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Excessive noise exposure is the most frequent cause of hearing loss. Approximately 30 million workers are exposed to hazardous noise on the job and millions more off the job. Hearing loss is one of the most common occupational diseases and the second most self-reported occupational injury or illnesses. Yet, because noise induced hearing loss occurs over a period of time and is not associated with instant pain and suffering, it is one of the least recognized and respected hazards by workers.