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Louisiana Department of Public Safety & Corrections Office ...

    https://truckdrivingschoolsinfo.com/wp-content/upLoads/2014/09/CDL-Physical-Examination-Form.pdf#:~:text=INSTRUCTIONS%3A%20To%20convert%20audiometric%20test%20results%20from%20ISO,which%20forced%20whispered%20voice%20can%20first%20be%20heard.
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ASA standards converted to ISO-ANSI Standards in Audiology ...

    https://vetsbenefits.net/asa-standards-converted-to-iso-ansi-standards-in-a-t145184.html
    In order to facilitate data comparison for VA purposes, ASA standards noted in service medical records dated prior to November 1,1967 must be converted to ISO-ANSI standards. Such conversion requires the following amounts be added to the recorded ASA audiological results: 15 at 500 Hz, 10 at 1000 Hz, 10 at 2000 Hz, 10 at 3000 Hz, and 5 at 4000 Hz.

MEDICAL EXAMINATION REPORT - For Commercial …

    https://dps.mn.gov/divisions/dvs/forms-documents/Documents/MedicalExaminationReport_CommercialDriverFitness.pdf
    Instructions: To convert audiometric test results from ISO to ANSI, -14 dB from ISO for 500 H Z, -10 dB for 1,000 H Z, -8.5 dB for 2,000 H Z. To average, add the readings for 3 frequencies tested and divide by 3. Numerical readings must be recorded. a)Record distance from individual at which forced whispered voice can first be heard RIGHT EAR

ENTITLEMENT ELIGIBILITY GUIDELINES HEARING …

    https://www.veterans.gc.ca/pdf/dispen/eeg/hearing_loss.pdf
    it was recommended that audiogram blanks be labelled as ANSI or ISO to ensure that all hearing levels in a report were actually ANSI or ISO (Hearing and Deafness, 4th ed., p. 287). To convert ASA hearing losses to ISO-ANSI levels, the following decibels are added: FREQUENCY DECIBELS ADDED 125 9 250 15 500 14 1000 10 1500 10 2000 8.5 3000 8.5 4000 6 6000 9.5

SPE CERTIFICATE RENEWAL APPLICATION

    https://www.fmcsa.dot.gov/sites/fmcsa.dot.gov/files/docs/spe-certificate-renew-package.pdf
    INSTRUCTIONS: To convert audiometric test results from ISO to ANSI, -14 dB from ISO for 500Hz, -10dB for 1,000 Hz, -8.5 dB for 2000 Hz. To average, add the readings for 3 To average, add the readings for 3

Medical Examination Report: FOR COMMERCIAL …

    https://www.fmcsa.dot.gov/sites/fmcsa.dot.gov/files/docs/Medical_Examination_Report_for_Commercial_Driver_Fitness_Determination_649-F(6045).pdf?TRILIBIS_EMULATOR_UA=nsclpfpr%2cnsclpfpr%2cnsclpfpr%2cnsclpfpr%2cnsclpfpr%2cnsclpfpr%2cnsclpfpr%2cnsclpfpr
    To convert audiometric test results from ISO to ANSI, -14 dB from ISO for 500Hz, -10dB for 1,000 Hz, -8.5 dB for 2000 Hz. To average, add the readings for 3 frequencies tested and divide by 3.

O51 MEDICAL EXAMINATION REPORT FOR COMMERCIAL …

    http://dot-physical.org/resources/dl51.pdf
    INSTRUCTIONS: To convert audiometric test results from ISO to ANSI, - 14 dB from ISO for 500 Hz, - 10dB for 1,000 Hz, - 8.5 dB for 2,000 Hz. To average, add the readings for 3 frequencies tested and divide by 3. Numerical readings must be recorded. RIGHT EAR LEFT EAR RIGHT EAR LEFT EAR 500 Hz 1000 Hz 2000 Hz 500 Hz 1000 Hz 2000 Hz

FLORIDA DEPARTMENT OF TRANSPORTATION …

    https://www.fdot.gov/docs/default-source/transit/pages/AmendedMedicalExaminationReport.pdf
    INSTRUCTIONS: To convert audiometric test results from ISO to ANSI, -14 dB from ISO fro 500 Hz, -8.5 dB for 2,000 Hz. To average, add the re adings for 3 To average, add the re adings for 3 frequencies tested and divide by 3.

Indiana Department of Revenue CDL-PHY Medical …

    https://formfiles.justia.com/pdf/indiana/0388/93.pdf
    Instructions: To convert audiometric test results from ISO to ANSI, -14dB from ISO for 500Hz, -10dB for 1,000 Hz, -8.5dB for 2,000Hz. To average, add the readings for 3 frequencies tested and divide by 3. Numerical readings must be recorded. a) Record distance from individual at whichRight Ear Left Ear forced whispered voice can first be heard.

M21-1III_iv_4_SecB

    https://www.benefits.va.gov/WARMS/docs/admin21/m21_1/mr/part3/subptiv/ch04/M21-1III_iv_4_SecB.docx
    Current testing standards are set by the International Standards Organization (ISO) /American National Standards Institute (ANSI). Test results should indicate the standard for the audiometry, but . if a military audiogram was performed prior to 1969 and does not specifically state it was conducted according to ISO/ANSI standards, assume the ...

D.O.T. MEDICAL EXAMINATION REPORT

    https://arrowheadhealth.com/wp-content/uploads/2014/08/AZ-DOT-Physical-Form.pdf
    Instructions: To convert audiometric test results from ISO to ANSI, -14dB from ISO for 500 Hz, -10 dB for 1,000 Hz, -8.5 dB for 2,000 Hz. To average, add the readings for 3 frequencies tested and divide by 3. a) Record distance from individual at which forced whispered voice can first be heard.

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