Get the free Sample Standard Threshold Shift (STS) Letter

Hearing Conservation Quiz Name: ___ Date: ___ Score: ___Select the best answer for each of the following questions: 1. When we lose hearing due to noise exposure, it is called noise induced hearing

How to fill out sample standard threshold shift

How to fill out sample standard threshold shift

1. Obtain a sample standard threshold shift form from your employer or audiologist.
2. Fill out all personal information requested, such as name, date of birth, and employee ID.
3. Record the baseline audiogram results in the appropriate section of the form.
4. Compare the baseline audiogram results to the most recent audiogram results to determine if a standard threshold shift has occurred.
5. If a standard threshold shift is identified, mark the appropriate box and provide any additional information requested.
6. Sign and date the form to certify that the information provided is accurate.

Who needs sample standard threshold shift?

1. Employees who are exposed to occupational noise levels that have the potential to cause hearing loss.
2. Employers who are required to conduct audiometric testing and monitor the hearing health of their employees.

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What is sample standard threshold shift?

Sample standard threshold shift is a change in a person's hearing ability over time compared to a reference audiogram.

Who is required to file sample standard threshold shift?

Employers are required to file sample standard threshold shift for employees exposed to occupational noise.

How to fill out sample standard threshold shift?

To fill out sample standard threshold shift, employers need to conduct audiometric testing for employees and compare the results to reference audiograms.

What is the purpose of sample standard threshold shift?

The purpose of sample standard threshold shift is to monitor changes in employees' hearing ability due to occupational noise exposure and take preventive measures.

What information must be reported on sample standard threshold shift?

Information reported on sample standard threshold shift includes employee's name, date of audiometric testing, results compared to reference audiograms, and any required actions.