We live in a noisy world. Some noises can damage our hearing, leading to hearing loss, tinnitus (ringing in the ears), and difficulty communicating especially in background noise. Permanent noise-induced hearing damage is incurable. If you cannot reduce your noise exposure by turning down the volume, moving away from the sound, or limiting the time you are exposed, hearing protection is your only option. But hearing protection comes in so many styles, materials, color, and sizes – how can you know which is best for you? National Protect Your Hearing Month is the perfect opportunity to discuss tips for picking the right hearing protector.
Figure 1: Selection of different hearing protection devices – Earplugs, Earmuffs, and Earbands
Obviously, the first consideration in choosing a hearing protector is whether it will block enough noise to reduce your exposure to a safe level. The good news is that most industrial noise exposures are less than 95 dBA, which means most workers require no more than about 10 dB of noise reduction to meet the NIOSH Recommended Exposure Limit of 85 dBA. Almost any hearing protector, when fit correctly, can provide 10 dB of sound reduction. If you do not know the noise levels at your worksite, you can measure them with an app such as the NIOSH Sound Level Meter.
Louder environments demand higher levels of noise reduction, but beware of reducing sound too much. Just as too little light can make it just as difficult to see as too much light, too little sound can make you feel isolated and less aware of their surroundings. Overprotection can be counterproductive, as you may feel the need to remove your hearing protector to hear someone speak or listen to your equipment. Aim for just enough noise reduction to bring your exposure down to 75-85 dBA.
The Noise Reduction Rating on hearing protector packaging represents the amount of noise the hearing protector blocked when tested in a laboratory, but workers usually get much less noise reduction on the job. The best way to know how much noise reduction you are getting from a hearing protector is by fit-testing. If fit-testing is not available at your workplace, you can check earplug fit by counting out loud while slowly cupping and uncupping your hands over your ears; if you have a good fit, your voice should sound about the same as you cup and uncup your ears. NIOSH QuickFitWeb can also be used to check if you are getting more or less than 15 dB of sound reduction.
If you are exposed to noise levels 100 dBA or greater (such as chainsaws or jackhammers) or if you are exposed to impulsive sounds (such as nail gun or weapons noise), you should wear double hearing protection (earmuffs over earplugs).
Workplace characteristics beyond noise levels also need to be considered in choosing the right hearing protector. For example, do you have to wear other head-level personal protective equipment (PPE), such as eye protection, a hard hat, or a respirator? Eye protection (and even some eyeglasses) can interfere with the seal of an earmuff around the ear, allowing sound to leak into the ear. Earmuffs can interfere with the fit of hardhats or helmets; some muffs have a “low-profile” headband or are designed to be mounted directly onto a hardhat or helmet, eliminating this problem. Make sure that your hearing protection is compatible with other safety equipment you use at work.
Consider also whether the noise at your job is continuous or if it stops and starts at various times during the day. Do you stay in the same place for most of the workday, or move from one area to another? Earmuffs are easier to remove and replace than earplugs, so they may be better for intermittent noise exposures. If earmuffs are not an option due to other issues (e.g., compatibility with other PPE), pre-formed earplugs may be easier to remove and replace than foam plugs. Level-dependent or sound restoration hearing protectors can also be useful for intermittent exposures; these types of hearing protection allow sound to pass through when the background noise levels are low and become protective when noise levels increase.
Do your hands frequently get dirty at work? If so, avoid using foam earplugs which must be rolled down with your fingers before insertion, unless hand-washing facilities are readily available and you have time to wash up each time you need to insert the earplugs. Do you work in a tight space? Earmuffs may not be compatible when working in a confined area. Is it very hot or very cold where you work? Earmuffs can be uncomfortable in hot environments; earmuff cushions can become ineffective in very cold environments.
Finally, think about how frequently you need to hear speech while wearing hearing protection. If spoken communication is common, or if high fidelity sound is important for other reasons (e.g., musicians), flat attenuation hearing protectors may be helpful. Special communication headsets can also improve speech communication in very loud environments.
Once you have narrowed your selection down to hearing protectors that are appropriate for your noise exposure and compatible with your worksite and job tasks, the choice is completely up to you! However, hearing protection only works if you wear it consistently and correctly every time you are exposed to hazardous noise, so choose a protector that is comfortable and convenient.
Many people find earplugs more comfortable than earmuffs, especially when worn for long periods of time or in in hot environments. Earplugs are lightweight, easy to store, and convenient to keep on hand for unexpected exposures. However, earplugs may be harder to learn to fit properly. Some earplugs come in different sizes, so you may need help determining which size is correct for you. If your ear canals are very narrow or very curvy, it may be difficult to find an earplug that will fit. Earplugs are usually inexpensive, but they need to be replaced frequently; some earplugs are designed to be used once only and then discarded.
Earmuffs, on the other hand, are generally one-size devices. Many people find them easier to fit properly and consistently. Earmuffs are easier to remove and replace quickly, so they can be preferable for intermittent use. They are bulkier than earplugs and may be uncomfortable in warm places or tight spaces. They are more expensive, but more durable and last longer than earplugs.
Hearing health relies on knowing how to protect your hearing and how to select the right form of hearing protection. This National Protect Your Hearing Month, take a few minutes to make sure you are using the best hearing protection for your work tasks. Then, wear it every time you are exposed to noise levels above 85 dBA. Your ears will thank you!
CAPT William J. Murphy, Ph.D., is a research physicist with the NIOSH Division of Applied Research and Technology.
Christa L. Themann, MA, CCC-A, is a research audiologist with the NIOSH Division of Applied Research and Technology.
CAPT Chucri (Chuck) A. Kardous, MS, PE, is a research engineer with the NIOSH Division of Applied Research and Technology.
CAPT David C. Byrne, Ph.D., CCC-A, is a research audiologist with the NIOSH Division of Applied Research and Technology.
Additional resources:
NIOSH Personal Protective Equipment (PPE)
Best practice bulletin: Hearing protection-emerging trends: Individual Fit Testing
Hearing protection – OSH WIKI
Hearing Health
If you are worried about exposure to loud noises, you might have decided to speak to your audiologist. They probably recommended that you use some form of ear protection. Ear protection is the only way to avoid exposure to loud noises that could damage your hearing, short of simply avoiding the cause of the loud noises. For many of us, this isn’t possible as that loud noise is part of our career or our personal life. In cases like this, ear protection is the only solution and there are three possible forms to consider.
Earmuffs are typically used for work related activities, aside from those within the music industry. An earmuff is a fairly common device with a hard outer shell and a foamy inside. The hard outer shell provides a strong protection against loud noises, while the foam inside attenuates noise. It does this by creating air pockets that trap significant portion of the noise. Earmuffs are often used by people who need to be able to hear properly while wearing them. For instance, workers take off the devices when they need to hear once heavy machinery is stopped. As such, they are not best suited for personal. If your work does require you to be around loud noises, you will typically find that your employer will provide you with earmuffs.
While earmuffs can be effective this will only be the case if there is no gap between the muffs and the ear. Gaps let air in and therefore noise that can damage the hairs of the ears.
Earplugs are one of the most effective forms of ear protection, particularly if they are custom made. With earplugs, the canal is completely blocked which protects the hearing from dangerously loud noises. They are typically made of foam or moulded material and may have a protective covering. These earplugs are suitable for both personal use and in the work environment.
To get the most from earplugs you should ask an audiologist about custom protection. With custom protection, you can make sure that the ear plugs are comfortable and also that they are providing the best form of defence against loud noises. These earplugs can be highly durable or they may be cheap and disposable. Cheap and disposable earplugs can be found at virtually every pharmacy across the country. In contrast, you can buy durable long lasting custom earplugs from a specialist.
Semi earplugs fit partially into your ear canal and partially outside it. They fit on your ears with a band to hold them in place. Unlike earplugs, many people will find that these devices aren’t effective at all. This is due to the fact that they do not provide the complete covering necessary to protect the ears from loud noises. As well as this, some people have ear canals that are different shapes and therefore these plugs will not fit correctly, allowing both air and noise inside the ear.
We hope you find this information helpful when choosing your own form of ear protection.