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Hearing Conservation OHS-15-B/ R-0

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ADANI GROUP
OHS PROCEDURE FOR

Hearing Conservation
OHS-15-B
DOCUMENT HISTORY:
Rev
Date Key Changes
No.
01/01/2016 0 Issued for implementation

Prepared by:

Ramakant Singh _____________________ 01 / 12 / 2015


Group Safety initiative (Signature) (Date)

Approved by:

Devprakash Joshi _____________________ 01 / 01 / 2016


COO Projects (Signature) (Date)

Adani Group OHS Effective Date: January 01, 2016

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CONTENT-INDEX

SR. PAGE
SUBJECT TOPIC
NO. NO.
1.0. PURPOSE & SCOPE 3

2.0. DEFINITIONS/ ABBREVIATIONS 3

3.0. PROCEDURE 3
3.1. Hearing conservation Program 3

3.2. Adani Group OHS Policy Guidelines 3

3.3 Understanding Sound and Noise 5

3.4 Occupational Exposure Recognition 5

3.5 Occupational Exposure Evaluation 5

3.6 Notification and Correspondence 7


3.7 Control Measures 8
3.8 Hearing Protector Attenuation 10
3.9 Hearing Conservation Program 10
b) -Audiometric Testing 10
h) -Evaluation of the Audiogram 11
4.0. RESPONSIBILITIES 12

4.1 - The Business Site Head 12


4.2 - The Manager/ Head of Departments 12
4.3 - All Employees 12
4.4 - The Site Safety Head 12
4.5 - OHS frame work Element/Component owner 13
5.0. TRAINING 13
6.0. AUDITING 13

7.0. ATTACHMENTS & FORMS 13


 Annexure -A: Site specific Arrangements for hearing 14
conservation
 Annexure -1: Area Noise Monitoring survey Record Form 15
 Annexure -2 : Job Profile/Task (Representative) 17
Personal dosimeter Noise Survey record form
 Annexure -3: Notification of Noise sampling result form 18
 Annexure -4: Audiometry test Hearing history record 19
form
 Appendix -1: Audiometric equipment requirements 21
 Appendix -2: Audiometer calibration Guidelines 22
 Appendix -3: Standard Threshold Shift Evaluation guide 24
 Appendix-4: Example Noise Contour Floor plan 28
8.0. CROSS REFERENCE 13

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HEARING CONSERVATION

1. PURPOSE AND SCOPE:

The purpose of this procedure is to provide guidelines for, Hearing conservation


and to reduce occupational exposures to noise as low as reasonably achievable, to
protect the health and safety of employees during the performance of their
assigned work, by anticipating, recognizing, evaluating and controlling the adverse
effects of exposure to noise at the sites.

This procedure applies to Adani Group business locations and activities including
offices within India.

2. ABBREVIATION & DEFINITION:

HOD: Head of Department


OHS: Occupational Health and Safety

PPE: Personnel Protective Equipment


HTL: Hearing Threshold Level
STS: Standard Threshold Shift is a change in hearing threshold relative to the
baseline audiogram.
dBA: Decibel is unit for sound level measurement, on Scale A which is relevant for
human ear hearing conservation.
NRR: Noise Reduction Rating
CIH: Certified Industrial Hygienist
FMO: Factory Medical Officer
TWA: Time Weighted Average
NIOSH: National Institute Occupational Safety and Health- USA
OSHA: Occupational Safety and Health Agency
TLV: Threshold Limit value,

3. PROCEDURE:

3.1. Hearing conservation Program:

a) The objective of the hearing conservation program is to reduce


occupational exposures to as low as reasonably achievable before the use
of personal protective equipment when necessary. The sites will
implement feasible engineering controls and the combination of work
practices and personal protective equipment as appropriate to achieve
this objective.
b) This procedure applies to all employees who have the potential for
occupational exposure to noise due to their assigned duties. The goal of
this procedure and the hearing conservation program is to protect the
health and safety of employees during the performance of their assigned
work.
c) Program includes guidance for the qualification of users, training, hearing
protection PPE selection, and administration of a hearing surveillance
program.

3.2. Adani Group OHS Policy Guidelines:

a) Adani group business and sites are committed to provide a safe and healthy
working environment. Whenever feasible, the company uses engineering
controls to minimize employee exposure to potential noise hazards. Hearing

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protection, training, and medical evaluations are provided at no cost to the


employee.
b) Excessive noise exposure is a potential cause of hearing loss and business
has established a hearing conservation program that is more conservative
than that required by rule. The action noise level is decided and as under:

Exposure Duration per Sound Level (dBA)


day (hours)
16 80
8 85
4 90
2 95
1 100
½ ( 30 Minutes) 105

¼ (15 Minutes) 110


1/8 ( 7.5 Minutes) 115

c) When noise levels exceed the levels listed above, and all attempts at
eliminating the hazards have been made, the company institutes feasible
engineering and administrative controls.
d) If the controls fail to reduce the sound levels to within those levels listed
above, the company provides the employees with hearing protection PPE to
reduce sound levels to an acceptable level. Permissible exposures are based
on the normal plant operation and presence of continuous noise rather than
intermittent or impact-type noise.
e) When the daily noise exposure is composed of two or more periods of noise
exposure on different levels, consider their combined effect, rather than the
individual effect of each. If the sum of the fractions C1/T1 + C2/T2 + …Cn/Tn
exceed 100%, the mixed exposures should be considered to exceed the
limit. Cn indicates the total time of exposure at a specified noise level, and
Tn indicates the total time of exposure permitted at that level.
f) When employee noise exposures equal or exceed an 8-hour time-weighted
average (TWA) of 85 dBA, slow response, the company must institute a
continuing effective hearing conservation program.
g) This procedure provides guidance to identify and reduce exposure to
harmful noise in the environment. The site safety head and others should
use it to anticipate, recognize, evaluate and control occupational and
environmental exposure risks. This procedure provides guidance to:
 Assess the potential employee exposure to noise and hearing
hazards,
 Organize and complete a site sound level survey and personal
dosimetry (if necessary) to indicate high exposure areas or jobs and
tasks. Sites should evaluate monitoring result to further protect
employees and ensure that proper control measures are in place,
 Assess the effectiveness of the control measures (where applicable),
 Ensure that employees are properly trained to recognize potential
noise hazards in their work areas and to use the appropriate control
measures, and.
 Ensure and demonstrate compliance with applicable regulations and
guidelines.
h) If a respective state exposure standard, such as conflicts with the Adani
business Threshold Limit Value (TLV) for noise exposure, the lower value
should be used.

3.3. Understanding Sound and Noise:

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a) Sound is any pressure variation in air, water, or other medium that the
human ear can detect. It is a stimulus response that produces a sensory
response in the brain.
b) The effects of sound on a person depend on three physical characteristics
of sound:
 Amplitude, or loudness, is measured in decibels (dBA),
 Frequency, or the number of cycles occurring in one second, is
measured in Hertz (Hz).
 Duration is measured in time such as minutes or seconds (min, sec).
c) Noise is any unwanted or undesirable sound. It bears no information and
the intensity of noise usually varies randomly in time. Noise interferes with
the perception of wanted sound and is likely to be physiologically harmful
d) The following effects produced by undesirable sound (noise):
 The masking of wanted sounds.
 Auditory fatigue.
 Damage to hearing.
 Annoyance.
e) No instrument can distinguish between sound and noise – only humans
can.

3.4. Occupational Exposure Recognition:

f) Noise exposure must be controlled whenever it exceeds any regulatory or


Adani noise limits. Noise levels at each site must be determined before and
after the facility begins operations.
g) All Sites will initiate base line noise level measurement during project phase
or normal plant operation using area noise monitoring form available in
Annexure-1, and identify high noise area exceeding the 8 hour action level
noise limits (85 dBA). Indicate the high noise area on floor plan Refer
Appendix-4 for Example Noise contour floor plan and provide “WARNING”
and PPE required sign board at the entry point of the area where noise level
is around 80 dBA.
h) A qualified person or team must conduct the job exposure assessment, and
dosimeter survey which is required for all Adani sites. The person or team
may be a contracted Certified Industrial Hygienist (CIH) or an Industrial
Hygiene Technician.

3.5. Occupational Exposure Evaluation:

a) The noise levels at each Site must be monitored before and after the Site
begins operations to determine any areas where noise levels equal or
exceed 85 dBA using Annexure-1 Area noise sampling form.
b) Noise sampling may be required for any of the following reasons:
 Compliance with either company or government regulations,
 At the specific request of or following complaints from workers,
residents, surrounding areas or others,
 To permit the design or evaluation of control measures,
 For research purposes,
 To support ongoing or continuous monitoring at regular intervals,
and
 Additional sampling may be required based on additions or
modifications to operations or equipment
c) Complete noise surveys when there is a change to the facility’s
configuration or operation. Review the introduction of new equipment or
tasks in the workplace according to OHS Procedure No. OHS-13

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Management of Change, if the review identifies a noise concern, it must be


evaluated based on this procedure.
d) Those areas where the noise levels are below 80 dBA do not require noise
surveys every two years as long as the facility’s configuration or operation
has not changed.
e) Perform qualitative evaluations of the facility annually as part of the
Industrial Hygiene Program review. Refer Annexure-1 of Procedure OHS 15
for additional guidance. Each job Profile exposure assessment must be
reviewed as recommended by the Industrial Hygienist or their designee.
Refer also OHS 15 – Industrial Hygiene, Section 3.3 – Exposure to Physical
Agent: Noise, and 3.8 Qualitative Exposure Assessments.
f) To effectively control noise, the noise must be accurately measured
according to standard procedures and the measurements must be properly
evaluated against accepted criteria.
g) All monitoring equipment must be calibrated before and after each use in
accordance with established or approved methods to obtain accurate
measurements.
h) Monitoring for noise exposure evaluation consists of two parts:
i) Area Monitoring – Record measurements of the environmental noise levels
using a sound level meter (dB meter) to identify work areas where the
employees’ exposures may be above hazardous levels, and where more
thorough exposure monitoring may be needed.
j) Use a sound level meter set at slow response on the A-weighted scale to
determine the noise levels in all areas of the facility. Perform area
monitoring as follows:
 Identify employees and their locations and estimate the length of
time they spend in different areas, how long they perform particular
tasks, and which tools they use.
 Perform an ‘A’-weighted sound level survey of the facility. Mark the
‘A’ weighted sound levels on a floor plan, a sound level contour, and
note which equipment is on or off. Also note the date, time and any
other pertinent information. Use Annexure-1 area noise monitoring
form for recording.
 To construct a sound level contour, divide the work area into a grid
whose lines are evenly spaced at an approximate distance of 10 feet
(3.05 m). Take measurements at each position.
 For measurement purposes, limit the size of the work area to 1000
sq. ft. (93 sq. m.) or smaller.
 When the observed sound levels vary significantly, the grid spacing
should be decreased.
 To evaluate the noise exposure for people working at workstations,
the regularly occurring maximum noise level and the regularly
occurring minimum noise level will be recorded at the center of each
work area.
k) Personal Noise Dosimetry – When areas throughout the facility have sound
level survey measurements that equal or exceeds a noise level of 85 dBA,
employees who work in or near the high noise area or equipment must have
their noise exposure determined by dosimeters.
l) When performing personal noise monitoring, use dosimeters to measure the
average noise exposure of individuals within the various groups in the
facility. This average is the Time-Weighted Average (TWA) exposure.
m) Representative Sampling – Not all exposed employees have to be sampled
in order to perform a complete assessment. Identify workers to be sampled
based on the following criteria:
 Task/Job process or procedure,
 Proximity to the source of the noise,

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 Mobility and work habits, and


 Judgment and experience of the Industrial Hygienist.
n) For each group, select the number of individuals to be monitored so that
the exposure measurements are representative of the noise exposure of
the entire group.
o) Place a dosimeter on each employee to be monitored at the beginning of
their normal work shift. Place the microphone in the hearing zone, which
should be attached to the shoulder, pointed upward, and located
approximately 0.15 m or 6 inches from the ear.
p) The employee must wear the dosimeter for the full duration of the work
shift while the employee performs his or her normal work routine. At the
end of the shift, remove the dosimeter and print the information as soon as
possible.
q) The record of personal noise exposure must include the date and time
period of the monitoring, the name and group of the person monitored the
facility’s operational status, and any other variables which might have
affected the noise level during measurement. Use Annexure -2 Task/ Job
Profile representative Personal Dosimeter noise survey form.
r) Collect background information from each employee, including job
activities for the measured time frame, unusual job activities, and any other
information employees feel may have affected the noise level during their
shift. Collect background information if, during the time the employee is
monitored, they are not escorted or monitored by the Certified Industrial
Hygienist or their designee.
s) If personal dosimetry results indicate that exposures of the maximum risk
or representative employees are below acceptable limits, assume that the
exposures of other lower risk workers are also below the acceptable
exposure limits
t) Noise sampling methodology must meet the standards established by
government agencies or international NIOSH/OSHA guidelines and must
result in limit or standard comparisons such as TWA, and peak exposure
determination.
u) The results of the noise monitoring will be summarized in a written report
and reviewed by and Industrial Hygienist or equally qualified professional.
The report should include:
 Date and reason for the investigation,
 Details of the operation or process being reviewed,
 Actual and acceptable exposure levels,
 Control measures, for example engineering, work practice and
administrative controls, and personal protective equipment,
 Provisions for implementation, follow-up and closure of
recommendations.
v) A certified Industrial Hygienist must review the final report and Contact
Business OHS head or CIH or business designee as necessary.
w) Document all results from this report. Keep copies of all area noise
monitoring results in OHS file, Refer Annexure- A for the location of record.
x) All employees must be given the opportunity to observe noise level surveys
being conducted and to review the results of these surveys. It is
recommended that a copy of the survey results and the site map showing
area noise levels be accessible to all employees.

3.6. Notification and Correspondence:

a) All employees within a particular exposure profile must be clearly identified


through the supervision for that task/operation. Any employee whose 8-

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hour time weighted average equals or exceeds 85 dBA must be


recommended for the Hearing Conservation Program.
b) Communicate the results of the exposure monitoring to all employees
participated in and are represented by the monitoring as soon as possible
after receipt and analysis of the monitoring results, no later than 5 calendar
days after receipt. In addition, make these results available to all employees
for their information.
c) Communicate the results by posting them, sharing them in safety meetings,
or through electronic or paper correspondence or a newsletter.
d) The Site Safety Representative, CIH or designee must document employee
notification. This documentation may be a memo documenting a
conversation or a letter directly to the employee. Maintain the notification
documentation with the Personal Dosimetry report. Refer Annexure-3
format for Notification of Noise Sampling Results.
e) Notify Site head of the exposure monitoring results and necessary follow-
up actions.
f) The Site safety Representative or designee ensures that appropriate copies
of notification are forwarded to managers and retained in the OHS filing
system.
g) When personal medical records are maintained outside the site location.
Forward copies of employee exposure monitoring results to the appropriate
medical surveillance administrator (or FMO) for inclusion in the medical
surveillance program as required.
h) Exposure monitoring is considered an employee exposure record and must
be maintained for a minimum of thirty (30) years. Employee exposure
records may consist of any of the following kinds of information concerning
employee exposure to toxic substances or harmful physical agents:
 Environmental (workplace) monitoring or measuring, including
personal and area, noise sampling, related collection and analytical
methodologies, calculations, and other background data relevant to
the interpretation of the results obtained, and
 Job exposure assessments, control measure recommendations and
follow-up, and employee training resulting from assessments.

3.7. Control Measures:

a) If noise levels exceed the regulated limits, implement feasible control


measures to reduce sound levels to acceptable levels of employee
exposure.
b) Designate all areas with noise levels exceeding 85 dBA as Hearing
Conservation Areas.
c) Post “Hearing Protection Required” signs to notify employees and
visitors who enter the area.
d) Any area with noise levels exceeding 100 dBA must be labelled as
“Double Hearing Protection Required”.
e) A list of these areas shall be documented in a copy of Appendix A.
f) Control employee exposure to hazardous noise levels by one of the
following methods, in order of priority:
 Eliminate or Substitute the noise hazard
 Replace the equipment or remove the employee from the noise
area.
 Reduce noise generated by equipment through engineering
controls.
 Engineering controls are any modification or replacement of
equipment, or related physical change at the noise source or along

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the transmission path that reduces the noise level at the


employee’s ear. Examples include:
I. Mechanical isolation,
II. Screening or enclosing,
III. Installing noise-absorbing acoustical form or baffles, and
IV. Vibration damping.
g) For engineering controls, implement a preventative maintenance
program to ensure that controls are functioning properly.
h) Use administrative controls with engineering controls and safe work
practices, such as:.
 Worker or job rotation,
 Increasing the distance between the noise source and the worker,
 Training and education of noise hazards, or
 Education of control method implementation.
i) Protecting the employee through the use of Personal Protective
Equipment (PPE)
j) Use of PPE should be documented in the PPE matrix, JSA, or Risk
Assessment such that when noise hazards exceed Adani and/or
regulatory limits, employees use PPE as an immediate interim control
measure pending the implementation of long term administrative or
engineering controls. PPE such as earplugs or muffs must be the
permanent solution only when engineering or administrative controls
are considered to be infeasible or cost-prohibitive.
k) Evaluate PPE periodically for effectiveness. See EHS Procedure No. 07.
l) Employees must wear hearing protective devices when they enter or
work in an area where the operations generate noise levels of:
 Greater than a Time-Weighted average of 85 dBA sound level, or
 120 dB peak sound pressure level or greater.
m) Employees must wear double hearing protection whenever they are
exposed to noise levels equal to or greater than 100 dBA.
n) Some equipment or operations produce noise that may be annoying
rather than loud. The site safety head or designee shall evaluate such
conditions to determine whether corrective action is feasible.
o) Under certain circumstances, sound-reducing personal protective
equipment such as muffs or plugs will be provided even though
allowable noise levels are not exceeded.
p) Types of Hearing Protective Devices
q) Insert Type Earplugs are a device designed to provide an air-tight seal
with the ear canal.
r) Pre-molded Earplugs are pliable devices of fixed proportions. Two
standard styles, single flange and triple flange, comes in various sizes
and will fit most people. Pre-molded earplugs are reusable; may
deteriorate and should be replaced periodically.
s) Formable Earplugs are made in only one size. Some are made of a
material, which, after being compressed and inserted, expands to form a
seal in the ear canal. When properly inserted, they provide noise
attenuation values that are similar to correctly fitted pre-molded
earplugs.
t) Custom Molded Earplugs – A small percentage of the population cannot
be fitted with standard pre-molded or formable earplugs. Custom
earplugs can be made to fit the exact size and shape of an employee’s
ear canal. Refer employees who need custom earplugs to an audiologist.
u) Earmuffs are devices worn around the ear to reduce the level of noise
that reaches the ear. Their effectiveness in noise reduction rating may
depend on the way they are worn on the head, such as with a band

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under the chin, over or behind the head, and the air-tight seal between
the cushion and the head.

3.8. Hearing Protector Attenuation:

a) Hearing protectors must attenuate employee exposure at least to an 8-


hour TWA of 85 dBA or below.
b) Evaluate hearing protector attenuation for the specific noise environment
in which it is used to determine if the criteria in 3.8.(a) are met. Use
accepted evaluation methods, such as the Noise Reduction Rating (NRR).
c) Use the following equation to determine hearing protector attenuation:

NRR= (NRR*-7)/2
[Where: * NRR- is for specific hearing protection used and available from
product label]

d) Wear double hearing protection when hearing protectors are not sufficient
alone to reduce noise level below 85 dBA.
 Additional hearing protection lowers the noise level by 5 dBA.

3.9. Hearing Conservation Program:

a) Implement a hearing conservation program whenever employee noise


exposures equal or exceed an 8-hour TWA of 85 dBA. The hearing
conservation program includes: noise monitoring, employee notification, and
employee observation of monitoring. In addition, the program must include
the elements described below.
b) Audiometric Testing: All employees whose noise exposures equal or exceed
an 8-hour TWA of 85 dBA must be evaluated by an audiometric exam at the
500, 1000, 2000, 3000, 4000, and 6000 Hz level for each ear. These
audiometric exams consist of an initial exam upon recruitment or job
rotation, new assignment exam, annually, and upon termination or transfer
out of the noise exposure.
c) Within six months of an employee’s first exposure at or above the action
level (85 dBA), establish a baseline audiogram. Compare this baseline to
subsequent audiograms.
 Employees who have not yet been baseline tested upon initial
recruitment must wear hearing protection.
 Before being tested to establish a baseline audiogram, the employee
must not be exposed to workplace noise for 14 hours.
 Hearing protectors may be used as a substitute for this requirement.
d) Site approved facilities or vendors must perform the audiograms. These
exams must be conducted by a certified audiologist, otolaryngologist, other
physician, a technician who is certified by the Council of Accreditation in
Occupational Hearing Conservation, or a person who has satisfactorily
demonstrated competence in administering audiometric examinations,
obtaining valid audiograms, and properly using, maintaining and checking
calibration and proper functioning of the audiometers being used. Refer
Annexure -4 for Hearing history and test record card
e) Audiograms shall be conducted with approved audiometric equipment that
complies with the requirements set forth as per Appendix-1.

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f) Perform and evaluate audiograms in accordance with the applicable


regulations, including using an approved noise-proof hearing booth, or quiet
room with sound levels that do not exceed the following sound pressure
levels:
 Octave-band center frequency (Hz)………. 500 1000 2000 4000 8000
 Sound Pressure Level……………… 40 40 47 57 62
g) Verify that audiometer calibration has been checked acoustically by a
certified supplier for the clinic or vendor according to the procedures in
Appendix 2.
h) Evaluation of the Audiogram: Each employee’s annual audiogram must be
compared to the employee’s baseline audiogram to determine if the
audiogram is valid and if a standard threshold shift has occurred.
i) If the comparison of the annual audiogram to the baseline audiogram
indicates a change in the hearing threshold of an average of 10dB or more at
the 2000, 3000 and 4000 Hz level in either ear, a standard threshold shift
(STS) has occurred.
j) If the comparison of the annual audiogram to the baseline audiogram
indicates a standard threshold shift, inform the employee in writing within 21
days of the determination. See Appendix 3.
k) If the annual audiogram indicates that the employee has suffered a standard
threshold shift, the employee may be retested within 30 days to ensure test
accuracy and valid results.
l) If the retest indicates a true STS, the company must modify the job
requirements of the individual so that they will not be exposed to noise levels
equal to or greater than 85 dBA.
m) An audiologist, otolaryngologist, or physician reviews problem audiograms
and determines whether further evaluation is needed. The evaluator must
have the following information:

 A copy of the requirements of a Hearing Conservation Program.


 The employee’s baseline audiogram and most recent audiogram.
 Measurements of the background sound pressure levels in the
audiometric test room as required in 3.9.(f).
 Records of audiometer calibrations.

n) Unless a physician determines that the standard threshold shift is not work
related or aggravated by occupational noise exposure, sites must ensure that
the following actions are performed:
 Employees who are not using hearing protectors must be fitted with
hearing protectors, trained in their care and use, and required to use
them.
 Employees already using hearing protectors must be refitted and
retrained in the use of hearing protectors and provided with hearing
protectors offering greater attenuation if necessary.
 The employee must be referred for a clinical audiological evaluation or
an otological examination, as appropriate, if additional testing is
necessary or if the employer suspects that a medical pathology of the
ear is caused or aggravated by the wearing of hearing protectors.
 The employee must be informed of the need for an otological
examination if a medical pathology of the ear that is unrelated to the
use of hearing protectors is suspected.
 The noise induced work related occupational hearing loss is illness
reportable to Government agency under the factory act and rule as
per notifiable occupational disease. Must be reported in appropriate
form.

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o) If subsequent audiometric testing of an employee whose exposure to noise is


less than an 8-hour TWA of 90 decibels indicates that a standard threshold
shift is not consistent, the employee must be informed of the new
audiometric evaluation and may be allowed to discontinue the use of hearing
protection.
p) An annual audiogram may be substituted for the baseline audiogram when, in
the judgment of the qualified evaluator:
 The STS revealed by the audiogram is persistent, or
 The hearing threshold shown in the annual audiogram indicates
significant improvement over the baseline audiogram.
q) Notify government agency immediately in writing of any employee with a
STS.
r) Forward a copy of the audiogram results for to be kept with the employee’s
personal medical records.
s) Audiometric exams are considered medical records and must be maintained
for a minimum of thirty (30) years.

4. RESPONSIBILITIES:

4.1. The business Site head or his designee is responsible:


a) To ensure implementation of this procedure at site level
b) To allocate and provide required resources to implement procedure.
c) To ensure that area noise levels and employee exposure levels are
monitored as per this procedure.
d) To participate in the development of long-term solutions for identified
high noise employee exposure such as engineering controls, and that
administrative controls are used consistently and with engineering
controls to minimize employee exposures,
e) To ensure that qualitative and quantitative assessments are performed or
reviewed on an annual basis following the EHS 15 – Industrial Hygiene
procedure.
f) To ensure that the annual review are completed at the site for this
procedure and require changes are incorporated in procedure to increase
the effectiveness of hearing conservation program.

4.2. The Managers / Head of Department are Responsible:

a) To maintain the noise reduction engineering control in working condition


b) To train all identified exposed employee for hearing conservation program
and their role.
c) To ensure that department employee follow the high noise are precaution.
d) Implement maintenance program for maintaining equipment so that noise
generation from the equipment is maintained at or below the base line
noise.

4.3. All Employee are responsible:

a) To follow high noise area work instruction and use recommended PPE.

4.4. The site Safety Head is responsible:

a) To assist Site Head in Implementation of this procedure.


b) To manage the Hearing Conservation program for their area of
responsibility,
c) To ensure that affected employees are notified and trained as required

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d) To ensure that all recommendations from exposure assessments are


tracked to closure
e) To maintain all documentation and records associated with this program.
f) Verify and audit the procedure implementation and record keeping
requirement annually using program evaluation scorecard. Annexure -1 of
procedure OHS-20-program evaluation element.
g) Review and suggest the improvement required in procedure based on the
observation record and other data.

4.5. Respective OHS frame work Element/Component owner is responsible:

a) To follow up with respective person responsible for implementation of the


respective procedure step of this procedure.
b) Maintain the record of information received for implementation and
compile the information for site.
c) To carry out quarterly self-assessment of the Element/Component using
Annexure -1 program evaluation score card of OHS-20 Program evaluation
procedure.
d) Coordinate and Prepare action plan to implement this procedure.
e) Report the action plan, resource requirement and status of this procedure
to the Site Head.
f) Maintain Annexure –A and review and update as and when changes in
information occur, or at the minimum once in a year.
g) Keep record of site specific improvement, arrangements, deviations and
exclusions done to implement this procedure in Annexure-A.
h) Send information to Group Safety related to best practice and major
deviation recorded in Annexure-A annually or when required for annual
review.

5. TRAINING:

Refer training procedure OHS -05 for training matrix for training need and available
training topics.
All employees at site having identified high noise area, equipment or the work
should attend Awareness level training topic as under:

Occupational Noise Exposure - Hearing Conservation: AG-OHS-T-023

6. AUDITING:

This procedure, program shall be reviewed annually. The review shall be


documented shall reflect changes/updates based on audit findings, gaps, trends,
regulatory changes etc.

7. ATTACHMENTS & FORMS:

Annexure -A : Site specific Arrangements for hearing conservation


Annexure -1 : Area Noise Monitoring survey Record Form
Annexure -2 : Job Profile/Task (Representative) Personal dosimeter Noise
Survey record form
Annexure -3 : Notification of Noise sampling result form
Annexure -4 : Audiometry test Hearing history record form
Appendix -1 : Audiometric equipment requirements
Appendix -2 : Audiometer calibration Guidelines
Appendix -3 : Standard Threshold Shift Evaluation guide
Appendix-4 : Example Noise Contour Floor plan

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8. CROSS REFERENCES:

OHS-05 : Induction and Training site training Matrix.


OHS-02A : Hazard Reporting
OHS-06 : Planned Safety inspections
OHS-15 : Industrial Hygiene
OHS-20 : Program Evaluation
OHS-13 : Management of Change

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Annexure-A

Site specific Arrangements for hearing conservation


(To be filled in, updated once in a year by Element Owner, and kept along with procedure)

Part-A

Name of Business Site &


1
Location:
2 Name of Site Head:
Name of Site Safety Head /
3
Representative:
Name of OHS Element /
4
Component Owner:
Department Responsible for
5 audiometric medical
surveillance test:

6. Location of Hearing Conservation Records (Sound Level Surveys, Personal


Dosimetry records Qualitative Assessments, Audiograms and additional medical
surveillance information):____________________________________

7. Date(s) of the previous Sound Level Surveys, Personal Monitoring and Noise
Qualitative Assessments:
Type of Assessment Date Performed by Firm/ CIH

8. Type of Hearing Protection PPE available:


Type of Hearing protection Quantity Available at
PPE

9. Designated High Nosie, hearing conservation Area:


Area Name / Task Description Location

I
n
f
o
r
m
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ation Completed By: __________________________ Date: ____/____/_______

Part-B
Site Specific improvement
A record (describe)
Site Specific Changes-
B Deviation, Exclusion record
(describe)

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Annexure-1
AREA NOISE MONITORING SURVEY RECORD FORM

AREA NOISE MONITORING SURVEY RECORD FORM

SITE NAME :

DATE/TIME OF TEST:

SITE / PLANT EQUIPMENT RUNNING STATUS: (ON/OFF)

COMMENTS/ADDITIONAL FACTORS:

SURVEY PERFORMED BY:

MEASUREMENT EQUIPMENT DETAILS: SERIAL NUMBER:


MAKE/MODEL:

EQUIPMENT SETTINGS: CALIBRATION DETAILS:

-SLOW -FAST -dBA -dBC Date:


Method:

DESCRIPTION OF AREA SOUND


LEVEL

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Annexure-2
JOB PROFILE/ TASK (REPRESENTATIVE) PERSONAL DOSIMETER NOISE SURVEY RECORD FORM

JOB PROFILE/ TASK (REPRESENTATIVE) PERSONAL DOSIMETER NOISE SURVEY RECORD FORM
SITE NAME:
SURVEY PERFORMED BY: DATE:
DOSIMETER MODEL AND SETTINGS:
DOSIMETER EMPLOYEE JOB PROFIEL/ CALIBRATION BEFORE DOSE: L-AVG: L-MAX: PROJECTED CALIBRATION AFTER
SR. NO. NAME ID# TASK 8 HR DOSE TIME
DESCRIPTION
94dB 114dB 124dB 80/90d 80/90d 1s/1/16s 94dB 114dB 124dB
B B

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Annexure-3
NOTIFICATION OF NOISE SAMPLING RESULTS

1. Site Name / Location:

2. Employee Name:

3. Employee Code Number:

4. Today’s Date:

5. Date of Sample Collection:

6. Process or Operation Sampled:

NOISE SAMPLE RESULTS

Equipment or Task Location: Results:

Sound Level: dBA

Job Specific Task Monitored: Results:

Time-Weighted Average: dBA

Response plan of action:

1) Re-evaluate the process with a concentrated noise study to determine where and
when potential exposure occurs.

2) Sample and observe the process for 2-3 days. Include both area and personal
sampling over the course of typical 8-hour workdays.

3) Implement any appropriate response actions where needed, such as the


modification of engineering controls or work process improvements based on the
observations and results of study.

4) Remove, reassign the employee from the area if necessary

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Annexure -4
AUDIOMETRIC TEST - HEARING HISTORY

TO BE COMPLETED BY EXAMINEE ON THE DAY OF THE EXAM


AND REVIEWED BY THE EXAMINER

Employee Name:___________________________ EC No:_____________ Today’s Date: ___/___/______

Questions YES NO
1. Do you have a hearing problem? If YES, answer questions 2 and 3
2. Right Ear?
3. Left Ear?
4. Are you currently exposed to noise?
5. Do you wear hearing protection when exposed to loud noise at work?
6. Do you wear hearing protection when exposed to loud noise at home or play?

Do you have or have you ever had any of the following:


7. Ringing in your ears after work?
8. Meningitis?
9. Diabetes?
10. Scarlet Fever?
11. Encephalitis (brain infection)?
12. High blood pressure?
13. Frequent headaches?
14. Pressure in the ears?

Do you currently have:


15. A bad cold?
16. Allergies with “head congestion”?
17. Sinus Problems?
18. Do you have hearing difficulties? If YES, answer questions 19-21.
19. Is one ear better than the other?
20. Was the onset of the hearing loss gradual?
21. Was the onset of the hearing loss sudden?
22. Do you wear a hearing aid(s)? If YES, answer questions 23 and 24.
23. Right Ear?
24. Left Ear?
25. Have you ever had ear surgery? If YES, answer questions 26 and 27.
26. Right Ear?
27. Left Ear?
28. Have you ever had an ear injury? If YES, answer questions 29 and 30.
29. Right Ear?
30. Left Ear?

Have you ever had any of the following:


31. Recurrent ear infections?
32. Dizziness with trouble maintaining balance?
33. Head injury?
34. Mastoid problems?
35. Punctured eardrum?
36. Running/draining ear?

Have you had past or present exposure to:


37. Hunting/Shooting (weapons firing)?
38. Frequent flying?
39. Car/motorcycle racing?
40. Snowmobiles/Motorcycles?
41. Power Boating/Water Skiing?

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Employee Name:___________________________ EC No:_____________ Today’s Date: ___/___/______

Questions YES NO
42. Gasoline-powered garden equipment?
43. Fireworks resulting in hearing change?
44. Listen to or play loud music?
45. Chainsaw use/exposure?
46. Operator of heavy equipment/machinery?
47. High RPM Power Tools (woodworking, auto body, etc.)?
48. Military Service involving noise exposure?
49. Frequent use of aspirin, quinine, or thiazide (diuretic BP medicine)?
50. Do you have a past history of antibiotics by IV (in the vein)?
51. Do you have a past history for treatment of TB (Tuberculosis)?
52. Did you ever have a hearing test prior to employment with Adani?
53. Did anyone ever tell you that you have a hearing problem?
54. Have you ever consulted an ear specialist?
55. Is there a family history of hearing loss?
56. Have you ever worked in a noisy job before?
I hereby certify that the foregoing information is complete and correct to the best of my
knowledge. I understand that the results of my hearing test will be shared with the
company/site for which the examination is made.
X ________________ __ ___/____/___________
Employee’s Signature Date

THIS SECTION TO BE COMPLETED BY EXAMINAR:


COMMENTS REGARDING HEARING HISTORY:

AUDIOMETRIC TEST RESULTS (attach all reports)


Audiometer __________________ / __________________ / ________________
Name Model # Serial #
Calibration dates:
Functional Check/Biological Calibration: _____________
Acoustic Calibration: ____________________
Certification Date of Booth: _______________
(As per OEM OR OSHA standard*)
AUDIOMETRY RESULT OTOSCOPIC EXAM
FERQUENCY(Hz) 500 1000 2000 3000 4000 6000 8000 RIGHT LEFT
Date: ____/____/_________
RIGHT YES NO YES NO

LEFT Is eardrum visible?


*Test Environment: Is perforation
Audiometric examinations shall be administered in present?
a room meeting at least the following requirements: Is drum normal?
Other findings?:
Maximum Allowable Octave-Band Sound Pressure Levels for Audiometric Test Rooms
Octave-Band Center Frequency (Hz) 500 1000 2000 4000 8000
Sound Pressure Level (dB) 40 40 47 57 62

____________________ X______________________ ___/____/________

Name of Examiner (Please Print) Examiner’s Signature Examination Date

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Appendix -1
Audiometric Equipment Requirements

Audiometric measuring instruments


1. In the event that pulsed-tone audiometers are used, they shall have a
tone on-time of at least 200 milliseconds.
2. Self-recording audiometers shall comply with the following
requirements:
A. The chart upon which the audiogram is traced shall have lines at
positions corresponding to all multiples of 10 dB hearing level within
the intensity range spanned by the audiometer. The lines shall be
equally spaced and shall be separated by at least 1/4 inch. Additional
increments are optional. The audiogram pen tracings shall not
exceed 2 dB in width.
B. It shall be possible to set the stylus manually at the 10-dB increment
lines for calibration purposes.
C. The slewing rate for the audiometer attenuator shall not be more
than 6 dB/sec except that an initial slewing rate greater than 6
dB/sec is permitted at the beginning of each new test frequency, but
only until the second subject response.
D. The audiometer shall remain at each required test frequency for 30
seconds (+ or - 3 seconds). The audiogram shall be clearly marked at
each change of frequency and the actual frequency change of the
audiometer shall not deviate from the frequency boundaries marked
on the audiogram by more than + or - 3 seconds.
E. It must be possible at each test frequency to place a horizontal line
segment parallel to the time axis on the audiogram, such that the
audiometric tracing crosses the line segment at least six times at
that test frequency. At each test frequency the threshold shall be
the average of the midpoints of the tracing excursions.

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Appendix-2
Audiometer Calibration Guidelines
Acoustic calibration of audiometers
Audiometer calibration shall be checked acoustically, at least annually, according
to the procedures described in this appendix. The equipment necessary to
perform these measurements is a sound level meter, octave-band filter set, and a
National Bureau of Standards 9A coupler.

In making these measurements, the accuracy of the calibrating equipment shall


be sufficient to determine that the audiometer is within the tolerances permitted
by American Standard Specification for Audiometers, S3.6-1969.

(1) "Sound Pressure Output Check"


A. Place the earphone coupler over the microphone of the sound level meter and
place the earphone on the coupler.
B. Set the audiometer's hearing threshold level (HTL) dial to 70 dB.
C. Measure the sound pressure level of the tones at each test frequency from
500 Hz through 6000 Hz for each earphone.
D. At each frequency the readout on the sound level meter should correspond to
the levels in Table E-1 or Table E-2, as appropriate, for the type of earphone, in
the column entitled "sound level meter reading."

(2) "Linearity Check"


A. With the earphone in place, set the frequency to 1000 Hz and the HTL dial on
the audiometer to 70 dB.
B. Measure the sound levels in the coupler at each 10-dB decrement from 70 dB
to 10 dB, noting the sound level meter reading at each setting.
C. For each 10-dB decrement on the audiometer the sound level meter should
indicate a corresponding 10 dB decrease.
D. This measurement may be made electrically with a voltmeter connected to the
earphone terminals.

(3) "Tolerances"
When any of the measured sound levels deviate from the levels in Table E-1 or
Table E-2 by + or - 3 dB at any test frequency between 500 and 3000 Hz, 4 dB at
4000 Hz, or 5 dB at 6000 Hz, an exhaustive calibration is advised. An exhaustive
calibration is required if the deviations are greater than 15 dB or greater at any
test frequency.

TABLE E-1 - REFERENCE THRESHOLD LEVELS FOR TELEPHONICS -


TDH-39 EARPHONES
Frequency, Hz Reference threshold level for Sound level
TDH-39 earphones, dB meter reading dB
500 11.5 81.5
1000 7 77
2000 9 79
3000 10 80
4000 9.5 79.5
6000 15.5 85.5

TABLE E-2 - REFERENCE THRESHOLD LEVELS FOR TELEPHONICS -


TDH-49 EARPHONES

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Frequency, Hz Reference threshold level Sound level


forTDH-49 earphones, dB meter reading dB
500 13.5 83.5
1000 7.5 77.5
2000 11 81
3000 9.5 79.5
4000 10.5 80.5
6000 13.5 83.5

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Appendix-3
Standard Threshold Shift (STS) Evaluation Guide
Evaluating Audiogram
A standard threshold shift (STS) is a change in hearing threshold relative to the
baseline audiogram of an average of 10 dB or more at 2000, 3000, and 4000 Hz in
either ear.

In determining whether an STS has occurred, allowances may be made for the
contribution of aging (presbycusis) to the change in hearing level by correcting the
annual audiogram according to the procedure described in for Calculations and
Application of Age Corrections to Audiograms.
Computing the Standard Threshold Shift
Example 1
Frequency (Hz) Baseline audiogram Annual audiogram Change
threshold (db) threshold (dB)
500 5 5 0
1,000 5 5 0
2,000 0 10 +10
3,000 5 20 +15
4,000 10 35 +25
6,000 10 15 +5
Considering the Hearing Threshold Level (HTL) values at 2,000, 3,000, and 4,000 Hz,
there are changes in hearing threshold of 20, 15, and 25 dB, respectively. Thus:

STS = (10 + 15 + 25)/3 = 50/3 = 16.7 dB

Conclusion: The STS is +16.7 dB; hearing has deteriorated, the employee must be
notified in writing within 21 days, and, depending on professional discretion, the
employer may elect to retest the employee and/or revise the baseline audiogram.
Example 2
Frequency (Hz) Baseline audiogram Annual audiogram Change
threshold (db) threshold (dB)
500 5 5 0
1,000 5 0 -5
2,000 0 -10 -10
3,000 5 -5 -10
4,000 10 -5 -15
6,000 10 5 -5
Again, considering the HTL values at 2,000, 3,000, and 4,000 Hz, the hearing
threshold has changed by -10, -10, and -15 dB, respectively. Thus:

STS = (-10 -10 -15)/3 = -35/3 = -11.6 dB

Conclusion: The STS is -11.6 dB; hearing has improved, the employee should be notified,
and, depending on professional discretion, the baseline audiogram may be revised.

Calculations and application of age corrections to audiograms


In determining whether a standard threshold shift has occurred, allowance may
be made for the contribution of aging to the change in hearing level by
adjusting the most recent audiogram. If the employer chooses to adjust the
audiogram, the employer shall follow the procedure described below. This
procedure and the age correction tables were developed by the National
Institute for Occupational Safety and Health in the criteria document entitled

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"Criteria for a Recommended Standard . . . Occupational Exposure to Noise,"
((HSM)-11001).
For each audiometric test frequency;
(i) Determine from Tables F-1 or F-2 the age correction values for the employee
by:
(A) Finding the age at which the most recent audiogram was taken and
recording the corresponding values of age corrections at 1000 Hz through
6000 Hz;
(B) Finding the age at which the baseline audiogram was taken and recording
the corresponding values of age corrections at 1000 Hz through 6000 Hz.
(ii) Subtract the values found in step (i)(B) from the value found in step (i)(A).
(iii) The differences calculated in step (ii) represented that portion of the
change in hearing that may be due to aging.
EXAMPLE: Employee is a 32-year-old male. The audiometric history for his right
ear is shown in decibels below.
_____________________________________________________________
Audiometric test frequency (Hz)
Employee's age ___________________________________
1000 2000 3000 4000 6000
_____________________________________________________________
26....................... 10 5 5 10 5
*27...................... 0 0 0 5 5
28....................... 0 0 0 10 5
29....................... 5 0 5 15 5
30....................... 0 5 10 20 10
31....................... 5 10 20 15 15
*32...................... 5 10 10 25 20
_____________________________________________________________

The audiogram at age 27 is considered the baseline since it shows the best
hearing threshold levels. Asterisks have been used to identify the baseline and
most recent audiogram. A threshold shift of 20 dB exists at 4000 Hz between
the audiograms taken at ages 27 and 32.

(The threshold shift is computed by subtracting the hearing threshold at age


27, which was 5, from the hearing threshold at age 32, which is 25). A retest
audiogram has confirmed this shift. The contribution of aging to this change in
hearing may be estimated in the following manner:
Go to Table: F-1 and find the age correction values (in dB) for 4000 Hz at age
27 and age 32.
____________________________________________________________
Frequency (Hz)
________________________________
1000 2000 3000 4000 6000
____________________________________________________________
Age 32.............. 6 5 7 10 14
Age 27.............. 5 4 6 7 11
___________________________________
Difference 1 1 1 3 3
____________________________________________________________

The difference represents the amount of hearing loss that may be attributed to
aging in the time period between the baseline audiogram and the most recent
audiogram. In this example, the difference at 4000 Hz is 3 dB. This value is
subtracted from the hearing level at 4000 Hz, which in the most recent
audiogram is 25, yielding 22 after adjustments. Then the hearing threshold in

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the baseline audiogram at 4000 Hz (5) is subtracted from the adjusted annual
audiogram hearing threshold at 4000 Hz (22). Thus the age-corrected
threshold shift would be 17 dB (as opposed to a threshold shift of 20 dB
without age correction).

TABLE F-1 - AGE CORRECTION VALUES IN DECIBELS FOR MALES

____________________________________________________________
Audiometric Test Frequency (Hz)
Years _________________________________
1000 2000 3000 4000 6000
____________________________________________________________
20 or younger.... 5 3 4 5 8
21 ..................... 5 3 4 5 8
22 ..................... 5 3 4 5 8
23 ..................... 5 3 4 6 9
24 ..................... 5 3 5 6 9
25 ..................... 5 3 5 7 10
26 ..................... 5 4 5 7 10
27 ..................... 5 4 6 7 11
28 ..................... 6 4 6 8 11
29 ..................... 6 4 6 8 12
30 ..................... 6 4 6 9 12
31 ..................... 6 4 7 9 13
32 ..................... 6 5 7 10 14
33 ..................... 6 5 7 10 14
34 ..................... 6 5 8 11 15
35 ..................... 7 5 8 11 15
36 ..................... 7 5 9 12 16
37 ..................... 7 6 9 12 17
38 ..................... 7 6 9 13 17
39 ..................... 7 6 10 14 18
40 ..................... 7 6 10 14 19
41 ..................... 7 6 10 14 20
42 ..................... 8 7 11 16 20
43 ..................... 8 7 12 16 21
44 ..................... 8 7 12 17 22
45 ..................... 8 7 13 18 23
46 ..................... 8 8 13 19 24
47 ..................... 8 8 14 19 24
48 ..................... 9 8 14 20 25
49 ..................... 9 9 15 21 26
50 ..................... 9 9 16 22 27
51 ..................... 9 9 16 23 28
52 ..................... 9 10 17 24 29
53 ..................... 9 10 18 25 30
54 ..................... 10 10 18 26 31
55 ..................... 10 11 19 27 32
56 ..................... 10 11 20 28 34
57 ..................... 10 11 21 29 35
58 ..................... 10 12 22 31 36
59 ..................... 11 12 22 32 37
60 or older ....... 11 13 23 33 38
___________________________________________________________

TABLE F-2 - AGE CORRECTION VALUES IN DECIBELS FOR FEMALES

____________________________________________________________
Audiometric Test Frequency (Hz)
Years _________________________________
1000 2000 3000 4000 6000

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____________________________________________________________
20 or younger...... 7 4 3 3 6
21 ..................... 7 4 4 3 6
22 ..................... 7 4 4 4 6
23 ..................... 7 5 4 4 7
24 ..................... 7 5 4 4 7
25 ..................... 8 5 4 4 7
26 ..................... 8 5 5 4 8
27 ..................... 8 5 5 5 8
28 ..................... 8 5 5 5 8
29 ..................... 8 5 5 5 9
30 ..................... 8 6 5 5 9
31 ..................... 8 6 6 5 9
32 ..................... 9 6 6 6 10
33 ..................... 9 6 6 6 10
34 ..................... 9 6 6 6 10
35 ..................... 9 6 7 7 11
36 ..................... 9 7 7 7 11
37 ..................... 9 7 7 7 12
38 ..................... 10 7 7 7 12
39 ..................... 10 7 8 8 12
40 ..................... 10 7 8 8 13
41 ..................... 10 8 8 8 13
42 ..................... 10 8 9 9 13
43 ..................... 11 8 9 9 14
44 ..................... 11 8 9 9 14
45 ..................... 11 8 10 10 15
46 ..................... 11 9 10 10 15
47 ..................... 11 9 10 11 16
48 ..................... 12 9 11 11 16
49 ..................... 12 9 11 11 16
50 ..................... 12 10 11 12 17
51 ..................... 12 10 12 12 17
52 ..................... 12 10 12 13 18
53 ..................... 13 10 13 13 18
54 ..................... 13 11 13 14 19
55 ..................... 13 11 14 14 19
56 ..................... 13 11 14 15 20
57 ..................... 13 11 15 15 20
58 ..................... 14 12 15 16 21
59 ..................... 14 12 16 16 21
60 or older ...... 14 12 16 17 22
____________________________________________________________

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Appendix-4
Example Noise contour floor plan

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