When persons are exposed to excessively loud environments (85 dB or more), hearing protection devices are recommended to prevent noise-induced hearing loss. Hearing protection should be worn whenever power tools, loud yard equipment, or firearms are used. Any noise greater than 140 dB can cause permanent hearing loss. Firearms range from a noise level of 140 dB to 175 dB depending on the firearm type. It is recommended to use dual hearing protection (earmuffs and earplugs together) when using firearms. Exposure to loud noises damages the hair cells in the inner ear that are essential for sending neural impulses to the brain in order to perceive sounds. Loss of these hair cells leads to hearing loss that may cause speech and sounds to be muffled or distorted. Tinnitus is often associated with hearing loss; there is no cure for tinnitus. In the workplace, OSHA requires the use of hearing protection devices whenever a person is exposed to an average noise intensity of 90 dBA or greater over an 8-hour shift. The louder the environment, the less time that a person may spend there without the risk of incurring hearing loss. NIOSH has also developed standards for hearing protection. Compared to OSHA, the NIOSH standards are more conservative in their estimates for safe noise exposure times. Tabulated below are the NIOSH standards for the maximum daily exposure times at various noise levels.