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March 17, 2023

DOEHRS-HC Explained: DoD's Audiometric Testing and Hearing Conservation Data System

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DoD Records & Systems·11 min read·Updated 2025
DOEHRS-HC audiometric data system used for DoD military and civilian hearing conservation recordkeeping

DOEHRS-HC — the Defense Occupational and Environmental Health Readiness System, Hearing Conservation module — is DoD's centralized platform for managing audiometric data across the military enterprise. For safety managers, industrial hygienists, and occupational health personnel at DoD installations, understanding exactly what DOEHRS-HC is, where it's required, what it stores, and where alternative platforms are permitted is essential to building a compliant program.

Soundtrace supports DoD civilian organizations at non-MTF sites with automated in-house audiometric testing and licensed audiologist review that satisfies both 29 CFR 1910.95 and DoDI 6055.12 — operating independently of DOEHRS-HC where that system is not required.

The Core Distinction

DOEHRS-HC is mandatory at Military Treatment Facility testing sites. At non-MTF sites — depots, arsenals, laboratories, maintenance facilities — external commercial platforms are permitted, provided they satisfy the substantive requirements of 29 CFR 1910.95 and DoDI 6055.12, plus federal records security obligations.

MTF
The trigger: DOEHRS-HC required at Military Treatment Facility testing sites only
Career
DOEHRS-HC tracks military audiometric data longitudinally through an entire career
3
Federal frameworks governing DOEHRS-HC data: Privacy Act, HIPAA, FISMA

What DOEHRS-HC Is and What It Does

DOEHRS-HC is the DoD's enterprise information system for managing hearing conservation program data. Developed and maintained by the Defense Centers for Public Health – Aberdeen (DCPH-A), it serves as the authoritative longitudinal record for audiometric testing across all DoD components. The system exists because military hearing conservation requires a continuous, transferable record spanning a service member's entire career.

Key functions

  • Collect and store baseline and annual audiogram results for enrolled military and civilian personnel
  • Calculate Standard Threshold Shifts (STS) by comparing annual results to the individual's stored baseline
  • Generate STS notification letters and track 21-day notification compliance
  • Store noise exposure survey data and link exposure records to individual audiometric histories
  • Track hearing protector device assignments, NRR values, and attenuation adequacy determinations
  • Record training completion per the annual hearing conservation training requirement
  • Assign and track hearing readiness profiles (H1, H2, H3) for military personnel
  • Generate program reports for installation HROs, commanders, and DHA oversight

Where DOEHRS-HC Is Required vs. Where Alternatives Are Permitted

The requirement is site-based, not population-based. DOEHRS-HC is required at Military Treatment Facility audiometric testing sites. The civilian vs. military status of the individual being tested does not change the system requirement at MTF sites — if testing happens at an MTF, DOEHRS-HC is required. If testing happens at a non-MTF site, external platforms may be used.
Testing Site TypeDOEHRS-HC Required?Alternative Permitted?Notes
Military Treatment Facility (MTF) audiometric clinicYes — mandatoryNoAll audiometric testing at MTF medical facilities must use DOEHRS-HC with current software
Industrial facility / depot on military installation (non-MTF)NoYesCivilian employees at production floors, maintenance shops may use external platforms meeting 1910.95 and DoDI 6055.12
Arsenal, shipyard, or defense laboratory (non-MTF)NoYesSame as above; platform must meet substantive requirements and federal records security
DoD administrative facility with no noise hazardNot applicableNot applicableNo HCP enrollment required if exposures don't reach the 85 dBA TWA action level
Software Maintenance Requirement

Installations using DOEHRS-HC must download monthly software maintenance updates from DCPH-A. Outdated software versions may produce data that doesn't meet current format requirements. The MHS helpdesk (1-800-600-9332) provides DOEHRS-HC support. Software updates are a compliance obligation, not just a technical maintenance item.

What Data DOEHRS-HC Stores

Data CategoryWhat Is StoredApplies To
Audiometric baselineFrequency-specific thresholds at 500–8000 Hz; test date; technician; equipment calibration recordMilitary and civilian enrolled personnel
Annual audiogramsAnnual threshold results at each frequency; comparison to baseline; STS flag if triggeredMilitary and civilian enrolled personnel
STS determinationsSTS trigger date; affected frequencies; work-relatedness determination; notification date; follow-up actionsMilitary and civilian enrolled personnel
Noise exposure recordsNoise survey results; area monitoring; personal dosimetry; linked to individual enrollment recordsMilitary and civilian enrolled personnel
Hearing protector recordsDevice type; NRR; attenuation adequacy; PAR score where fit testing conductedMilitary and civilian enrolled personnel
Training recordsAnnual hearing conservation training completion date and methodMilitary and civilian enrolled personnel
Hearing readiness profilesH1, H2, or H3 profile assignment; basis for profile; review datesMilitary personnel only
Deployment audiogramsPre- and post-deployment audiometric assessments per DoDI 6490.03Military personnel only

Military vs. Civilian Records in DOEHRS-HC

Military Personnel Records

Follow the member through entire career regardless of reassignments. Support H1/H2/H3 hearing readiness profile assignments affecting deployment eligibility. Pre- and post-deployment audiograms stored per DoDI 6490.03. At separation, records remain in Military Health System for VA claims — noise-induced hearing loss is among the most frequently claimed service-connected disabilities.

DoD Civilian Employee Records

Stored per OSHA 1910.95(m) retention requirements (duration of employment). No hearing readiness profile assigned. STS determinations drive OSHA 300 Log recordability assessment — a requirement that doesn't apply to military. At separation, records transfer to Federal Records Center per OPM guidance.

The 300 Log Distinction

When a DoD civilian employee's DOEHRS-HC record shows a work-related STS meeting OSHA 1904.10 recordability criteria (25 dB+ average at 2000/3000/4000 Hz), the installation must record it on its OSHA 300 Log. Military STS determinations are never recorded on the 300 Log — military personnel are exempt from OSHA recordkeeping. Installation safety offices must handle these two populations separately.

Privacy, Security, and FISMA Requirements

  • Privacy Act of 1974: DOEHRS-HC is a federal system of records. Access is governed by the published SORN. Individual personnel have access rights to their own records.
  • HIPAA / DoD 6025.18-R: Audiometric data constitutes PHI under HIPAA as implemented by DoD for the Military Health System. Access is role-based; audit logs are maintained; unauthorized disclosure is a regulatory violation.
  • FISMA: DOEHRS-HC must maintain an Authorization to Operate (ATO) under FISMA. The system must meet NIST SP 800-53 security control requirements.
  • Role-based access control: Installation HROs, medical officers, audiologists, and technicians have different access levels. Access must be removed promptly when individuals change roles or leave the installation.

Records at Separation: Military and Civilian

Military separation

Military audiometric records remain in the Military Health System following separation. DOEHRS-HC records are accessible through VA records request processes for veterans pursuing disability claims. Noise-induced hearing loss is consistently among the top five claimed service-connected disabilities. Installations have an obligation to ensure records are complete before separation processing.

DoD civilian separation

Civilian employee audiometric records transfer to the Federal Records Center at separation per OPM guidance. The records must be maintained for at least the duration of employment per 29 CFR 1910.95(m). After transfer, records remain accessible for potential federal workers' compensation claims through OWCP.

Requirements for External Platforms at Non-MTF Sites

  • Audiometric testing equipment must be calibrated per OSHA Appendix C requirements; calibration records maintained
  • Ambient noise at testing must be validated against OSHA Appendix D limits — through a sound-isolated booth or validated boothless methodology with ambient noise logging
  • A licensed audiologist, otolaryngologist, or physician must serve as professional supervisor and review all audiograms, with STS determinations made under that supervision
  • Frequency-specific baseline and annual threshold data must be stored per employee and retained for duration of employment
  • STS must be calculated and employees notified within 21 days of determination
  • Records must be protected under the Privacy Act, HIPAA, and FISMA — requiring appropriate federal information security controls
  • Records must be exportable in a format that can be transferred to the Federal Records Center at employee separation
  • Access to individual records must be provided to employees within 15 working days of request per 29 CFR 1910.1020
FISMA Is Not Optional for External Platforms

DoD organizations using commercial audiometric platforms for civilian employees at non-MTF sites must confirm those platforms meet FISMA requirements. A platform meeting HIPAA commercial standards but lacking a federal ATO or equivalent security posture may not satisfy DoD's federal records security obligations. This is a procurement and contracting question, not just an IT question.

Frequently Asked Questions

What is DOEHRS-HC?

DOEHRS-HC is the Defense Occupational and Environmental Health Readiness System – Hearing Conservation, DoD's centralized audiometric information system. Required at all Military Treatment Facility testing sites, it tracks hearing conservation data longitudinally throughout a military member's or DoD civilian employee's career at MTF sites.

Who is required to use DOEHRS-HC?

DOEHRS-HC is required at all Military Treatment Facility audiometric testing sites. DoD civilian employees tested at non-MTF sites may use external commercial platforms that meet the substantive requirements of 29 CFR 1910.95, Privacy Act, HIPAA, and FISMA.

Can DoD civilians use an alternative to DOEHRS-HC?

Yes, at non-MTF sites. DoD civilians at industrial facilities, depots, and arsenals may use external platforms that satisfy the substantive requirements of 1910.95 and DoDI 6055.12, meet Privacy Act and HIPAA protections for federal health records, and comply with FISMA security requirements.

What data does DOEHRS-HC store?

DOEHRS-HC stores baseline and annual audiograms, STS determinations and follow-up records, noise exposure data, hearing protector assignments and attenuation records, training completion records, and H1/H2/H3 hearing readiness profiles for military personnel. Records are tracked longitudinally.

How does DOEHRS-HC handle privacy and security?

DOEHRS-HC data is subject to the Privacy Act of 1974, HIPAA (via DoD 6025.18-R), and FISMA. Access is role-based and audited. The system must maintain an Authorization to Operate (ATO). Data constitutes PHI and PII under applicable federal law.

What happens to DOEHRS-HC records when a military member separates?

Records remain in the Military Health System and are accessible for VA disability claims. Noise-induced hearing loss is among the most frequently claimed service-connected disabilities, and the DOEHRS-HC longitudinal record provides the baseline and annual data essential to establishing service connection.

Compliant Audiometric Testing for DoD Civilians at Non-MTF Sites

Soundtrace supports DoD civilian organizations with automated in-house audiometric testing, licensed audiologist review, and federal-records-compliant documentation — operating where DOEHRS-HC is not required and external platforms are appropriate.

Request a Federal Program Assessment