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Washington Hearing Impairment Calculation Worksheet

Hearing Impairment Calculation Worksheet

Name: Washington Hearing Impairment Calculation Worksheet
Brand: US Legal Forms
Price: 59.00 USD
Rating: 4.7 (254 reviews)

Category:

Washington Workers Compensation - Official

State:

Washington

Control #:

WA-SKU-3628

Format:

Instant download

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Public form

Description

Hearing Impairment Calculation Worksheet The Washington Hearing Impairment Calculation Worksheet is a tool used in the state of Washington to calculate an individual's hearing impairment. It is used to determine the extent of the hearing impairment in order to determine the amount of compensation or services an individual may be eligible for. The Worksheet has two versions: the Standard Worksheet and the Complex Worksheet. The Standard Worksheet is used for individuals with a hearing impairment that is primarily caused by either noise exposure, a sudden hearing loss, or a combination of both. It uses a set of criteria to determine the individual's overall hearing impairment. The criteria include the individual's hearing threshold levels, as well as the degree of hearing loss in each ear. The Complex Worksheet is used for individuals with a hearing impairment caused by a combination of factors, such as an underlying medical condition, a congenital hearing disorder, or exposure to noise. It takes into account additional factors, such as the individual's age, hearing abilities, and speech recognition levels. Both the Standard Worksheet and the Complex Worksheet are used to calculate the individual's hearing impairment and determine the amount of compensation or services they may be eligible for.

The Washington Hearing Impairment Calculation Worksheet is a tool used in the state of Washington to calculate an individual's hearing impairment. It is used to determine the extent of the hearing impairment in order to determine the amount of compensation or services an individual may be eligible for. The Worksheet has two versions: the Standard Worksheet and the Complex Worksheet. The Standard Worksheet is used for individuals with a hearing impairment that is primarily caused by either noise exposure, a sudden hearing loss, or a combination of both. It uses a set of criteria to determine the individual's overall hearing impairment. The criteria include the individual's hearing threshold levels, as well as the degree of hearing loss in each ear. The Complex Worksheet is used for individuals with a hearing impairment caused by a combination of factors, such as an underlying medical condition, a congenital hearing disorder, or exposure to noise. It takes into account additional factors, such as the individual's age, hearing abilities, and speech recognition levels. Both the Standard Worksheet and the Complex Worksheet are used to calculate the individual's hearing impairment and determine the amount of compensation or services they may be eligible for.

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FAQ

If you have hearing loss you qualify as disabled if have: An average air conduction hearing threshold of 90 decibels or more in the good ear. An average bone conduction hearing threshold of 60 decibels in the better ear. A word recognition score of 40% or less in the better ear, as determined by standardized tests.

Stage 5: Profound hearing loss Stage 5, or profound hearing loss, occurs when the quietest sound you can hear is 80 dB or higher. Hearing loss at this level usually requires powerful hearing aids or implants to help you hear well.

A person will be considered disabled if their average threshold for air conduction hearing is at least 90 decibels and their average threshold for bone conduction hearing is at least 60 decibels, or if they score 40 percent or less on a word recognition test.

Ear-specific and better-ear 4fPTAs were used to then assign a WHO-proposed HI grade as follows: (1) normal, ?19.50; (2) slight/mild, 19.51?34.5; (3) moderate, 34.51?49.5; (4) moderately severe, 49.51?64.5; (5) severe, 64.51?80.5; and (6) profound, ? 80.51 dB HL.

Increase by 1.5% for each dB above 25dB for each ear. Multiply the better ear by 5 (to weight it more heavily). Add that number with the worse ear and divide by 6 to get your hearing handicap.

If you can only hear sounds when they are at 30 dB, you have a mild hearing loss. You have a moderate hearing loss if sounds are closer to 50 dB before you hear them.

Legal Definitions Many states define someone as deaf if they've lost the ability to hear sounds below 70 decibels, which would place them in the moderate to severe hearing loss category. If you cannot hear below 50 decibels using hearing aids, you may also be categorized as legally deaf.

Typical disability ratings for hearing loss range from zero to 10 percent. However, more severe hearing losses may qualify for higher ratings. Zero percent disabilities are commonly assigned for hearing loss.

More info

CALCULATION WORKSHEET. Date. Name. Instant access to fillable Microsoft Word or PDF forms.Minimize the risk of using outdated forms and eliminate rejected fillings. The ARHL (age-related hearing loss) Calculator gives expected median and 95th percentile values for the average of the AMA speech frequencies (0. Download Hearing Impairment Calculation Worksheet (F252-007-000) – Department of Labor and Industries (Washington) form. 56, NOTE: This worksheet is for hearing impairment only. If the worker has other impairment or work disability, use the whole person PPD calculator. View Hearing impairment calculation workshett. 46, NOTE: This worksheet is for hearing impairment only. If the worker has other impairment or work disability, use the whole person PPD calculator.

Hearing Impairment Calculation Worksheet

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