DOD INSTRUCTION 6055.

12
HEARING CONSERVATION PROGRAM

Originating Component: Office of the Under Secretary of Defense for Personnel and Readiness

Effective: August 14, 2019

Change 1 Effective: November 22, 2023

Releasability: Cleared for public release. Available on the Directives Division Website
at https://www.esd.whs.mil/DD/.

Reissues and Cancels: DoD Instruction 6055.12, “Hearing Conservation Program (HCP),”
December 3, 2010

Approved by: James N. Stewart, Assistant Secretary of Defense for Manpower and
Reserve Affairs, Performing the Duties of the Under Secretary of Defense
for Personnel and Readiness

Change 1 Approved by: Ashish S. Vazirani, Acting Under Secretary of Defense for Personnel and
Readiness

Purpose: In accordance with the authority in DoD Directive (DoDD) 5134.01 and the April 10, 2019
Deputy Secretary of Defense Memorandum, this issuance:
• Implements policy, assigns responsibilities, and provides procedures for administering a hearing
conservation program (HCP) to prevent hearing loss resulting from occupational and operational illness
and injury.
• Establishes the DoD Hearing Conservation Working Group (HCWG).
• Issues requirements for the integration of noise control into the life cycle of DoD systems and
equipment.
 DoDI 6055.12, August 14, 2019
Change 1, November 22, 2023

TABLE OF CONTENTS
SECTION 1: GENERAL ISSUANCE INFORMATION .............................................................................. 3
1.1. Applicability. .................................................................................................................... 3
1.2. Policy. ............................................................................................................................... 3
1.3. Information Collections. ................................................................................................... 3
1.4. Summary of Change 1. ..................................................................................................... 4
SECTION 2: RESPONSIBILITIES ......................................................................................................... 5
2.1. Under Secretary of Defense for Personnel and Readiness (USD(P&R)). ........................ 5
2.2. Assistant Secretary of Defense for Readiness (ASD(R)). ................................................ 5
2.3. Under Secretary of Defense for Research and Engineering. ............................................ 5
2.4. ASD(HA). ......................................................................................................................... 5
2.5. DoD Component Heads. ................................................................................................... 6
SECTION 3: PROCEDURES ................................................................................................................ 8
3.1. Written Plan. ..................................................................................................................... 8
3.2. Program Implementation. ................................................................................................. 9
3.3. Noise Measurement and Analysis. .................................................................................... 9
3.4. Noise Hazard Signs and Labels. ..................................................................................... 12
3.5. Noise Abatement. ............................................................................................................ 13
3.6. Personal HPs. .................................................................................................................. 13
3.7. Education. ....................................................................................................................... 16
3.8. Audiometric Testing. ...................................................................................................... 17
3.9. HP Fit-tests...................................................................................................................... 22
3.10. Access to Information, Training Material, and Records. .............................................. 23
3.11. Recordkeeping. ............................................................................................................. 23
3.12. Program Performance Evaluation. ................................................................................ 25
SECTION 4: DOD HCWG FUNCTIONS ........................................................................................... 27
GLOSSARY ..................................................................................................................................... 28
G.1. Acronyms. ...................................................................................................................... 28
G.2. Definitions. ..................................................................................................................... 29
REFERENCES .................................................................................................................................. 32

TABLES
Table 1. Exposure Guidelines for Ceiling Limits for Ultrasound Noise ..................................... 12

TABLE OF CONTENTS 2
 DoDI 6055.12, August 14, 2019
Change 1, November 22, 2023

SECTION 1: GENERAL ISSUANCE INFORMATION

1.1. APPLICABILITY.

This issuance applies to OSD, the Military Departments, the Office of the Chairman of the Joint
Chiefs of Staff and the Joint Staff, the Combatant Commands, the Office of Inspector General of
the Department of Defense, the Defense Agencies, the DoD Field Activities, and all other
organizational entities within the DoD (referred to collectively in this issuance as the “DoD
Components”).

1.2. POLICY.

The DoD:

a. Protects all military personnel and noise-exposed civilian personnel from hearing loss
resulting from hazardous occupational and operational noise exposure through a continuing,
effective and comprehensive HCP, in accordance with Parts 1910 and 1960 of Title 29, Code of
Federal Regulations (CFR).

b. Reduces hazardous occupational and operational noise exposure to personnel to enhance

mission readiness, communication, and safety.

c. Considers hazardous noise control in military capabilities to support operational readiness,

and integrates noise control into the design and development of defense systems and equipment.

1.3. INFORMATION COLLECTIONS.

a. The collection of DD Form 2215, “Reference Audiogram,” located at

https://www.esd.whs.mil/Directives/forms/dd2000_2499/ and referred to in Paragraphs 3.8.l.(1),
3.8.l.(2)(b) and (c), 3.8.d., 3.10.b., 3.10.e., and 3.10.g.(3) of this issuance, does not require
licensing with a report control symbol in accordance with Paragraph 1.b.(13) of Volume 1 of
DoD Manual 8910.01.

b. The collection of DD Form 2216, “Hearing Conservation Data,” located at

https://www.esd.whs.mil/Directives/forms/dd2000_2499/ and referred to in Paragraphs 3.8.e.,
3.10.b, 3.10.e., and 3.10.g.(4) of this issuance, does not require licensing with a report control
symbol in accordance with Paragraph 1.b.(13) of Volume 1 of DoD Manual 8910.01.

c. The collection of DD Form 3126, “Hearing Protection Fit-Test Record,” located at

https://www.esd.whs.mil/Directives/forms/dd3000_3499/ and referred to in Paragraph 3.9.f. of
this issuance, does not require licensing with a report control symbol in accordance with
Paragraph 1.b.(13) of Volume 1 of DoD Manual 8910.01.

SECTION 1: GENERAL ISSUANCE INFORMATION 3

 DoDI 6055.12, August 14, 2019
Change 1, November 22, 2023
1.4. SUMMARY OF CHANGE 1.

This change adds the requirement for standardized hearing protector (HP) fit-testing procedures
to improve hearing protection device performance in protecting DoD personnel from hazardous
occupational noise. The DoD Components will incorporate the HP fit-testing requirements
within their HCPs as specified in Paragraph 3.9.

SECTION 1: GENERAL ISSUANCE INFORMATION 4

 DoDI 6055.12, August 14, 2019
Change 1, November 22, 2023

SECTION 2: RESPONSIBILITIES

2.1. UNDER SECRETARY OF DEFENSE FOR PERSONNEL AND READINESS

(USD(P&R)).

The USD(P&R):

a. Oversees implementation of this issuance.

b. Develops and updates hearing conservation policy to continuously improve the safety and
health of DoD personnel, in conjunction with the Assistant Secretary of Defense for Health
Affairs (ASD(HA)).

c. Integrates hearing loss risk management into DoD strategic planning and all phases of the
acquisition life cycle, in accordance with DoD Instructions (DoDI) 5000.88 and DoDI 5000.95.

2.2. ASSISTANT SECRETARY OF DEFENSE FOR READINESS (ASD(R)).

Under the authority, direction, and control of the USD(P&R), the ASD(R):

a. Serves as the principal DoD point of contact with federal regulatory agencies controlling
occupational and operational exposure to hazardous noise.

b. Establishes the DoD HCWG to:

(1) Serve as an integral part of the DoD Safety and Occupational Health Integrating
Committee established in DoDI 6055.01.

(2) Provide technical advice on occupational and operational noise exposures in

accordance with the functions detailed in Section 4.

c. Monitors the effectiveness of this issuance through annual program reviews and special
emphasis reviews.

2.3. UNDER SECRETARY OF DEFENSE FOR RESEARCH AND ENGINEERING.

The Under Secretary of Defense for Research and Engineering oversees the science and
technology of the health risk assessment and risk mitigation activities, as described in this
issuance, and in accordance with DoDD 5137.02.

2.4. ASD(HA).

Under the authority, direction, and control of the USD(P&R), the ASD(HA):

SECTION 2: RESPONSIBILITIES 5
 DoDI 6055.12, August 14, 2019
Change 1, November 22, 2023
a. Programs, budgets, and monitors the execution of Defense Health Program resources for
the occupational health program (including the HCP) within available fiscal guidance and overall
Defense Health Program priorities.

b. Provides clinical, occupational audiology, and occupational medicine subject matter

experts to the ASD(R) and the DoD Components for the development and implementation of a
comprehensive HCP plan.

c. Provides oversight and support to the DoD Hearing Center of Excellence.

d. Fully supports the HCP by providing the appropriate human resources, expertise, training,
and qualified personnel throughout the DoD.

e. Oversees the development and implementation of a hearing conservation medical

surveillance and health education program.

f. Develops, sustains, and oversees the implementation of the Defense Occupational and
Environmental Health Readiness System-Hearing Conservation (DOEHRS-HC) as the system of
record for hearing conservation medical surveillance for the Military Services.

2.5. DOD COMPONENT HEADS.

The DoD Component heads conducting operations involving occupational and operational
(including combat-related and training) noise exposures:

a. Establish, maintain, and fund HCPs, and implement the requirements of this issuance.

b. Annually evaluate the effectiveness of their HCPs.

c. Appoint subject matter experts on hearing loss and noise exposures as component
representatives to the DoD HCWG.

d. Implement hearing conservation measures to the extent safely feasible with the primary
focus on noise hazard identification, risk mitigation, risk communication, effective
communication, medical surveillance, and situational awareness.

e. Communicate noise hazard risks of legacy systems and equipment to designers,

developers, and requirements or capabilities officers. This allows for the integration of noise
controls into systems design performance, or capabilities and associated capabilities
(requirements) documents in accordance with DoDIs 5000.88 and 5000.95, Military Standard
(MIL-STD) 882E, and Chairman of the Joint Chiefs of Staff Instruction 5123.01.

f. Establish operational requirements for the use of enhanced communication and hearing
protection devices for personnel who require critical hearing skills, especially in operational and
high noise environments, in accordance with Chairman of the Joint Chiefs of Staff
Instruction 5123.01.

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 DoDI 6055.12, August 14, 2019
Change 1, November 22, 2023
g. Establish a collaborative effort between military operational leadership and medical
leadership to reduce noise hazards, and prevent noise induced hearing loss. Leverage the
expertise of audiologists and other medical specialists.

SECTION 2: RESPONSIBILITIES 7
 DoDI 6055.12, August 14, 2019
Change 1, November 22, 2023

SECTION 3: PROCEDURES

3.1. WRITTEN PLAN.

The DoD Components prepare a written plan for the implementation of a comprehensive HCP
that includes:

a. Input of capabilities and requirements criteria for new systems and equipment that
considers noise control and mitigation of human exposures.

b. Noise controls in the design, acquisition, and systems safety process.

c. Hearing conservation measures.

d. Occupational and operational noise exposure computation, monitoring, noise hazard

analysis and risk assessment to include procedures that describe employee notification, and allow
employees to observe exposure monitoring, if requested.

e. Ototoxic chemical exposure evaluation and control.

f. Noise abatement.

g. Personal hearing protective devices, including enhanced communication protection

devices and systems.

h. Methods for estimating the adequacy of HP attenuation.

i. Training program and access to information and training materials.

j. Audiometric testing requirements.

k. Audiology, otolaryngology, and physician clinical services for referral, evaluation, and
medical qualification determination support for human resources.

l. Audiometric test rooms.

m. Audiometric measuring instruments.

n. Acoustic calibration of audiometers and sound level meters (SLMs).

o. HP fit-test.

p. Recordkeeping.

q. Program evaluation.

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 DoDI 6055.12, August 14, 2019
Change 1, November 22, 2023
3.2. PROGRAM IMPLEMENTATION.

The DoD Components:

a. Implement HCPs when DoD personnel are occupationally exposed to these types of
hazardous noise:

(1) Continuous and intermittent noise (20 to 16,000 hertz (Hz)) where DoD personnel
are exposed at or above 85 decibels A-weighted (dBA) as an 8-hour time-weighted average
(TWA). DoD personnel exceeding these criteria for at least 1 day per year must be enrolled in
an HCP.

(2) Impulse noise sound pressure levels (SPLs) of 140 decibels peak (dBP) sound
pressure or greater.

(3) Ultrasonic exposures that occur under special circumstances that require specific
measurement and hazard assessment calculations. (See Paragraph 3.3.k. and Table 1 for exposure
guidelines.)

b. Include in acquisition programs the implementation of noise assessment and engineering

control measures through the systems engineering and systems safety process, in accordance
with DoDIs 5000.88 and 5000.95 when:

(1) Legacy systems have recognized noise exposure concerns as indicated by personnel
exposures at or above 85 dBA or 140 dBP sound pressure.

(2) New systems are considered likely to create noise exposures at or above 85 dBA by
direct measurement, or by exceeding occupational exposure or habitability criteria of
MIL-STD-1474E or impulse noise exposures at or above 140 dBP sound pressure.

(3) Communication may be impaired by background noise caused by new equipment.

American National Standards Institute/Acoustical Society of America (ANSI/ASA)
Standard S12.65 describes speech interference levels.

3.3. NOISE MEASUREMENT AND ANALYSIS.

The DoD Components:

a. Initially assess noise in all potentially hazardous noise work areas, and reassess when
operations change using the risk management process described in DoDI 6055.05. Noise survey
information will be recorded in the Defense Occupational and Environmental Health Readiness
System-Industrial Hygiene.

b. Conduct noise measurement surveys when DoD personnel are occupationally exposed to
hazardous noise areas and operations, in accordance with the industrial hygiene procedures
described in DoDI 6055.05.

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 DoDI 6055.12, August 14, 2019
Change 1, November 22, 2023
c. Maintain a current inventory of all potentially hazardous noise areas and operations,
including, at a minimum, noise levels, risk assessment, and the types of control measures used.

d. Conduct noise surveys using only personnel trained in accordance with DoD Component
specifications. The employer (e.g., supervisor, occupational safety and health manager or
designated representative) must:

(1) Provide the monitoring results to DoD personnel exposed at or above an 8-hour
TWA of 85 dBA.

(2) Provide affected DoD personnel, or their representatives, with an opportunity to

observe any noise measurements conducted.

e. Use instrumentation that meets or exceeds requirements for a type 2 SLM in Parts 1 and 3
of ANSI/ASA Standard S1.4.

(1) SLMs must have been subjected to a complete electro-acoustic calibration in

accordance with the instrument manufacturer instructions.

(2) An acoustical calibration check must be performed on the instruments using the same
calibrator before and after each day’s measurements.

(3) The acoustical calibrator must:

(a) Comply with ANSI/ASA Standard S1.4.

(b) Be accurate to within plus or minus 1 decibel (dB). It must also have been
subjected to a complete electro-acoustic calibration, at least annually, by the instrument
manufacturer, or a qualified acoustical test laboratory, as defined by the National Institute of
Standards and Technology Handbook 150 of the National Voluntary Laboratory Accreditation
Program or equivalent.

f. Measure continuous and intermittent noise levels using A-weighting with the meter
response set to “slow.”

(1) When personal noise dosimeters are used for personnel exposure measurements,
integrate all sound levels from 80 to 130 dBA, at a minimum. Dosimeters must meet or exceed
specifications in ANSI/ASA Standard S1.25. The DoD Components must use a time-intensity
exchange rate of 3 dB.

(2) Use area monitoring as a screening tool to determine potential personnel exposure.
Conduct representative personnel sampling in circumstances such as high personnel mobility,
significant variations in noise levels, or to obtain a general representation of impulse noise. For
more precise impulse noise measurement instruction, see Paragraphs 3.3.h., 3.3.i., and 3.3.j.

(3) Conduct personal noise monitoring for the entire length of the work shift. Only
conduct partial shift monitoring when:

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 DoDI 6055.12, August 14, 2019
Change 1, November 22, 2023
(a) The portion being monitored is representative of the entire shift.

(b) A noise exposure can be constructed from knowledge of exposure levels and
duration for all work done in the shift.

g. Compute personnel noise exposure regardless of any attenuation provided by personal

HPs.

h. When exposures to steady-state noise below 130 dBA occur simultaneously within the
same 24-hour period, as exposure to impulse noise at or above 140 dBP sound pressure, apply
the hazard criteria separately. The allowable exposure to steady-state noise (e.g., engine noise)
must not be reduced because of exposure to impulse noise (e.g., weapon firing).

i. For purposes of determining peak levels, measure impulse noise levels using calibrated
SLMs that:

(1) Meet or exceed the specifications in Parts 1 and 3 of ANSI/ASA Standard S1.4.

(2) Have a peak hold circuit.

(3) Have a rise time not exceeding 35 milliseconds.

(4) Are capable of measuring peak SPLs at or above 140 dBP sound pressure.

j. For the purposes of assessing the hazard of impulse noise at or above 140 dBP sound
pressure, measure the impulse noise using a data acquisition system meeting the requirements of
Paragraph 4 and Appendix B of MIL-STD-1474E.

k. Use the values listed in Table 1 as a guide in the control of ultrasonic noise exposure.
These values represent guidelines for ceiling limits measured in air.

(1) In the workplace where ultrasound is produced and hearing protection is not already
used for audible noise, evaluate the impact of possible ultrasonic noise and provide hearing
protective devices if SPLs exceed those specified in Table 1. Those levels above 20 kilohertz
(kHz) are included due to the potential for hearing loss from subharmonics at those frequencies.
See the American Conference of Governmental Industrial Hygienists “Documentation of the
Threshold Limit Values and Biological Exposure Indices.”

(2) Consult with appropriate DoD Component technical public health centers to measure
or evaluate equipment producing the levels in Table 1.

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 DoDI 6055.12, August 14, 2019
Change 1, November 22, 2023
Table 1. Exposure Guidelines for Ceiling Limits for Ultrasound Noise
One-Third Octave Band One-Third Octave Band SPL
Center Frequency (kHz) (dB relative to 20 micropascals)
10 105
12.5 105
16 105
20 105
25 110
31.5 115
40 115
50 115
Source: American Conference of Governmental Industrial Hygienists

l. For acquisition and development of new systems, identify prospective noise levels by
referencing data from existing systems, modeling anticipated noise levels, and measuring noise
levels during the test and evaluation stage. MIL-STD-1474E provides guidance on acoustical
noise limits, testing requirements, and measurement techniques for determining conformance to
the noise limits. Consider the following:

(1) Noise source management.

(2) Installation activities that affect noise generation resulting in personnel exposures.

(3) Relevant abatement technologies and their status.

(4) Estimate of the number of personnel that will be affected throughout the system life
cycle.

(5) Projection of personnel exposure and health impacts.

m. If ototoxic chemicals or heavy metals are present in hazardous noise areas, evaluate the
risk of hearing loss considering the additive, synergistic, and individual effects of chemical and
noise exposures. It is important to note that ototoxins may contribute to hearing loss in the
absence of hazardous noise exposure. See DoDI 6055.05 for risk assessment and risk
management of chemical hazards.

3.4. NOISE HAZARD SIGNS AND LABELS.

The DoD Components:

a. Clearly identify all potentially hazardous noise areas with signs located at their entrances
or boundaries.

b. Conspicuously mark each tool or piece of equipment that produces noise levels at or
above 85 dBA, including vehicles, to alert personnel of the potential hazard. The exception is
when an entire space is designated as a hazardous noise area and the equipment is stationary.

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 DoDI 6055.12, August 14, 2019
Change 1, November 22, 2023
Professional judgment and discretion must be exercised when labeling tools and equipment.
Exteriors of military combatant equipment, aircraft, and naval vessels are excluded from this
requirement.

c. Designate hazardous noise areas and equipment by posting signs with words or symbols
describing the potential hazard and protective measures required (e.g., “Caution,” “Hazardous
Noise,” “Hearing Protection Required When in Operation”). At a minimum, all signs must
comply with Section 1910.145 of Title 29, CFR, and be in accordance with DoDI 6055.01.

3.5. NOISE ABATEMENT.

The DoD Components:

a. Use engineering controls as the primary means of eliminating personnel exposure to

potentially hazardous noise.

(1) Explore all practical design approaches to reduce noise levels below hazardous
levels.

(2) Assign priorities for noise control resources based on the applicable risk assessment.

(3) Apply engineering controls to reduce:

(a) Steady-state levels below 85 dBA, regardless of personnel exposure time.

(b) Impulse noise levels below 140 dBP.

(4) Apply engineering controls to military-unique workplaces within the constraints of

maintaining mission readiness.

(5) Conduct an evaluation after engineering noise controls are implemented to verify
effectiveness in attenuating noise to acceptable levels.

b. Purchase new equipment that has the lowest sound emission levels and is technologically
and economically feasible and compatible with performance and environmental requirements in
accordance with Section 4914 of Title 42, United States Code.

c. Include acoustics in specifications for all new facilities, equipment, substantial

modification projects, and weapon systems and subsystems in accordance with MIL-STD-882E.

d. Maintain, as feasible, a steady-state level less than 85 dBA at all personnel locations
during normal operation.

3.6. PERSONAL HPS.

The DoD Components:

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 DoDI 6055.12, August 14, 2019
Change 1, November 22, 2023
a. Use personal HPs for attenuating noise exposure as an interim protective measure while
engineering control measures are being explored. Such devices are a permanent measure only if
engineering and administrative controls are not technologically, economically, or operationally
feasible.

b. Issue the appropriate and most effective form of hearing protection to DoD personnel
known to be exposed to hazardous noise. Provide:

(1) Personal HPs at no cost to all personnel working or training in hazardous noise
environments, operating noise hazardous equipment, or exposed to noise hazardous military
operations.

(2) Appropriate personal HPs for off-duty noise hazardous activities, where feasible.

(3) HPs that provide appropriate noise reduction, while satisfying mission requirements,
with particular consideration toward sustaining effective communication and situational
awareness. Commanders will provide appropriate HPs, including enhanced communication
protection devices and systems, as identified by medical authorities.

c. Maintain an adequate supply of:

(1) A variety of sizes and types of preformed and hand-formed earplugs at all DoD
facilities with hazardous noise areas. Use Service members and civilian employees trained in
fitting preformed and hand-formed earplugs.

(2) Circumaural noise muffs and disposable earplugs for use at all hazardous noise
facilities.

(3) Hearing protection readily accessible to required users in work areas, including
pathways leading to areas with noise levels at or above 85 dBA.

d. Provide initial quantitative HP fit-testing for all DoD personnel enrolled in the HCP and
whose noise exposure is documented as very hazardous and greater than or equal to 95 dBA, 8-
hour TWA for at least 1 day per year as measured in accordance with Paragraph 3.3. of this
issuance.

(1) Quantitative HP fit-testing provides for a proper initial fit of the HP.

(2) Proper fit is defined as meeting or exceeding a target personal attenuation rating
(PAR) which should result in effectively reducing individual noise exposure at or below 85 dBA
8-hour TWA using an appropriately selected HP for the noise environment in which an
individual is to be exposed.

e. Provide administrative controls to manage exposures. Provide personal HPs capable of

attenuating individual noise exposure below an 8-hour TWA of 85 dBA if other controls are
insufficient to manage exposure.

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Change 1, November 22, 2023
f. Provide an earplug carrying case, when feasible (e.g., national stock number 6515-01-100-
1674, olive drab color; national stock number 6515-01-533-6168, navy blue color), at no cost.

g. Fit and issue of preformed earplugs only under the supervision of personnel specifically
trained to fit earplugs. Select and fit HPs that effectively mitigate the noise type and exposure
level. Provide education on the prevention of hearing loss during initial training and fitting of
the HPs and before any exposures to hazardous noise. Validate that the selected devices
effectively mitigate the noise hazard through quantitative HP fit-testing. Document employee
quantitative HP fit-testing results using DD Form 3126.

h. Conduct quantitative HP fit-testing and issue of preformed earplugs only under the
supervision of personnel specifically trained in HP fit-testing for earplugs as described in
Paragraph 3.9.d. of this issuance.

i. Provide custom-molded earplugs to personnel for whom proper fit cannot be otherwise
achieved, and those who have other operational requirements or need to access additional noise
reduction options, or employment considerations. Provide preformed or custom-molded
musician’s earplugs to Service band members.

(1) Audiologists or other professionally trained medical personnel will take impressions
of the ear necessary for custom molding.

(2) Non-medical, but professionally trained staff may take ear-mold impressions under
the supervision of an audiologist or qualified physician.

(3) Medical personnel trained to fit preformed, hand-formed, and custom-molded

earplugs must examine the fit and condition of the earplugs issued to DoD personnel at least
annually.

j. Require personnel working in or entering designated hazardous noise areas always wear
personal HPs that adequately reduce exposure to levels at or below an 8-hour TWA of 85 dBA.

(1) When hazardous noise sources are operating, personnel must wear their hearing
protection devices regardless of exposure time.

(2) All personnel exposed to gunfire or artillery fire in either test or training situations
must wear personal HPs.

k. Provide personnel with appropriate hearing protection in operational environments, where

feasible, that supports the ability to sustain communication and situational awareness based on
mission requirements.

l. For all situations where hearing protection is required, assess whether the personal HPs are
adequate using any accepted method for assessing attenuation as described in Appendix B,
Section 1910.95 of Title 29, CFR, or the ANSI/ASA S12.6.

(1) Consider the impact on communication and situational awareness of the selected
HPs, in addition to the attenuation characteristics.

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 DoDI 6055.12, August 14, 2019
Change 1, November 22, 2023
(2) For DoD personnel who experience a significant threshold shift (STS), whether
temporary or permanent, conduct a quantitative HP fit-test to evaluate their personal hearing
protection to confirm proper fit and adequate amount of attenuation.

(a) Conduct quantitative HP fit-test using a field attenuation estimation system,

commonly called a fit-testing system.

(b) If quantitative HP fit-tests are not available and the PAR has not been
determined, apply appropriate Occupational Safety and Health Administration (OSHA) or
National Institute for Occupational Safety and Health derating to the reported attenuation of the
HP (current ANSI/ASA S12.6 does not require derating).

m. Mandate and enforce the proper use of required personal HPs, at all levels of supervision
and management, by personal example and direction.

n. Encourage peer-to-peer oversight to strengthen compliance. For noncompliance, take

appropriate disciplinary action as a corrective measure against the offender and the supervisor.

o. DoD personnel and visitors who infrequently or incidentally enter designated hazardous
noise areas, but who do not satisfy the noise exposure criteria described in Paragraph 3.2., must
wear hearing protection. While such these personnel are not required to be enrolled in an HCP
or undergo quantitative HP fit-testing, they should be educated in the most effective method to
obtain a proper fit for the HP provided.

3.7. EDUCATION.

The DoD Components:

a. Provide all DoD personnel routinely working in designated hazardous noise areas and
enrolled in the HCP with annual training on:

(1) The effects of noise on hearing.

(2) The purpose of hearing protection and procedures to report any concerns about the
proper fit and use of hearing protection.

(3) The advantages, disadvantages, and attenuation of various personal HPs.

(4) The selection, fit, use, and care of personal HPs.

(5) The mandatory requirement to wear assigned protective equipment, and

administrative actions that may follow for failure to wear HPs.

(6) The purpose of audiometric testing.

(7) An explanation of the audiometric test procedures.

(8) The impact of hearing loss on career opportunities and quality of life.

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Change 1, November 22, 2023
(9) The importance of using personal HPs when exposed to hazardous noise during off-
duty activities.

(10) An explanation of the quantitative HP fit-test and PAR, when required.

b. Provide all military personnel, regardless of noise exposure, with periodic hearing health
education, including:

(1) The effects of noise on hearing.

(2) The purpose of hearing protection.

(3) Instructions on selection, fit, use, and care of hearing protection.

(4) The importance of using personal HPs when exposed to hazardous noise during off-
duty activities.

c. Provide awareness and education on the importance of quantitative HP fit-test and

development of the PAR to safety, occupational health, and industrial hygiene to leadership,
supervisors, and employees as part of the quantitative HP fit-test process.

d. Provide education in group settings or through electronic delivery methods.

e. Through acquisition executives and occupational health professionals working with the
Defense Acquisition University, develop course curriculums that identify relevant risk factors
associated with noise generation, and provide access to information related to noise control
technologies.

f. Document hearing health education in accordance with DoD Component guidelines.

3.8. AUDIOMETRIC TESTING.

The DoD Components:

a. Place DoD personnel exposed to hazardous noise levels described in Paragraph 3.2.a. in
an audiometric surveillance program that includes reference (baseline), annual, and termination
audiograms.

b. Whenever possible, establish hearing testing capabilities in theaters of operation.

c. Provide hearing conservation and readiness audiometric surveillance testing that:

(1) Is performed by a licensed audiologist, otolaryngologist, qualified physician, or

qualified technician. A technician who performs audiometric tests is responsible to an
audiologist, otolaryngologist, or other qualified physician.

(2) Is conducted in a testing environment with background octave band SPLs, in

accordance with ANSI/ASA Standard S3.1, and not greater than:

SECTION 3: PROCEDURES 17
 DoDI 6055.12, August 14, 2019
Change 1, November 22, 2023
(a) 500 Hz, 27 dB.

(b) 1000 Hz, 29 dB.

(c) 2000 Hz, 34 dB.

(d) 4000 Hz, 39 dB.

(e) 8000 Hz, 41 dB.

(3) Has a test environment that is resurveyed annually using equipment that conforms, at
a minimum, to the type 1 requirements of Part 1 of ANSI/ASA Standard S1.4, and the order
3 extended range requirements of Part 1 of ANSI/ASA Standard S1.11.

(4) Includes pure-tone air conduction hearing thresholds for each ear at the test
frequencies of 500, 1000, 2000, 3000, 4000, 6000 and, if applicable, 8000 Hz.

(5) Is performed using audiometers calibrated annually to the specifications of

ANSI/ASA Standard S3.6.

(6) For the Military Services:

(a) Completes hearing conservation testing using the DOEHRS-HC hearing test
system, which is comprised of the DOEHRS-HC software application, current DoD-approved
audiometer, and DOEHRS-HC Data Repository Web-based application.

(b) Manually enters hearing test data from an audiologist’s diagnostic evaluation into
the DOEHRS-HC, as needed, if the audiologist’s demographic data and DOEHRS-HC training
certification number, and the audiometer’s manufacturer, model, serial number, and last
electroacoustic calibration date are known.

(7) Is performed with audiometers that have received a functional operation check and
daily calibration check before each day’s use in accordance with the specifications in
Section 1910.95 of Title 29, CFR. For the Military Services, calibration checks of audiometers
will be retrieved and stored in the DOEHRS-HC database. All DoD Components will record
calibration information on DD Form 2217, “Biological Audiometer Calibration Check,”
available at https://www.esd.whs.mil/Directives/forms/dd2000_2499/or a comparable form.

d. Perform a reference audiogram for all military personnel (and civilian personnel enrolled
in an HCP) (DD Form 2215). All reference hearing tests must be preceded by at least 14 hours
without exposure to hazardous noise, and may not be met by wearing HPs. Reference hearing
tests are not conducted if there is evidence of a transient medical condition that would affect
hearing.

(1) Test military personnel as soon as possible after entering Military Service, before
conducting noise hazardous operations. Record the reason for the reference test as “reference
established before initial duty in noise hazardous areas” or “change in Service component,”
whichever is applicable.

SECTION 3: PROCEDURES 18
 DoDI 6055.12, August 14, 2019
Change 1, November 22, 2023
(2) Test civilian personnel working in an identified hazardous noise area as soon as
possible after employment begins before occupational noise exposure. Record the reason for the
reference as “reference established before initial duty in hazardous noise areas” or “change in
Service component,” whichever is applicable.

e. Perform a termination audiogram for all military personnel (and civilian personnel
enrolled in an HCP) (DD Form 2216).

(1) Test military personnel before leaving Military Service.

(2) Test civilian personnel within 12 months of change in noise exposure status as a
result of transfer to a non-noise hazardous job, or before departure from civilian employment.

f. Note that an STS constitutes an average change of plus or minus 10 dB at 2000, 3000, and
4000 Hz relative to the reference audiogram, in either ear, in accordance with
Section 1910.95(g)(10)(i) of Title 29, CFR. Age corrections will not be applied.

g. Note that a single frequency 15 dB shift at 1000, 2000, 3000, and 4000 Hz is considered
an early warning sign of permanent hearing loss with no requirement for follow-up testing or
referrals, but with a requirement to counsel the employee and to perform a quantitative HP fit-
test to confirm adequate hearing protection.

h. Conduct follow-up audiometric testing when a Service member’s or civilian employee’s

audiogram shows an STS relative to the applicable reference audiogram for either ear. If the
STS persists, further review and evaluation are required to validate the existence of a noise-
induced permanent threshold shift (PTS), and determine if medical referral is required. An
audiologist, otolaryngologist, or other qualified physician must evaluate personnel with a
confirmed PTS to determine whether the PTS is work related.

i. When a negative STS (improvement in hearing threshold from the reference audiogram) is
noted on the periodic audiogram, perform a follow-up test, which may be given the same day as
the periodic test. Noise-free hours are not required in the presence of a negative STS. If the
negative STS persists, the results of the follow-up test may be used to create a re-established
reference audiogram.

j. When a positive STS (increase in hearing threshold from the reference audiogram) is noted
on the periodic audiogram, administer a noise-free follow-up test to confirm that the decrease in
hearing is permanent. The follow-up test must be preceded by at least 14 hours noise free (less
than 80 dBA), and must not occur on the same day as the periodic audiogram. If the results of
the follow-up test do not indicate a positive STS, the Service member or civilian employee must
return for monitoring in a year.

(1) For noise-exposed civilian personnel, conduct the follow-up testing within 30 days of
the periodic test showing the STS.

(2) For all military personnel, conduct the follow-up testing within 30 days, but this may
be extended up to 90 days, if needed.

SECTION 3: PROCEDURES 19
 DoDI 6055.12, August 14, 2019
Change 1, November 22, 2023
(3) If the prescribed allowable time for follow-up testing is exceeded, the STS remains
unresolved and the process begins again with the next test. Send notification memorandums to
the individual and their supervisor.

k. When the positive STS is confirmed through retest, record the STS as a PTS. Notify the
Service member or civilian employee in writing within 21 days, document the condition in the
individual’s medical record, and code it in the electronic health record in accordance with
standards outlined in the DoD Military Health System Coding Guidance.

(1) Refit the Service member or civilian employee using quantitative HP fit-tests to
verify that the HP is adequate for the work environment. Provide instructions in its care and use,
and remind the individual that hearing protection is required in all noise hazardous areas.

(2) Notify supervisors and responsible safety offices that the Service member or civilian
employee has experienced a decrease in hearing, and communicate any recommended work
restrictions.

(a) The notification will not contain additional details without prior written
authorization by the individual in accordance with the requirements in DoD 6025.18-R.

(b) Advise supervisors that any discussion of a Service member’s or civilian

employee’s hearing abilities with non-authorized personnel is strictly prohibited.

(3) In accordance with Paragraph C7.2.1.5.4. of DoD 6025.18-R, inform personnel that
their supervisors are notified that they have experienced a decrease in hearing. All notifications
must be in writing or through an approved enterprise medical surveillance application.

(4) In accordance with DoDI 6055.07 and Section 1904.10 of Title 29, CFR, record
OSHA reportable hearing loss to the appropriate safety or health official responsible for
maintaining the OSHA 300 Log, “Log of Work-Related Injuries and Illnesses” (available at
https://www.osha.gov/recordkeeping/RKforms.html).

l. Establish a revised reference audiogram when the:

(1) STS is confirmed after the follow-up test, and an audiologist, otolaryngologist, or
other qualified physician has validated the results. Keep the original and any re-established
reference audiograms in the individual’s medical record on a DD Form 2215.

(2) Hearing threshold demonstrated on the periodic and follow-up audiograms indicate
significant improvement (negative STS) over the existing reference audiogram. For a positive
STS (worse hearing), the reviewing audiologist, otolaryngologist, or other qualified physician
chooses one of these options for re-establishing the reference audiogram:

(a) Use the results of the follow-up test.

(b) Manually complete a DD Form 2215 using the results of the diagnostic
evaluation (if all pertinent examiner and audiometer information is available for the DD
Form 2215).

SECTION 3: PROCEDURES 20
 DoDI 6055.12, August 14, 2019
Change 1, November 22, 2023
(c) Complete a separate DD Form 2215 as a re-established reference audiogram.

m. After completing follow-up testing processes for STS, complete all appropriate medical
referrals in accordance with DoD Component access to care timelines.

n. Record a PTS resulting from exposure to hazardous noise as an illness or injury, in

accordance with DoDI 6055.07, if both of the criteria in Paragraphs 3.8.n.(1) and 3.8.n.(2) are
met. Remove the hearing loss from the OSHA 300 Log if subsequent evaluation as described in
Paragraph 3.8.o. reveals the hearing loss is not from a workplace injury or illness.

(1) A positive STS occurs in either ear from the applicable reference.

(2) Hearing thresholds for the current hearing test average 25 dB or greater at 2, 3, and
4 kHz from audiometric zero for the shifted ear.

o. For medical referrals for noise induced PTS, include a comprehensive audiological
evaluation to determine the type and degree of hearing loss, and possible causation, to assist in
determining work relatedness.

(1) Comprehensive testing performed by a non-DoD audiologist (except those

performing services under contract with the DoD) will be reviewed by a DoD audiologist to
confirm the PTS.

(2) Reports from an audiologist’s evaluation referrals should include recommendations

for hearing aids, hearing protection, further medical referral, noise exposure history, presence or
absence of tinnitus complaints, and an interpretation of test results to explain the type and degree
of hearing loss.

(3) The clinical outcomes must be documented and properly coded in the electronic
health record.

(4) Personnel found to have a positive STS must be evaluated by an audiologist to

determine fitness for continued work in a hazardous noise environment.

(a) The DoD Components must implement a formal process for dispositioning
personnel with a positive STS that corresponds with the DoD Component’s hearing standards
and guidelines.

(b) All duty limitations, restrictions, and permanent exclusion from noise
determinations must be recorded in the appropriate military personnel and civilian human
resource record data systems.

p. When a PTS has been confirmed by a DoD audiologist, or an audiologist performing

services under contract with the DoD, take action to prevent further hearing loss, such as:

(1) Evaluate the worksite.

(2) Determine the adequacy of personal HPs.

SECTION 3: PROCEDURES 21
 DoDI 6055.12, August 14, 2019
Change 1, November 22, 2023
(3) Provide targeted education and training.

(4) Restrict or remove Service members or civilian employees from noise hazards.

q. The Military Services will use DOEHRS-HC as the system of record for hearing
conservation monitoring.

3.9. HP FIT-TESTS.

Quantitative HP fit-tests provide an estimate of noise attenuation for the individual user of an
HP. The resulting PAR may be subtracted from A-weighted sound levels or A-weighted sound
exposure for continuous noise levels.

a. At a minimum, all DoD personnel enrolled in the HCP will have a quantitative HP fit-test:

(1) At the initial reference audiogram, or before initial routine duty in hazardous noise
areas, or as soon as possible after employment begins when their occupational noise exposures
are in an extremely noise hazardous area measured at or greater than 95 dBA, 8-hour TWA for at
least 1 day per year.

(2) When a positive STS is identified on the periodic audiogram. A quantitative HP fit-
test will be used to evaluate the HPs, confirm adequacy of fit, and PAR for the noise
environment.

(3) When physical changes to ear canal cause poor fit of assigned HP.

(4) If the primary type of fitted HP is no longer available (e.g., employee switches from
ear plugs to ear muffs, different brand or model of HP).

(5) When a single frequency 15 dB shift at 1000, 2000, 3000, or 4000 Hz occurs.

b. For hearing conservation purposes, quantitative HP fit-tests will be conducted at

frequencies of 500, 1000, and 2000 Hz for initial HP fit-tests and for any positive STS.

c. Quantitative HP fit-tests may be conducted outside of annual or periodic monitoring to

support high-risk activities as determined by the DoD Component.

d. DoD Components will establish training certificate and competency requirements for
quantitative HP fit-test administrators and operators.

(1) Quantitative HP fit-tests will be incorporated into the DoD Hearing Technician
Course.

(2) Components may develop separate courses for non-audiology hearing conservation
personnel to perform as HP fit-test administrators.

e. Quantitative HP fit-test method and instrumentation used, HP type, size, and PAR will be
documented on the DD Form 3126 and filed in the employee occupational medical record.

SECTION 3: PROCEDURES 22
 DoDI 6055.12, August 14, 2019
Change 1, November 22, 2023
f. HP fit-test documentation will be maintained within the civilian employee’s occupational
medical record for the duration of employment, plus 30 years in accordance with DoDI 6055.05.

g. HP fit-test documentation will be maintained within the military member’s occupational

medical record in accordance with Paragraph 2.g.(2) of Enclosure 3 of DoDI 6055.05.

3.10. ACCESS TO INFORMATION, TRAINING MATERIAL, AND RECORDS.

On request, the DoD Components provide:

a. Personnel with copies of DoD Component directives issued on the HCP, and the latest
approved OSHA standard, in accordance with Section 1910.95 of Title 29, CFR.

b. Any personnel enrolled in an HCP with any information on the DoD Component HCP
that is provided to the DoD Component by the Assistant Secretary of Labor for Occupational
Safety and Health.

c. Current and former military and civilian personnel, and representatives designated in
writing by the individual, with copies of all records about the audiometric testing and noise
exposure, in accordance with DoDI 6055.05.

3.11. RECORDKEEPING.The DoD Components:

a. Maintain all hearing conservation audiometric testing data in accordance with

DoDIs 6055.01 and 6055.05.

(1) All testing data, unless de-identified, constitutes personally identifiable information
and is protected from unauthorized disclosure in accordance with DoDI 5400.11 and DoD
5400.11-R.

(2) Testing data and other hearing loss data that become part of a Service member’s or
civilian employee’s electronic medical record, consistent with Paragraphs 3.8.k. or 3.10.c., or
that otherwise are maintained by the Military Health System, constitute protected health
information pursuant to Parts 160 and 164 of Title 45, CFR, and DoD 6025.18-R.

b. Maintain the results of hearing tests performed for hearing conservation, hearing
readiness, individual HP fit-test records, and noise exposure documentation as a permanent part
of a Service member’s or civilian employee’s occupational medical record. Use the DOEHRS-
HC hearing test system to capture hearing test data on DD Form 2215 and DD Form 2216, as
appropriate.

c. Keep noise exposure data for the duration of employment, plus 30 years, in accordance
with DoDI 6055.05. Record data on DD Form 2214, “Noise Survey,” available at
https://www.esd.whs.mil/Directives/forms/dd2000_2499/, or in an equivalent format with
automated measurement equipment or a health hazard inventory system (e.g., DOEHRS-
Industrial Hygiene).

SECTION 3: PROCEDURES 23
 DoDI 6055.12, August 14, 2019
Change 1, November 22, 2023
d. Provide to those responsible for medical surveillance and health education the DoD
Component, full name, and DOEHRS-HC acceptable numeric identifier of all personnel who are
routinely exposed to hazardous noise.

(1) Provide a by-name roster of personnel requiring annual audiometric surveillance to

the appropriate medical authority at least annually.

(2) Track HCP compliance data, including compliance with monitoring audiometry and
health education.

e. Export hearing test data captured, as appropriate, on a DD Form 2215 or DD Form 2216
to the DOEHRS-HC Data Repository. The preferred method is to complete DOEHRS-HC data
exports at the end of each test day.

f. Use information from DOEHRS-HC, as appropriate, for local and strategic program
management, OSHA recordkeeping requirements in DoDI 6055.07 assessing the effectiveness of
the HCP, and monitoring hearing readiness, as applicable.

g. Where the use of DOEHRS-HC and DOEHRS-Industrial Hygiene is not possible, use
these DD forms as appropriate:

(1) DD Form 2214.

(2) DD Form 2214C, “Noise Survey (Continuation Sheet),” located at

https://www.esd.whs.mil/Directives/forms/dd2000_2499/

(3) DD Form 2215.

(4) DD Form 2216.

(5) DD Form 2217.

(6) DD Form 3126.

h. Systems and materiel commands and acquisition program managers will:

(1) Maintain data regarding noise generated by the systems, and equipment for which
they are responsible, with supporting noise evaluation data provided by industrial hygiene
personnel. Suggested data includes:

(a) SPL dBA and unweighted octave band levels, and TWA exposure determinations
where levels meet or exceed 85 dBA.

(b) dBP data where impulse noise is present and supporting information is necessary
to design inputs.

(2) Limit noise surveys at all types of operational ranges to:

(a) Identification of noise-making equipment used at the range.

SECTION 3: PROCEDURES 24
 DoDI 6055.12, August 14, 2019
Change 1, November 22, 2023
(b) Personnel information for individuals exposed to hazardous levels of range
operational noise.

(c) Notations of noise-related changes at the range.

i. Systems and materiel commands and acquisition program managers will maintain data
regarding noise generated by the systems and equipment for which they are responsible.

(1) Medical and industrial hygiene personnel will provide supporting information from
routinely conducted noise evaluations, as appropriate.

(2) Suggested data includes SPL dBA and unweighted octave band levels, TWA
exposure determinations where levels meet or exceed 85 dBA, dBP data where impulse noise is
present, and supporting information necessary to design inputs.

3.12. PROGRAM PERFORMANCE EVALUATION.

The DoD Components:

a. Evaluate the HCP effectiveness annually based on:

(1) STS Rates.

STS rates should be monitored over time to track trends, in order to identify effective
prevention strategies and processes that contribute to STS rate reduction. Other factors that may
influence STS rates and be considered in reviewing STS rates include:

(a) Criteria used for placing Service members or civilian employees on periodic
monitoring.

(b) Frequency distribution of continuous and intermittent noise exposures for

military and civilian personnel.

(2) Audiogram Completion Rates.

This metric corresponds to the occupational exam completion rate in Paragraph 5 of the
Appendix to Enclosure 3 of DoDI 6055.05.

(3) PTS Rates.

This metric examines the incidence of permanent hearing loss to provide actionable data
on the effectiveness of intervention programs.

(4) HP Fit-test Completion Rates.

This metric corresponds to the number of HP fit-tests completed prior to, or during
commencement of, initial assignment into the HCP.

SECTION 3: PROCEDURES 25
 DoDI 6055.12, August 14, 2019
Change 1, November 22, 2023
(5) Effective PAR Rate.

This metric examines how individual HP fit-tests reduce the amount of PTS by
comparing PTS rates between individuals with PARs and individuals who have not been fitted
using an HP fit-test.

b. Develop additional metrics to assist in measuring program effectiveness.

c. For acquisition program evaluations, consider:

(1) The effectiveness of programs in managing risk, in accordance with DoDIs 5000.88,
5000.95, and MIL-STD-882E.

(2) Noise generation, personnel exposures, and signal control in the context of life-cycle,
risk management, and combat capability.

SECTION 3: PROCEDURES 26
 DoDI 6055.12, August 14, 2019
Change 1, November 22, 2023

SECTION 4: DOD HCWG FUNCTIONS

The DoD HCWG:

a. Provides hearing conservation advice to the ASD(R) and the ASD(HA).

b. Serves as a forum for collaboration among DoD hearing loss and noise exposure
stakeholders to identify data-derived, benefit-focused hearing conservation policies, programs,
strategies, and initiatives.

c. Identifies and prioritizes efforts that have the potential to reduce auditory injuries, and
prevent occupational hearing loss-related mishaps.

d. Helps the DoD Components in developing programs that target the reduction of auditory
injuries and maximizes hearing conservation.

e. Examines existing hearing conservation policies, programs, and methodologies, and

makes recommendations for change to enable a consistent approach to auditory injury
investigation, reporting, analysis, and prevention across the DoD.

f. Reviews successful private-sector and other government agency initiatives and identifies
best practices for inclusion in DoD policies and programs.

SECTION 4: DOD HCWG FUNCTIONS 27

 DoDI 6055.12, August 14, 2019
Change 1, November 22, 2023

GLOSSARY

G.1. ACRONYMS.

ANSI American National Standards Institute

ASA Acoustical Society of America
ASD(HA) Assistant Secretary of Defense for Health Affairs
ASD(R) Assistant Secretary of Defense for Readiness

CFR Code of Federal Regulations

dB decibel
dBA decibel A-weighted
dBP decibels peak
DD Department of Defense (form)
DoDD DoD directive
DoDI DoD instruction
DOEHRS-HC Defense Occupational and Environmental Health Readiness System –
Hearing Conservation

HCP Hearing Conservation Program

HCWG Hearing Conservation Working Group
HP hearing protector
Hz hertz

kHz kilohertz

MIL-STD military standard

OSHA Occupational Safety and Health Administration

PAR personal attenuation rating

PTS permanent threshold shift

SLM sound level meter

SPL sound pressure level
STS significant threshold shift

TWA time-weighted average

USD(P&R) Under Secretary of Defense for Personnel and Readiness

GLOSSARY 28
 DoDI 6055.12, August 14, 2019
Change 1, November 22, 2023
G.2. DEFINITIONS.

Unless otherwise noted, these terms and their definitions are for the purpose of this issuance.

audiogram completion rates. The percentage of personnel identified as requiring periodic

audiograms who receive their audiograms.

A-weighting. A weighted network on an SLM that employs an electronic filter to measure the
dB level in the range of frequencies in which the human auditory system is most sensitive.

civilian personnel. Individuals meeting the definition of “employee” pursuant to Section 2105
of Title 5, United States Code, as well as employees of a DoD non-appropriated fund
instrumentality paid from non-appropriated funds. This includes DoD civilian employees filling
full-time, part-time, intermittent, or on-call positions. Specifically excluded are contractors and,
in foreign countries, host nationals or third country nationals (other than foreign nationals who
are employees of the DoD or of a non-appropriated fund instrumentality).

dB. A measurement of SPL equal to 20 times the common logarithm of the ratio of the existing
sound pressure to a reference sound pressure of 20 micropascals.

dBA. The standard abbreviation for sound levels measured or calculated after application of an
A-weighting curve defined in Part 1 of International Electrotechnical Commission
Standard 61672-1. The A-weighting process accords greater emphasis to sounds in the 500 to
2000 Hz range and is commonly used for hearing conservation purposes dealing with steady-
state sound.

dBP. The standard abbreviation for the maximum sound pressure during a measurement period
or noise event, usually associated with an impulse sound. Measured using filters or weighting
scales necessary to capture the true peak SPL. Often used in the measurement of impulse noise.

follow-up audiogram. An audiogram conducted after an STS is identified on a periodic exam.

Used to determine if the STS is temporary or permanent.

HP fit-test. A quantitative method used to estimate noise attenuation for an individual user of a
hearing protection device using specialized equipment. Equipment is referred to as a field
attenuation estimation system meeting the requirements of ANSI/ASA S12.71.

Hz. A unit of measure of frequency, numerically equivalent to cycles per second.

impulse noise. A short burst of acoustic energy consisting of either a single impulse or a series
of impulses. The pressure-time history of a single impulse includes a rapid rise of 40 dB or more
to a peak pressure, followed by a somewhat slower decay of the pressure envelope to ambient
pressure, both occurring within 1 second. When the intervals between impulses are less than
500 milliseconds, the noise is considered continuous, except for short bursts of automatic
weapons fire, which are considered impulse noise.

life cycle. Defined in the DoD Dictionary of Military and Associated Terms.

GLOSSARY 29
 DoDI 6055.12, August 14, 2019
Change 1, November 22, 2023
military-unique workplaces. Defined in DoDI 6055.01.

operational noise exposure. Exposure to hazardous noise resulting from the performance of
military duties, including continuous and impulse noise encountered in combat situations.

ototoxic. Having a harmful effect on the organs or nerves concerned with hearing and balance.

PAR. A single number rating, in dBs, that represents the attenuation level a user should expect
to obtain when properly fitted with the specific hearing protection device tested. This number
may be subtracted from the A-weighted sound level or A-weighted sound exposure to estimate
the individual’s effective level or exposure when the hearing protection device is worn by the
tested individual.

periodic audiogram. A 90-day, annual, termination, pre-deployment, post-deployment, or other

hearing test compared to the reference audiogram to monitor changes in hearing.

permanent hearing loss. Any tested threshold that exceeds 25 dB hearing loss for either ear as
recorded on DOEHRS-HC audiograms and confirmed by an audiologist.

potentially hazardous noise. Exposure to steady-state noise having an 8-hour TWA noise level
greater than or equal to 85 dBA, or exposure to impulse or impact noise levels of 140 dBP peak
or greater, regardless of duration.

potentially hazardous noise area. Any area where Service members or civilian employees are
likely to be exposed to noise levels greater than or equal to an 8-hour TWA of 85 dBA, or where
impulse noise levels are greater than or equal to 140 dBP.

PTS. A permanent shift in auditory threshold.

pure-tone air conduction. Hearing testing conducted under circumaural, supra-aural, or insert
earphones.

qualified physician. A physician specializing in occupational medicine or who has completed

the Council for Accreditation in Occupational Hearing Conservation professional supervisor
training.

qualified technician. A technician who has successfully completed a DoD-approved hearing

conservation or hearing technician course or a course of training approved by the Council for
Accreditation in Occupational Hearing Conservation supplemented by DOEHRS-HC training.

reference audiogram. A baseline audiogram free from auditory fatigue and other transient
otologic pathology, against which future audiograms are compared.

Service member. A member of the uniformed services.

STS. An average change of plus or minus 10 dB at 2000, 3000, and 4000 Hz, relative to the
reference audiogram, in either ear, without age corrections.

GLOSSARY 30
 DoDI 6055.12, August 14, 2019
Change 1, November 22, 2023
STS rates. The number of STSs identified during periodic audiograms for each 100 individuals
tested during the reporting period.

ultrasonic. Having a frequency above the human ear’s range of audibility.

GLOSSARY 31
 DoDI 6055.12, August 14, 2019
Change 1, November 22, 2023

REFERENCES
American Conference of Governmental Industrial Hygienists, “Documentation of the Threshold
Limit Values and Biological Exposure Indices,” current edition 1
American National Standards Institute/Acoustical Society of America Standard S1.4, “American
National Standard Electroacoustics – Sound Level Meters – Part 1: Specifications,” current
edition 2
American National Standards Institute/Acoustical Society of America Standard S1.4, “American
National Standards Electroacoustics – Sound Level Meters – Part 3: Periodic Tests,” current
edition2
American National Standards Institute/Acoustical Society of America Standard S1.11,
“Electroacoustics - Octave-Band and Fractional-Octave-Band Filters – Part 1:
Specifications,” current edition2
American National Standards Institute/Acoustical Society of America Standard S1.25,
“Specification for Personal Noise Dosimeters,” current edition2
American National Standards Institute/Acoustical Society of America Standard S3.1, “Maximum
Permissible Ambient Noise Levels for Audiometric Test Rooms,” current edition2
American National Standards Institute/Acoustical Society of America Standard S3.6,
“Specification for Audiometers,” current edition2
American National Standards Institute/Acoustical Society of America Standard S12.65,
“American National Standard for Rating Noise with Respect to Speech Interference,” current
edition2
American National Standards Institute/Acoustical Society of America Standard S12.6, “Methods
for Measuring the Real-Ear Attenuation of Hearing Protectors,” current edition2
American National Standards Institute/Acoustical Society of America S12.71 “Performance
Criteria for Systems That Estimate the Attenuation of Passive Hearing Protectors for
Individual Users,” current edition2
Chairman of the Joint Chiefs of Staff Instruction 5123.01, “Charter of the Joint Requirements
Oversight Council and Implementation of the Joint Capabilities Integration and Development
System,” current edition
Code of Federal Regulations, Title 29
Code of Federal Regulations, Title 45
Deputy Secretary of Defense Memorandum, “Safety and Occupational Health Policy and
Oversight Functions,” April 10, 2019
DoD 5400.11-R, “Department of Defense Privacy Program,” May 14, 2007
DoD Directive 5137.02, “Under Secretary of Defense for Research and Engineering,” July 15,
2020
DoD Instruction 5000.88, “Engineering of Defense Systems,” November 18, 2020
DoD Instruction 5000.95, “Human Systems Integration in Defense Acquisition,” April 1, 2022

1
Available for purchase at https://www.acgih.org/forms/store/CommercePlusFormPublic/search?action=Feature
2
Available for purchase at https://webstore.ansi.org

REFERENCES 32
 DoDI 6055.12, August 14, 2019
Change 1, November 22, 2023
DoD Instruction 5400.11, “DoD Privacy and Civil Liberties Programs,” January 29, 2019,
as amended
DoD Instruction 6055.01, “DoD Safety and Occupational Health (SOH) Program,”
October 14, 2014, as amended
DoD Instruction 6055.05, “Occupational and Environmental Health (OEH),”
November 11, 2008, as amended
DoD Instruction 6055.07, “Mishap Notification, Investigation, Reporting, and Record Keeping,”
June 6, 2011, as amended
DoD Manual 6025.18, “Implementation of the Health Insurance Portability and Accountability
Act (HIPPA) Privacy Rule in DoD Health Care Programs,” March 13, 2019
DoD Manual 8910.01, Volume 1, “DoD Information Collections Manual: Procedures for DoD
Internal Information Collections,” June 30, 2014, as amended
International Electrotechnical Commission Standard 61672-1, “Electroacoustics - Sound Level
Meters - Part 1: Specifications,” current edition 3
Military Standard MIL-STD-882E, “Department of Defense Standard Practice: System Safety,”
May 11, 2012
Military Standard MIL-STD-1474E, “Department of Defense Design Criteria Standard: Noise
Limits,” April 15, 2015
National Institute of Standards and Technology Handbook 150, “Procedures and General
Requirements,” current edition 4
Office of the Chairman of the Joint Chiefs of Staff, “DoD Dictionary of Military and Associated
Terms,” current edition
United States Code, Title 5, Section 2105
United States Code, Title 42, Section 4914
U.S. Department of Defense, “Military Health System Coding Guidance: Professional Services
and Specialty Coding Guidelines,” current edition 5

3
Available for purchase at https://webstore.iec.ch/publication
4
Available at https://nvlpubs.nist.gov/nistpubs/hb/2020/NIST.HB.150-2020.pdf
5
Available at https://health.mil/Reference-
Center?query=coding&isDateRange=0&broadVector=000&newsVector=00000000&refVector=0111111111111111
&refSrc=1&page=3#pagingAnchor

REFERENCES 33