PRACTICE NOTES
The principal source consulted by medicolegal specialists and the courts when diagnosing noise‑induced hearing loss (NIHL) is Coles, Lutman and Buffin’s ‘Guidelines on the diagnosis of noise‑induced hearing loss for medicolegal purposes’, issued in April 2000 (the CLB Guidelines). The same authors subsequently produced the ‘Guidelines for Quantification of Noise‑Induced Hearing Loss in a Medicolegal Context’ in 2015 (the LCB Guidelines), as the CLB document addressed diagnosis only and could not be used to quantify NIHL. Both sets of guidance are reviewed in this Practice Note, which also touches briefly on the ‘Guidelines for Diagnosing and Quantifying Noise‑Induced Hearing Loss’ by Moore, Lowe and Cox, published in 2022 (the rM‑NIHL Guidelines).
The 2000 CLB Guidelines
NIHL claims are challenging because demonstrating that a claimant:
was exposed to hazardous workplace noise, and
has hearing impairment
is insufficient, on its own, to satisfy a court that
PI & Clinical Negligence