If I recall correctly the maximum Noise Reduction Rating (NRR) for earplugs and earmuffs is around 30db. You can combine the two for a slight increase in hearing protection but you still hit a limit because of bone vibration.
Is there PPE out there to go even further beyond this? Where would it be commonly used?
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You’re not adding more pressure anywhere; you’re cancelling that pressure out.
Except that’s exactly how nose canceling ear phones work. It’s not like they have an external speaker projecting sound 🤦🏼♂️