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NIOSH - National Institute for Occupational Safety and Health
NIOSH Hearing Loss Research Program Review NIOSH Publications on Noise and Hearing The National Academies - Advisors to the Nation on Science, Engineering, and Medicine

What has the program achieved?

In this section ....

Research Goal 1

Research Goal 2

Research Goal 3

Research Goal 4

HLR Databases

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Outputs and Transfer - Research Goal 1.7:
Develop an evaluation checklist for HLPPs

The checklist was first published in “A Practical Guide to Effective Hearing Conservation Programs in the Workplace” in 1990. The revised version was published six years later in “Preventing Occupational Hearing Loss—A Practical Guide” 1996.” Outputs related to the checklist include a Web version, a presentation, and a journal article.  (
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Intermediate Outcomes

Managers and hearing program consultants have requested the tool to assess various program elements. For example, James Anderson and Associates, a private noise consulting firm, indicated that they used the checklist in HLPP evaluations. It has been requested for use by other noise researchers. HLR program staff presented a three-hour “train the trainer” workshop in the use and application of the tool. The workshop targeted management at the “Best Practices in Hearing Conservation for the Construction Industry Conference” in Washington, DC, in 2000.[12]

CAOHC incorporated a version of the hearing conservation program evaluation checklist into its text, “Hearing Conservation Manual, fourth edition”, published in 2002. CAOHC also repackaged and included another appendix from the “practical guide” which compares OSHA compliance criteria with NIOSH recommended best practices. This manual is recommended text for all CAOHC certified hearing health professionals—approximately 24,000 nurses, technicians, occupational physicians, and allied personnel in the U.S. alone. The HLR program may survey a sample of these CAOHC-trained hearing health professionals to assess the utility and effectiveness of these two checklists.


Journal Articles

Cavalli RCM, Morata TC, Marques JM [2004]. Audit of Hearing Loss Prevention Programs in Curitiba. Revista Brasileira de Otorrinolaringologia 70 (3): 368-377.

Lehmkuhl CB, Morata, TC. Preventing work-related hearing loss: comparison of the Brazilian legislation 19 and recommendation put forth in the 1996 NIOSH Practical guide for the prevention of occupational hearing loss . [In Portuguese: Prevenção de perdas auditivas no trabalho em uma indústria cervejeira de Lages: comparação com a portaria 19(1998) e com as recomentações contidas no guia prático do NIOSH (1996)] . Distúrbios da Comunicação, São Paulo, 15(1): 109-125, dez. 2003.

Prince MM, Colligan MJ, Stephenson CM [2004]. The contribution of focus groups in the evaluation of hearing conservation program (HCP) effectiveness. J of Safety Research, 35:91-106.



Merry CJ, Stephenson MR. Practical strategies for evaluating the effectiveness of your hearing conservation program. Platform presentation and conference binder document at the National Hearing Conservation Association, Denver, CO, Feb. 17-19, 2000.

Prince MM, [2001]. “Making the Most of your Audit–Analysis Strategies,” for Panel entitled, Auditing and Evaluating A Hearing Conservation Program. 26th Annual National Hearing Conservation Association Conference, Raleigh-Durham, NC; February 22-24, 2001.


[12] Stephenson CM, Lusk S, and Austin C. Hearing Conservation programs for construction workers. Three hour “train the trainer” workshop targeting management for the “Best Practices in Hearing Conservation for the Construction Industry Conference. Washington, DC,  March 30-31, 2000.

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