Noise and health surveillance 4 (a) Suggest reasons why audiometry testing has been recommended for workers in the tableting department at Nutripex. (9) (b) (i) Discuss what the information in supporting document 5 shows. (9) (ii) Using the HSE’s L108 appendix 4, explain how the information in supporting document 5 could be used to aid decision making with a hearing health surveillance programme at Nutripex. (10) (iii) Use the numerical information in the shaded area of supporting document 5 and in appendix 4 of L108 to determine the outcome of the audiometry testing for Worker Y. (12) Note: You should use simple calculations to support your answer. (c) Based on the information in supporting document 5 (i) what effects on their hearing could Worker Y be experiencing? (4) (ii) describe the likely physical changes in the inner ears of Worker Y. (6) (d) Comment on why introducing audiometry testing for some workers might be problematic for Nutripex. (8) (e) Audiometry testing may sometimes not produce an accurate representation of the effects of noise exposure on the hearing of Nutripex workers. Give reasons why this may be the case with Worker Y. (10) Note: You should support your answer, where applicable, using relevant information from the scenario. Name:Worker Y Date of birth: 23/02/1974 Gender:Male LEFT EAR RIGHT EAR Frequency (Hz) 250 500 1k 2k 3k 4k 6k 8k -10 Frequency (Hz) 250 500 1k 2k 3k 4k 6k 8k -10 0 10 Hearing Level (dB) 2 80 90 0 10 20 Hearing Level (dB) 70 80 90 Healthy and Safe

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