OSHA specifies a safe ceiling value of ultrasound as 145 dB SPL exposure at the frequency range used by commercial systems in air, as long as there is no possibility of contact with the transducer surface or coupling medium (i.e. submerged). This is several times the highest levels used by commercial Audio Spotlight systems, so there is a significant margin for safety. In a review of international acceptable exposure limits Howard et al. (2005) noted the general agreement amongst standards organizations, but expressed concern with the decision by United States of America’s Occupational Safety and Health Administration (OSHA) to increase the exposure limit by an additional 30 dB under some conditions (equivalent to a factor of 1000 in intensity).