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QUASAR Audio gram Module Technical Manual and Package Security Guide Version 3.0.12 November 2005 Revised July 2007 For Patch ACK 3.0×13 Department of Veterans Affairs Health Systems Design & Development

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What is audiogram form?

Audiogram form is a document that records and measures an individual's hearing ability.

Who is required to file audiogram form?

Employers are required to file audiogram forms for their employees who are exposed to noise levels at or above specified thresholds.

How to fill out audiogram form?

Audiogram forms can be filled out by recording the results of a hearing test, including various measurements and frequencies, typically conducted by a licensed audiologist.

What is the purpose of audiogram form?

The purpose of audiogram form is to monitor the hearing health of individuals exposed to occupational noise and to assess the effectiveness of hearing conservation programs.

What information must be reported on audiogram form?

Audiogram forms typically require reporting of individual identification information, test dates, audiologist details, hearing test results, and any recommended follow-up actions.

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