Personnel Manual/Part F Hearing Screening Tab 7 Page 2 Revised 1/07

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STANISLAUS COUNTY PERSONNEL MANUAL JOB CLASSIFICATIONS REQUIRING AUDIOMETRIC EVALUATIONS PRE-PLACEMENT SCREENING AND ANNUAL TESTING ANIMAL SERVICES Animal Care Specialists Animal Service Officers Animal Services Operations Supervisors County Veterinarian *Administrative staff may need to be tested based on noise levels. BEHAVIORAL HEALTH RESOURCE SERVICES Deputy Public Guardian CENTRAL SERVICES AGENCY Special Investigator I, II, III DEPARTMENT OF AGRICULTURE Agriculture/Weights & Measures Inspector I, II, III DEPARTMENT OF ENVIRONMENTAL RESOURCES Environmental Tech Hazardous Materials Specialist I, II, III Senior Hazardous Materials Specialist DISTRICT ATTORNEY - POST STANDARDS APPLY Chief Criminal Investigator Criminal Investigator I, II Senior Criminal Investigator PARKS Park Aid Park Maintenance Worker I, II, III Park Supervisor Personnel Manual/Part F Hearing Screening Tab 7 Page 2

PROBATION - POST STANDARDS APPLY Chief Deputy Probation Officer Chief Probation Officer Deputy Probation Officer I, II, III Group Supervisor I, II, III Probation Manager Supervising Probation Officer Senior Group Supervisor PUBLIC WORKS Building Inspectors PUBLIC WORKS LANDFILL Account Clerk III Accounting Technician Landfill Equipment Operator I, II, III Landfill Leadworker Manager I, Manager III Park Maintenance I, II, III PUBLIC WORKS ROADS Heavy Equipment Mechanic Maintenance Engineer I, II, III Maintenance Mechanic Road Maintenance Worker I, II, III Road Supervisor Senior Road Maintenance Worker SHERIFF - POST STANDARDS APPLY Assistant Sheriff Commander/Captain Custodial Lieutenant Deputy Coroner Deputy Sheriff Deputy Sheriff-Custodial Lieutenant Sergeant Sergeant-Custodial Sheriff Supervising Public Administrator Personnel Manual/Part F Hearing Screening Tab 7 Page 3

STANISLAUS COUNTY PERSONNEL MANUAL HEARING SCREENING PROCESS BASELINE MATRIX HIRING AUTHORITY or DEPARTMENT DESIGNEE CANDIDATE FOR EMPLOYMENT TESTING FACILITY Identify candidate who meets criteria for hearing testing Schedule candidate for Audiometric Test Provide candidate with Passport for Audiometric Testing If a Sheriff Deputy should fail hearing test, offer of employment is rescinded. All others who fail hearing test will be evaluated for accommodations. Those who pass hearing test will continue with hearing process Schedule for Hearing Conservation Program Training Report to testing site as indicated on Passport Participate in Audiometric testing Attend Hearing Conservation Program Training Conduct Audiometric Test Baseline Hearing evaluation created Send copy of test results to record retention facility. Pass/Fail notification to Hiring Authority and CEO-Risk Management, Safety Retain testing results for future comparison Schedule hearing test annually as long as employee meets criteria for testing. Provide department with names of those tested each year 1 month prior to anniversary date. Personnel Manual/Part F Hearing Screening Tab 7 Page 4

STANISLAUS COUNTY PERSONNEL MANUAL HEARING SCREENING PROCESS ANNUAL TESTING MATRIX HIRING AUTHORITY or DEPARTMENT DESIGNEE Identify candidate who meets criteria for Annual Hearing Testing Schedule candidate for Audiometric Test Provide candidate with Passport for Audiometric Testing Arrange for Annual Hearing Conservation Program Training EMPLOYEE Report to testing site as indicated on Passport Participate in Audiometric testing Attend Annual Hearing Conservation Program Training Session TESTING FACILITY Conduct Audiometric Test Compare annual testing results with baseline testing results Schedule hearing testing every year as long as employee meets criteria for testing. For employee with reported hearing loss at annual testing: Provide employee with DWC-1 and OJI forms Send employee to Occupational Health Physician for evaluation and treatment If, indicated, follow up with CEO-Risk Management and Occupational Health Physician for hearing loss Report test results to employee s department (loss/no loss) Maintain test results on file Send copy of test results to record retention facility Schedule Audiometric Test at employees separation Any employee who violates the provisions of the Program are subject to disciplinary actions as noted in County Ordinance 3.28.010. Personnel Manual/Part F Hearing Screening Tab 7 Page 5

STANISLAUS COUNTY PERSONNEL MANUAL AUDIOMETRIC TESTING FLOW CHART PRE-PLACEMENT BASELINE ANNUAL TESTING HIRING AUTHORITY Schedule candidate for Audiometric Test Provide Passport DEPARTMENT DESIGNEE Schedules employee for Audiometric Test Provide Passport Schedule for annual Noise Control Hearing Conservation Program Training Audiometric Test Performed at Approved Testing Facility Testing Facility Provides test results to Department Head Test results compared with Baseline Test Results Abnormal Abnormal* Normal Candidates other than Peace Officers will be evaluated for accommodation Peace Officer: Offer of employment rescinded** Continue hiring process Schedule for Noise Control & Hearing Conservation Program Training Testing Facility provides Test Results to Department and Record Retention Facility Normal Continue Annual Testing & Training as long as employee meets exposure criteria Abnormal Employee given DWC-1 & OJI sent to Occupational Health Physician for evaluation & treatment if necessary Exit Audiometric Test: Employee leaves position requiring Hearing Test Employee leaves County employment Results sent to Record Retention Facility Department Safety Representative will initiate investigation into hearing loss **Normal Hearing is Considered an Essential Function for Peace Officers** Personnel Manual/Part F Hearing Screening Tab 7 Page 6

PASSPORT NOISE CONTROL HEARING CONSERVATION PROGRAM AUDIOMETRIC TESTING Pre-Placement Baseline Annual Test Candidates Name: Department: Hiring Authority: Hiring Authority Phone Number: JOB CLASSIFICATIONS REQUIRING AUDIOMETRIC TESTING *See Job Classification List Date of Appointment: Time of Appointment: **Photo ID Required** U.S. HEALTHWORKS 1524 McHenry Ave, Suite 500 1340 Mitchell Road Modesto, CA 95350 Modesto, CA 95351 (209) 575-5801 (209) 581-9711 (209) 575-0115 - FAX (209) 581-9703 - FAX Personnel Manual/Part F Hearing Screening Tab 7 Page 7

PASSPORT NOISE CONTROL HEARING CONSERVATION PROGRAM AUDIOMETRIC TESTING Pre-Placement Baseline Annual Test Candidates Name: Department: Hiring Authority: Hiring Authority Phone Number: JOB CLASSIFICATIONS REQUIRING AUDIOMETRIC TESTING *See Job Classification List Date of Appointment: Time of Appointment: **Photo ID Required** STANISLAUS COUNTY OFFICE OF EDUCATION Mobile Testing Unit (209) 544-5360 or (209) 525-6611 Personnel Manual/Part F Hearing Screening Tab 7 Page 8

PASSPORT NOISE CONTROL HEARING CONSERVATION PROGRAM AUDIOMETRIC TESTING Pre-Placement Baseline Annual Test Candidates Name: Department: Hiring Authority: Hiring Authority Phone Number: JOB CLASSIFICATIONS REQUIRING AUDIOMETRIC TESTING *See Job Classification List Date of Appointment: Time of Appointment: **Photo ID Required** CENTER FOR HEARING HEALTH MOBILE TESTING UNIT Pleasanton, CA 1-800-228-6067 Personnel Manual/Part F Hearing Screening Tab 7 Page 9

Facilities Providing Audiometry U.S. Healthworks U.S. Healthworks 1524 McHenry Ave, Suite 500 1340 Mitchell Road Modesto, CA 95350 Modesto, CA 95351 Office: 209-575-5801 Office: 209-581-9711 Fax: 209-575-0115 Fax: 209-581-9703 Hours: Hours: Monday through Friday Monday through Friday 8:00 A.M.- 6:00 P.M. 8:00 A.M.- 6:00 P.M. Landfill Center for Hearing Health Mobile Testing Unit Pleasanton, CA Trent Animal Services, Sheriff Stanislaus County Office of Education Mobile Testing Unit Cynthia Jones Hours by Appointment Hours by Appointment 1-800-228-6067 209-544-5360 or 209-525-6611 Personnel Manual/Part F Hearing Screening Tab 7 Page 10