Daily Noise Exposure Research Articles

Health Risks Due to Co-Exposure to Noise and Respirable Crystalline Silica Among Workers in the Open-Pit Mining Industry—Results of a Preliminary Study

Occupational exposure to carcinogenic respirable crystalline silica and noise requires a deeper understanding and an assessment of the possible health risks caused by their combined action. Data on individual exposure to respirable crystalline silica (RCS) and occupational noise (ON) was collected among 44 open-pit miners. The study group was divided into two groups according to the job tasks performed. The individual exposure, exceeding of maximum admissible concentration/intensity, and predicted hearing thresholds (HTs) (according to ISO 1999:2013) were compared between the groups directly participating in the technological process (group 1; N = 23) and performing auxiliary, supervising, or laboratory activities (group 2; N = 21). All the analysed indices were significantly higher for group 1; therefore, the job category may predict ON and RCS exposure among open-pit miners. A statistically significant relationship (rs = 0.66, p < 0.05) was found between the time-weighted average (TWA) 8 h RCS and individual daily noise exposure levels. Exposure to noise in the course of employment causes the risk of hearing impairment (mean HTs for 2, 3, and 4 kHz > 25 dB) up to 74% and 4.4% (in the case of groups 1 and 2, respectively). Further studies are needed before conclusions concerning the effects of co-exposure to ON and RCS on open-pit miners can be made.

Noise in operating theatres, is it safe?

Noise-Induced Hearing Loss (NIHL) is a condition caused by repeated exposure to loud noise, with operating theatre personnel potentially at risk. The aims of this study were to establish the typical noise levels in orthopaedic theatres and to compare these to The Control of Noise at Work Regulations 2005. We measured the average noise levels in 40 trauma and orthopaedic surgeries in a single centre. We used the Decibel X app to take measurements, then performed corrections to ascertain noise levels at the surgeon's ear (Leq). The daily noise exposure level for theatre staff for each procedure (LEP, d) and the LEP, d over an average 8-hour working day when performing different groups of procedures were calculated. Data were analysed using descriptive statistics, ANOVA, t-test and the Pearson coefficient of correlation. The LEP, d lower action value (80 dBA) as set by the Health and Safety Executive (HSE) was met by performing a single revision total knee replacement or a right open ankle debridement. Assuming three procedures are conducted per list, lists consisting of joint replacements (82 dBA) or medium elective procedures (81 dBA) exceed this lower limit. Additionally, lists comprising large and medium bone fractures would be within 1 dB of the limit (79 dBA and 79 dBA, respectively). Soft tissue (74 dBA), arthroscopic (73 dBA), and small bone fracture (71 dBA) procedures had the lowest LEP, d. The greatest contributors to noise levels were surgical instruments. The number of people in the room made a significant difference to noise levels (p = 0.032). We have established the baseline noise levels in various orthopaedic procedures. Measures should be taken to meet UK regulations. Further research should determine suitable measures for protection from hearing damage for theatre staff and evaluate the risks high noise levels pose to patients.

Sources of noise exposure across Australian workplaces: cross-sectional analysis and modelling the impact of a targeted noise-source reduction initiative.

Workplace noise regulations and guidance follow the hierarchy of control model that prioritizes eliminating or reducing noise at its source. To determine the main sources of workplace noise exposure in the Australian working population and estimate the reduction of workers exposed over the noise limit (LAeq,8h > 85 dB) if noise levels of specific tools or equipment were reduced by 10 dB. Information on the tools used and tasks performed during each participant's last working shift was collected from 4,977 workers via telephone survey. Using a predetermined database of task-based noise levels, partial noise exposures (Pa2h) were determined for each noisy activity performed by the workers and their daily noise exposure level (LAeq,8h) was estimated. Partial exposures were categorized into 15 tool/task groups and the tally, average, and sum (Pa2h) for each group were calculated. The impacts of 5 different scenarios that simulated a reduction of 10 dB in noise emissions for specific tool groups were modelled. Powered tools and equipment were responsible for 59.3% of all noise exposure (Pa2h); vehicles for 10.6%; mining, refineries, and plant equipment for 5.1%; and manufacturing and food processing for 4.2%. Modelling demonstrated that a 10 dBA noise-level reduction of all powered tools and equipment would lead to a 26.4% (95% confidence interval: 22.7% to 30.3%) reduction of workers with an LAeq,8h > 85 dB. This could represent over 350,000 Australian workers no longer exposed above the workplace limit daily. A universal reduction of 10 dB to power tools and equipment would substantially reduce the future burden of hearing loss, tinnitus, workplace injuries, and other health effects. Initiatives to reduce the noise emissions of specific powered tool groups are warranted.

Evaluation of Noise Levels in Flour Factories in Terms of Occupational Health and Safety

This study aims to determine the daily noise exposure levels in flour mills and evaluate the effects on the health and safety of workers. The study measured the equivalent sound pressure levels of workers exposed in two flour mills operating in Konya province in dBA. The factories include machines with high noise levels, such as sifters, sieves, and rollers. A Type-2 class sound pressure level meter was used in the measurements taken in accordance with ISO 9612: 2009 standard. Based on the measured values, the A-weighted equivalent sound pressure levels were determined, and the daily personal noise exposure levels were calculated taking into account the working hours. It was determined that the equivalent sound pressure levels and the daily individual noise exposure levels of the workers were in the range of 88.2-97.7 dBA and 87.9-97.4 dBA, respectively, and above the minimum daily personal exposure limit (80 dBA) specified in the legislation. As a result of the study, it was evaluated that the noise in flour mills can negatively affect the health and safety of workers as well as their job performance.

Using Problem-Based Learning (PBL) in an Undergraduate Ergonomics Course

Ergonomics courses typically cover a range of topics related to the design and organization of workplaces to optimize human performance and well-being while minimizing injury risk and discomfort. This study introduces the PBL application steps to attract attention to the importance of noise not only in workplaces but also in daily life. The driving question is determined as “How can we assess and minimize the perceived daily noise exposure of people to sustain hearing health?”. Then, the students are asked to evaluate the PBL activities at the end of the term. Among the students who completed all activities, 60% strongly agreed, 32% agreed that PBL contributed to the understanding of the subject, and only 8% stated that PBL didn’t make a significant contribution when learning the topic of concern. The PBL framework developed for “noise” has the potential to be enhanced and adapted for other topics in this course.

Evaluation of Noise Exposure and Hearing Threshold Levels Among Call Centre Operators

The aim of this study was to evaluate the hearing status of call centre operators in relation to their noise exposure. Conventional pure-tone audiometry and extended high-frequency audiometry were performed in 49 workers, aged 22–47 years (mean ± SD: 32.0 ± 6.0 years), working in call centre from 1.0 to 16.5 years (mean ± SD: 4.7 ± 2.9 years). Questionnaire inquiry aimed at collecting personal data, the information on ommunication headset usage habits, self-assessment of hearing ability and identification of risk factors for noise-induced hearing loss were also carried out. Sound pressure levels generated by the communication headset were determined using the artificial ear technique specified in CSA Z107.56-13 (2013) standard. The background noise prevailing in offices was also measured according to PN-N-01307 (1994) and PN-EN ISO 9612 (2011). Personal daily noise exposure levels in call centre operators varied from 66 to 86 dB (10–90th percentile). About half of the study subjects had normal hearing in the standard frequencies (from 250 to 8000 Hz) in both ears, while only 27.1% in the extended high-frequencies (9–16 kHz). Moreover, both high-frequency and speech-frequency hearing losses were observed in less than 10% of audiograms, while the extended high-frequency threshold shift was noted in 37.1% of analysed ears. The hearing threshold levels of call centre operators in the frequency of 0.25–11.2 kHz were higher (worse) than the expected median values for equivalent (due to age and gender) highly screened population specified in ISO 7029 (2017). Furthermore, they were also higher than predicted for 500–4000 Hz according to ISO 1999 (2013) based on the results of noise exposure evaluation.

Investigation of Job Stress among Urban Bus Drivers Concerning Daily Noise and Vibration Exposure

Background and Objective: Bus drivers are exposed to harmful agents such as noise and vibration, which may increase the level of job stress among them. This study aimed to evaluate job stress among urban bus drivers concerning daily noise and vibration exposure. Materials and Methods: This cross-sectional study was conducted on 103 urban bus drivers in Hamadan in 2020. The drivers' exposure to noise and vibration was measured using Svan 104 and Svan 106, respectively. Their job stress was measured through the Phillippe L. Rice questionnaire. Data analysis was performed using SPSS (version 24). Results: The mean exposure of drivers to noise was 79.50 ± 3.51 dB. Their exposure levels to whole-body vibrations (WBV) and hand-arm vibrations (HAV) were 0.62 ± 0.16 and 0.44 ± 0.06 m/s2, respectively. Moreover, most drivers (87.4%) had severe job stress. A significant positive relationship was observed between noise and job stress (P=0.021), whereas there was no significant relationship between WBV, HAV, and job stress. Conclusion: Regarding the high prevalence of severe job stress among bus drivers and the positive correlation between noise and job stress, it is highly recommended that noise exposure be subsided through periodic services and maintenance, as well as using new buses instead of the old ones.

A Comparison between the Latest Models of Li-Ion Batteries and Petrol Chainsaws Assessing Noise and Vibration Exposure in Cross-Cutting

Chainsaw operators are exposed to many hazards that can lead to health problems. The two most frequently documented ergonomics threats in the use of chainsaws are noise and vibration exposure. Since the use of battery chainsaws is increasing due to the growing improvements in battery life and power, the study aims to compare the difference in terms of noise emission and vibration levels of the following two new models of chainsaws: the battery-powered Stihl MSA 300 and the petrol-powered Stihl MS 261 C-M. Black pine and European beech logs were cross-cut in order to evaluate both noise and vibration exposure. The results show that the use of battery-powered chainsaws, in comparison to the petrol one, can reduce the daily vibration exposure by more than 51% and the noise dose by 11%. The daily vibration exposure of 1.60 ms−2 and 1.67 ms−2 measured for the battery-powered chainsaw on Black pine and on European beech, respectively, is far from the daily exposure action value set by the EU directives for health and safety requirements (2.5 ms−2). On the contrary, the daily noise exposure for the battery chainsaw was 93 dB(A), exceeding the upper exposure action value of 85 dB(A).

Identification of Noise Levels for Skill Training Activities, Equipment, Machines and Power Tools at TVET Institutes in Malaysia.

The use of various machines, equipment and power tools at TVET Institute causes the institute's environment to be exposed to noise hazards that are similar to the industry. However, not much data has been published regarding noise exposure at TVET institutes. This study was carried out to document the noise exposure of work activities training in public TVET institutes in Malaysia that implement skill training programs in metal fabrication, furniture manufacturing and automotive maintenance. The identification of excessive noise, task-based noise exposure monitoring and source measurement was conducted. The noise contribution from each work activity to the daily A-weighted noise exposure level and sound pressure level emitted by machines and equipment was documented. The findings of this study recorded 20 activities with task-based noise contribution to the daily A-weighted noise exposure level between 75.3 dB and 95 dB. Based on the findings, the training environment at the TVET institutes has a risk of operating with excessive noise. The documented data can be used in planning the implementation of suitable noise control measures in TVET institutes.

Noise exposure and hearing status among employees using communication headsets.

The objective of this study was to assess the hearing of employees using communication headsets with regard to their exposure to noise. The study group comprised 213 employees, including 21 workers of the furniture industry, 15 court transcribers and 177 call center operators, aged 19-55 years, working with headsets for a period of up to 25 years. All the participants underwent a standard puretone audiometry, extended high-frequency audiometry (EHFA) as well as transient-evoked otoacoustic emissions (TEOAEs) and distortion-product otoacoustic emissions (DPOAEs). Noise exposure from headsets was evaluated using the microphone in a real ear technique according to PN-EN ISO 11904-1:2008. Personal daily noise exposure levels ranged 57-96 dB and exceeded 85 dB only in 1.4% of the call center operators. Forty-two percent of the participants had bilateral normal hearing in the standard frequency range of 250-8000 Hz, and 33% in the extended highfrequency range of 9-16 kHz. It was found that DPOAEs were present bilaterally in 59% of the participants. Reproducibility of TEOAE at >70% and signal-to-noise ratio at >6 was exhibited by 42% and 17% of them, respectively. The 3 subgroups of workers differed in age, gender, noise exposure and type of headsets in use. However, after adjusting for age and gender, significant differences between these subgroups in terms of hearing were mostly visible in EHFA. A significant impact of age, gender, daily noise exposure level and current job tenure on hearing tests results was also noted among the call center operators and the transcribers. The most pronounced were the effects of age and gender, whereas the impact of the daily noise exposure level was less evident. It seems that EHFA is useful for recognizing early signs of noise-induced hearing loss among communication headset users. However, further studies are needed before any firm conclusions concerning the risk of hearing impairment due to the use of such devices can be drawn. Int J Occup Med Environ Health. 2022;35(5):585-614.

Assessment of Occupational Noise Generation and Associated Noise-Induced Hearing Loss among Employees of a Black Tea Processing Factory in Darjeeling District, India.

Exposure to high levels of noise is a problem among tea factory workers worldwide, but it is poorly studied in India. This study aimed to assess noise generation in various parts of a black tea factory and find out prevalence of occupational noise-induced hearing loss (ONIHL) and its determinants among employees. An observational cross-sectional study was performed in a black tea processing factory of Darjeeling District. Noise levels and exposure data at different parts of the factory were measured using a sound level meter. Participant characteristics were obtained using a questionnaire and noise-induced hearing loss data obtained by audiometry. A sound map was generated based on noise exposure data and a multivariable logistic regression performed to assess determinants of ONIHL. Sound pressure levels ranged from 58.7 to 90.3 dBA, with the highest levels in the crushing-tearing-curling (CTC) room. Noise exposure of workers was the highest during curling process and the lowest during packaging in the packing room. The prevalence of ONIHL was found to be 28.3%, most of which were of moderate degree, and the highest prevalence was among CTC room workers. Multivariable analysis showed significant association only between daily noise exposure and the presence of ONIHL (AOR 1.68, P value = 0.018). None of the study participants used any hearing protection equipment during work. Generation of high levels of noise is a pertinent problem in the black tea factory, which, coupled with non-use of personal protective equipment, led to a high risk and prevalence of ONIHL.

Noise Mapping, Prevalence and Risk Factors of Noise-Induced Hearing Loss among Workers at Muscat International Airport.

Noise-induced hearing loss (NIHL) is a common occupational hazard and a major cause of deafness among airport workers. However, few studies have been conducted to investigate the various risk factors related to hearing loss. Purpose: the purpose of this study was to measure the prevalence and risk factors of NIHL among Muscat International Airport airside workers. Method: Their daily noise exposure level at the airport was measured, and the time-weighted average (TWA) was calculated for each airside department. A cross-sectional study design involving 312 workers from the eight departments of the airport was chosen and the prevalence of NIHL among workers was assessed. The study participants then completed a self-administered questionnaire that covered their socio-demographic characteristics, occupational exposure history and the health-related risk factors of NIHL. Results: The TWA recorded for the workers was above the accepted limit in some departments, namely, cabin appearance, ramp, line maintenance and hangar. The prevalence of NIHL among participants was 21.79% (n = 68). Of these 68 participants with NIHL, 22.30% were exposed to job-related high noise levels. NIHL was common among participants aged 40 or above (57.35%, n = 39) and high school degree holders (29.60%, n = 29), as well as those who were exposed to higher noise levels (84.89%, n = 191) or who did not wear their hearing protection devices (HPDs) regularly (53.65%, n = 125). Conclusion: around a quarter of our study participants who were exposed to high noise levels suffer from NIHL.

The Interrelationship of Tinnitus and Hearing Loss Secondary to Age, Noise Exposure, and Traumatic Brain Injury.

Tinnitus has been the No. 1 disability at the Veteran Administration for the last 15 years, yet its interaction with hearing loss secondary to etiologies such as age, noise trauma, and traumatic brain injuries remains poorly characterized. Our objective was to analyze hearing loss and tinnitus, including audiogram data, of the Million Veteran Program within the context of military exposures in an aging population. Health records, questionnaires, audiograms, and military data were aggregated for 758,005 Veteran participants in the Million Veteran Program 2011 to 2020, with relative risks (RR) calculated for ancestries, sex, hearing loss and military exposures such as combat, blast, and military era served. A multivariate model with significant demographic measures and exposures was then analyzed. Next, audiogram data stratified by sex were compared for those with and without tinnitus by two methods: first, mean thresholds at standard frequencies were compared to thresholds adjusted per ISO 7029:2000E age and sex formulae. Second, levels for those ≤40 years of age were compared with those 41 and older. Finally, a proportional hazards model was examined to ascertain the timing between the onset of tinnitus and hearing loss, calculated separately for electronic health record diagnoses (ICD) and self-report. Tinnitus was either self-reported, diagnosed, or both in 37.5% (95% CI, 37.4 to 37.6), mean age 61.5 (95% CI, 61.4 to 61.5), range 18 to 112 years. Those with hearing loss were 4.15 times (95% CI, 4.12 to 4.15) as likely to have tinnitus. Americans of African descent were less likely to manifest tinnitus (RR 0.61, 95% CI, 0.60 to 0.61), as were women (RR 0.65, 95% CI, 0.64 to 0.65). A multivariate model indicated a higher RR of 1.73 for traumatic brain injury (95% CI, 1.71 to 1.73) and daily combat noise exposure (1.17, 95% CI, 1.14 to 1.17) than age (0.998, 95% CI, 0.997 to 0.998). Subjects ≤40 years of age had small but significantly elevated hearing thresholds through all standard frequencies compared to Veterans without tinnitus, and the effect of tinnitus on hearing thresholds diminished with age. In the hazard model, those >40 with new onset of tinnitus were at risk for hearing loss sooner and with greater incidence than those who were younger. The rate of hearing loss following tinnitus approached 100%. In contrast, only approximately 50% of those who self-reported hearing loss initially were at risk for later hearing loss, in contrast to ICD comparison, where those with ICD of hearing loss were more likely to sustain an ICD of tinnitus subsequently. Evidence suggests that the occurrence of tinnitus in the military is more closely related to environmental exposures than to aging. The finding that tinnitus affects hearing frequencies across the audiogram spectrum suggests an acoustic injury independent of tonotopicity. Particularly for males >40, tinnitus may be a harbinger of audiologic damage predictive of later hearing loss.

Noise Exposure in Olive Harvest Mechanization

The purpose of this study was to determine the daily noise exposure levels in olive harvesting and to evaluate its effects on employees' health. The sound pressure levels (dBA) at the ear level of the employees were measured during olive harvest operations performed by hand-held, self-propelled and tractor-driven machines. It was determined that equivalent sound pressure levels and daily personal noise exposure levels at the operator ear level were in the range of 74-88 dBA and 66-82 dBA, respectively. These values for other employees ranged from 71 to 81 dBA and 65 to 75 dBA. It was determined that the hand-held and tractor driven machines driven by internal combustion engines had higher noise parameters compared to other machines, and the lower exposure action value was exceeded in these machines. The study showed that the health and work efficiency of the employees could be adversely affected, due to prolonged exposure during olive harvest activities.

Occupational noise exposure and risk of incident stroke: a pooled study of five Scandinavian cohorts

ObjectivesTo investigate the association between occupational noise exposure and stroke incidence in a pooled study of five Scandinavian cohorts (NordSOUND).MethodsWe pooled and harmonised data from five Scandinavian cohorts resulting in...

Development and initial validation of the Chinese Version of the Noise Exposure Questionnaire (C-NEQ)

BackgroundWith a high prevalence of noise-induced hearing loss (NIHL), the noise survey tools for identifying individuals with high risk of NIHL are still limited. This study was aimed to translate and develop a Chinese version of noise exposure questionnaire (C-NEQ), and validate its reliability and reproducibility.MethodsThis study was conducted from May 2020 to March 2021 in China. The questionnaire was translated from the original NEQ and adapted into Chinese culture using the method according to the International Test Committee. Content validity was evaluated by our expert group. Construct validity and reliability of the C-NEQ was determined through estimating the confirmatory factor analysis and Cronbach’s alpha in a cross-sectional analysis among 641 Chinese speaking adults, respectively. The retest reproducibility of the C-NEQ was analyzed by using the intra-group correlation coefficient (ICC) in a follow-up analysis among 151 participants.ResultsThe C-NEQ comprises ten items covering four domains: occupational, housework, transport and recreational noise exposure. The annual noise exposure (ANE) was calculated as the protocol of original NEQ. A total of 641 adult participants (aged 26.9 ± 10.1 years, 53.4% males) completed the C-NEQ. The average time for completing the C-NEQ was 4.4 ± 3.0 min. Content validity indicated high relevance of the C-NEQ. The confirmatory factor analysis indices illustrated that the items of the C-NEQ were suitable with the data in the study. For the internal reliability, the Cronbach’s α coefficients of the total items and four domains (occupational, housework, transport, and recreational noise exposure) were 0.799, 0.959, 0.837, 0.825, and 0.803, respectively. Among them, 151 participants (aged 36.1 ± 11.1 years, 65.6% males) completed the retest of the C-NEQ 1 month after the first test. The ICC value of total ANEs between the first test and the second test was 0.911 (P < 0.001).ConclusionsIn this study, we have validated the C-NEQ with adequate reliability and reproducibility for quantifying an individual’s annual daily noise exposure, which provides an effective fast-screen tool for researches and clinics to identify those individuals with high risks of NIHL within the short time duration (no more than five minutes) among Chinese population.

Too Loud: Noise Exposure in Everyday Life is Causing Hearing Loss

Too Loud: Noise Exposure in Everyday Life is Causing Hearing Loss

Temporal Alterations to Central Auditory Processing without Synaptopathy after Lifetime Exposure to Environmental Noise.

People are increasingly exposed to environmental noise through the cumulation of occupational and recreational activities, which is considered harmless to the auditory system, if the sound intensity remains <80dB. However, recent evidence of noise-induced peripheral synaptic damage and central reorganizations in the auditory cortex, despite normal audiometry results, has cast doubt on the innocuousness of lifetime exposure to environmental noise. We addressed this issue by exposing adult rats to realistic and nontraumatic environmental noise, within the daily permissible noise exposure limit for humans (80dB sound pressure level, 8h/day) for between 3 and 18months. We found that temporary hearing loss could be detected after 6 months of daily exposure, without leading to permanent hearing loss or to missing synaptic ribbons in cochlear hair cells. The degraded temporal representation of sounds in the auditory cortex after 18months of exposure was very different from the effects observed after only 3 months of exposure, suggesting that modifications to the neural code continue throughout a lifetime of exposure to noise.

Vibration and Noise Exposure during Pre-Commercial Thinning Operations: What Are the Ergonomic Benefits of the Latest Generation Professional-Grade Battery-Powered Chainsaws?

In order to compare the vibration and noise exposure of STIHL’s battery-powered MSA 220 C and the combustion driven MS 201 C, a professional operator was monitored during a pre-commercial thinning operation in a twenty-year-old hardwood stand. The vibration levels were measured with a tri-axial accelerometer on the front and rear handle of both the chainsaws, and assigned to five different work elements using a video documentation. Additionally, noise levels were recorded in one-minute intervals, with a dosemeter worn by the operator. The results show that battery-powered chainsaws, when compared to combustion-driven chainsaws, can reduce the daily vibration exposure by more than 45% and the noise dose by about 78.4%, during pre-commercial thinning tasks. Replacing combustion-driven chainsaws with battery-powered ones is therefore generally recommended, to reduce occupational health risks for operators, in this respect. However, the daily vibration exposure of about 2.42 m/s2, caused by the battery-powered chainsaw on the front handle, is still very close to the daily exposure action value set by the EU directives for health and safety requirements. The daily noise exposure of 89.18 dB(A) even exceeds the upper exposure action value. Consequently, a further reduction in the vibration exposure during work is desirable. With respect to noise exposure, additional measures must be implemented for conformity with the current safety standards, making the use of hearing protectors mandatory for electric chainsaws, too.

Evaluation of sound levels in elective orthopaedic theatres during primary hip and knee arthroplasty

BackgroundOrthopaedic surgery involves tools which could cause noise-induced hearing loss in theatre staff. Threshold levels for occupational noise exposure have been developed in the U.K., above which action is required to reduce exposure. The aims of our study were to determine whether equivalent continuous sound pressure levels during elective arthroplasty can be measured using readily available materials, and to assess whether noise exposure levels stand within acceptable occupational noise exposure levels. Materials and methodsSound pressure levels of orthopaedic saws were recorded using the MicW i436 connected to an iPhone 4S and the iOS SoundMeter application, and using a professional sound meter.Equivalent sound pressure levels were recorded for total hip replacement (THR) and total knee replacement (TKR) using the MicW i436 SoundMeter application. Data obtained was then used to calculate a “worst case” daily exposure value to assess if sound levels were compliant with U.K. guidelines. ResultsSound pressure levels recorded using the MicW i436 and Soundmeter application were accurate compared to professional soundmeter readings. THR showed equivalent sound pressure levels (LAeq) of 77 dBA and TKR showed a LAeq of 80 db. Calculated “worst case” scenarios for daily noise exposure using these values did not meet the lower exposure action values set out by U.K. guidelines. ConclusionsIt is possible to accurately measure continuous sound pressure levels during elective orthopaedic surgery using readily available materials. Noise exposure values during TKR meet lower exposure action values, and when “worst case” daily exposure levels are calculated this level is still lower than the threshold.