Audiometric testing is the systematic measurement of employee hearing thresholds over time — required by OSHA 1910.95(g) for every worker exposed to noise at or above 85 dBA as an 8-hour TWA. The program must include a baseline audiogram, annual audiograms compared to that baseline, Standard Threshold Shift detection with required follow-up, and lifelong record retention. Understanding each requirement — and the compliance gaps that generate citations — is the foundation of a defensible hearing conservation program.
Soundtrace audiometric testing automates the full cycle: baseline and annual scheduling, Type 4 microprocessor audiometry with per-test ambient noise validation, STS detection and 21-day notification workflows, and 30-year cloud retention — all supervised by a licensed audiologist.
Every audiometric compliance decision — STS detection, WC apportionment, causation defense — flows from the baseline audiogram. An invalid baseline, a missing baseline, or a baseline contaminated by prior noise exposure makes all subsequent testing less useful. The baseline audiogram taken at or near hire, before significant occupational noise exposure begins, is the single most valuable record in the entire HCP.
- What is audiometric testing
- Who must provide audiometric testing
- Baseline audiogram requirements
- Annual audiogram requirements
- Frequencies tested and the STS calculation
- Equipment and calibration standards
- Ambient noise and boothless audiometry
- Standard threshold shift: detection and response
- How to read an audiogram
- Onsite, mobile, and in-house testing options
- 7 most common compliance mistakes
- Frequently asked questions
What Is Audiometric Testing?
Audiometric testing is a structured process that measures an individual's hearing sensitivity at specific frequencies — the softest tones detectable at each pitch. In occupational health, it serves a distinct purpose from clinical audiology: rather than diagnosing hearing disorders, occupational audiometric testing creates a longitudinal record of each worker's hearing thresholds so that changes attributable to workplace noise exposure can be detected, documented, and acted on.
An occupational audiogram tests pure-tone hearing thresholds at 500, 1000, 2000, 3000, 4000, and 6000 Hz in each ear. Results are plotted on a standardized chart. The employer — not the worker — is responsible for providing testing, retaining results, comparing annual tests to the baseline, detecting shifts, and following through on required actions. The CDC estimates 22 million U.S. workers are exposed to hazardous occupational noise annually; audiometric testing is the mechanism that turns that exposure into an actionable compliance and defense record.
A clinical hearing test diagnoses and characterizes a patient's hearing. Occupational audiometric testing tracks threshold changes over time relative to each worker's own baseline. The clinical question is "what can this person hear?" The occupational question is "has this worker's hearing changed since we last tested them?"
Who Must Provide Audiometric Testing
The obligation to provide audiometric testing attaches to the employee’s noise exposure level, not to the industry or job title. Any employee whose TWA exposure equals or exceeds 85 dBA must be enrolled in the hearing conservation program and provided audiometric testing. This threshold is determined by noise monitoring under 1910.95(d).
The employer must provide audiometric testing at no cost to the employee, at a reasonable time and place. Testing conducted outside of normal work hours must be compensated. Self-referral by an employee does not satisfy the employer’s obligation — the program must be employer-administered and documented.
Baseline Audiogram Requirements
The baseline audiogram establishes the reference point against which all future audiograms are compared for STS detection. It must be obtained within six months of the employee first being exposed at or above the action level, and it must be preceded by at least 14 hours of quiet. The 14-hour requirement protects against temporary threshold shift (TTS) contaminating the baseline.
Employers using mobile test vans have 12 months instead of 6 months to establish a baseline, but must provide hearing protectors to enrolled employees during the gap. The baseline may be revised: if a subsequent audiogram shows better thresholds, the better audiogram becomes the new baseline. The Professional Supervisor may also revise a baseline if it was invalid due to TTS, calibration error, or equipment failure.
Annual Audiogram Requirements
Every enrolled employee must receive an annual audiogram within 12 months of their previous audiogram. The 12-month interval is measured from audiogram to audiogram — not from enrollment date or calendar year. At facilities using an annual mobile van visit, employees tested in different months will have different compliance deadlines, and the employer is responsible for tracking each employee’s individual expiration date.
Frequencies Tested and the STS Calculation
The annual audiogram must test at 500, 1000, 2000, 3000, 4000, and 6000 Hz in each ear. The STS determination uses the average of only 2000, 3000, and 4000 Hz, but the full frequency range must be tested and recorded. The 4000 Hz notch is the audiometric signature of noise-induced hearing loss. See: noise-induced hearing loss: the complete employer guide.
Baseline averages for left ear at 2k/3k/4k Hz: 10/10/15 dBHL = 11.7 average. Current audiogram: 15/20/25 dBHL = 20 average. Shift = 8.3 dB. Not an STS. Same current audiogram at 15/25/25 dBHL = 21.7 average. Shift = 10.0 dB. STS confirmed. See: standard threshold shift: definition, calculation, and action steps.
Equipment and Calibration Standards
Audiometers used for occupational audiometric testing must meet ANSI S3.6 specifications. Three levels of calibration are required:
- Daily acoustical check (biological check): Before each use, the audiometer must be checked against a person with a known, stable audiogram. Any shift of 10 dB or more at any test frequency must be investigated before testing continues.
- Annual calibration: A formal calibration by a qualified technician checking output levels, frequency accuracy, attenuator linearity, and signal purity. Required at least annually or after any repair or modification.
- Biennial electroacoustic calibration: A comprehensive calibration per ANSI S3.6 required at least every two years.
Ambient Noise and Boothless Audiometry
The test environment must meet the maximum permissible ambient noise levels from ANSI S3.1 (Table D-1 in Appendix D to 1910.95). Testing in spaces that exceed these limits produces audiograms that are not valid for compliance purposes because background noise can mask tones and cause apparent threshold elevation. See: ambient noise compliance and audiometric testing protocol.
Standard Threshold Shift: Detection and Response
A Standard Threshold Shift (STS) is defined as a change in hearing threshold relative to the baseline audiogram of an average of 10 dB or more at 2000, 3000, and 4000 Hz in either ear. STS detection is the core clinical function of the audiometric program — it triggers a required chain of employer actions and, depending on severity, a 1904.10 recordkeeping entry. See: OSHA 300 log hearing loss recordkeeping rules.
Age correction is optional but commonly applied. If the age-corrected shift is still 10 dB or greater, the STS stands. If the age correction reduces the shift below 10 dB, no STS exists — but the audiogram and the calculation must be documented. See: OSHA audiogram age correction: Appendix F guide.
How to Read an Audiogram
An audiogram plots hearing thresholds in decibels hearing level (dBHL) against frequency. The y-axis is inverted: lower numbers (better hearing) appear at the top, higher numbers (worse hearing) at the bottom. Normal hearing for occupational purposes is generally 25 dBHL or below across all tested frequencies. The characteristic NIHL signature is a notch at 4000 Hz that typically extends to 3000 Hz with continued exposure.
Onsite, Mobile, and In-House Audiometric Testing Options
Employers have three practical delivery models for occupational audiometric testing. The right choice depends on workforce size, shift patterns, facility layout, and risk tolerance for compliance gaps.
Onsite audiometric testing uses equipment installed at or brought to the employer’s facility, allowing workers to be tested on any shift without leaving the site. Onsite testing gives employers the most scheduling control, eliminates the 12-month mobile van baseline window, and keeps audiometric records within the employer’s own system. It is the model best suited to multi-shift facilities and employers who have experienced compliance gaps from annual van visit scheduling.
Mobile audiometric testing uses a vendor-operated van that visits the facility on a scheduled basis — typically once a year. The van model requires no capital investment but creates several risk points: employees tested in different months have different compliance deadlines; van visits can be delayed or cancelled; and records are often retained by the vendor, creating access risk if the vendor changes ownership or closes. Employers using mobile testing must ensure they can independently access all audiometric records at any time.
| Factor | Onsite Testing | Mobile Van | Automated Cloud (Soundtrace) |
|---|---|---|---|
| Scheduling flexibility | High — test any shift, any time | Low — fixed visit dates | High — test on demand, any shift |
| Baseline window | 6-month window applies | 12-month window; HPD required during gap | 6-month window; automated deadline tracking |
| 12-month annual compliance | Achievable with individual tracking | Risk — late-tested employees fall out of cycle | Automated per-employee scheduling alerts |
| Ambient noise validation | Space must meet ANSI S3.1; periodic verification | Van environment; periodic check | Frequency-specific data linked per audiogram |
| STS detection | Manual or software | Vendor-provided report | Automated; flags on test completion |
| 21-day notification | Manual workflow | Depends on vendor turnaround | Automated notification workflow |
| Record retention | Employer responsibility | Vendor retains; access risk at vendor change | Cloud, 30-year retention, employer-owned |
| Professional Supervisor review | Separate arrangement required | Often bundled with vendor | Licensed audiologist per program |
7 Most Common Audiometric Testing Compliance Mistakes
- Missing or late baseline audiogram: New hire tested at month 7 instead of month 6 — the most commonly cited audiometric violation. No system to track the 6-month deadline per employee.
- Baseline contaminated by TTS: Worker tested immediately after a noise-exposed shift instead of the required 14-hour quiet period. Results in an artificially elevated baseline that reduces future STS sensitivity.
- STS not identified: Annual audiograms filed without systematic comparison to the baseline. The comparison is done visually or not at all — STSs go undetected.
- 21-day notification missed: STS identified but the written notification to the employee is late or never sent. This is a separate citable violation from the STS itself.
- Test environment not validated: Audiograms conducted in spaces where ambient noise was never measured. If ANSI S3.1 limits were exceeded, those audiograms are not valid.
- Mobile van records inaccessible: Vendor retains records. Vendor is acquired, closes, or loses data. Employer cannot produce audiometric history for WC defense or OSHA inspection.
- Only tracking calendar-year testing: Employees added mid-year have different 12-month deadlines. Testing only in January leaves mid-year hires out of cycle.
A missing or invalid baseline audiogram cannot be reconstructed. If a worker files a WC hearing loss claim 10 years after separation and the employer has no pre-employment audiogram, no valid baseline, and no continuous audiometric record, the employer cannot demonstrate what hearing the worker had on day one. The audiometric record is the WC defense. See: workers’ compensation for occupational hearing loss: 50-state guide.
Automated onsite audiometric testing with ambient noise validation per audiogram
Soundtrace automates the full testing cycle — scheduling, Type 4 microprocessor audiometry, STS detection, 21-day notification, and 30-year retention — supervised by a licensed audiologist and linked to frequency-specific ambient noise data for every test.
Get a Free Quote Book a demo →Frequently Asked Questions
Audiometric testing is the systematic measurement of an employee's hearing thresholds at specific frequencies over time. In occupational health it serves a regulatory function under OSHA 1910.95: establishing a baseline for each worker, detecting Standard Threshold Shifts that trigger employer obligations, and building the audiometric record used in workers' compensation defense. It differs from a clinical hearing test in that the purpose is longitudinal surveillance, not diagnosis.
Within 6 months of the employee first being exposed at or above the 85 dBA action level, preceded by 14 hours of quiet. Employers using mobile test vans have 12 months, but must provide HPD to the employee during the gap and document compliance. Earlier is better for WC defense purposes.
An average shift of 10 dB or more at 2000, 3000, and 4000 Hz in either ear, compared to the baseline audiogram. Age correction may be applied using OSHA Appendix F tables. If the age-corrected shift remains 10 dB or greater, the STS stands and the employer must notify the employee within 21 days, refit or retrain on HPD, and assess work-relatedness.
OSHA requires ambient noise to not exceed the maximums in ANSI S3.1 (Table D-1 in Appendix D). A soundproof booth is the most common compliance method, but onsite audiometric testing without a dedicated booth is OSHA compliant if the test space meets ambient noise limits and those levels are documented per test session.
Onsite audiometric testing uses equipment at the employer’s facility, giving full scheduling control and keeping records in the employer’s system. Mobile audiometric testing uses a vendor-operated van on scheduled visits. Mobile testing requires no capital investment but creates compliance risk from fixed visit dates, individual deadline drift, and vendor-held records. Onsite testing is generally better for multi-shift facilities and employers who need continuous compliance control.
OSHA 1910.95(g) requires testing at 500, 1000, 2000, 3000, 4000, and 6000 Hz in each ear. STS is calculated using only 2000, 3000, and 4000 Hz, but the full frequency range must be tested and recorded in every employee’s audiometric record.
A licensed audiologist, otolaryngologist, or other physician. The PS must review all audiograms for STS determination, clinical significance, and medical referral decisions. In most states, a technician may administer tests under PS supervision. Oregon and Washington require CAOHC certification for technicians specifically.
OSHA 1910.95(g)(5)(i) requires the worker to have at least 14 hours away from workplace noise before the baseline audiogram, to prevent temporary threshold shift from contaminating the baseline record. If the worker cannot avoid workplace noise, hearing protectors must be worn during the 14-hour period.
Tests conducted in environments exceeding ANSI S3.1 maximum permissible ambient noise levels produce results that are not valid for compliance purposes. Background noise can mask tones and cause apparent threshold elevation, producing a false baseline that inflates the STS calculation going forward.
Boothless audiometry uses a calibrated quiet space — not a traditional soundproof booth — to meet ANSI S3.1 ambient noise requirements. It is OSHA compliant if the ambient noise levels at test frequencies do not exceed Table D-1 limits. The key is documentation: ambient noise must be measured and verified at the test frequencies for each individual test session.
- OSHA Hearing Conservation Program: Complete Guide
- Standard Threshold Shift: Definition, Calculation & Action Steps
- Age Correction in OSHA Audiograms: Appendix F Guide
- Ambient Noise Compliance and Audiometric Testing Protocol
- OSHA 300 Log Hearing Loss Recordkeeping Rules
- Workers’ Compensation for Occupational Hearing Loss: 50-State Guide
- OSHA Hearing Conservation Violations & Penalties: 2026
- NIOSH vs. OSHA Noise Exposure Limits
- Noise-Induced Hearing Loss: The Complete Employer Guide
