 The study found a 27.9% prevalence of occupational noise induced hearing loss, O'Neill, among industrial workers in Gutan, with tinnitus reported by 42.45% of those affected. Exposure duration and severity were significantly associated with O'Neill and certain industries and occupations had a higher prevalence of the condition. The study recommends intervention measures, such as enforcing permissible exposure limits, monitoring and evaluating hearing conservation programs and providing advice and recommendations to address the issue.