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Noise is so common that we don't tend to think of it in terms of exposure
in the same way that we would, for example, with a chemical such as benzene.
Yet the treatment of hearing damage is considered to be one of the growth
industries as we enter the new century, as the "baby boomers"
age. I personally know several people in their forties who have to use
hearing aids. And with increasing age even more hearing can go. For people
who have been able to hear all their lives it is not a pleasant thing
to be cut off from the world by deafness-it can be one of the loneliest
things in the world for someone who goes deaf later in life and has trouble
compensating. Not all hearing damage is due to workplace exposure, and
in fact much damage comes from music played far too loudly, and other
recreational activities. One of the medical books I consulted had the
most marvelous electron microscope pictures of the cilia, these little
grass-like stalks that receive sound and let us hear. Noise damage destroys
the cilia and eventually the loss of hearing that results is permanent.
The incredibly graphic look of those pretty little cilia permanently blasted
into ribbons and shattered stumps by sound really made an impact on me.
If you experience tinnitus, a ringing or a similar sensation in the ears
then you probably have impaired hearing. Tinnitis is variously described
as 'ringing', a rushing or hissing sound or even a musical type of noise
(Tver and Anderson 144). About that recreational music level. I used to know a bar owner. We asked
him to lower the volume one night. He explained that it was deliberately
kept too loud because when a customer is uncomfortable and unable to hear
conversation they drink more-and the bar makes lots more money. This understanding
among bar owners was borne out some years later when a band I know was
playing in a bar. I asked them to turn the music down and they explained
they couldn't because the bar had the volume control wired directly to
the bartender and he alone controlled the volume. When we go out to a
club we always take ear plugs, and I've seen ear plugs for sale on a bartop
in Idaho-which says something important about what kind of damage we are
doing to ourselves with music. And rock musicians have bought all this
hook, line, and sinker, so that many now play their music far too loudly
as a matter of course, not understanding that doing so is just a reflection
of the capitalism of bar owners and does not, in fact, enhance their music.
And their audiences accept this state of affairs. If you applied workplace
noise guidelines to the average club, music act or bar, they would be
shut down immediately or have to hand out hearing protection at the door.
I remember seeing a James Taylor special on television and noticing the
man had hearing aids in both ears. Other well-known rock musicians have
impaired hearing from exposure to their own music
Jeff Guard, Group Safety Manager at ConAgra Malt Americas notes that,
"Here in the southern province of Washington State (in the workplace),
Walkman® personal radios are banned, mainly for two reasons. 1) You
cannot hear alarms, warnings and/or other personnel. 2) They introduce
noise directly into your ears, usually over an 85 decibel level"
(Guard, Jeff, Health and Safety list, "Re:").
That 85 decibel level is the point where health and safety experts begin
to really worry about permanent hearing damage. It is worth noting that
the way that decibels are measured means that one multiplies (not adds)
the intensity of the noise, so that, for example, "80 dB is ten times
the intensity of 70 dB" (Quinn et al
10).
Other recreational exposures to noise can contribute to hearing loss
in the workplace. It has been shown that people exposed to shooting noises
(military, competition shooting or hunting) show significant hearing loss
compared with those not exposed to shooting (Pekkarinen
545).
A rather rough guideline that I've heard is that you need hearing protection
if you have to raise your voice to be heard by someone less than two feet
away, or if you have to raise your voice to be heard in the workshop.
Also, if your ears are ringing after work, you definitely need hearing
protection. I've heard more than one person say their ears were ringing
after going to a rock concert. Electric hand tools produce sounds in the
85-100 dB range, and sound in workshops with machinery generally is between
90-100 dB (both are damaging levels). It should be noted that even if
there are intermittent noises during the work day which are over 85 dB,
then there is a risk of hearing damage, so if you can't do anything about
unexpected occasional very loud sounds, equipment screeching, hammering
etc. in the workshop, you should consider wearing hearing protection at
all times (Century 27). The best solution,
however, is to eliminate the cause of the too-loud sound by changing the
procedure, or to change your exposure to it.
In the mid-1970s, sixteen million workers in the U.S. exhibited permanent
hearing loss (Quinn et al 10). In Australia a survey of 5000 workers in
all trades showed one third had hearing loss. A study of over 700 steel
workers in Italy showed that 100% of them had hearing loss. In England
in the 1970s the loudspeaker level in movie theaters was set higher in
the industrialized north than in the south in response to the higher number
of hard-of-hearing patrons (Kinnersly 45).
If you ever go to a blacksmiths' conference, the joke (or perhaps not
a joke because it is so serious) is that they all have to shout at each
other because they are so hard of hearing, and it is true that I've never
met so many hard-of-hearing people in one place as at a large blacksmiths'
conference. The sound of drop forging can lead to a rapid loss of hearing
(Waldron 161). Ramazzini writes that
coppersmiths lose their hearing and eventually become completely deaf
(as well as being hump-backed, like gold leaf makers, from stooping bent
over their work) (438).
The things about noise that cause damage include loudness, pitch, length
of time exposed, the environment, your age, previous hearing or ear troubles,
simultaneous chemical exposures, how far the noise is from you and where
the noise is coming from relative to you. Besides deafness, noise can
cause nervousness and stress in people, really bad headaches and more.
The body's "stress reaction," releasing adrenaline and so on,
"occurs continuously in the presence of noise" (Stellman
and Daum 79). Stress, in turn, can lead to coronary heart disease,
ulcers, migraines, asthma and other problems. Sound types that produce
the greatest stress include "a lack of predictability, lack of meaningfulness,
high volume and intermittent and/or disharmonious nature" (Benowitz
476). Note that both low frequency sounds and ultrasound can produce
symptoms in people exposed to them. Ultrasonic cleaning equipment can
produce headaches, dizziness and nausea in some people (Kinnersly
60).
Noise can be a major contributor to fatigue, and fatigue is a common
cause of accidents (Fraser 22). Other problems linked with exposure to
noise include difficulties in focusing your eyes, backaches, sore muscles,
heart trouble, stomach disorders, and depression (Quinn
et al 10). Heart disease and blood vessel disorders are associated
with exposure to high levels of noise (Stellman
and Daum 33). Studies of Italian workers exposed to large amounts
of noise and vibration showed significant deterioration of their digestive
tracts (Stellman and Daum 105). Vibration
is often associated with jobs that involve noise.
It has been shown that workers in a noisy environment make more mistakes
than the same workers when the background noise has been reduced (Kinnersly
64).
There are lots of examples where people have been injured because noise
has masked a hazard, or where wearing hearing protection has stopped a
person from telling where a sound is coming from and they have then stepped
into trouble. Hearing protection causes many wearers to confuse a sound
from in front with one from behind and vice versa (Hétu
et al 503). Noise (and wearing hearing protection as a result)
can mask warning shouts from others, and it is important to remember this
when you are wearing hearing protection.
If you can find and eliminate sources of noise you will do yourself some
good. Maintain your equipment so things don't rattle. You can use acoustical
tile, muffling cabinets (this is often done with dust collection and ventilation
systems to quiet their powerful motors), add sound insulation to machine
guards, move noisy machines away from people, put felt or rubber pads
under noisy equipment, install sound barriers and so on to reduce the
level of general noise that you have going on in the workshop. Jewelry
factory suggestions include avoiding air-powered ejectors, starting to
use mechanical ejectors on production presses, using hydraulic presses
instead of drop presses, lowering speed and workloads, using plastic gears,
using backflowing blades on fans, welding machine parts instead of riveting,
muffling the machines and chutes for parts being produced, going to newer
machinery. "It is your right to work in a jewelry plant that won't
damage your hearing" (Quinn et al 11,
12).
An example of a damping device used with a tool is a slice of rubber
car inner tube with a grommet on it which is attached to the stump under
the anvil. When you are using the anvil, stretch the tube up and pull
it over the anvil horn, so that it presses tightly onto it. This will
lower the noise level somewhat. Some blacksmiths will place a powerful
magnet against the side of an anvil for the same reason.
There is some evidence that the effects of noise exposure on hearing
are made worse if you are exposed to certain chemicals (Fechters
609-621). Solvent exposure in particular has been linked with hearing
loss. Solvents used in the jewelry workshop or factory that add to hearing
loss include trichloroethylene and the much more common toluene (Johnson
and Nyéln 623-640).
The worst noises in terms of damage include high-pitched, loud and irregular
ones (Beyer et al. 55). Those kinds
of noises are often found in a jewelry workshop where we are working metals,
examples including hammering, using burs, grinders and abrasive tools
among other activities. You know the kind of screeching, high-pitched
noises I mean. Such pure tones are more dangerous than lower ones (Kinnersly
59).
You must have hearing protection available in the jewelry workshop. Ear
muffs are good, but plugs cut more sound out generally (if properly positioned),
are lighter and easy to wear. It can be difficult to put the plugs in
so they work to their best advantage, while ear muffs are easier to position
correctly to reduce sound to their maximum ability (Century
27). Individually molded ear plugs work very well for people using
them, they cost around $200.00 to have made and are a standard item ordered
by professional musicians, so you can make arrangements to have them fitted
through music shops (and rock musicians think it is OK to inflict sound
levels on their fans that they themselves wouldn't listen to?).
In factory situations, ear muffs and plugs can become hazardous if greases
or chemicals get on them and so contact your ears or ear canal. Muffs
are less easy to contaminate, but may be difficult to use if you wear
glasses. There are ear muff/face shield combinations that may be useful
at times. Factories may prefer hearing protection to changing machinery
configurations because muffs and plugs are a less expensive solution in
the short term. In general, jewelry factory workers prefer engineering
controls (changing the machines and procedures) to using muffs and plugs.
Plugs may also allow the damaging high frequencies through more than muffs
(Quinn et al 11). That means that
it is best to eliminate the sound source as much as possible rather than
using hearing protection. Rather like respirators, the need to use hearing
protection should be a warning that the procedure is too loud to begin
with and should be dampened if possible. In general, hearing protection
is seen as a last resort to deal with noise (Stellman
and Daum 113). Let's say that again: if you have to use hearing
protection, then there is something wrong with the procedure, your working
conditions and environment.
If using plugs, in general the highest protection is from individually
molded silicone rubber (15-34 dB), followed by mass-produced rubber plugs
(18-25 dB). Ear muffs cut more sound the heavier they are (light=25 dB,
medium=35 dB, heavy=40 dB) (Stellman and Daum 112). Electronic ear muffs
are available for factory situations where there are loud noises which
are repeated frequently in the mid and lower ranges. These hearing protectors
have a microchip in them, analyze the incoming sound and generate an opposite
sound wave that cancels the incoming sound almost completely.
Just for reference, here are some estimations of noise amounts for different
kinds of equipment. Remember that 90 decibels is ten times louder than
80 decibels.
| 10 decibels |
Rustle of a leaf |
| 30 decibels |
A whisper |
| 40 decibels |
Quiet office, quiet conversation, quiet library |
| 50 decibels |
Quiet street, ordinary home, moderate rainfall |
| 60 decibels |
Normal conversation at a 3-foot distance |
| 70 decibels |
Busy street, large workshop, seagulls and crows |
| 75 decibels |
Vacuum cleaner |
| 80 decibels |
Hearing damage begins, electric shaver, baby screaming |
| 80-89 decibels |
Annealing furnace, grinding, lathe, machining tools,
electric tools, spraying sealers and finishes, welding, wood finishing. |
| 90 decibels |
Barking dog, electric blender |
| 90-99 decibels |
Electric tools, boring, hammer drill, fabricating steel,
foundry operations, woodshop and metal shop power tools, grinders,
hammers (drop forge), lathes, air-powered tools and air blasts, sawing,
acetylene welding equipment, shapers, power shears, welders, machine
wire drawing, dirt bike. |
| 100-109 decibels |
Chipping castings, circular saw, pedestal grinders,
pneumatic hammers, large machines, planers, punch presses, metal cutting
saws, cutoff saws, some tumbling equipment, chain saw. |
| 110-119 decibels |
Air-powered industrial tools, heavy-duty metal working
and cutting machinery, power hammer on thin metal, woodworking machinery,
sandblasting machine. |
| 120 decibels |
Jack hammer, amplified rock music. |
| 120-129 decibels |
Engine, airplane propeller, pneumatic riveting equipment,
fireworks. Over 130 decibels come things like a jet engine taking
off. A shotgun blast close up is 140 decibels. Over 150 decibels sound
at the same frequencies as speech can even burn the skin. |
(Stellman and Daum 97; Kinnersly
50, Tver 215, Virginia Merrill Bloedel) |
It is a good idea to have your hearing tested now and then. With age
there is a loss of the ability to hear high frequencies, just as vision
is affected with age. The degree to which this hearing loss (called presbycusis)
occurs varies considerably with the individual (Tver
and Anderson 215).
Vibration and noise are often linked conditions. Vibration can cause
injuries very similar to those caused by noise, and can also result in
special damage to the hands and other jointed areas. Vibration has been
shown to hasten and cause the onset of arthritis, back problems, gout
and heart disease, and can damage vision with long exposures (Quinn
et al 8). You can experience vibration when using power tools of
various kinds, and when using heavy machinery. Hammering can be considered
in some ways similar to vibration; there are repeated shocks occurring
to the hands and arms. Holding items on the polishing wheel constitutes
vibration. A well-known injury in the production jeweler's world is "whitefinger,"
where numbness and a white look to the fingers can occur, progressively
getting worse until the whole hand is involved, painful and not fully
usable. Professional polishers, or people who do a lot of jewelry polishing,
most frequently experience
whitefinger (Stellman and Daum 108; Kinnersly
67). If you have to do a lot of polishing in your work, consider
changing your finish or procedures to reduce your time at the polishing
wheel. The job is not good for you, and the ventilation needs to be working
well to protect you. You could, for instance, obtain pre-polished metal
for some projects, immediately protect a metal's surface with glue-on
paper before beginning to work it, use firescale retardants like Pripps
flux upon every heating, seek to avoid scratches to reduce the polishing
required in your workplace. You can switch to tumbling for certain applications
to reduce the polishing time on certain pieces.
There are four main kinds of damage that can result from vibration. The
hands and wrists develop bone loss in the form of small holes that show
up on x-rays. This is not supposed to make them more fragile, however.
The muscles and nerves of the hands can be injured by vibration, resulting
in loss of use in the hand, or, rarely, the tendons contract and thicken,
making the hand weak and restricted in movement. The joints can develop
osteo-arthritis; this is common in the elderly, but it ensues earlier
in people exposed to vibration (Stellman
and Daum 108). Finally, there is "whitefinger," mentioned above, where the
circulation of the hands has been damaged. It is very disabling. Progressive
numbness leads to permanent disability. It happens most often to workers
who grip vibrating tools tightly when working, as well as to production
polishers. In general, pneumatic hammer type tools are responsible for
many such injuries (Stellman and Daum 109).
Symptoms include (from best to worst), intermittent tingling, intermittent
numbness, blanching of fingertips with or without tingling or numbness,
blanching of entire fingers in winter, blanching on most fingers both
in summer and winter (Waldron 165)-and
really bad pain can be involved too. Whitefinger can end in rare, severe
cases with a finger becoming gangrenous and having to be amputated (Stellman
and Daum 108). There is no medical cure for whitefinger (Kinnersly
67). Set things up so that you don't experience repeated vibration,
or if you do, see if you can dampen it as much as possible. If your fingers
tingle or the tips go white when using a vibrating tool it is time to
consider vibration a problem. Note that some of the special "vibration
absorbing" gloves that are available from safety suppliers (with
gel-filled pads on the palm) have been found to contribute to carpal tunnel
syndrome because they change the gripping position of the hand
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