|
| According to OSHA, the most
important part to a successful Hearing Conservation Program is
education. WebAudi’s unique personal employee/patient notification
letter provides all the information needed to educate, train and notify
in an immediate handy 8 ˝ X 11 letter, or with the click of a mouse to
your computer screen. |
|
EMPLOYEE NOTIFICATION
LETTER
Audiological Services
| Company: |
Apogee, Inc. |
|
Division: |
Admin. |
| Plant: |
1 |
|
City: |
Beavercreek |
Date:
|
6/18/02 |
|
State:
|
Ohio |
To:
|
Stephenson, Stephen L. |
|
|
|
SSN:
|
123-45-6789 |
|
|
|
Subject:
|
Industrial Hearing Test Results |
|
|
|
|
On 11/11/01 11:35:00 AM, you
were given an industrial hearing test by Audiological Services.
The test results are shown below:
|
TEST
RESULTS
| |
Right
Ear |
|
Left
Ear |
| |
500 |
1K |
2K |
3K |
4K |
6K |
8K |
|
500 |
1K |
2K |
3K |
4K |
6K |
8K |
| |
|
|
|
| Baseline |
10 |
10 |
10 |
10 |
10 |
10 |
10 |
|
10 |
10 |
10 |
10 |
10 |
10 |
10 |
| Current
Test |
10 |
10 |
10 |
10 |
10 |
10 |
10 |
|
10 |
10 |
10 |
10 |
10 |
10 |
10 |
|
STANDARD
THRESHOLD (OSHA) SHIFT: NO
|
| |
|
Your daily noise
exposure without hearing protection is 95.00 dBA, TWA (based on
an 8 hr. shift)
|
| |
|
Our records show
the Noise Reduction Rating for the hearing protection device
being used is 32
|
| |
|
Your estimated
daily noise exposure with this hearing protection is 70 dBA.
|
| |
|
Your daily noise
exposure is within acceptable limits.
|
|
It is important
that you wear suitable hearing protection whenever exposed to
loud noises on or off the job. A loud noise is one which would
require you to raise your voice or shout to be heard.
|
|
Employee Note:
Please sign and date letter and return one copy to your
supervisor, nurse, etc.
|
|
|