Background: It is crucial to timely diagnose hearing impairments in infants as early intervention can lead to decrease in morbidity and better prognosis. This study was conducted as an attempt to find the incidence of hearing loss among high risk neonates, normal neonates and associated risk factor that can impair hearing in newborn. Aims & Objective: Screening of normal newborn delivered in our hospital to assess hearing. Material & methods: It was a descriptive study. A total no. of 1052 babies delivered in our hospital were screened for hearing assessment by 2 staged OAE screening and those who failed the second stage OAE were subjected to diagnostic Brain Stem Evoked Response Audiometry. The data was analyzed and results were compiled. These results were compared with other studies to identify the most likely risk factor associated with childhood hearing impairment. Results: Among 1052 babies, 254 babies had risk factors for hearing impairment and 20 babies (7.8%) showed hearing impairment, while out of 798 patients without risk factors 9 babies (1.12%) showed hearing impairment. Conclusion: OAE can be used as a neonatal screening tool as well as for the evaluation of a suspected pediatric population to help diagnose childhood hearing impairment at a very early stage, allowing for the rehabilitation the child within the critical period for speech and language development.