The Newsletter of the Council for Accreditation in Occupational Hearing Conservation VOLUME 21 • ISSUE 1 U PDATE Winter/Spring 2009 Capability includes: • Engineers using tools to apply PtD in the early stages of design • Nurses and engineers knowing how to effectively communicate each other’s ideas • Safety officers being able to develop the business case for safety • Small machine shop owners being able to assess the business cases for purchasing old equipment without proper safety guards or purchasing more expensive equipment with all the recommended safety features Awareness includes: • CEO’s knowing that there is a business case for safety and setting an expectation that safety will always be evaluated • Engineers knowing that they need to communicate with people using products in order to understand safety and gather potential solutions • If, for example, there is a safety certification created for home repair companies, that consumers know to look for the certificate • Prospective employees understanding the risk of taking a job in a business that has not met minimum safety requirements on equipment Educate the Whole Product or Process Team All contributors to the design of a product or process need to be schooled in PtD concepts. PtD educational programs should be developed to include those involved in implementing the process or as end users of the product. For example, construction company owners and financiers need to be educated in PtD concepts. Likewise, in the health care setting, a wide range of hospital personnel, including physicians, nurses, administrative, and housekeeping, should be represented in the design process and trained in the principles of PtD. Content Page Prevention Through Design 1 Chair’s Message 2 OHC Corner – OHNs Make Great OHCs! 4 Assessing a Non-Standard Day 5 BLS Occupational Hearing Loss Report 7 International Noise Awareness Day 9 Upcoming OHC Courses 10 Prevention Through Design J. Adin Mann, III, PhD Prevention through Design (PtD) is a new initiative that was developed in July 2007 at a workshop inWashington DC convened by the National Institute for Occupational Safety and Health (NIOSH). PtD is based on the philosophy that the most effective way to prevent and control occupational injuries, illnesses, and fatalities is to design equipment and processes that eliminate dangers. The workshop included professionals from the hearing conservation industry, insurance, academics, and government covering seven economic sectors and featured presentations by industry leaders in implementing PtD. Topics included practice, examples, and developing a business case for PtD within large corporations. The meeting had structured discussions in four functional areas: Research, Education, Practice, and Policy. The discussions and recommendations were published in the Journal of Safety Research (2008) and are available on the NIOSH website. http://www.cdc.gov/niosh/topics/ptd The report from the education group pertains to the CAOHC mission. The strategy described includes education for workers at the front line all the way to executives making business decisions in both large companies and small businesses. The following ideas are presented to inspire ideas for your own work. We hope that you will share ideas on how CAOHC can further fulfill our and your educational missions. PtD Education Overview Education, per the PtD program, focuses on all constituents needed to make PtD successful. The constituents vary by economy sector and the education requirements vary for the constituents within each sector. Therefore, an education strategy is developed with an overall approach and a set of resources which is then tailored to the sector. Particular concern is placed on developing effective education strategies for executives, communities, and small business owners. The discussion is divided into several key themes. Classify Education Action At the stage of designing an educational action, it is critical to first establish if the goal of an activity is to create capability or awareness. continued on page 3
Transcript
The Newsletter of the Council for Accreditation in Occupational Hearing ConservationVOLUME 21 • ISSUE 1
forsafety• Smallmachine shop owners being able to assess the
business cases for purchasing old equipmentwithoutproper safety guards or purchasing more expensiveequipmentwithalltherecommendedsafetyfeaturesAwarenessincludes:
• CEO’sknowingthatthereisabusinesscaseforsafetyand setting an expectation that safetywill always beevaluated
• Prospectiveemployeesunderstandingtheriskoftakinga job in abusiness that hasnotmetminimumsafetyrequirementsonequipment
Educate the Whole Product or Process TeamAllcontributorstothedesignofaproductorprocess
need to be schooled in PtD concepts. PtD educationalprograms shouldbedeveloped to include those involvedinimplementingtheprocessorasendusersoftheproduct.Forexample,constructioncompanyownersandfinanciersneedtobeeducatedinPtDconcepts.Likewise,inthehealthcaresetting,awiderangeofhospitalpersonnel,includingphysicians, nurses, administrative, and housekeeping,shouldberepresentedinthedesignprocessandtrainedintheprinciplesofPtD.
Content Page
Prevention Through Design 1
Chair’s Message 2
OHC Corner – OHNs Make Great OHCs! 4
Assessing a Non-Standard Day 5
BLS Occupational Hearing Loss Report 7
International Noise Awareness Day 9
Upcoming OHC Courses 10
Prevention Through DesignJ. Adin Mann, III, PhD
PreventionthroughDesign(PtD)isanewinitiativethatwasdevelopedinJuly2007ataworkshopinWashingtonDCconvenedbytheNationalInstituteforOccupationalSafetyandHealth(NIOSH).PtDisbasedonthephilosophythatthemosteffectivewaytopreventandcontroloccupationalinjuries,illnesses,andfatalitiesistodesignequipmentandprocessesthateliminatedangers.Theworkshopincludedprofessionals from the hearing conservation industry,insurance, academics, and government covering seveneconomic sectors and featuredpresentationsby industryleaders in implementing PtD. Topics included practice,examples,anddevelopingabusinesscaseforPtDwithinlargecorporations.
Themeetinghadstructureddiscussionsinfourfunctionalareas: Research, Education, Practice, and Policy. Thediscussions and recommendationswerepublished in theJournalofSafetyResearch(2008)andareavailableontheNIOSHwebsite.http://www.cdc.gov/niosh/topics/ptd
The report from the education group pertains to theCAOHCmission.Thestrategydescribedincludeseducationfor workers at the front line all the way to executivesmaking business decisions in both large companies andsmall businesses. The following ideas are presented toinspire ideas foryourownwork.Wehope thatyouwillshareideasonhowCAOHCcanfurtherfulfillourandyoureducationalmissions.PtD Education Overview
Education, per the PtD program, focuses on allconstituentsneededtomakePtDsuccessful.Theconstituentsvarybyeconomysector and theeducation requirementsvaryfortheconstituentswithineachsector.Therefore,aneducationstrategyisdevelopedwithanoverallapproachandasetofresourceswhichisthentailoredtothesector.Particular concern is placed on developing effectiveeducationstrategiesforexecutives,communities,andsmallbusiness owners. The discussion is divided into severalkeythemes.Classify Education Action
At thestageofdesigninganeducationalaction, it iscriticaltofirstestablishifthegoalofanactivityistocreatecapabilityorawareness.
continued on page 3
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Opt-Out OptionIfyouwishtohaveyournameremovedfrom mail solicitations from vendorswho have purchased the CAOHCdatabase, please notify CAOHC staffvia fax at 414/276-2146; or e-mail [email protected].
Published by the Council for Accreditation in Occupational Hearing Conservation, a not-for-profit organization dedicated to the establishment and maintenance of training standards for those who safeguard hearing in the workplace.Articles should be submitted with a black and white photograph of the author. The UPDATE is available to individuals not certified by CAOHC at an annual subscription rate of $30.Payment must accompany request:555 E. Wells Street / Suite 1100Milwaukee, WI 53202-3823Phone (414) 276-5338 Fax (414) 276-2146E-mail: [email protected]
• Editor and Publications Committee Chair Ted K. Madison, MA CCC-A• Committee Members Robert D. Bruce, PE, INCE. Bd. Cert. Diane DeGaetano, RN BSN COHN-S COHC Lee D. Hager Thomas Hutchison, MA MHA FAAA CCC-A J. Adin Mann, III, PhD Mark R. Stephenson, PhD• ExecutiveDirector Kim J. Breitbach• AdministrativeAssistant Chris Whiting• GraphicDesigner Peggy Goetsch
What’swrongwiththispicture?We’vebeenassessingnoise.We’vedonemillionsofhearingtests.TheHPDmanufacturerskeepgivingusnewandimprovedproductsandassessmenttools.Don’tgetmestartedonthehoopswe’rejumpingthroughtokeeprecords!Yet,wecontinuetodocumenthearinglossdeemedtobe“work-related”.With all the money and effort going into hearing loss prevention, why aren’t incidence rates dropping?
I’vestartedtoaddanew“focus”inallofthetrainingprogramsIdeliver.Itellthem,“OSHAcan’tprotectyourhearing.NIOSHcan’tprotectyourhearing,WISHA(inWashingtonwe have a stateOSHA program) can’t protect your hearing, yourmanager/supervisor/foreman/lead can’t protect your hearing, I can’t protect yourhearing.Whatwecandoisprovideyouwiththeinformation,motivation,rationale,tools,andencouragementtoprotectyourownhearing.Hearing loss prevention is a personal, lifelong commitment!”ThisIbelievewithallmyheart.Andthisistheonlywaywewillultimatelysucceed.
Executive EducationDuring the NIOSH PtD workshop, several speakers
fromlargecorporationsdescribedhowPtDprincipleswereimplemented throughout a company once the companyleadershipunderstoodPtDandthepositiveimpactPtDhasonbusinessprofit.ThechallengeisreachingthesecompanyleaderstoeducatethemaboutPtD.OneexampleisaCEOeducationmodelinOntario,Canada,calledthe“CEOHealth&SafetyCharter.”ItwasreportedthatmeetingshavebeenattendedbyCEOsfromroughly200companies.
Other approaches should be pursued such as printingarticlesintradejournalsandbusiness-orientedpublicationssuchastheWallStreetJournal,whicharereadbycompanyexecutives.NewslettersfromMBAprogramscanalsoprovideuniqueaccesstocompanyleaders.SucharticlesshouldfocusonsuccessesofPtDapproachesandshouldbewrittenfromexecutives’perspectiveand in language thatwill appeal tothem.Secondary and Post-Secondary Education
Withinsecondaryandgraduateeducation,thedisciplinesofengineering,architecture,andbusinessmostfrequentlyareidentifiedforPtDeducation.Inthebusinessfield,PtDcouldbelinkedtosuchcoursecontentascorporatesocialresponsibilitytoconnectPtDtoothermattersofcorporategoodcitizenship.Manyotherfields,includinghealthcare,hotelandrestaurantmanagement, industrial technology, and food science, areexamples of additional targets for PtD educational efforts.Wherepossible,PtDconceptsshouldbetiedtootherdesignconcernssuchassustainabilityandenvironmentalissues.Continuing Education
Continuing education is being considered as formaleducation provided to people who are no longer full-timeundergraduate or graduate students.The trainingmay leadtopost-secondarydegreesorcertificatesormaybeneededformaintenanceofexistingcertificationorlicensure.Courseworkforcontinuingeducationcouldbethebestopportunityformulti-disciplinaryapproachestoPtD.
Oneideaforanon-traditionaldistancecourseisintheareaofhealthcarewhereithasbeenstatedthatengineersneedtobetterunderstandhowhealthequipmentisusedandnursesneedtobetterunderstandwhatengineerscandointhedesignstageandhowtoeffectivelycommunicatetheirideas.Atrainingprogramcouldprovideopportunitiesforengineerstoshadownurses in theirhospitalworkso that theengineersseefirsthandhowequipmentisusedandalsoprovideopportunitiesfornursestobebetterawareofthetypeofdesignalternativesthatengineerscoulddevelopandtolearnhowtoeffectivelycommunicatetheirideastoengineers.Community Education
ThecommunityisoneofthepotentialdriversforPtDbeingimplementedbysmallbusinessesandinconsumerproducts.Forexample,ifpeopleinthecommunityknewaboutPtD,theycouldaskcontractorsperformingworkthecorrectquestionstobesurethatsafetyprincipleswouldbeconsideredinthework tobedone. In thisway,peoplecouldassess thePtD
forproductsandprocessesthatanindividualorsmallgroupinacommunitywouldbeconcernedwith.SucharatingsystemcouldbemodeledaftertheCarolinaSTARprogram.ThePtDratingsystemwouldneedtobeaccompaniedwithacommunityleveleducationprogramandameansforsmallbusinesstobetrainedontheratingsystem.Small Business
Addressingsmallbusinesses is likely tobeachallengewithnoeasysolutions. Incomparison to smallbusinesses,largeandmid-sizecompaniescanuseasmallerpercentageoftotalresourcestofocusoneducationandimplementationofPtD.Forexample,itmaybeexceedinglydifficultfortheownerofathree-personmachineshoptoattendaweeklongPtDtrainingcourse,nevermindexpectingtheemployeestoalsoattend.
WhilerequiredPtDcertificationorcomplianceisoneofthedriversforsmallbusinessestobecomeeducatedinandtoimplementPtD,therearenon-mandatorytrainingprogramsthathavebeensuccessfulatattractingsmallbusinessowners,suchassafetyeducationeffortsinOntario,Canada.Resource Development
AcriticalcomponentofcreatinganeducationalfoundationforPtDistodevelopandmaintainadatabaseofresourcesforPtDeducation.Thedatabasewouldincludelecturemodules,case studies, and lessonplans that canbeusedatboth thesecondary and continuing education levels. The contentshould be tailored for courses ranging, for example, fromengineering, toarchitecture, tobusiness,andto theservicesector.Educationalmaterialsshouldbe“turn-key”andeasytointegrateintoexistingcourses.Drivers for Education Change
Education is currently taking place at many levels ofeveryeconomysector.Educationiseithermandatorytogainentrancetothejobmarket,advanceinthejobmarket,ortomaintain access to a jobmarket. In professions and tradeswherecontinuingeducationisconsideredessentialtoobtainingandmaintaininga licenseorcertification, thecredentialingorganizations can drive PtD education by requiring someportionofthetrainingtoincludePtDconcepts.Forexample,the engineering license could contain PtD content, whichwoulddriveindividualstolearnPtDandgenerateagreaterneedforPtDtraining.
At universities, change can be generated from the topdown,butoftenmorepermanentchangesaregeneratedfromthefaculty.OneofthestrongestagentsforquickchangeisanalumnuswhoisaCEOofalargecorporation.Companies,throughtheirhiring,representkeychangeagentsiftheymakeitclearthatspecificmaterialismakingsomestudentsmoreattractiveforinternshiporpermanenthiring.Ifthishappens,thenmany university facultieswill include thematerial intheircurriculum.Anexample is thecurrentdemanddrivenchangesinMBAprogramsthroughoutthecountrytoincludemorecourseworkonsocialresponsibility.
Prevention Through Design… – continued from page 1
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OHC Corner
Did you know that over50% of all occupational hearingconservationists (OHCs) areoccupationalhealthnurses(OHNs)?CAOHCissupportedbytheAmericanAssociationofOccupationalHealthNurses(AAOHN),theprofessionaloccupationalnursingorganization.Iamproudtobeoneoftwomembers
ofAAOHNwithexpertiseinhearingconservationwhoserveontheCAOHCCouncil.TheotherisMadeleineKerr,Ph.D.RN,associateprofessorattheUniversityofMinnesotaSchoolof Nursing. The experience and participation ofAAOHNmembershelpstofurtherthemissionofCAOHC,“topromotethe conservation of hearing by enhancing the quality ofoccupationalhearingconservationprograms.”
Themaingoalof anOHC/OHN is to contribute to theprevention of occupational hearing loss by implementinghearingconservationbestpractices,suchasthosedevelopedbyCAOHCandtheNationalInstituteforOccupationalSafetyandHealth(NIOSH).Educationandtrainingofnoise-exposedworkers are key components of the hearing conservationprogram(HCP)andtheOHC/OHNoftenplaysanimportantrole.Notonlymust theOHC/OHNteachemployeesabouthearingconservation,theymustalsomotivatethemtobelievethathearingisvaluableandtakeactiontoprotectit.
controlmeasures• Hearing protection equipment is provided and used as
neededbyEVERYONEWhenever an employee reports a complaint involving
hearingconservationinanarea,theOHC/OHNshouldvisittheareasoonafterward.Duringthewalk-throughofthearea,theOHC/OHNcanusetheNIOSHhearingconservationchecklisttoevaluatehowwelltheprogramisbeingimplemented.Byinvestingthetimeandenergytoevaluatetheissueinaparticularworkarea,andresponding to theemployees’concerns, theOHC/OHN builds trust and confidence of the employees.Follow-upwiththeemployeeandthesupervisoriscriticalforcontinuinganeffectivehearingconservationprogram.
Anotherwaytoaddcredibilitytoaprogramistoinclude
others as members of the hearing conservation team suchas,peoplefromhumanresources,safety,employeegroups,industrialhygiene,occupationalmedicine,maintenance,andmanufacturing.TheOHNshouldalsoworkcloselywiththeaudiologist or physician who serves as their professionalsupervisor(PS)fortheaudiometriccomponentoftheHCP.WhentheOHNandthePSworkasateam,withclearlydefinedexpectations,policies,&procedures,thepotentialforsuccessisenhanced.
Most OHCs working in an occupational health clinicareconsidered“trust-worthy.”Employeesusuallyfeelmorecomfortablesharingconcernswiththe“companynurse,”thanwiththeirsupervisor,manager,orevenco-workers.Anopen-doorenvironmentcanbeusedtocompleteon-the-spottraining,avalue-addedactivity.Eventhoughemployeesmayvisittheclinictodiscussapersonalhealthissue,thenursemayaskifhearingprotectionisbeingusedorsomepersonalquestionabouttheemployee’shealth,suchas,“areyouoverthesinusinfectionwhichdelayedyourannualaudiogram?”
The concept of credentialing is well-respected withinthe occupational health community; AAOHN encouragescertification in hearing conservation, spirometry, casemanagement and safety management. Nurses can becomeacertifiedoccupationalhealthnurse(COHN)oracertifiedoccupational health nurse specialist (COHN-S). CAOHCprovidesworkshopsleadingtocertificationofcoursedirectors(CDs),who then develop andoffer courses forOHNs andotherswishingtobecomecertifiedOHCs.Inaddition,CAOHCoffersseminarsandspecialtyrecognitionforaudiologistsandphysicianswhoworkasaprofessionalsupervisorinaHCP.
The CAOHCwebsite offers interactive teaching tools,listingsofapprovedOHC,PSandCDcoursesaswellasthecriteriaforeachcertification.VisitorstotheCAOHCwebsitecanalsopurchasecopiesoftheHearingConservationManual,writtenbyAliceSuter,Ph.D.,oneofthemosthighlyregardedexpertsinthefield.
Diane S. DeGaetano, a certified Occupational Health Nurse – Employed with Merial, Limited (International Animal Health Company, headquartered in Duluth, Georgia), as the Occupational Health Manager for North America.
OHNs Make Great OHCs!Diane S. DeGaetano, RN BSN COHN-S COHC
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Assessing a Non- Standard DayPeter Zymanczyk, London Fire Brigade
Measuring and assessing the noiseexposureofworkersinsomeindustries,suchasconstructionandfirefighting,is
notasstraightforwardasinafactory.Thedifficultyinassessingnoiseexposureinthesecircumstanceswillbeexaminedusingthe Fire andRescueServices (FRS) as a case study. Therequirementforaswiftresponsetoanemergencycallmeansthere isno ‘standard’workday in this industry in spiteofstructuredshiftpatterns,programmedroutines,andplannedtaskssuchastrainingandfirepreventionduties.Thismakesitdifficulttoexplainincidentsofnoiseinducedhearingloss(NIHL)thatappeartobework-relatedintheabsenceofdatasupportingoverexposuretonoiseonthejob.Background
Extensivestudiesovermorethan20yearsintheUSA,mostnotablythosepublishedbyR.L.TubbsandS.N.Kales,haveidentifiedthatfirefightershadbetterhearingthanthegeneralpopulationatthetimetheywererecruitedbut,towardstheendoftheircareers,thehearingofthefirefighterswasconsistentlypoorerthanthatofanon-firefightingpopulationofasimilarage.Theresultsofnumerousinvestigationsintothisdramatichearinglosswerepuzzling,asthemeasureddailyexposurelevelswerewithin,andinmanycasesbelow,theoccupationalhygienerecommendationsfornoise.Furtherinvestigationsinto the lifestyle and off-duty activities of firefighters dididentifyanumberofnoisyactivitiesbut theywereneitherconsistent across the groupnor done for extended periodsof time. Thehearing losswithin thefirefighterpopulationwasrelativelyconsistent(estimatesrangingfrom½dBperyearofserviceto5dBinsixyearsofservice)andtheonlyconclusion thatcouldbereachedwas that thehearing losswasoccupationallyrelated.
Amorerecent,andcontrary,study(ClarkandBohl,2005)suggested thatfirefighterswerenot at riskofoccupationalNIHLandcommentedthat,generally,theyhadrobusthearing.However,bothfiredepartments involved in this studyhadwell established hearing conservation programmes, whichsuggeststhateveninindustrieswherethereisanunpredictableexposuretonoise,hearingcanbeprotected.
Theseinvestigationsconfirmthattheremaybeaproblemin assessing the effect of occupational noise exposure inindustrieswherethereisnostandardworkingday.InthecaseoftheFRS,Tubbs(1995)suggestedthreepossiblemechanismsmightbeatwork:• Noiseexposureatthesametimeasexposuretochemicals
acts synergistically to cause greater-than-anticipateddamagetohearing;
• Exposure to higher frequency noise might be moredamagingtohearingthananticipated;and
maybemoredamagingthanexposuretoconstantnoiselevels.The possible interaction between noise and chemicals
as a factor in firefighter hearing loss is an interestingone. Generally, firefighters are unlikely to be exposed tochemicalsoccupationallywithonepossibleexception:carbonmonoxide—aknownototoxicsubstance(Prasheretal.,2002).However,theincreaseduseofbreathingapparatusoverthepast20yearsshouldhavereducedexposuretocarbonmonoxide.Therefore,ifCOwereafactorinfirefighterhearingloss,anoverall reduction inNIHLmight have been observed overthetimeofpreviousstudies.Sincenosuchtrendhasbeenobserved, itseemsunlikely thatchemicalexposuresplayasignificantroleinfirefighters’NIHL.
The second and thirdmechanisms suggested byTubbs(1995)canbefoundinanyenvironmentwherethepatternofnoiseexposureisinconsistent.However,thesemechanismschallengetheprincipleofequalenergy;thedirectrelationshipbetweenthesoundpressurelevel(SPL)andexposureduration.If there is evidence to support the suggestion that suddenexposuretohighvolumeand/orhighfrequencynoisemightinsomewaycauseadamagingshocktothehearingsystem,thehearinglossriskfacedbyfirefightersmaybesignificantgiventhatnoiseexposurepatternsfoundintheFRSareoftenofthattype.
Recent background noise measurements at UK firestationsfellbetween45and68dB(A)whilepersonalnoisedose meter readings were evenly distributed between 77and92dB(A)beforeanyallowanceismadeformicrophonebumpsorknocks.Anumberofnoisesourcesandtaskswereidentifiedduringtheworkingdaythathadawidevariationinbothexposurelevelandduration,including:sirens,automaticfirealarms,casualtyextricationtasks,andengines/generatorsrunning.Mostoftheseexposureswereshort,between5and45minutes,inanotherwisequietworkingday.Althoughtheseepisodesofshortduration,veryhighlevelnoisemaymakeamajorcontribution to thedailynoiseexposure, theymaybeeffectivelycamouflagedwhenaveragedoveranextendedworkperiod.Thisisnotthefirsttimethishasbeenidentified.TheAmericanCollegeofOccupationalandEnvironmentalMedicine(2002)hascommented:“measurestoestimatethehealtheffectsofsuchintermittentnoisearelacking.”IntheUnitedKingdom,theHealthandSafetyExecutive(2000)hassuggestedthatif,“nosingledayorotherperiodoftimecanbeconsideredtoberepresentativeofnoiseexposure...itwillbeimpracticableoroflittleusetomakeanaccuratemeasurementofLEP,dfortheseworkers.”Alternative Approaches
There are two possible approaches to assessing noiseexposureinthesecircumstances.Thefirstmethodrequiresthatnoisefromallactivitiesismeasuredandassessedagainstestimates of duration from attendance data at incidents oractualdurationsoftrainingactivities.Fromthisinformation,modelsofdifferentworkingdays/weekscouldbeconstructedtoenableanoverallassessmentofnoiseexposure.However,irrespectiveofhowwellthismodellingprocessisdone,thereremains wide potential for exposure to noise in ways not
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attemptstoaccountforthepotentiallydisproportionaleffectthathigh frequencyor shortdurationnoiseepisodesmighthaveonhearing.Ratherthantrytoassessnoiseinrelationtoareference8-hourworkingday,whynotassesseachactivityand its potential contribution towards the total daily noisedose?Theideaistoeffectivelysetamaximumcontributionanynoisesourcecouldmaketothetotaldailydose,eitherbyactualmeasurementorestimateofexposure.Whenthislevelisexceeded,actionmustbetaken.However,anylimitwouldneedtobereasonablylow,bearinginmindTubbs’viewaboutnoiseexposureafteralongquietperiod.Anactionlevelof30%ofthedailyexposurelimit(85dBLAeq)issuggestedforfirefighters.
ConclusionsInkeepingwithmanyotherarticleson this topic, there
arenoimmediateanswerstothesequestions.Myhopeistostimulatedebateabouthowbesttoassessthenoiseexposureof workers who experience inconsistent noise exposuresfromday-to-dayandhowtochoosehearingprotectors that
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TheUSBureau of Labor Statistics(BLS)hasreleasedsummaryoccupationalinjuryandillnessdatafor2007.Hearingloss has been a separate category in
BLS reporting since 2004 under the OSHA regulation29CFR1904.10,allowinganalysisandtrackingseparatefromotherworkplaceillnesses.
TheinformationprovidedbyBLSisnotadirectsummaryoftheOSHAForm300reportsprovidedbyemployerseachyear.Instead,BLSsendsasecondaryrequesttoaselectgroupofemployersandusestheinformationobtainedfromthatinquirytoestimatetheoverallscopeofworkplaceillnessandinjuryintheUS.AccordingtoBLS,howthissampleisconstructedhasasignificantbearingontheprojectedfindings.In2006,for example,BLS surveyed about 176,000 establishments,representing0.6%ofUSemployersand3%ofemployerswhoreporthavingemployees.AccordingtoBLS,“…thesampleusedisoneofmanypossiblesamples,eachofwhichcouldhaveproduceddifferentestimates.”
OSHA asks for specific information on four commonoccupationalillnesses:hearingloss,skindisorders,respiratoryillnesses,andpoisonings.Everyillnessthatdoesnotfallintoone of these categories (including cumulative trauma andrepetitivestrain)isclassifiedas“allother.”
BLSdatareflectprivateemployersintheUS,anddonotincludeworkerscoveredundertheMiningHealthandSafetyAdministration (MSHA), Federal Railroad Administration(FRA),orLongshoremen.Healthandsafetyandinjury/illnessreportingismanagedseparatelyforeachofthesegroups.2007 Results
[Figure 1: Occupational Hearing Loss Cases Compared to All Other Workplace Illness Cases from 2004-2007. U.S. Bureau of Labor Statistics]
In the four years since OSHA has required separatereportingofhearinglossonForm300, thehearingofover100,000USworkershasbeenpermanentlyimpairedonthejob.Forreference,thatismorethantheentirepopulationofErie,PennsylvaniaorGreenBay,Wisconsin.
[Figure 3: Occupational Hearing Loss in 2007 by Major Industry Sector. U.S. Bureau of Labor Statistics] Using the Data
InformationintheBLSreportisorganizedbytheNorthAmerican Industry Classification System (NAICS) code.NAICSorganizesindustriesfromlargeviewtosmallviewasthenumberofdigitsinthecodeincreasesfrom2to3,4or5.Forexample,NAICScode11isAgriculture;112isAnimalProduction;1121isCattleRanchingandFarming;and11211isBeefCattleRanching.Thisorganizationalsystemallowsanalysisofinformationinthedepthofdetailappropriateforindividualusers.
BLS Occupational Hearing Loss Report for 2007Lee D. Hager
Inadditiontoinjuryandillnessdata,BLSreportsincludeinformation about average employment per NAICS codewhichallowsfortheeasydevelopmentofprevalencestatistics,whichmaybeofmorevaluethanthesimplecountofcasesorincidencefindingasshowninthetable.
[Figure 4: Occupational Hearing Loss Cases and Incidence Rates in 2007 by NAICS code. U.S. Bureau of Labor Statistics]
The table, for example, reflects total employment andhearing loss cases for themanufacturing sector by 3-digitNAICScode.Whilethefoodsectorhadthehighestnumberofcases,theincidenceofhearinglosswasgreatestintheprimarymetalsector.Usingincidenceper1000fulltimeequivalentemployees rather than comparisonof total casesmaybe abettertoolwhenbenchmarking.
OverviewinjuryandillnessreportsareavailablefromtheBLSwebsiteathttp://www.bls.gov/iif/oshwc/osh/os/ostb1911.pdf;detailedreportsbyNAICScodeareathttp://www.bls.gov/iif/oshwc/osh/os/ostb1914.pdfLee Hager serves as Hearing Loss Prevention Consultant for Sonomax Hearing Healthcare, Inc. He has served as chair of the Noise Committee of the American Industrial Hygiene Association (AIHA), and currently represents AIHA on the Council for Accreditation for Occupational Hearing Conservationists (CAOHC).
By educating customers on PtD, the customer can bethe driver, seeking out small businesses that practice PtDmethodologies. Customer demand has great potential toinfluencethepracticesandprioritiesofsmallbusinessesintheareasofconstruction,remodeling,repair,housemaintenance,housecleaning,automotiverepair,etc.Conclusion
NIOSH(2008)hassummarizedthePtDnationalinitiativethis way, “The approach that will be used to develop andimplementthePtDNationalInitiativewillbeframedbyindustrysectorandwithinfourfunctionalareas:Research,Education,Practice,andPolicy.Asthisdiagramindicates,thisprocessencouragesstakeholderinputthroughasector-basedapproachconsistentwiththeoneusedundertheNationalOccupationalResearchAgenda(NORA).”
“TheultimategoalofthePtDInitiativeistopreventorreduceoccupationalinjuries,illnesses,andfatalitiesthroughthe inclusion of prevention considerations into all designsthatimpactworkers.Alongtheway,intermediategoalswillbeidentifiedtoprovideapathtowardachievingtheultimategoal.NIOSHwillserveasacatalysttoestablishthisInitiative,but in theend, thepartnersandstakeholdersmustactivelyparticipateinaddressingthesegoalstomakePtDbusiness-as-usualinthe21stcentury.”ReferencesNationalSafetyCouncil(2008).Specialissue:preventionthroughdesign.JournalofSafetyResearch,39(2),111-254NationalInstituteforOccupationalSafetyandHealth—NIOSH(2008).PtDInMotion,1.Obtainedfromhttp://www.cdc.gov/niosh/topics/ptd/pdfs/PtD-inMotion-Issue1.pdfJ. Adin Mann III, PhD, BS, is an Associate Professor and the Director of Graduate Education for Mechanical Engineering, Iowa State University. Dr. Mann’s technical specialties are noise and vibration control. Much of Dr. Mann’s work focuses on developing predictive models of noise. Current activities include cooling fan noise, control valve and piping noise, and supercharger noise.
Prevention Through Design… – continued from page 3 BLS Occupational Hearing… – continued from page 7
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Hear for the Future Communities Urged to “Protect Their Hearing, Protect Their Health” on
International Noise Awareness Day, Wednesday, April 29, 2009
Continuousexposuretonoiseabove85decibelscanbeharmfultohearingandleadtophysiologicalchangesinbloodpressure,sleep,digestionandotherstress-relateddisorders.Studies exist documenting the harmful effects of noise onchildren’slearningandbehavior.“Itistime”Boylesays,“thatwetakeresponsibilitytoquietoursurroundingsandcreateahealthyenvironmentforusandourchildren.”
Dissemination of Hearing Protection -HearingprotectionwillbedistributedonInternationalNoiseAwarenessDayathearing screenings, town meetings, and various places of
businessandcollegecampuses.Town meetings to “Sound Off on Noise” -Townmeetings
willbescheduledinvariouscommunitiesonInternationalNoiseAwarenessDaytoprovideaforumforcommunityresidentstovoicetheirconcernsaboutnoise.Localpolicedepartments,representatives from the Department of EnvironmentalProtectionandlocalpoliticianswillbeinvitedtoattendthesemeetings.
Publicity-ParticipantsinInternationalNoiseAwarenessDaywill hold press conferences in their local areas. Pressreleasesandpublicserviceannouncementsontelevisionandradiostationswillinvolvethemediaandhelptopromotetheimportantmessagethatnoisehurts.
Community Outreach - Develop your own anti-noisegroup and speak out about the harmful effects of noise inyour community. Analyze (or develop) your local noisecodeandfollowtheNoiseCenter’sstepsinhandlinganoisecomplaint.
AdditionalinformationonInternationalNoiseAwarenessDay and howyou can participate is available at theNoiseCenterwebsiteatwww.lhh.org/[email protected].
Althoughthispaperhasaddressedtheuniquepatternsoffirefighter noise exposures, theremay be other jobswhereemployees are exposed to very high level noise for shortperiods of time and experience greater hearing loss thanmight be expectedwithmore steady noise exposures overlongperiods.ReferencesAmericanCollegeofOccupationalandEnvironmentalMedicine(2002).Positionstatementonnoise-inducedhearingloss.ElkGroveVillage,IL.ClarkW.W.&BohlC.D.(2005).Hearinglevelsoffirefighters:riskofoccupationalnoise-inducedhearinglossassessedbycross-sectionalandlongitudinaldata.EarandHearing26(3),328.HealthandSafetyExecutive(2000).Reducingnoiseatwork–guidanceonthenoiseatworkregulations.Sudbury,Suffolk,UK:HSEBooks.HealthandSafetyExecutive(2005).Controllingnoiseatwork–thecontrolofnoiseatworkregulations2005–GuidanceontheRegulations(2nded).Sudbury,Suffolk,UK:HSEbooks.JankovicJ.,JonesW.,BurkhartJ.,&NoonanG.(1991).Environmentalstudyoffirefighters.AnnalsofOccupationalHygiene,35(6),581-602.
Assessing a Non-Standard Day… – continued from page 6
23-Mar-09 KS Lenexa DianeL.Bachman,MSCCC-A 913-748-2063*24-Mar-09 MN Minneapolis TedK.Madison,MACCC-A 612-625-2443*24-Mar-09 CA Sacramento KirstenR.McCall,AuDCCC-A 425-254-383325-Mar-09 OH Dayton ChrisM.Pavlakos,PhD 937-436-116125-Mar-09 TX Houston JohnnyL.Sanders,MACCC-A 800-869-678325-Mar-09 TX CorpusChristi JohnH.Elmore,AuDMBACCC-A 800-357-575925-Mar-09 CA Sacramento KirstenR.McCall,AuDCCC-A 425-254-383325-Mar-09 PA Pittsburgh RogerM.Angelelli,PhD 412-831-0430*26-Mar-09 TX Houston JohnnyL.Sanders,MACCC-A 800-869-6783*26-Mar-09 TX CorpusChristi JohnH.Elmore,AuDMBACCC-A 800-357-5759*27-Mar-09 OH Dayton ChrisM.Pavlakos,PhD 937-436-1161*27-Mar-09 PA Pittsburgh RogerM.Angelelli,PhD 412-831-043001-Apr-09 MA Mansfeld PamelaJ.Gordon-DuPont,MSCCC-A 860-526-868601-Apr-09 NJ Newark JohnnyL.Sanders,MACCC-A 800-869-678301-Apr-09 OR Portland RodneyM.Atack,PhD 503-614-846501-Apr-09 PA Pittsburgh TimothyA.Swisher,MACCC-A 412-367-869001-Apr-09 GA Atlanta MicheleAlexander,MSCCC-A 336-834-877501-Apr-09 WI Milwaukee JamesJ.Jerome,MACCC-A 317-841-982901-Apr-09 AL Birmingham GeorgiaW.Holmes,AuDCCC-A 205-934-7178*02-Apr-09 MA Mansfield PamelaJ.Gordon-DuPont,MSCCC-A 860-526-8686*02-Apr-09 NJ Newark JohnnyL.Sanders,MACCC-A 800-869-6783*02-Apr-09 OR Portland RodneyM.Atack,PhD 503-614-8465*02-Apr-09 PA Pittsburgh TimothyA.Swisher,MACCC-A 412-367-8690*02-Apr-09 GA Atlanta MicheleAlexander,MSCCC-A 336-834-8775*02-Apr-09 WI Milwaukee JamesJ.Jerome,MACCC-A 317-841-9829*02-Apr-09 AL Birmingham GeorgiaW.Holmes,AuDCCC-A 205-934-717808-Apr-09 MA Auburn StevenR.Fournier,AuDCPS/A 508-832-848408-Apr-09 TX SanAntonio JohnH.Elmore,AuDMBACCC-A 800-357-5759*09-Apr-09 TX SanAntonio JohnH.Elmore,AuDMBACCC-A 800-357-5759*09-Apr-09 AL Birmingham GeorgiaW.Holmes,AuDCCC-A 205-934-717813-Apr-09 FL WestPalm
BeachHerbertJ.Greenberg,PhDCCC-A 678-352-0312
*14-Apr-09 FL WestPalmBeach
HerbertJ.Greenberg,PhDCCC-A 678-352-0312
14-Apr-09 CA Ontario KirstenR.McCall,AuDCCC-A 425-254-383315-Apr-09 VA GlenAllen ThomasH.Cameron,PhDCCC-ACPS/A 919-459-525515-Apr-09 TX Dallas/FtWorth JohnH.Elmore,AuDMBACCC-A 800-357-5759*15-Apr-09 CA Ontario KirstenR.McCall,AuDCCC-A 425-254-383315-Apr-09 NC Greensboro CherylS.Nadeau,MEdFAAA 336-834-8775*16-Apr-09 VA GlenAllen ThomasH.Cameron,PhDCCC-ACPS/A 919-459-5255*16-Apr-09 TX Dallas/FtWorth JohnH.Elmore,AuDMBACCC-A 800-357-5759*16-Apr-09 NC Greensboro CherylS.Nadeau,MEdFAAA 336-834-877522-Apr-09 KY Owensboro JosephE.Etienne,PhDCCC-A 270-926-041822-Apr-09 IL Chicago/
SchaumburgThomasD.Thunder,AuDFAAAINCEBd.Ct.
847-359-1068
*22-Apr-09 IL Chicago/Schaumburg
ThomasD.Thunder,AuDFAAAINCEBd.Ct.
847-359-1068
22-Apr-09 TX Dallas JohnnyL.Sanders,MACCC-A 800-869-6783*22-Apr-09 KY Owensboro JosephE.Etienne,PhDCCC-A 270-926-0418*23-Apr-09 TX Dallas JohnnyL.Sanders,MACCC-A 800-869-678327-Apr-09 MN Minneapolis TedK.Madison,MACCC-A 612-625-244327-Apr-09 ME Watervillel AnneLouiseP.Giroux,AuDCCC-A 207-872-032029-Apr-09 AZ Phoenix KathrynM.Deppensmith,MSCCC-A 800-369-678329-Apr-09 MD Baltimore TimothyA.Swisher,MACCC-A 412-367-869029-Apr-09 WA Seattle GayeChinn,MSCCC-AFAAACPS/A 206-764-3330*30-Apr-09 AZ Phoenix KathrynM.Deppensmith,MSCCC-A 800-869-6783*30-Apr-09 WA Seattle GayeChinn,MSCCC-AFAAACPS/A 206-764-3330*05-May-09 ME Waterville AnneLouiseP.Giroux,AuDCCC-A 207-872-032005-May-09 TN Chattanooga MeletteL.Meloy,MSCCC-A 678-363-989706-May-09 MA Auburn StevenR.Fournier,AuDCPS/A 508-832-848406-May-09 TX Houston JohnnyL.Sanders,MACCC-A 800-869-678306-May-09 MI Detroit JohnH.Elmore,AuDMBACCC-A 800-357-575906-May-09 GA Roswel JasonM.Feld,MCDCCC-A 770-475-205506-May-09 MO StLouis JamesJ.Jerome,MACCC-A 317-841-982906-May-09 OH Cleveland CarolSnyderwine 216-491-6104*07-May-09 OH Cleveland CarolSnyderwine 216-491-6104*07-May-09 TX Houston JohnnyL.Sanders,MACCC-A 800-869-6783*07-May-09 MI Detroit JohnH.Elmore,AuDMBACCC-A 800-357-5759*07-May-09 GA Roswell JasonM.Feld,MCDCCC-A 770-475-2055*07-May-09 TN Chattanooga MeletteL.Meloy,MSCCC-A 678-363-9897*07-May-09 MO StLouis JamesJ.Jerome,MACCC-A 317-841-9829
11-May-09 GA Atlanta HerbertJ.Greenberg,PhDCCC-A 678-352-0312*12-May-09 GA Atlanta HerbertJ.Greenberg,PhDCCC-A 678-352-031212-May-09 DC Washington DianeM.Brewer,MACCC-A 202-994-7167*13-May-09 DC Washington DianeM.Brewer,MACCC-A 202-994-716713-May-09 NC Morrisville ThomasH.Cameron,PhDCCC-ACPS/A 919-459-525513-May-09 MO StLouis JohnH.Elmore,AuDMBACCC-A 800-357-575913-May-09 DE Smyrna/Dover TimothyA.Swisher,MACCC-A 412-367-869013-May-09 SC Greenville MicheleAlexander,MSCCC-A 336-834-8775*14-May-09 MO StLouis JohnH.Elmore,AuDMBACCC-A 800-357-5759*14-May-09 DE Smyrna/Dover TimothyA.Swisher,MACCC-A 412-367-8690*14-May-09 SC Greenville MicheleAlexander,MSCCC-A 336-834-877514-May-09 IA Waterloo ChristinePernetti,MACCC-A 319-369-7569*15-May-09 IA Waterloo ChristinePernetti,MACCC-A 319-369-756919-May-09 IL Chicago JohnnyL.Sanders,MACCC-A 800-869-678319-May-09 PA Bethlehem JamesB.Robertson,AuD 215-836-9923*20-May-09 IL Chicago JohnnyL.Sanders,MACCC-A 800-869-6783*20-May-09 PA Bethlehem JamesB.Robertson,AuD 215-836-992320-May-09 CA Fairfield CharlesE.Fankhauser,PhD 707-746-6334*21-May-09 CA Fairfield CharlesE.Fankhauser,PhD 707-746-633401-Jun-09 NE Omaha ThomasW.Norris,PhD 402-391-398202-Jun-09 MO NorthKanas
CityLindaKayRatliff-Hober,MSCCC-A 913-268-0928
*03-Jun-09 MO NorthKansasCity
LindaKayRatliff-Hober,MSCCC-A 913-268-0928
*03-Jun-09 NE Omaha ThomasW.Norris,PhD 402-391-398203-Jun-09 MD Baltimore JohnnyL.Sanders,MACCC-A 800-869-678303-Jun-09 OH Columbus JamesJ.Jerome,MACCC-A 317-841-9829*04-Jun-09 MD Baltimore JohnnyL.Sanders,MACCC-A 800-869-6783*04-Jun-09 OH Columbus JamesJ.Jerome,MACCC-A 317-841-982904-Jun-09 PA Pittsburgh RogerM.Angelelli,PhD 412-831-0430*05-Jun-09 PA Pittsburgh RogerM.Angelelli,PhD 412-831-043005-Jun-09 KY Louisville JohnH.Elmore,AuDMBACCC-A 800-357-5759*06-Jun-09 KY Louisville JohnH.Elmore,AuDMBACCC-A 800-357-575908-Jun-09 OH Cincinnati JohnH.Elmore,AuDMBACCC-A 800-357-5759*09-Jun-09 OH Cincinnati JohnH.Elmore,AuDMBACCC-A 800-357-575910-Jun-09 NC Morrisville ThomasH.Cameron,PhDCCC-ACPS/A 919-459-525510-Jun-09 MO StLouis JohnnyL.Sanders,MACCC-A 800-869-678310-Jun-09 SC Columbia MeletteL.Meloy,MSCCC-A 678-363-989710-Jun-09 PA Harrisburg TimothyA.Swisher,MACCC-A 412-367-869010-Jun-09 NC Greensboro CherylS.Nadeau,MEdFAAA 336-834-877510-Jun-09 AL Birmingham GeorgiaW.Holmes,AuDCCC-A 205-934-7178*11-Jun-09 MO StLouis JohnnyL.Sanders,MACCC-A 800-869-6783*11-Jun-09 SC Columbia MeletteL.Meloy,MSCCC-A 678-363-9897*11-Jun-09 PA Harrisburgh TimothyA.Swisher,MACCC-A 412-367-8690*11-Jun-09 NC Greensboro CherylS.Nadeau,MEdFAAA 336-834-8775*11-Jun-09 AL Birmingham GeorgiaW.Holmes,AuDCCC-A 205-934-7178*12-Jun-09 ME Waterville AnneLouiseP.Giroux,AuDCCC-A 207-872-032012-Jun-09 SC Charleston StuartL.Cohen,MAud 843-797-0275*13-Jun-09 SC Chareston StuartL.Cohen,MAud 843-797-027515-Jun-09 FL WestPalm
BeachHerbertJ.Greenberg,PhDCCC-A 678-352-0312
15-Jun-09 OR Portland ThomasG.Dolan,PhDCCC-A 503-725-3264*16-Jun-09 FL WestPalm
BeachHerbertJ.Greenberg,PhDCCC-A 678-352-0312
*16-Jun-09 OR Portland ThomasG.Dolan,PhDCCC-A 503-725-326416-Jun-09 MA Auburn StevenR.Fournier,AuDCPS/A 508-832-848417-Jun-09 AR LittleRock JohnnyL.Sanders,MACCC-A 800-869-678317-Jun-09 NY Amherst DavidToddNelson,AuDFAAACCC-A
CPS/A716-633-7210
*18-Jun-09 AR LittleRock JohnnyL.Sanders,MACCC-A 800-869-678323-Jun-09 IL Chicago/
SchaumburgThomasD.Thunder,AuDFAAAINCEBd.Ct.
847-359-1068
*24-Jun-09 IL Chicago/Schaumburg
ThomasD.Thunder,AuDFAAAINCEBd.Ct.
847-359-1068
24-Jun-09 GA Roswell JasonM.Feld,MCDCCC-A 770-475-205524-Jun-09 TN Nashville MicheleAlexander,MSCCC-A 336-834-8775*25-Jun-09 GA Roswell JasonM.Feld,MCDCCC-A 770-475-2055*25-Jun-09 TN Nashville MicheleAlexander,MSCCC-A 336-834-877501-Jul-09 NY Albany TimothyA.Swisher,MACCC-A 412-367-8690*02-Jul-09 NY Albany TimothyA.Swisher,MACCC-A 412-367-8690
UPCOMING OHC CERTIFICATION AND *RECERTIFICATION COURSES* 2009This list is current as of March 1, 2009. New courses are added daily.
Please visit our website for an updated list at www.caohc.org.
BeginDateState City CourseDirector Phone BeginDateState City CourseDirector Phone
continued on page 11
*indicatesone-dayrecertificationcourse
Winterupdate09.indd 10 3/11/2009 1:31:44 PM
Page 11 Winter/Spring 2009C A O H C
U P D A T EWinter/Spring 2009 Page 11C A O H C
U P D A T E
08-Jul-09 TX Dallas/FtWorth JohnH.Elmore,AuDMBACCC-A 800-357-575908-Jul-09 WI Madison JamesJ.Jerome,MACCC-A 317-841-9829*09-Jul-09 TX Dallas/FtWorth JohnH.Elmore,AuDMBACCC-A 800-357-5759*09-Jul-09 WI Madison JamesJ.Jerome,MACCC-A 317-841-982910-Jul-09 NC Morrisville ThomasH.Cameron,PhDCCC-ACPS/A 919-459-5255*13-Jul-09 GA Atlanta HerbertJ.Greenberg,PhDCCC-A 678-352-031213-Jul-09 IA Davenport JamesJ.Jerome,MACCC-A 317-841-9829*14-Jul-09 GA Atlanta HerbertJ.Greenberg,PhDCCC-A 678-352-0312*14-Jul-09 IA Davenport JamesJ.Jerome,MACCC-A 317-841-982915-Jul-09 TX Houston JohnnyL.Sanders,MACCC-A 800-869-678315-Jul-09 TX SanAntonio JohnH.Elmore,AuDMBACCC-A 800-357-575915-Jul-09 AR LittleRock MicheleAlexander,MSCCC-A 336-834-877515-Jul-09 WA Seattle AmyR.Stewart,MACCC-A 206-764-3330*16-Jul-09 TX Houston JohnnyL.Sanders,MACCC-A 800-869-6783*16-Jul-09 TX SanAntonio JohnH.Elmore,AuDMBACCC-A 800-357-5759*16-Jul-09 AR LittleRock MicheleAlexander,MSCCC-A 336-834-8775
*16-Jul-09 WA Seattle AmyR.Stewart,MACCC-A 206-764-333022-Jul-09 GA Atlanta MeletteL.Meloy,MSCCC-A 678-363-989722-Jul-09 NC Greensboro CherylS.Nadeau,MEdFAAA 336-834-8775*23-Jul-09 GA Atlanta MeletteL.Meloy,MSCCC-A 678-363-9897*23-Jul-09 NC Greensboro CherylS.Nadeau,MEdFAAA 336-834-877523-Jul-09 PA Kittanning DouglasN.Callen,PhDFAAACCC/SPA 724-543-7068*24-Jul-09 PA Kittanning DouglasN.Callen,PhDFAAACCC/SPA 724-543-706828-Jul-09 MO NorthKansas
Peter Zymanczyk has worked in London Fire Brigade for over 29 years, 16 of them in the health and safety division. As a group manager, he has been involved in all areas of health and safety work and has a broad qualification base. He is a Chartered Safety Practitioner and a member of the Chartered Management Institute and the Institution of Fire Engineers. He is married with three children and lives in Harrow, North West London.
Friday, November 13, 20098:00am-4:00pmWarwick Hotel
Philadelphia, PA
SAVE the DATEUpcoming Course Director Workshop
Saturday, November 14, 20098:00am-4:00pmWarwick Hotel
Philadelphia, PA
SAVE the DATEUpcoming Professional Supervisor
Workshop
See CAOHC website www.caohc.org for further details.
CAOHC Council Members and The Organizations They RepresentChairMaryM.McDaniel,AuDCCC-ACPS/AAmerican Speech-Language-Hearing AssociationPacificHearingConservation,Inc.Seattle,WAViceChairThomasL.Hutchison,MHAFAAACCC-ACPS/AMilitary Audiology AssociationNavyEnvironmentalHealthCenterPortsmouth,VASecretary/TreasurerRobertD.Bruce,PEINCE.Bd.Cert.Institute of Noise Control Engineering, Inc.CollaborationinScienceandTechnology,Inc.Houston,TXImmediatePastChairJamesD.Banach,MBAAmerican Industrial Hygiene AssociationQuestTechnologies&Metrasonics,Inc.Oconomowoc,WI EducationVickieL.Tuten,AuDCCC-AMilitary Audiology AssociationProponencyOfficeofPreventiveMedicine OfficeoftheSurgeonGeneral–NationalCapitolRegionFallsChurch,VAPaulJ.Brownson,MDFACOEMFAAFPAmerican College of Occupational & Environmental- MedicineTheDowChemicalCompanyIndianapolis,IN
DianeS.DeGaetano,RN,BSN,COHN-S,COHCAmerican Association of OccupationalHealth NursesMerial,Ltd.Duluth,GALeeD.HagerAmerican Industrial Hygiene AssociationSonomaxHearingHealthcare/AearoTechnologiesPortland,MIMadeleineJ.Kerr,PhD,RNAmerican Association of OccupationalHealth NursesUniv.ofMN/SchoolofNursingMinneapolis,MNDavidD.Lee,MISCIHCSPAmerican Society of Safety EngineersReno,NVTedK.Madison,MACCC-AAmerican Speech-Language-Hearing Association3MOccupationalHealthandEnvironmentalSafetyDiv.St.PaulMNJ.AdinMann,III,PhDInstitute of Noise Control EngineeringIowaStateUniversityAmes,IAPeterM.Rabinowitz,MDMPH
American College of Occupational and Environmental MedicineYaleOccupational&Environmental MedicalProgramNewHaven,CTRonaldD.Schaible,CIHCSPPE(Mass)American Society of Safety EngineersRobsonForensic,Inc.Lancaster,PAMarkR.Stephenson,PhDAmerican Academy of AudiologyCDC/NIOSHCincinnati,OHRobertThayerSataloff,MDDMAFACSAmerican Academy of Otolaryngology - Head & Neck SurgeryDrexelUniversityPhiladelphia,PA LaurieL.Wells,AuDFAAACPS/AAmerican Academy of Audiology AssociatesinAcoustics,Inc..Loveland,COStephenJ.Wetmore,MD,MBAAmerican Academy of Otolaryngology - Head & Neck SurgeryR.C.ByrdHealthScience/WVAUniv.Morgantown,WV
