Skip main navigation

Military Health System

Clear Your Cache

Health.mil has undergone a recent update. For the best user experience we recommend clearing your browser cache.

New Policy Benefits Noise-exposed Service Members

Image of A service member wears headphones while sitting at a desk. U.S. Army Lt. Col. Michael Murphy, an audiologist and U.S. Army liaison at Hearing Center of Excellence, demonstrates a type of fit-test equipment used to measure the amount of noise reduction a person is getting from their specific hearing protector. A new Department of Defense policy will soon require fit testing for service members and civilians enrolled in a hearing conservation program who have high noise exposures, and those who have sustained hearing loss. (Photo: Larine Barr, MHS Communications)

A Department of Defense policy will soon require hearing protector fit testing for DOD personnel who are exposed to certain noise levels, according to the Defense Health Agency Hearing Center of Excellence.

The change is an update to Department of Defense Instruction 6055.12 “Hearing Conservation Program” and is expected to be published by the end of 2022.

Hearing protector fit testing measures the amount of noise reduction, or attenuation, a hearing protector provides while it is being worn. This measurement is referred to as a Personal Attenuation Rating, or PAR.

The new requirement calls for initial hearing protector fit-testing for those who have documented noise exposure greater than or equal to 95 decibels over an 8-hour time-weighted average, and who are enrolled in a service hearing conservation program, explained U.S. Air Force Col. Samuel Spear, chief of HCE, a branch of the Research Portfolio Management Division of the DHA Research and Engineering Directorate.

Spear added that fit testing will also be required in the following situations:

• A service member tests positive for a significant threshold shift, otherwise known as hearing loss, in a periodic audiogram.

• Physical changes to a person’s ear canal cause a poor fit of their assigned hearing protection devices.

• The primary type of fitted hearing protection device is no longer available to the employee.

• An “early warning” hearing loss occurs. This happens when a person’s hearing worsens by 15 decibels at any of the following frequencies: 1000, 2000, 3000, or 4000 hertz.

Spear noted, however, that these are the minimum criteria for hearing protector fit testing in the DOD and the service components may have different requirements. “Each service component may institute more stringent requirements to better meet the needs of their respective hearing conservation program,” he said.

Testing Protective Equipment to Ensure Readiness

“Hearing protector fit-testing contributes to service member readiness, because it can mitigate the occurrence of Significant Threshold Shifts and hearing-related fitness for duty evaluations,” said Spear.

The testing is also accurate.

“Hearing protector fit testing is a proven way to quantitively measure the amount of noise reduction a person is getting from their specific hearing protector,” explained Dr. Theresa Schulz, prevention section lead at HCE, who is heading up efforts to announce and guide the policy change across the DOD. “Fit testing can be used to determine if the person is not achieving adequate protection, and it can remedy the problem through training or finding another type of hearing protector."

There are many benefits to conducting fit testing, which is recommended by the Occupational Safety and Health Administration as a best practice in hearing conservation. According to Schulz, Fit testing can identify workers at risk for noise-induced hearing loss due to inadequate hearing device fit, help personnel select the right device for their work environment, train workers to properly fit and use hearing protectors, and reduce noise-induced hearing loss for service members enrolled in hearing conservation programs.

Schulz added that HCE will distribute information to impacted organizations on how to comply with implementing it before the updated DOD policy is published.

“We’re here to help and answer any questions the services may have to enable a successful launch and implementation of this new requirement,” said Schulz.

You also may be interested in...

Report
Jun 1, 2023

MSMR Vol. 30 No. 6 - June 2023

.PDF | 1.55 MB

This annual issue quantifies the impacts of various illnesses and injuries in 2022 among members of the active component of the U.S. Armed Forces as well as the U.S. Coast Guard; health care burden metrics include the total number of medical encounters, including hospitalizations and ambulatory services, as well as numbers and types of individuals ...

Report
Jan 1, 2023

MSMR Vol. 30 No. 1 - January 2023

.PDF | 1.22 MB

A monthly publication of the Armed Forces Health Surveillance Division. This issue of the peer-reviewed journal contains the following articles: Incidence and management of chronic insomnia, active component, U.S. Armed Forces, 2012 to 2021; Changes in the prevalence of overweight and obesity and in the incidence of prediabetes and type 2 diabetes ...

Report
Dec 1, 2022

MSMR Vol. 29 No. 12 - December 2022

.PDF | 2.22 MB

A monthly publication of the Armed Forces Health Surveillance Division. This issue of the peer-reviewed journal contains the following articles: Surveillance trends for SARS-CoV-2 and other respiratory pathogens among U.S. Military Health System Beneficiaries, Sept. 27, 2020 – Oct. 2,2021; Establishment of SARS-CoV-2 genomic surveillance within the ...

Report
Nov 1, 2022

MSMR Vol. 29 No. 11 - November 2022

.PDF | 1.30 MB

A monthly publication of the Armed Forces Health Surveillance Division. This issue of the peer-reviewed journal contains the following articles: Surveillance trends for SARS-CoV-2 and other respiratory pathogens among U.S. Military Health System Beneficiaries, Sept. 27, 2020 – Oct. 2,2021; Establishment of SARS-CoV-2 genomic surveillance within the ...

Report
Oct 1, 2022

MSMR Vol. 29 No. 10 - October 2022

.PDF | 1.41 MB

A monthly publication of the Armed Forces Health Surveillance Division. This issue of the peer-reviewed journal contains the following articles: Surveillance trends for SARS-CoV-2 and other respiratory pathogens among U.S. Military Health System Beneficiaries, Sept. 27, 2020 – Oct. 2,2021; Establishment of SARS-CoV-2 genomic surveillance within the ...

Report
Sep 1, 2022

MSMR Vol. 29 No. 09 - September 2022

.PDF | 2.12 MB

A monthly publication of the Armed Forces Health Surveillance Division. This issue of the peer-reviewed journal contains the following articles: Surveillance trends for SARS-CoV-2 and other respiratory pathogens among U.S. Military Health System Beneficiaries, Sept. 27, 2020 – Oct. 2,2021; Establishment of SARS-CoV-2 genomic surveillance within the ...

Report
Jul 1, 2022

MSMR Vol. 29 No. 07 - July 2022

.PDF | 1.67 MB

A monthly publication of the Armed Forces Health Surveillance Division. This issue of the peer-reviewed journal contains the following articles: Surveillance trends for SARS-CoV-2 and other respiratory pathogens among U.S. Military Health System Beneficiaries, Sept. 27, 2020 – Oct. 2,2021; Establishment of SARS-CoV-2 genomic surveillance within the ...

Report
Jun 1, 2022

MSMR Vol. 29 No. 06 - June 2022

.PDF | 3.07 MB

A monthly publication of the Armed Forces Health Surveillance Division. This issue of the peer-reviewed journal contains the following articles: Absolute and relative morbidity burdens attributable to various illnesses and injuries, active component, U.S. Armed Forces, 2021; Hospitalizations, active component, U.S. Armed Forces, 2021; Ambulatory ...

Report
May 1, 2022

MSMR Vol. 29 No. 05 - May 2022

.PDF | 1.25 MB

A monthly publication of the Armed Forces Health Surveillance Division. This issue of the peer-reviewed journal contains the following articles: Update: Sexually transmitted infections, active component, U.S. Armed Forces, 2013–2021; Evaluation of ICD-10-CM-based case definitions of ambulatory encounters for COVID-19 among Department of Defense health ...

Report
Apr 1, 2022

MSMR Vol. 29 No. 04 - April 2022

.PDF | 1.51 MB

A monthly publication of the Armed Forces Health Surveillance Division. This issue of the peer-reviewed journal contains the following articles: Exertional heat illness at Fort Benning, GA: Unique insights from the Army Heat Center; Update: Heat illness, active component, U.S. Armed Forces, 2021; Update: Exertional rhabdomyolysis, active component, U ...

Report
Mar 1, 2022

MSMR Vol. 29 No. 03 - March 2022

.PDF | 1.52 MB

A monthly publication of the Armed Forces Health Surveillance Division. This issue of the peer-reviewed journal contains the following articles: Update: Malaria, U.S. Armed Forces, 2021; Obesity prevalence among active component service members prior to and during the COVID-19 pandemic, January 2018–July 2021; Brief report: Refractive surgery trends ...

Report
Feb 1, 2022

MSMR Vol. 29 No. 02 - February 2022

.PDF | 1.10 MB

A monthly publication of the Armed Forces Health Surveillance Division. This issue of the peer-reviewed journal contains the following articles: Diagnosis of hepatitis C infection and cascade of care in the active component, U.S. Armed Forces, 2020; A new approach to categorization of ocular injury among U.S. Armed Forces; Surveillance snapshot: ...

Report
Jan 1, 2022

MSMR Vol. 29 No. 01 - January 2022

.PDF | 1.23 MB

A monthly publication of the Armed Forces Health Surveillance Division. This issue of the peer-reviewed journal contains the following articles: Description of a COVID-19 Beta variant outbreak, Joint Base Lewis-McChord, WA, February–March 2021; COVID-19 and depressive symptoms among active component U.S. service members, January 2019–July 2021; ...

Report
Dec 1, 2021

MSMR Vol. 28 No. 012 - December 2021

.PDF | 1.62 MB

A monthly publication of the Armed Forces Health Surveillance Division. This issue of the peer-reviewed journal contains the following articles: Update: Osteoarthritis and spondylosis, active component, U.S. Armed Forces, 2016–2020; Incident COVID-19 infections, active and reserve components, 1 January 2020–31 August 2021; Surveillance snapshot: ...

Skip subpage navigation
Refine your search
Last Updated: February 25, 2025
Follow us on Instagram Follow us on LinkedIn Follow us on Facebook Follow us on X Follow us on YouTube Subscribe to updates from the MHS