Get the free NWPD Audiometric Report Form - New Westminster

NEW WESTMINSTER POLICE DEPARTMENT 555 Columbia Street, New Westminster, BC V3L 1B2 P: 6045255411 F: 6045292401 W: www.nwpolice.orgNWPD Audiometric Report Form TO BE COMPLETED BY THE APPLICANT: APPLICANT\'S

How to fill out nwpd audiometric report form

How to fill out nwpd audiometric report form

1. Begin by filling out the patient's information at the top of the form, including their name, date of birth, and contact information.
2. Record the date of the audiometric evaluation and the name of the audiologist administering the test.
3. Document the patient's medical history, including any relevant conditions or medications that may impact their hearing.
4. Record the results of the audiometric evaluation, including the pure tone thresholds for each ear at various frequencies.
5. Indicate whether the patient's hearing loss is classified as normal, mild, moderate, severe, or profound.
6. Provide any additional comments or recommendations based on the audiometric evaluation results.
7. Review the completed form for accuracy and completeness before submitting it to the appropriate party.

Who needs nwpd audiometric report form?

1. Individuals who have undergone an audiometric evaluation to assess their hearing abilities.
2. Employers who are required to maintain records of employees' audiometric evaluations for occupational health and safety compliance.
3. Medical professionals who are monitoring and documenting changes in a patient's hearing abilities over time.

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What is nwpd audiometric report form?

The NWPD audiometric report form is a document used to record and report hearing test results for individuals in the workplace, specifically to comply with occupational safety and health regulations.

Who is required to file nwpd audiometric report form?

Employers are required to file the NWPD audiometric report form for employees who are exposed to noise levels above permissible limits, as part of their hearing conservation program.

How to fill out nwpd audiometric report form?

To fill out the NWPD audiometric report form, you need to provide personal details of the employee, the results of the audiometric test, the date of the test, and any relevant medical history related to hearing.

What is the purpose of nwpd audiometric report form?

The purpose of the NWPD audiometric report form is to monitor the hearing health of employees, identify hearing loss trends, ensure compliance with health regulations, and take necessary actions to prevent further deterioration of hearing.

What information must be reported on nwpd audiometric report form?

The information that must be reported includes the employee's identification details, results of the audiometric tests, interpretation of the results, and any actions taken if there is a concern about hearing loss.