“…The other aspects related to the effectiveness of hearing protection devices are directly influenced by their user. For example, workers use worn or damaged hearing protection devices that are limited in effectiveness [ 4 , 5 , 6 ]. In a working environment, it is quite common for employees to use hearing protection devices and other personal protective equipment at the same time, resulting in leakages and the reduced effectiveness of the hearing protection devices [ 7 , 8 , 9 , 10 , 11 , 12 , 13 ].…”