Prolonged exposure to high-intensity noise environments in urban rail transit systems can negatively impact the health and work efficiency of drivers. However, there is a lack of comprehensive understanding of the noise pattern and, therefore, effective mitigation strategies. To control the noise in urban rail transit systems, this study proposes a comprehensive noise assessment framework, including metrics such as average sound pressure level, peak sound pressure level, percentile sound pressure levels, dynamic range, main frequency component, and cumulative time energy to evaluate the noise characteristics. We also employ a density-based spatial clustering of applications with noise (DBSCAN) method to identify the noise patterns with the evaluation of their hazard to urban rail transit drivers. The results have revealed that: (1) The equivalent continuous sound pressure level (Leq) in the cab of Lanzhou Urban Rail Transit Line 1 averages 87.12 dB, with a standard deviation of 8.52 dB, which reveals a high noise intensity with substantial fluctuations. (2) Ten noise patterns were identified, with frequencies varying from 14.47 Hz to 69.70 Hz and Leq varying from 60 dB to 115 dB. (3) The major noise sources from these patterns are inferred to be the train’s mechanical systems, wheel–rail interaction, aerodynamic effects, and braking systems. Combined with the noise patterns and urban rail transit’s operation environment, this study proposes tailored mitigation strategies for applications aimed at protecting drivers’ hearing health, enhancing work efficiency, and ensuring driving safety.