a specific area PERSONAL DOSIMETER Sound “averaged” throughout day for sample employee/job IN-EAR DOSIMETER Collects personal noise dose – the only real measure of risk

21. NOISE AND ACOUSTICS ~ Hierarchy of Controls ADMINISTRATIVE CONTROLS Rotate Workers Extended Breaks 2 nd /3 rd Shift ENGINEERING CONTROLS Buy Quiet Vibration Pads Enclosures Barriers Isolation PERSONAL PROTECTIVE EQUIPMENT Noise + Acoustics Hierarchy of Controls

22. NOISE AND ACOUSTICS ~ Hierarchy of ControlsNoise + Acoustics A, B and C Weighing Curves

23. Ototoxic by themselves Synergistic effect with noise Large differences in sensitivity Recommend: increased frequency of audiometric testing Synergistic Ototoxics Carbon Monoxide Hydrogen Cyanide NOISE NOISE AND ACOUSTICS ~ Hierarchy of ControlsNoise + Acoustics Ototoxic Chemicals Confirmed Ototoxics Ethyl Benzene Lead and inorganic compounds (as Pb) Styrene Toluene Trichloroethylene Possible Carbon disulfide n-Hexane Xylene

24. How We Hear

25. The Auditory System Acoustical Mechanical Hydraulic Chem/Elec

26. How We Hear Nerve cells in the cochlea are tuned to specific frequencies Base of the cochlea is sensitive to high frequency sounds (red dots) Tip of the cochlea is sensitive to low frequency sounds (green dots) Hearing + Frequencies

27. How We Hear 17-year old girl Low noise exposure Normal cochlea Receptors intact 76-year old man Low noise exposure Fewer receptors but still intact 59-year old man High noise exposure Damaged cochlea Receptors destroyed The Human Cochlea

28. How We Hear Safe Noise Levels At safe noise levels, sound waves move along the cochlea without damaging receptor cells Low noise Normal cochlea

29. How We Hear Loud Noise Levels High noise levels damage the first turn of the cochlea – where high frequency sounds are heard…and lost High noise Damaged cochlea

30. How We Hear High Frequency Sounds of Speech S TH SH F H K T P CH

31. How We Hear Normal Hearing is Understandable LOUDNESS

32. How We Hear NIHL Lacks Clarity

33. How We Hear Indicators of NIHL Time-linked to noise exposure High-frequency hearing loss Usually bilateral (both ears) Gradual progression over time Appropriate symptoms (tinnitus, muffled hearing)

34. How We Hear Audiometric Testing A measure HC Program effectiveness Measures effectiveness of HPDs Catches NIHL in its early stage Noise damage can only be determined when audiograms are compared serially A single industrial audiogram cannot identify noise damage

35. How We Hear Annual Audiogram vs. Baseline Worker Profile 35 years old Works in Tire Shop, does not use hearing protection Early detection of noise-related hearing loss Employee retrained in the use of hearing protectors

36. Accommodations for hearing impaired employees Use Intelligent Hearing Protection Use hearing aids + electronic earmuffs Use hearing aids + uniform attenuation earmuffs (Hearing aids alone are usually not feasible protectors) How We Hear

37. Hearing Protection Selection

38. Comfort Noise ReductionSizeCommunicationJob Requirements Hygiene Use with Other PPE Hearing Protection Selection Factors The right hearing protector should feel comfortable One protector may not satisfy all workers Offer a variety of earplugs or earmuffs to meet varying worker needs and preferences Selecting HPDs with suitable attenuation for noise environment Avoid overprotection in marginal noise environments Consider banded earplugs for intermittent noise or electronic earmuffs for impact noise. Every ear canal has its own shape and size Ensure proper fit with variety of earplug sizes and shapes Sized multiple-use earplugs Low-pressure foam earplugs for smaller ear canals Keep workers connected to their environment Uniform attenuation allows speech/signals to be hear more naturally Sound amplification earmuffs for workers with hearing impairment Consider job requirements in HPD selection Detectable earplugs for process industries Hi-visibility earmuffs for dark/high traffic areas Dielectric HPDs for electrical environments Proper care and maintenance can extend life and performance of HPDs Examine and clean all multiple-use earplugs daily Clean and replace ear cushions on earmuffs every 4-6 months Select HPDs that can work with other PPE without compromise Cap-mounted earmuffs for hard hats Multiple-position earmuffs for full-brim hard hats Ultraslim neckband earmuffs with welding shields

39. Hearing Protection Selection Earplugs PRO Comfortable for extended use Disposable earplugs available Cooler in hot/humid environments Single-use foam plugs can provide highest levels of attenuation CON Attenuation highly dependent upon good fit Hygiene issues in dirty environments

40. Hearing Protection Selection Earplugs CARE/MAINTENANCE Dispose single-use earplugs daily Clean multiple-use earplugs with mild soap and water, dry thoroughly Inspect multiple-use earplugs for dirt, cracks or hardness, replace if damaged

41. Hearing Protection Selection Bands PRO Very convenient for intermittent noise Readily available around neck when not in use CON Lower attenuation than most earplugs Some noise transmission through band

42. Hearing Protection Selection Bands CARE/MAINTENANCE Clean and replace pods regularly Do not overstretch band

43. Hearing Protection Selection Earmuffs PRO Easy to get proper fit Good for intermittent noise Radio & electronic options CON Can feel hot/heavy with extended wear Compatibility with other PPE?

44. Hearing Protection Selection Earmuffs CARE/MAINTENANCE Clean ear cushions and headband regularly with mild soap and water Replace ear cushions and foam inserts every 4-6 months with normal wear, more often with heavy use/extreme conditions Do not overstretch headband

45. Select the right hearing protector for the job. The one you’ll wear With enough noise reduction (double @ 104 dB) Without too much noise reduction What else do you need from you HPD?

46. Who would buy earplugs so effective that you couldn’t hear a forklift truck coming up behind you or a distant shouted warning? Everyone … at least every industrial buyer. We’ve trained them so ! “ ” Who would buy sunglasses so dark that you couldn’t see the cars coming down the road? No one ! Hearing Protection Selection

47. Choosing a protector with an NRR higher than necessary may result in overprotection Insufficient Protection Optimal Protection Acceptable Protection Possible Overprotection -85 -80 -75 -70 Worker Exposure in the Ear With Protectors dB -85 -80 -75 -70 dB Hearing Protection Selection Verbal communication may be hindered Warning alarms may not be heard Machine noises may be too diminished HPD may be removed Hazards of Overprotection

48. Hearing Protection Selection Sound Management Earmuffs For Recreational Shooters/Hunters Amplifies ambient sounds Rapid-Response shuts down at 82 dB Better communication Better situational awareness Low-profile AUX input for MP3

49. Increased Risks for HL The bigger the bore, the more powder, the shorter the barrel– the bigger the boom! Shooting in groups Shooting inside a blind or enclosure Some indoor ranges Straight line blast Reflective surfaces Muzzle brakes

50. PRO More natural sounds Good for hearing-impaired workers CON Lower attenuation than most earplugs Costs more Hearing Protection Selection – Flat Attenuation

51. 50 45 40 35 30 25 20 15 10 5 0 63 125 250 500 10002000 4000 8000 Frequency in Hz Attenuation in dB Uniform Attenuation Earplug Conventional Earplug Variation in attenuation is only 5 dB in speech range (250 - 4kHz) Speech will sound more natural with this earplug. Hearing Protection Selection

52. PRO Communication Situational awareness Impulse noise management CON Training Cost Hearing Protection Selection – Non-linear HPDs

53. PRO Amplifies Good for hearing-impaired workers Situational awareness CON Cost Hearing Protection Selection – Intelligent HPDs

54. Communication Solutions Protection against continuous, intermittent, and impulse noise Connect w/two-way communication radios Digital sound processing Adaptive talk-through Situational awareness Active Noise Reduction Fit check for protection

55. Now: Integrated Bluetooth, In-Ear, ATEX Sensear Phonak CavCom Howard Leight Communication Solutions

56. Hearing Protection Selection Hearing Protection Selection Factors www.howardleight.com/selector

57. Hearing Protection Selection Common Objections to Wearing HPDs “Hearing protectors are uncomfortable to wear.” “I don’t need them! I am used to the noise.” “I already lost some of my hearing, so why should I wear them?” “I can’t hear my co-workers if I wear them.” “I can always get fit with a hearing aid.” “Can I hurt my eardrums if I insert an earplug to deeply.” “My machine sounds different.” “Won’t I get an ear infection?”

58. If workers already have hearing loss, are they exempt from using hearing protection ? NO!! Hearing aids alone are usually terrible protectors Use hearing aids + electronic earmuffs Use hearing aids + uniform attenuation earmuffs See OSHA SHIB Tips for Employees Wearing Hearing Aids Hearing Protection Selection

59. Noise Reduction Ratings vs. Personal Attenuation Ratings

60. How much noise is reaching the ear of the worker ? That is completely unknown … Noise Level = 100 dB Noise Reduction Rating = 30 dB (55 – 104 dB) Noise Reduction Rating

61. 1. FIT 2. WEAR TIME A worker who selects an earplug with an NRR of 30 effectively reduced his 8-hour NRR to just … but then removes that HPD for just … 30 dB 5 min 10 min 30 min 15 min 26 dB 24 dB 22 dB 18 dB In noise exposures, small intervals of no protection quickly void large intervals of adequate protection. Noise Reduction Rating Factors in Achieving the NRR

62. From Kevin Michael, PhD and Cindy Bloyer “Hearing Protector Attenuation Measurement on the End-User” Noise Reduction Rating – Real-World Attenuation ≠ NRR 192 users of a flanged reusable earplug ~ 27 NRR Retraining and refitting resulted in an average 14 dB improvement for this group Real user attenuation <0 to 38 dB 30 20 10 0 -10 Attenuation in dB 40 50 NRR = 27 Multiple-Use Earplug

63. 100 dB 90 dB 80 dB 70 dB 60 dB 012345678 8-Hour Workday 30 dB = 1000x 20 dB = 100x 10 dB = 10x 3 dB = 2x Noise Reduction Rating

64. The EPA recently made an announcement about a proposed change to the Noise Reduction Rating [NRR] This is the first change in hearing protector regulation in nearly 30 years

65. Current NRR Label Mock-up of New Label 80 th % Minimally- trained 20 th % Proficient Users Noise Reduction Rating

66. Rating methods are based upon idealized laboratory testing NRR has been criticized for being too generous in its prediction of noise reduction [attenuation] Studies indicate that while some workers in real-world worksites achieve the NRR on the package or even greater protection, many workers do not This has led to a variety of inappropriate de-rating methods for hearing protectors Contributed too much confusion in knowing how to accurately estimate a HPD’s attenuation

67. Noise Reduction Rating Represents a range of expected protection Uses a new ANSI-standard lab testing to generate the attenuation ratings New NRR will provide an indication of how much attenuation minimally-trained users [the lower number] versus highly-motivated trained users [the higher number] can be expected to achieve For some hearing protectors, the spread of this range may be quite significant The New System: A Range

68. Noise Reduction Rating Current vs. Proposed NRR Current NRRProposed NRR Rating A single-number estimate of protection A high/low range of estimated protection Description of Rating Estimates the 98 th percentile of protection obtained by users when properly fitted Estimates the 80 th and 20 th percentile of protection obtained by users Test Protocol ANSI S.3.19-1974 [Experimenter Fit] 10 subjects for earplugs and earmuffs, HPDs fit by experimenter ANSI S12.6-2008 Method A [Supervised Subject-Fit] 20 subjects [for earplugs] or 10 subjects [for earmuffs], HPDs fit by subject after brief training

69. Noise Reduction Rating Current vs. Proposed NRR Current NRRProposed NRR Application Intended for use with dBC noise measurements. Requires a 7 dB correction for use with dBA noise measurements. Can be applied directly to dBA noise measurements De-Rating Various de-rating schemes promulgated by various organizations [including OSHA] Designed to be used with no required de-rating Retesting Currently, no retesting of HPDs required Periodic retesting of HPDs required every 5 years

70. Noise Reduction Rating NRR Labels The proposed EPA regulation addresses for the first time the rating of non-standard hearing protectors, such as Active Noise Reduction [ANR] or level-dependent [or impact noise] protectors Under the old labeling requirements, these specialized protectors were rated with a low NRR, simply because they were not tested in the higher noise ranges where their noise reduction capability is activated EPA has included these types of hearing protectors in its new labeling regulation so that purchasers can make informed choices

71. Noise Reduction Rating How to Apply the New Label Two-number range displays the estimated protection achievable by minimally-trained users [80%] versus proficient users [20%]. A wider range indicates greater variability in the fit of that HPD. Smaller ranges indicate more consistency of fit. For example, earmuffs will usually have a tighter fitting range than earplugs, and may have a smaller NRR range. 80%20%

72. Noise Reduction Rating Three New Labels LABELDESCRIPTION Conventional HPD  Perform lab test with subjects who fit the protector after brief training  Estimates the range of protection achieved by 20% and 80% of users Active Noise Reduction [ANR] Uses a Microphone-in-Real-Ear [MIRE] method to estimate protection Measured with ANR turned OFF and ON to show the additional attenuation from the ANR Level Dependent/ Impulse Noise Reduction Testing will occur over a range of impulse noise levels. Multiple tests to determine lower and upper ranges of impulse noise reduction Will include two ranges to identify attenuation for passive and active modes

73. Noise Reduction Rating Why did the EPA decide to make this change? Since 1974, the EPA has used the Noise Reduction Rating as its yardstick to measure hearing protector effectiveness in reducing noise levels NRR is based upon idealized laboratory testing, many studies indicate the NRR can over-estimate the protection received by many workers The new Noise Reduction Rating will take into better consideration the human factors involved with the use of HPDs – specifically training and fit

74. Noise Reduction Rating Why is a two-number range part of the new label? It is a more realistic indicator of the variety of protection levels achieved by users in the real world, depending on their training and fit In the past, some safety managers assumed that the attenuation rating on the package would be achieved by most workers, regardless of training or motivation Two-number range now clearly shows that employees who use the same HPD can obtain different levels of protection Employees who are motivated and trained to achieve a proper fit will be nearer the high end of the range

75. Noise Reduction Rating Will OSHA 29 CFR 1910.95 change? OSHA has not announced any proposed changes to the Occupational Noise Standard OSHA will presumably respond to the revised NRR label by issuing a field directive or technical memorandum, informing its compliance officers how to deal with the new two-number NRR range

76. Noise Reduction Rating Will the new rating methods favor earplugs or earmuffs? While a well-fit foam earplug generally has greater attenuation than most earmuffs, earmuffs are inherently easier to fit for most users There is less variability in the fit of earmuffs Overall range of attenuation for earmuffs will usually be tighter and often higher, than earplugs Workers should be offered a choice of earplugs, bands and earmuffs that meet the requirements of the work environment

77. Noise Reduction Rating What Can I Do Now? Evaluate Noise Spectra to determine if spectral balance corrections will be necessary Update HC Training Program on proper fit of hearing protectors. Hold a “Toolbox Training” and hold a refresher fit training session. Although the new labeling regulation takes effect whenever the final rule is published by the EPA, there are a number of actions you can take now to prepare your Hearing Conservation Program for the change.

78. Noise Reduction Rating What Can I Do Now? Evaluate Current HPD Selection to determine whether they are appropriate for your noise environment. Use the Howard Leight Hearing Protector Selector for recommendations. Howard Leight Hearing Protector Selector Upgrade to One-on-One Training research studies confirm that one-on-one training is superior to group training

79. Noise Reduction Rating Earplug Fit Testing Provides an accurate, real-world picture of your employees’ hearing protector effectiveness. Identify if your employees are: Receiving optimal protection Require additional training Need to try a different earplug style

80. Noise Reduction Rating Earplug Fit Testing As a problem solver: Derating Schemes One-on-One Training HPD Selection NRR Change

81. Noise Reduction Rating In-Ear Dosimetry As a Problem Solver Employees with Documented NIHL or STS At-Risk Employees Training + Sampling Dual-Protection/ Extreme Noise Engineering Controls

82. Reducing Costs + Claims

83. Standard Threshold Shift Temporary Threshold Shift Recordable Hearing Loss Labeled NRR (de-rated?) Dosimetry In-Ear Dosimetry Personal Attenuation Level (PAR) Reducing Costs of Hearing Loss Indicators for Hearing Loss

84. Lagging Indicators vs. Leading Indicators Reducing Costs of Hearing Loss

85. Standard Threshold Shift Temporary Threshold Shift Recordable Hearing Loss Labeled NRR (de-rated?) Dosimetry In-Ear Dosimetry Personal Attenuation Level (PAR) Reducing Costs of Hearing Loss Indicators for Hearing Loss

86. Fit Testing In-Ear Dosimetry Reducing Costs of Hearing Loss

87. Earplug Fit Testing Provides an accurate, real-world picture of your employees’ hearing protector effectiveness. ID if your employees are: Getting the right protection Need additional training Need different earplug Field Verification – Fit-Testing As a problem solver: Derating Schemes One-on-One Training HPD Selection NRR Change

88. Real-Ear Attenuation at Threshold (R.E.A.T.) Field Verification – Fit-Testing

89. Loudness Balance ( Real-Ear Attenuation Above Threshold ) Field Verification – Fit-Testing

90. Microphone in Real-Ear (M.I.R.E.) Field Verification – Fit-Testing

91. Audiometric, IntregaFit,* 1,2 MultiFit FitCheck* HPDWellFit QuickFit 1 EARfit* SafetyMeter* VeriPRO* REAT, 1 One freq MIRELoudness Balance Sound boothQuiet RoomAnywhere PAR Derived PARPAR Any earplug Modified or custom earplugs Any earplug COHC 2 Training included COHCTraining provided Training included * Commercially available Field Verification – Fit-Testing

92. “How well can users predict their attenuation after a short fit-testing training session?" Pre and Post-Test Fit-Testing as a Training Tool

93. Pre and Post-Test Fit-Testing as a Training Tool Ability to Predict Noise Reduction 0 2 4 6 8 10 12 14 16 18 20 Within 5 dB category +/- 7.5 dB (one Category off) +/- 12.5 dB (2 categories off) Number of Ears (Each subject estimated atten. for each ear) 56% 32% 12%

94. Fitting Tips Ability to Predict Noise Reduction Fit-Testing as a Training Tool

95. Published NRR Field Verification – Fit-Testing

96. Personal Factors Gender Age Years in Noise Ear Canal Size Familiarity Model of Earplug Program Factors # Group Trainings # Personal Trainings Field Verification – Fit-Testing

97. Published NRR Trying a second earplug often improves attenuation Field Verification – Fit-Testing

98. Distribution of PARsField Verification – Fit-Testing

99. Protected Exposure Levels (PrEL) Field Verification – Fit-Testing

100. "I know how to better fit my earplugs now." "I was amazed with the results after being shown the proper way to use earplugs. "Learned A LOT about best earplugs for me" "I found a more comfortable fit. It was very beneficial." "Very glad I did the fitting test. Now I know the correct way to fit my ear plugs.” "Recently had threshold shift" "Found better earplugs" Field Verification – Fit-Testing "Feel like am protected now!" "I had no idea I was not using my earplugs correctly."

101. In-Ear Dosimetry Reducing Costs of Hearing Loss

102. In-ear dosimetry measures/records worker’s actual noise dose, with and without protection Provides real-time monitoring and alerts when worker approaches/exceeds safe limits Only metric with direct potential to measure and prevent further progression of occupational hearing loss

103. Reducing Costs + Claims

104. Research > Alcoa Intalco Works Mean Hearing Threshold (2k, 3k, 4kHz): 2000 – 2007 (N = 46) Employees using continuous in-ear dosimetry starting in 2005 Reducing Costs + Claims

105. Preventive Action After NIHL ID of an abnormal audiogram or shift is not a preventive action It is documentation of a hearing loss after the fact. How soon will an employee suffering NIHL be re-fit / re-trained ? “Best case scenario” per regulatory compliance only 0 246810121416 Months Audiometric test Retest Notification Reducing Costs + Claims In-ear dosimetry “worst case” scenario … 1 Day

106. PROS Estimate Measure NRR obsolete Fulfills regulatory compliance Eliminates need for de-ratings Medico-legal cases Delineates non-occupational Eliminates double protection Provides employee feedback CONS Cost Time Investment Not standardized Reducing Costs + Claims Tools for HCP Prevention Metrics

107. Off-job + On-job = STS Reducing Costs + Claims

108. Adaptive, Intelligent Hearing Protection QPi is different. Upon start-up, QPi detects a minimum 20 dB of attenuation in each ear, ensuring a baseline threshold of protection. Then, QPi continuously monitors noise levels, and manages in-ear listening to appropriate, safe thresholds. Instantly— faster than the wearer ever could— QPi blocks dangerous noise, yet keeps them in touch with their surroundings, enabling clear communications without compromising speech intelligibility or listening quality. Reducing Costs + Claims

109. Adaptive, Intelligent Hearing Protection FeatureBenefits Automatic Fit Check  Automatic detection of minimum 20 dB of attenuation ensures a baseline threshold of protection  Wearer is alerted to a poor fit, requiring a refit Protection Against Continuous, Intermittent, and Impulse Noise  Limits all incoming sound through to the ear canal to 85 dBA  Ultra fast digital processing prevents impulse noise from reaching the ear Digital Sound Processing “Always Ready, Always On”  Voice pick-up and sound reproduction done within ear canal via internal microphones  Exterior microphones analyzes surrounding sound, adapts hear-through continuously, facilitates natural hearing  Provides full hearing protection and maximum acoustical performance – increases ability of receiver to recognize the voice with clarity, even in extreme noise Reducing Costs + Claims

110. Safety in Situational Awareness Smart technology seamlessly reproduces sound naturally and clearly without affecting high noise attenuation automatically using ultra fast digital processing hands-free to the user No need to remove HPD to maintain contact with surroundings, reducing further exposure to hazardous noise.

111. FeatureBenefits Adaptive Talk- Through  Able to listen to surrounding sounds without interference  Minimizes ambient sound when listening to radio communication  Sound localization for situational awareness Adaptive Active Noise Reduction (ANR)  Calibrates performance of Digital ANR algorithm to specific characteristics of each ear  Ensures highest level of hearing protection, communications clarity and ANR stability  Speed to respond to impulse noise is ultra quick – reducing the unwanted noise and then restoring the full talk-through hearing Safety in Situational Awareness

112. Positioning | Safety in Situational Awareness Adaptive Talk-Through Adaptive attenuation – never attenuates more than necessary Signal processing algorithms for noise analysis Provides the user optimal hearing while being protected Digitally controlled impact protection Time Level Safety in Situational Awareness

113. Positioning | Safety in Situational Awareness Adaptive Active Noise Reduction (ANR) Frequency Passive attenuation Active attenuation dB Increases attenuation of low frequency noise Adapted to the individual ear for optimal performance Only active when needed Safety in Situational Awareness

114. Clear Two-Way Communication, Even in Extreme Noise Connected to two-way comm. Radios: Users can hear communications without compromising listening quality, even under extreme noise situations. Users can speak at a normal level and be heard the person on the other radio without picking up environmental noises Improved Speech Intelligibility

115. Clear Two-Way Communication Clear Two-Way Communication, Even in Extreme Noise FeatureBenefits Compatible with Two-Way Radios  Connects to most commonly used 2-way com radios (Motorola, Icom)  Volume control via QPi interface unit Adaptive Talk-Thru Automatically adapts users’ voice communication when environmental noise reaches high levels Digital impulse protection automatically minimizes impact or intermittent noises without compromising listening quality Eliminates “noise leakage” due to delay in the electronics In-Ear Mounted Microphones  Voice is captured in front of ear drum, enables radio communication without external microphone  Compatible with other PPE, including full-face respirators, helmets and other head protection

116. Applications Military Helicopters on the helideck Steel forging equipment Draglines in surface mines Construction

117. COR – Best Practices Training Documentation Internal Audit External Audit Certification (valid for 3 yrs)

118. COR St. John's (Head Office) 146 - 148 Forest Rd. P.O. Box 9000 St. John's, NL A1A 3B8 Tel: (709) 778-1000 Fax: (709) 738-1714 Toll Free: 1-800-563-9000 80 Glencoe Drive Donovan's Industrial Park Mount Pearl, NL Canada A1N 4S9 Telephone: (709)739-7000 Facsimile: (709)739-7001 Toll-free: 1-888-681-SAFE (7233) Email: info@nlcsa.cominfo@nlcsa.com

120. Hearing Protectors + Fitting Tips

121. How much protection? 0 dB 33 dB EAR #1 EAR #2 EAR #3

122. -10 125 250 5001000 20003150400063008000 Frequency in Hz 90 80 70 60 50 40 30 20 10 0 Attenuation in dB Max Poor Fit NRR = 0dB Max Good Fit NRR = 33dB Good Fit vs Bad Fit Fitting Tips

123. Roll-Down Foam Earplugs 2. Pull Back pinna by reaching over head with free hand, gently pull top of ear up and out 1. Roll entire earplug into a crease-free cylinder 3. Insert earplug well into ear canal and hold until it fully expands

124. Fitting Tips

125. Multiple-Use Earplugs 1. Reach While holding the stem, reach hand overhead and gently pull top of ear up and back. 2. Insert Insert earplug so all flanges are well inside the ear canal. 3.Fit If properly fitted, only the stem of the earplugs should be visible to someone looking at you from the front.

126. Fitting Tips Visual + Acoustical Checks 2. Acoustical Check Cup hands over ears and release. Earplugs should block enough noise so that covering your ears with hands should not result in a significant noise difference. 1.Visual Check The earplug should sit well inside the ear canal and not stick out.

127. Fitting Tips Earmuff Instructions 1.Place earcups over each outer ear 2.Adjust the headband by sliding the headband up or down at the attachment buttons 3.The ear cushions should seal firmly against the head

128. Fitting Tips Fitting Instruction Posters

129. Fitting Tips FAQ: Earmuffs + Safety Eyewear In our facility, several noisy areas require safety eyewear as well as earmuffs. Can earmuffs be worn over safety eyewear without affecting attenuation? Affect on Attenuation Thin Frame (1-2 mm)0 dB Medium Frame (3-4 mm) 2 dB Thick Frame (5-6 mm)5 dB Attenuation is impacted significantly by thick-framed eyewear.

130. Fitting Tips FAQ: Dual Protection At our facility, we are exposed to extreme noise levels and wear both earplugs and earmuffs. How much reduction in noise level can we expect from dual protection? Max ® earplug 33 dB Viking ™ earmuff 29 dB Maximum Protection 38 dB To estimate protected noise level, add 5 dB to the higher NRR protector.

131. Fitting Tips FAQ: Earmuffs + Polar Hoods We work in a cold environments and use Howard Leight polar hoods with our earmuffs. Does the hood affect the attenuation of the earmuff ? No affect on attenuation!

132. Fitting Tips FAQ: Earmuffs + Absorbent Pads We work in a humid environment and use moisture-absorbing pads with our earmuffs. Do the pads affect the attenuation of the earmuff ? No significant affect on attenuation!

133. Fitting Tips FAQ: Radio Earmuffs + Noise Is it safe to use earmuffs with built-in AM-FM radios? Doesn’t the radio just add more noise to damage hearing ? Noise Level Under Earmuff Ambient Noise 100 dB Attenuation - 20 dB Passive Exposure = 80 dB Plus Radio Noise + 82 dB Effective Exposure 84 dB Built-in sound level limitation circuitry can mitigate additional noise exposure risks.

134. Fitting Tips FAQ: Active Noise Cancellation What about Active Noise Cancellation (ANC) earmuffs? Inserts a reverse-phase signal to cancel incoming noise Noise reduction at frequencies below 500 Hz Most effective in continuous noise (commuter noise) Not cost-effective for workers

135. Fitting Tips FAQ: Custom Molded Earplugs What about Custom Molded Earplugs? PRO Comfort Personal attachment CON Lower attenuation Variability in attenuation Lubricant required No extended-life benefit

136. Training + Motivation

137. Show, Don’t Tell Provide copy of annual audiogram to worker Use personal examples to demonstrate consequences of hearing loss Ask questions: What is your favorite sound? What sound would you miss the most if you couldn’t hear? What sounds connect you to people and your environment? Training + Motivation Personalize Hearing Loss

138. Training + Motivation Training Materials www.hearforever.org www.hearingconservation.org http://adl.grc.nasa.gov/ www.cdc.gov/niosh/topics/noise www.dangerousdecibels.org www.caohc.org Demonstrate Future Risk

139. Training + Motivation Send Clear Message On + Off Job HC Part of Everyday Life Include recreational hearing conservation in annual training Provide extra HPDs for home use Promote Hearing Conservation at company/family events

140. Training + Motivation Remove Barriers to HPD Use Make HPDs Available Highlight “where to find HPDs” in annual training Make sure HPDs are well- stocked and accessible Include group of workers in selection process for increased acceptance Offer wide variety to match comfort, job requirements

141. Training + Motivation

142. Hearing Loss Due To Noise Exposure Is … Painless Permanent Progressive … and very Preventable!Preventable Training + Motivation

143. Make Hearing Conservation Part of Your Everyday Life

144. Download today’s presentation at www.hearforever.org/ HearTomorrow2011