Hearing Conservation Audiogram Tracking

Tracks baseline, annual, and standard threshold shift (STS) follow-up audiograms for hearing conservation compliance under OSHA 1910.95.

Program Coverage and Employee Eligibility

• Employees exposed at or above the OSHA action level are enrolled in the hearing conservation program
  Confirm employees exposed to noise at or above the OSHA action level are included in the program under OSHA 29 CFR 1910.95.
• Baseline audiogram is completed within the required timeframe
  Verify a baseline audiogram is on file for each covered employee and completed within the required OSHA timeframe.
• Annual audiogram is current for each covered employee
  Confirm annual audiometric testing is completed and current for all covered employees.
• Audiogram tracking log identifies overdue or missing tests
  Review the tracking system for overdue baseline, annual, or follow-up audiograms.

Baseline Audiogram Documentation

• Baseline audiogram date is recorded
  Document the date the baseline audiogram was completed.
• Baseline audiogram is retained in the employee record
  Confirm the baseline audiogram is available for comparison with subsequent annual tests.
• Audiometer calibration or test validity documentation is available
  Verify supporting documentation shows the audiometric test was performed using valid equipment and procedures.
• Baseline audiogram includes employee identifier and test location
  Confirm the record can be matched to the correct employee and testing site.

Annual Audiogram Review

• Annual audiogram date is recorded
  Record the date of the most recent annual audiogram.
• Annual audiogram comparison to baseline is documented
  Confirm the annual result was compared against the baseline audiogram.
• Any threshold changes are noted and reviewed
  Check whether threshold changes were identified and reviewed by the responsible program owner.
• Next annual audiogram due date is tracked
  Document the next scheduled annual audiogram due date.

Standard Threshold Shift (STS) Follow-Up

• Potential standard threshold shift (STS) is identified and documented
  Confirm the record identifies any STS determination under OSHA hearing conservation requirements.
• Follow-up audiogram is scheduled or completed after STS
  Verify follow-up testing is scheduled or completed after an STS is identified.
• Hearing protection is fitted or reinforced after STS
  Confirm hearing protection is provided, fitted, or reinforced following an STS.
• Employee retraining on hearing conservation is documented after STS
  Verify retraining or counseling on hearing conservation is documented after an STS.

Recordkeeping and Compliance Documentation

• Audiogram results are retained per recordkeeping requirements
  Verify audiometric records are retained in accordance with applicable OSHA recordkeeping requirements.
• Employee notification of results is documented
  Confirm employees are notified of audiogram results and any required follow-up.
• Recordable hearing loss cases are evaluated for OSHA Form 300 reporting
  Review whether recordable shifts were evaluated for OSHA injury and illness recordkeeping requirements.