“…Workers union should consider getting involved in the formulation and implementation of hearing conservation programs to include mapping of high noise areas, noise control measures, administrative control, use of proper PPE, regular hearing screenings, and employee training on noise management and the outcomes associated with ONIHL. 22,23 Among the most challenging factors for the success of a hearing protection program is the active engagement of workers. Burke et al indicated that the most engaging methods of training were three times more effective than the least engaging methods in promoting knowledge and skill acquisition.…”