How-To Guides
How-To Guides
March 17, 2023

Audiometric Testing: The Complete Industrial Guide

Share article

Audiometric Testing ·11 min read ·Soundtrace Team ·Updated 2025

Audiometric testing is the only way to know whether your hearing conservation program is actually protecting workers' hearing -- or just going through the motions. OSHA requires it for a reason: it provides objective, quantified evidence of whether noise-exposed employees are experiencing hearing threshold changes over time, and it triggers specific employer obligations when those changes meet the Standard Threshold Shift threshold. This complete guide covers everything industrial employers need to know about audiometric testing in 2025: what it is, who needs it, how to run it, what the results mean, and how modern in-house testing has transformed program efficiency.

Quick Takeaway

OSHA 1910.95(g) requires audiometric testing -- at no cost to employees -- for all workers exposed at or above 85 dBA TWA. Every covered worker needs a baseline audiogram (within 6 months of first exposure) and an annual audiogram (every 12 months thereafter). Standard Threshold Shifts must be identified and acted upon within 21 days.

What is audiometric testing?

Audiometric testing in the industrial context is pure-tone air conduction hearing testing -- the same fundamental test used by audiologists in clinical settings, adapted for the occupational health environment. The worker listens through headphones and responds each time they detect a tone. The softest detectable level at each frequency is recorded as the hearing threshold, and those thresholds are plotted on an audiogram.

In a hearing conservation program, the audiogram serves as a medical record of the worker's hearing function over time. The baseline audiogram establishes the starting reference. Each annual audiogram is compared to the baseline to detect changes. Sustained changes that meet OSHA's definition of a Standard Threshold Shift trigger specific employer obligations.

Who needs audiometric testing under OSHA?

Under OSHA 1910.95(g), audiometric testing must be provided to all employees whose noise exposure equals or exceeds the action level of 85 dBA TWA (8-hour time-weighted average). This is not optional for the employer, and it must be provided at no cost to the employee.

Noise Exposure LevelAudiometric Testing Required?Notes
Below 85 dBA TWANot required by 1910.95OSHA hearing conservation requirements do not apply below action level
At or above 85 dBA TWA (action level)Yes -- baseline + annualFull hearing conservation program triggered; testing at no cost to employee
At or above 90 dBA TWA (PEL)Yes -- same requirementsAdditional HPD use obligation and engineering control requirements also apply
Employees with a confirmed STSYes -- continue annual testingMay also require re-test within 30 days and upgraded HPDs

The employer must first conduct noise monitoring to determine which employees are at or above the action level. There is no substitute for actual measurement -- assuming who is or is not covered based on job title or proximity to equipment is not compliant.

Types of audiometric tests: baseline vs. annual

Baseline audiogram

The baseline audiogram establishes the reference hearing level against which all future annual tests will be compared. OSHA requires it to be completed within 6 months of the employee's first noise exposure at or above the action level. If mobile testing is the primary method used, this window extends to 12 months -- but hearing protection must be worn during the interim period.

The baseline should ideally be conducted after a period of at least 14 hours away from hazardous noise, to avoid temporary threshold shifts affecting the reference measurement. Employees should be informed of this requirement in advance.

Annual audiogram

Annual audiograms must be conducted at least once every 12 months for every covered employee. Each annual result is compared to the baseline to identify Standard Threshold Shifts. The 12-month clock runs from the baseline (or from the prior annual test) -- lapsed testing is one of the most commonly cited 1910.95 violations.

Retest audiogram

When an annual audiogram reveals a potential STS, OSHA recommends (and many programs require) a retest within 30 days to distinguish a genuine persistent shift from a temporary threshold shift caused by recent noise exposure before the test. If the retest confirms the STS, the employer must act.

Technical requirements: equipment, calibration, environment

OSHA specifies technical standards for audiometric testing equipment and testing conditions. These are not discretionary -- using non-compliant equipment or testing in an environment with too much background noise invalidates the results and exposes the employer to citation.

RequirementOSHA Specification
Audiometer typePure tone, air conduction audiometer meeting ANSI S3.6 specifications
Frequencies testedMinimum 500, 1000, 2000, 3000, 4000, and 6000 Hz per ear
Audiometer calibrationBiological check (daily), acoustic calibration (annually), exhaustive calibration (every 2 years or after repair)
Testing environmentBackground noise levels must not exceed the maximum allowable levels in OSHA Appendix D (e.g., max 40 dB at 500 Hz, max 37 dB at 1000 Hz for standard audiometry)
Audiometric boothRequired or equivalent quiet environment must be verified by measurement
Calibration Is Non-Negotiable

Audiometric testing conducted with an improperly calibrated audiometer produces unreliable results -- and if OSHA requests calibration records during an inspection and they are absent or show missed calibration windows, the entire testing program may be considered non-compliant. Maintain calibration logs as rigorously as audiometric test records.

Who can conduct audiometric tests?

OSHA specifies who is qualified to perform and supervise industrial audiometric testing under 1910.95(g)(3):

  • A licensed or certified audiologist
  • An otolaryngologist (ENT physician)
  • A physician
  • A technician who is certified by the Council for Accreditation in Occupational Hearing Conservation (CAOHC) and is acting under the supervision of an audiologist or physician

In most industrial programs, day-to-day testing is conducted by an Occupational Hearing Conservationist (OHC) -- a CAOHC-certified technician -- with physician or audiologist oversight for review of results, STS determinations, and referrals. This is the model Soundtrace uses: in-house testing by OHC-certified staff or automated audiometers, with professional audiology oversight built into the platform.

The audiometric testing process step by step

  1. Pre-test preparation: Instruct employees to avoid hazardous noise for at least 14 hours before baseline tests; provide hearing protection if a quiet period is not feasible before annual tests
  2. Case history: Brief intake on any recent illnesses, medications, or noise exposures that could affect results
  3. Equipment check: Verify audiometer biological calibration for the day; confirm testing environment meets background noise requirements
  4. Test administration: Employee listens through headphones in a quiet environment; responds to each tone at each test frequency; test takes 5--15 minutes per ear depending on method
  5. Results recording: Thresholds recorded per ear per frequency on the audiogram; abnormal results flagged for review
  6. Comparison to baseline: Annual audiogram compared to baseline; STS calculation performed at 2000, 3000, and 4000 Hz for each ear
  7. Professional review: Audiologist or supervising physician reviews flagged results; determines work-relatedness for STS cases
  8. Employee notification: Employees with STS notified in writing within 21 days
  9. Record filing: Audiogram filed in employee occupational health record; retained for duration of employment

Understanding and acting on results

Each audiogram produces a threshold measurement at six frequencies per ear. Most results fall into three categories for program purposes:

  • Normal / no change: Thresholds stable compared to baseline, within test-retest variability (typically ±5 dB). No action required beyond continued program participation.
  • Subclinical shift / watch list: Thresholds drifting toward STS but not yet meeting the 10 dB average criterion. Flag for close attention at next annual test; consider whether current HPD attenuation is sufficient.
  • Standard Threshold Shift: Average shift of 10 dB or more at 2000, 3000, and 4000 Hz in either ear. OSHA action required -- see STS section below.

Standard Threshold Shift: detection and required actions

A Standard Threshold Shift is a change in hearing threshold relative to the baseline of an average of 10 dB or more at 2000, 3000, and 4000 Hz in either ear. When an STS is detected, OSHA requires:

  • Notify the affected employee in writing within 21 days
  • Fit employee with hearing protection if not already using it; upgrade protection if already in use
  • Ensure the HPD attenuates exposure to 85 dBA or below (not just 90 dBA)
  • Refer for audiological evaluation if indicated by results
  • Determine work-relatedness using uncorrected thresholds for OSHA 300 log purposes
  • Consider retest within 30 days to confirm persistence of the shift
  • Consider baseline revision after professional audiological review if STS is confirmed as persistent

Recordkeeping requirements

Under OSHA 1910.95(m), audiometric test records must be retained for the duration of the affected employee's employment. This is a longer retention requirement than most OSHA records -- it effectively means you keep audiometric records for a worker's entire career with your organization. Each record must include:

  • Employee name and job classification
  • Date of audiogram
  • Name and title of the person conducting the test
  • Date of last audiometer acoustic calibration
  • Employee's most recent noise exposure assessment
  • Background sound pressure levels in the test room
  • Threshold results per ear per frequency
Digital Records Are the Standard

Paper audiogram records are still technically compliant but create significant operational risk -- they can be lost, damaged, or inaccessible when needed. Digital platforms that store all audiometric records, calibration logs, and STS calculations in a searchable database eliminate this risk entirely and make OSHA inspection responses straightforward.

Delivery methods: mobile van vs. clinic vs. in-house

MethodHow It WorksProsCons
Mobile audiometric vanThird-party van comes to the facility once a year; employees file through for testingNo facility investment; handled externallyScheduling disruption; long queues; limited flexibility; annual visit only; records held by vendor
Off-site clinicEmployees travel to audiologist or occupational health clinic for testingClinical-grade environment; professional oversight on-siteMajor productivity loss (travel time + wait time); difficult to coordinate for large workforces
In-house audiometric testingEmployer owns or leases audiometric equipment; testing conducted on-site by OHC technician or automated systemMaximum scheduling flexibility; minimal downtime per employee; records owned by employer; can test more frequently if neededEquipment and setup investment; staff training required; employer manages compliance

In-house audiometric testing: how it works

In-house audiometric testing has become the dominant model for large and mid-sized industrial employers. Advances in automated audiometer technology have made it possible to conduct accurate, OSHA-compliant pure-tone tests without a full-time audiologist on staff -- using validated automated audiometers that guide the employee through the test and record results directly into a compliance platform.

Soundtrace's approach brings this capability to any facility:

  • Portable, ANSI-compliant audiometric equipment installed in a quiet room at the facility
  • Employees complete testing in under 9 minutes -- compared to 35+ minutes with a mobile van
  • Results automatically compared to baseline, STS flagged instantly
  • Professional audiology review built into the platform -- no separate referral needed for routine cases
  • All records stored digitally with calibration logs, STS calculations, and audit trails
  • Testing can be scheduled continuously throughout the year, not just at annual van visits

The result is a hearing conservation program that costs less per test, produces better compliance data, and reduces employee downtime by up to 65% compared to mobile van testing.


Frequently asked questions

How long does an industrial audiometric test take?

A standard pure-tone air conduction test covering six frequencies per ear takes approximately 7--12 minutes for a cooperative adult subject using automated audiometry. Mobile van testing typically runs longer due to queue time and intake procedures -- often 30--45 minutes total per employee. In-house automated systems with scheduled appointments can reliably complete testing in under 9 minutes per employee.

Can we use smartphone apps or consumer hearing tests for OSHA compliance?

No. OSHA requires audiometers meeting ANSI S3.6 specifications, properly calibrated, used in an environment meeting Appendix D background noise limits. Consumer hearing apps and web-based hearing screeners do not meet these technical requirements and cannot produce OSHA-compliant audiometric records.

What happens to audiometric records when an employee leaves the company?

OSHA requires audiometric records to be retained for the duration of employment. Upon termination, OSHA's general records access provisions apply -- former employees have the right to access their records within 15 working days of a request. Many occupational health attorneys recommend retaining audiometric records for at least 30 years beyond termination due to the latency period of occupational hearing loss claims.

What if an employee refuses to participate in audiometric testing?

OSHA requires employers to offer audiometric testing at no cost -- it does not compel employees to submit to it. If an employee refuses, document the refusal in writing. The employer has met its obligation by offering the test. However, refusal does not relieve the employer of its obligation to continue offering testing annually and to maintain hearing protection and training requirements.

How is in-house audiometric testing different from what a mobile van provides?

Clinically, the test itself is the same pure-tone air conduction protocol. The differences are operational: in-house testing is faster per employee, eliminates scheduling dependency on a third-party vendor, keeps records under the employer's direct control, allows flexible scheduling throughout the year rather than a single annual event, and typically costs less per test at scale. Soundtrace's platform provides both the equipment and the professional oversight that would otherwise require a van vendor relationship.

In-house audiometric testing -- simpler, faster, and fully OSHA-compliant

Soundtrace replaces your mobile van with an in-house testing platform that your team can run, with professional audiology oversight built in. Employees are tested in under 9 minutes; STS is flagged automatically; records are always audit-ready.

Get a Free Quote See how Soundtrace audiometric testing works