now being redesigned in order to manufacture quieter running equipment, so a "buy quiet" purchase policy should not require new engineering solutions in most cases. As a part of the "buy quiet" campaign, the New York City Department of Environmental Protection released a products and vendor guidance sheet in order to assist contractors for achieving compliance with the New York City Noise Regulations. In order to make these plans effective, employees and administration need to be educated in occupational noise-induced hearing loss prevention. It is also necessary to identify and examine sources of noise first before being able to control the damage it may cause to hearing. For example, the National Institute for Occupational Safety and Health has conducted a study and created a database on handheld power tools for the sound power levels they expose their operators to. This Power Tools Database allows contractors in a trade-skill profession to monitor their exposure limits and allow them preparation to prevent permanent hearing damage. Total Hearing Health Hazardous noise exposures exist outside the workplace as well as on-the-job. Furthermore, noise can interact with other health issues, potentially impacting the severity of the noise effects and/or the related health conditions. For these reasons, taking a Total Hearing Health approach that integrates occupational hearing loss prevention activities with overall health promotion activities can reduce the adverse effects of noise both on- and off-the-job. Total Hearing Health is based on the Total Worker Health® concept. Total Worker Health is defined as "policies, programs, and practices that integrate protection from work-related safety and health hazards with promotion of injury and illness-prevention efforts to advance worker well-being." Employers are required to protect workers from harmful working conditions; however, the Total Worker Health approach encourages organizations to address worker health and safety more broadly by establishing a comprehensive strategy to address both workplace and personal health risks as a more effective way of promoting worker health and safety. Regardless of the kind of work people do, nearly everyone will be exposed to hazardous noise levels at some point in their lives. Reducing the public health burden of hearing loss requires addressing noise risks in a holistic manner that includes strong occupational hearing loss prevention practices as well as consideration of risk factors beyond the workplace. A comprehensive approach to hearing health can mitigate interactions between noise and other health concerns. For example, noise-induced hearing loss may impact