Background. Noise-induced hearing loss is one of the oldest problems of occupational medicine. The purpose of the study was to investigate the prevalence and characteristics of the development of noise-induced hearing loss in industrial workers of the Murmansk Region in 1988-2017. Materials and methods. We analyzed data on incident cases of occupational diseases in 1988-2017 and socio-hygienic monitoring forms in part of “Working Conditions and Occupational Morbidity” in the population of the Murmansk Region in 2007–2017. Results. We established that in 2007–2017 almost 20% of all workers affected by harmful or hazardous industrial factors were exposed to noise. Over eleven years, their percentage decreased by 5.3% (p < 0.001). In 1988–2017, noise-induced hearing loss was registered in 27.3% of new cases of occupational diseases among industrial workers and made up 16.9% in the general structure of occupational pathology. We observed an increasing tendency in the prevalence of noise-induced hearing loss, especially in combination with other occupational diseases of the musculoskeletal, nervous, and respiratory systems. The risk of developing noise-induced hearing loss for miners (RR = 4.50; CI: 4.04–5.01) and ship repair workers (RR = 6.73; CI: 5.54–8.18) was higher than that for other industrial workers of the Murmansk Region. Conclusions. The findings suggest the need for more efficient technical and medical measures aimed at preventing hearing impairment caused by occupational noise.