Washington Occupational Hearing Loss Questionnaire

State:
Washington
Control #:
WA-SKU-3042
Format:
PDF
Instant download
This website is not affiliated with any governmental entity
Public form

Description

Occupational Hearing Loss Questionnaire

The Washington Occupational Hearing Loss Questionnaire (WOULD) is a self-report survey designed to evaluate hearing loss associated with workplace exposure. It consists of 8 questions that assess the worker's subjective experience of hearing loss and the impact of this hearing loss on their daily activities. The WOULD is divided into four sub-scales: Hearing Loss Symptoms, Hearing Loss Severity, Hearing Loss Effects, and Hearing Loss Impact. The questionnaire can be used to monitor and track hearing loss over time and to identify workers who may need additional medical attention or referral. There are two versions of the WOULD: the Standard Version and the Short Version. The Standard Version contains all 8 questions, while the Short Version contains only 6 of the questions. Both versions are available in paper and online formats.

How to fill out Washington Occupational Hearing Loss Questionnaire?

Handling official paperwork requires attention, precision, and using well-drafted blanks. US Legal Forms has been helping people countrywide do just that for 25 years, so when you pick your Washington Occupational Hearing Loss Questionnaire template from our service, you can be sure it complies with federal and state regulations.

Working with our service is easy and quick. To obtain the necessary document, all you’ll need is an account with a valid subscription. Here’s a quick guide for you to find your Washington Occupational Hearing Loss Questionnaire within minutes:

  1. Make sure to attentively examine the form content and its correspondence with general and legal requirements by previewing it or reading its description.
  2. Search for an alternative official template if the previously opened one doesn’t match your situation or state regulations (the tab for that is on the top page corner).
  3. Log in to your account and save the Washington Occupational Hearing Loss Questionnaire in the format you need. If it’s your first time with our service, click Buy now to continue.
  4. Create an account, select your subscription plan, and pay with your credit card or PayPal account.
  5. Decide in what format you want to save your form and click Download. Print the blank or add it to a professional PDF editor to prepare it electronically.

All documents are drafted for multi-usage, like the Washington Occupational Hearing Loss Questionnaire you see on this page. If you need them in the future, you can fill them out without re-payment - just open the My Forms tab in your profile and complete your document whenever you need it. Try US Legal Forms and prepare your business and personal paperwork quickly and in full legal compliance!

Form popularity

FAQ

Occupational hearing loss is one of the most common work-related illnesses and is permanent. have hearing risks. US workers are exposed to hazardous noise levels at work each year. US workers are exposed to chemicals, some of which are harmful to the ear (ototoxic) and hazardous to hearing.

Accidents. Physical accidents can result in hearing loss when they involve a perforated eardrum, traumatic brain injury (TBI), or skull fracture, amongst other injuries. Abrupt changes in air pressure (like when an airplane descends) can even cause ear damage leading to sensorineural hearing loss.

Occupational hearing loss is a common work injury in almost every industry. However, it is even more common in industries where people work with heavy equipment and machinery.

Occupational hearing loss can occur when you are exposed to loud noise or ototoxic chemicals while at work. Noise is considered loud (hazardous) when it reaches 85 A-weighted decibels (dBA) or higher. A-weighted decibels are a scale for measuring noise. Hazardous noise can cause both hearing loss and tinnitus.

But the average settlement compensation payout range for tinnitus or hearing loss claims in an auto tort case seems to be $50,000 to $250,000.

Occupational hearing loss is damage to the inner ear from noise or vibrations due to certain types of jobs....Tests that may be done include: Audiology/audiometry. CT scan of the head. MRI of the brain.

Audiometer tests. A specialist in hearing loss, known as an audiologist, does these more-thorough tests. Sounds and words are directed through earphones to each ear. Each tone is repeated at low levels to find the quietest sound you can hear.

Claiming for compensation can be something people aren't comfortable with ? but if you have a genuine hearing loss and/or tinnitus that was caused by unprotected or unmonitored work noise, it is your right to claim for worker's compensation.

More info

Mail completed forms to: Department of Labor and Industries. CDC collects national, state, and local survey and examination data about hearing loss in the United States.Have you had a hearing test? This test can tell you how quickly the cells in your inner ear recover after noise exposure, which can be beneficial for preventing NIHL. Have you been assessed anywhere else? Family doctor ☐ Hearing clinic – testing ☐ Occupational nurse or GP at your workplace ☐. 1) Hearing loss in family? Audiometric test results reflect the employee's overall hearing ability in comparison to audiometric zero. A case history may include, but not be limited to, the following questions: Do you have a known or suspected hearing loss? If so, is it in one ear or both ears?

Trusted and secure by over 3 million people of the world’s leading companies

Washington Occupational Hearing Loss Questionnaire