Background: In the year 2020, the Mineral's Council Chief Executive Officer (CEO) Zero Harm Forum (CEOZHF) reviewed the slow progress towards achieving the 2024 Occupational Health Milestones and agreed that there was a need to improve the current measures in place to reduce occupational diseases. Following discussions with Group Environmental Engineers, it was proposed to adopt key occupational health indicators for tracking progress through Continuous Real-Time Monitoring (CRTM) to reduce workplace exposures. Methods: A systematic review methodology was employed to gather data from reputable academic databases. Results: CRTM in Noise Risk Management enables an encompassing practical and intuitive analysis of building noise pollution with prompt alerts for poor acoustic comfort. Real-time graphical display of noise measurements, utilizing a warning signal framework, facilitated area-specific alerts and responses. Additionally, CRTM enabled the visualization of noise levels and sources through frequency analysis, contributing to noise pollution analysis for zoning and strategic planning in smart cities. Conclusions: While CRTM has been extensively applied in noise monitoring globally, its utilization in the mining industry, especially in South Africa, remains limited. This study underscores the feasibility of implementing CRTM in Noise Risk Management, emphasizing the need for further research within the mining industry.