Hearing Conservation

Program
By : Bonnie Medana Pahlavie

Definition
Hearing conservation program is
designed to protect workers with
significant occupational noise
exposures from hearing impairment
even if they are subject to such noise
exposures over their entire working
lifetimes. (OSHA, 2002)

Hearing loss

Damage Hearing
Excessive
Noise

Temporary/Permanent
Graduals (years)
NO CURE !

HCP Programs

1. Noise Measurement
2. Engineering & Administrative
Control
3. Audiometric Evaluation
4. Hearing Protection Device
5. Education & Motivation
6. Record Storage
7. Program Evaluation

1. Noise Measurement
Noise mapping start at new facility
Employees to include in HCP
Where Hearing Protection Device (HPD) is
required

Mapping:
Outdoor / Indoor
SLM / Personal Dosimeter / Frequency
Analyses

Repeat whenever any major changes

Process, Equipment or Control

Summarize the result

Employees are informed
General review

2. Engineering & Adm.

control
Engineering control
Since the beginning of the project
Control: Source, Medium, Receiver
Enclosure, Barrier, Cladding,
Silencer, Attenuator
Vibration control

Administrative control
Move to non-noise exposure position
Change Schedule

3. Audiometric Evaluation
When/Who is needed
Pre-employment (baseline)
8-hours TWA 85 dBA, annually there after
Confirmed STS
Pre-termination

Preparation
14 hours free noise
Otoscope examination, Audiometry
device

Result
STS,
Re-training, HPD, etc.

4. Hearing Protection
Device
When HPD is needed
> 6 months 8-hours TWA 85 dBA
STS
8-hours TWA 90 dBA

HPD
Free / Easy Access
Choices (more than 1)
NRR

5. Education & Motivation

Training
Supervisor and employee 8-hours TWA
85dBA
Annually
Content: Effect of noise, HPD (purpose,
selection, care), Audiometry
Training for the key person

Sign Board
Standard

Leaflet / Pamflet / Bulletin / Booklet

6. Record Storage

Stanford University, 2006

7. Program Evaluation
Program evaluation check list
Training and Education
Supervisor Involvement
Noise Measurement
Engineering and Administrative Controls
Monitoring Audiometry and Record
Keeping
Hearing Protection Devices
Referrals
Administrative

Pencatatan dan Pelaporan

Meliputi :
analisis frekuensi sumber bising
sketsa plotting hasil pengukuran
pembuatan garis countour bising
denah lingkungan kerja
sumber bising
lama pajanan
kelompok pekerjaan
dosis pajanan harian
upaya pengendalian

Pencatatan dan Pelaporan

Kendala yang dihadapi :
sulitnya mendiagnosis NIHL sebagai PAK
(penyakit akibat kerja)
adanya pajanan di luar pekerjaan
penyakit lain yang mengganggu fungsi
pendengaran
tidak ada data awal (baseline data)

keengganan menggunakan alat pelindung

pendengaran

mesin dan desain sudah terlanjur tersedia.

Keberhasilan Program

Indikator keberhasilan :

Kepatuhan pelaksanaan program,

Tingkat kebisingan di lingkungan kerja,

Insidens dan prevalensi kasus NIHL.

Kesimpulan

Gangguan pendengaran akibat bising dapat bersifat

permanen, dan berlangsung secara menahun

Gangguan

pendengaran

akibat

bising

tidak

dapat

disembuhkan

Perlu adanya suatu Program Konservasi Pendengaran di

tempat kerja, untuk melindungi pekerja dari kecacatan
akibat kebisingan.

Keberhasilan

Program

Konservasi

Pendengaran

memerlukan komitmen dan keterlibatan semua pihak

mulai dari pimpinan perusahaan sampai pekerja.

Terima Kasih