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. Author manuscript; available in PMC: 2019 Feb 1.
Published in final edited form as: Int J Audiol. 2017 Dec 7;57(SUP1):S3–S11. doi: 10.1080/14992027.2017.1410237

Table 1.

Cost calculator categories, factors, and equations used for the overall assessment of hearing conservation program (HCP) costs at metals manufacturing facilities in the US (N=14).

Description of Cost Equation

Program management For each employee with HCP responsibilities, including EHS technicians and managers, nurses, physicians, and administrative workers, if time has not already been counted in other cost categories: Hours per week spent on HCP × hourly rate (including fringe benefits) OR hourly rate (including fringe benefits) × percent of time required × 2000 hours per year
Audiometric testing
    Nurse’s time for initial employee audiograms Hourly wage × time per test × tests per year
    Employee’s time for initial audiogram Average hourly wage × time per test × tests per year?
    Nurse’s time for subsequent/follow-up testing Hourly wage × time per test × tests per year
    Employee’s time for subsequent/follow-up testing Average hourly wage × time per test × tests per year
    Nurse’s time for scheduling/rescheduling audiograms Hourly wage × time
Workers’ Compensation Cost per person for applicable workers’ comp claims/relevant time frame in years
Hearing protection devices (HPDs)
    ALL HPDs (except custom molds) Cost per person × number of employees wearing OR total cost from vendor invoices
    Custom-molded HPDs Cost per person × number of employees wearing OR total cost from vendor invoices
Training
    Cost of materials Flat rate OR cost per item × number of items produced
    Employees’ time for initial training Average hourly wage × time for training in hours × average number of employees completing training per year
    Employees’ time for toolbox1 training Average hourly wage × time for training in hours × average number of employees completing training per year
    Employees’ time for annual training Average hourly wage × time for training in hours × average number of employees completing training per year
    Supervisor’s time for training Average hourly wage × time for training in hours × average number of supervisors conducting training per year x number of trainings conducted per year
Fit-testing
    Employees’ time for fit-testing Average hourly wage × time for fit-testing in hours × average number of employees completing fit-testing per year
Industrial hygiene
    IH consultant Annual cost per year of all consulting services OR cost per hour × billable consulting hours per year
    HCP software Annual cost per year of software license OR cost of license / allowable years of use
    Employees’ time for sampling Average hourly wage × employee time required per sample × average number of samples taken per year
Hearing loss investigation
    Specialty referral fee Cost per referral to a specialist × number of cases
    Employee time for hearing loss case Average hourly wage × time per referral appointment × number of referral cases per year
Equipment
    Sound level meter/dosimeter calibration Flat rate, annually
    Fit-test machine Flat rate / useful life
    Audiometer and headphone calibration Flat rate, annually
    Audiometric software Flat rate / useful life
    Audiometer Flat rate / useful life
    Sound level meter/dosimeter purchase Flat rate / useful life
Council for the Accreditation of Hearing Conservationists
    Certification (Cost of course + travel/lodging/per diem + wage cost for week-long course)(Number of certified individuals)/number of years covered
    5-year recertification ([Cost + travel/lodging/per diem + wage cost for one day course][Number of certified individuals])/([number of years covered][5 years])
    Corporate software Flat rate, annually
1

Toolbox training is an informal shop floor training on a specific topic (e.g., noise and/or hearing loss) that is provided by a worker’s direct supervisor and may occur immediately before or after a work shift or during breaks.