OSHA 29 CFR 1910.95(g)(7)(iii) requires that problem audiograms be reviewed by an audiologist, otolaryngologist, or other physician who determines whether further evaluation is needed. A problem audiogram is one whose results warrant professional judgment rather than routine filing: one showing a Standard Threshold Shift (STS), or one with an unusual configuration, a large asymmetry between the ears, or signs that test conditions affected validity.
The routine comparison is a separate task. The standard requires it but does not assign it: (g)(7)(i) says only that it “may be done by a technician” — permission rather than a limit — which is why it usually falls to whoever ran the test.
Professional review is the one element most programs source externally, whether testing is in-house or not — few employers have an audiologist on staff. SHOEBOX Audiological Services pairs in-house testing with review by licensed audiologists who work directly in your SHOEBOX Data Management Portal, so nothing is exported, and problem audiograms receive a professional determination in the system where your records already live.
