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CALCULATION WORKSHEET. Date. Name. Instant access to fillable Microsoft Word or PDF forms.Minimize the risk of using outdated forms and eliminate rejected fillings. The ARHL (age-related hearing loss) Calculator gives expected median and 95th percentile values for the average of the AMA speech frequencies (0. Download Hearing Impairment Calculation Worksheet (F252-007-000) – Department of Labor and Industries (Washington) form. 56, NOTE: This worksheet is for hearing impairment only. If the worker has other impairment or work disability, use the whole person PPD calculator. View Hearing impairment calculation workshett. 46, NOTE: This worksheet is for hearing impairment only. If the worker has other impairment or work disability, use the whole person PPD calculator.