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Hearing Protection
Hearing Protection
Hearing Protection
LIPPERT
& AMANDA M. LIPPERT
The electrical
hazard you
don’t “hear”
about!
ishing
ram publ
sed by ing en
image lic
1077-2618/16©2016IEEE
loss in over 10 million American ed into a nervous impulse that can be
workers every year, despite the fact
that this injury is completely prevent-
MANY PEOPLE processed by the brain [5], [6]. To
better understand this concept, this
able [2]. Additionally, the U.S. Bureau DO NOT article will describe the hearing pro-
of Labor Statistics reported that hear- cess in more detail.
ing loss represents 12% of occupation- UNDERSTAND The processing of hearing begins
al illnesses reported in 2010 [3]. with the pinna, or the outer, visible
Even with these alarming statistics, THAT THEIR portion of the ear, which is used as a
many people do not understand that funnel to capture and direct sound
their hearing is valuable and needs HEARING is a vibrations into the ear canal as well as
protection because of its delicacy. The
early warning signs of hearing loss
valuable yet assist with localizing sounds. Next, the
sound vibrations reach the external por-
(such as tinnitus or ringing in the ears) delicate sense tion of the ear canal, called the external
are often ignored because hearing loss auditory canal, which resonates and
is a slow and often painless process. that they amplifies sounds [5]. The external audi-
Hearing loss frequently is not consid- tory canal makes up the first two-thirds
ered an issue until it starts to interfere damage with of the ear canal and is a cartilaginous
with one’s work or social life [1], [4]. structure covered in hairy skin and pro-
It is not as simple as “turning up the regularity. tective cerumen, or earwax [6]. The
volume” because hearing loss can also canal is curved in a slight S-shape as
cause an inability to understand basic another protective measure to keep out
speech perception and even affect a person’s balance. Cer- foreign objects [5]–[7].
tain types of hearing loss cannot be corrected with a hear- At the end of the external auditory canal, the sound
ing aid. vibration meets the tympanic membrane, which is com-
This article explores the physiological aspects of the monly known as the eardrum. This marks the beginning
hearing process in relation to the effects of hearing loss on of the middle ear and is a very delicate structure, only
one’s personal life and the associated hearing hazards of arc 0.10-mm thick [5], [6]. Shaped somewhat like a loud-
flashes in the electrical industry. Examples showing why speaker cone, this membrane is covered by a thin layer of
hearing should be considered as part of an electrical safety skin facing the outer ear and a stiffening fibrous middle
program are cited, and potential methods for reducing the layer on the inner surface [5], [7]. The acoustic energy of
hazard are discussed. The article is a collection of informa- the sound vibrations reaches the tympanic membrane
tion from numerous referenced industry papers that and, because of the slight changes in air pressure brought
IEEE Indus try A pplicat ion s M agazin e • may |J u ne 2016 • www.ieee.or g/ia s
focused on hearing and others that focused on electrical about by the vibrations, causes the tympanic membrane
hazards. It combines extracted concepts to make the to vibrate similarly to a drum skin, translating the acous-
understanding of their interrelationships easy to apply to tic energy into mechanical energy [5]–[7]. This move-
our everyday lives. ment is conducted from the tympanic membrane to the
ossicles, which are the three smallest bones in the human
Physiological Aspects of Hearing body. These bones, the malleus, incus, and stapes, amplify
The human ear (Figure 1) is an intricate instrument that (by approximately 31 dB [6]) and translate movement of
acts as a microphone for bodies to perceive the sound the tympanic membrane to the cochlea in the inner ear.
around them. It requires the manipulation of a physical The middle ear space containing these bones also connects
vibration into an electrical signal, which is then translat- to the eustachian tube, which is the air-filled cavity
responsible for maintaining consistent air pressure that is
equal to the air pressure in the environment. This equal-
ization action is more commonly known as “popping your
Stapes
(Attached to
ears” [5], [7].
Oval Window) Semicircular Once the energy of the tympanic membrane move-
Canals ment has been transferred through the malleus and incus,
Incus the stapes bone advances the movements via a “footplate”
Malleus Vestibular
Nerve on the cochlea. This footplate is a flat bone that covers the
oval window (an opening into the vestibule of the
cochlea) and articulates the continued movement of the
Cochlear ossicles to the cochlea via the stapediovestibular joint [5],
Nerve [6]. The cochlea is a bony, fluid-filled structure shaped
External Cochlea like a snail shell. In transferring the movement of the sta-
Auditory Canal Tympanic pes to the vestibule of the cochlea, the mechanical energy
Cavity
Tympanic Eustachian Tube of the sound is transferred to hydraulic energy. It is only a
Membrane Round 0.2-mm fluid movement in the cochlea that causes a neu-
Window rochemical event that excites up to 30,000 hair cells.
1 These inner hair cells in turn transduce their vibration
46
The human ear (from [8], used with permission). into nerve impulses using approximately 19,000
nerve fibers that send this impulse to also occur suddenly [9], [10], such as
the brain. The most from a single loud arc-flash event! Hear-
As part of the inner ear, the ves- ing loss related to electrical injury is fur-
tibular system contained in the semi- common ther explored later in this article.
circular canals is responsible for
maintaining balance in the body. cause of What Does Hearing
Information about both hearing and Loss Mean?
balance is sent via afferent nerves to sensorineural Although the anatomical and physio-
different parts of the brain. Informa- logical properties of hearing loss can be
tion from the brain is sent via effer- hearing loss discussed in intricate detail, this infor-
ent nerves, creating an active
feedback loop. The brain’s interpreta-
is noise. mation is useless unless people under-
stand how it applies to them. Common
tion of the neural impulses produces environmental sounds, such as a crying
information about frequency (pitch), baby, a piano being played, a running
intensity (loudness), and temporal aspects (e.g., timing lawn mower, a music concert, and an airplane taking off,
and use of pauses) for the brain to analyze and for the are all visually represented in Figure 2 in relation to their
body to respond to appropriately [5]–[7]. average pitch (frequency) and loudness (intensity). They
are also depicted in degrees of hearing loss and minimum
Hearing Damage level for hearing protection. The American English speech
As stated previously, the ear has multiple defenses to sounds are shown in the yellow shaded area, which is
protect itself from foreign objects, including the curved sometimes referred to as “the speech banana.” It is a
shape of the ear canal and the use of cerumen (earwax) to “range” of perceptible speech frequencies and intensities
protect the ear canal and eardrum. However, damage to whose exact values vary from person to person.
the ear can still happen, resulting in temporary and/or The Occupational Safety and Health Administration
permanent hearing loss. One common type of hearing (OSHA) [12] has extensive information concerning sound
loss results from damage to the outer hair cells in the exposure levels, durations, and protection required, includ-
cochlea [5]–[7]. ing an 8-h limit of an average 85-dB level. For every increase
According to ASHA, there are three main types of hear- of 3 dB in noise level, the safe exposure time is decreased by
ing loss: conductive, sensorineural, and mixed. Conductive approximately half. A Portuguese survey [4] was conducted
hearing loss involves the inability of sound energy to easily of workers from different industrial companies whose 8-h
flow through the ear, such as with fluid in the middle ear noise exposures exceeded this 85-dB limit. Although 45% of
from allergies or a cold, swimmer’s ear, and a punctured ear- the workers responded that they never use hearing protection
20 20
noise (i.e., noise-induced hearing loss).
Because of the nature of this damage, 30 30
Mild
th
Degree of Hearing Loss
f
sensorineural hearing loss cannot be 40
v p k s
40
medically or surgically corrected, i j uz b u h
d
m n a o ch g
Moderate
100 100
over time, whereas sudden hearing loss
occurs quickly, sometimes after a sin- 110 110
gle incident [9]. The focus of this arti-
120 120
cle is sensorineural hearing loss, which
is often progressive in nature. Howev- 2
Common environmental sounds (from [11], used with permission).
47
er, it is important to note that it can
are mandatory in these workplaces, 27% can lead to depression or increased
reported wearing hearing protection The National social withdrawal.
devices all the time. The study further Social withdrawal is also a prevalent
revealed that the workers’ perception of Library of result of hearing loss. With hearing
the potential risk was the most signifi- loss, it is common to miss portions of
cant factor in determining whether they Medicine jokes or stories, and the person laughs
would wear their hearing protection along with others simply to avoid
devices. However, it also revealed that provides appearing “out of the loop.” Addition-
workers are generally poor judges of the ally, family and friends may believe
risk factor. One of the objectives of this simple that individuals with hearing loss are
article is to change that perception.
Many people do not realize that
guidelines for having memory troubles, but they are
actually struggling because they sim-
hearing loss results in more than turn- maintaining ply are not hearing all of the informa-
ing up the volume for the 6 p.m. tion. Many individuals with hearing
news. It makes many aspects of every- better hearing loss report the need to “listen harder”
day life very challenging, including and ask for frequent repetition during
the basic perception of speech. Because health habits in conversations, which can be mentally
sensorineural hearing loss typically exhausting and embarrassing [13].
damages the cochlea, higher frequen- everyday life.
cies are more difficult to hear, especial- Applicability to
ly the common consonants s, f, sh, and Electrical Workers
h. Because consonants are the primary components for Requirements for mandatory hearing protection have
understanding speech, the inability to hear them can been in place for a very long time. As stated previously,
make conversations incredibly difficult [13]. OSHA [12] has extensive information concerning sound
Balance can become an issue with sensorineural hearing exposure levels, durations, and protection required.
loss because it involves damage to the inner ear. The inner Although the OSHA information is general in nature
ear structure of hearing, the cochlea, is closely connected and not specific to electrical situations, it is certainly
to the vestibular system, the area that controls balance applicable. Most closely associated with arc flash is the
[5]–[7]. A lack of balance can lead to uncoordinated requirement that exposure to impulsive or impact noise
movements and increased risk of falling or dropping should not exceed 140-dB peak sound levels. Electrical
items, drastically increasing the risk of injury both at safety requirements from [15] include hearing protec-
home and in the workplace [14]. tion. Although [15] contains many more specifics related
IEEE Indus try A pplicat ion s M agazin e • may |J u ne 2016 • www.ieee.or g/ia s
Sensorineural hearing loss often greatly affects one’s to the thermal aspect of arc-flash hazards, the personal
personal life. It impacts some simple events in everyday protective equipment tables of hazard/risk categories 0–4
life, such as hearing the telephone or doorbell ringing, have contained a requirement for hearing protection (ear
watching a movie or television show, and listening to canal inserts) for several editions. The 2012 edition has
music. However, this hearing loss can have an even added a separate statement to require hearing protection
greater impact on important life moments. Because whenever working within the arc-flash boundary.
children’s voices have higher frequencies, the ability to Although many papers have been published about arc-
hear and understand them is often greatly impaired flash hazards, their main focus has typically been the ther-
with sensorineural hearing loss. Therefore, parents and mal hazard. IEEE Guide for Performing Arc Flash Hazard
grandparents often have difficulty hearing and under- Calculations [16] is recognized worldwide as a calculation
standing their children and/or grandchildren, which model. Even so, this document specifically states, “This
guide is based upon testing and anal-
ysis of the burn hazard presented by
Distribution of Peak Sound Pressure in Decibels incident energy. Other potentially
Three-Phase Arc Tests hazardous effects…have not been
168.0 considered in these methods.” Until
166.0
Peak Sound Press_dB