Occupational Noise Induced Hearing Loss (ONIHL) is a major occupational health issue that burden both individual & society. Cable industry is a risky occupation where noise of the most common exposures affecting its working community. Objectives of current study: to assess the prevalence of ONIHL among cable workers and to detect occupational risk factors that had significant impact in development of NIHL. A cross sectional study was conducted among 170 workers working at cable industry at 10th Of Ramadan city in Egypt during the period from July 2022 to June 2023, using a semi structured questionnaire assessing present history of Auditory symptoms and applying Audiometry. The current study showed that (38.2%) of cable workers were diagnosed as occupational hearing loss, and reported auditory symptoms as (18.2%) suffered tinnitus, (9.4%) vertigo, (15.9 %) ear pressure at end of work shift and (7.1 %) difficulty in understanding speech in conversation. Results of present study indicated by regression analysis that current occupation was the most significant predictor of development of ONIHL. Implementation of engineering control measures, ensuring availability of properly designed personal protective equipment (PPE) with applying health education programs for workers about occupational health hazards they face and preventive measures are recommended.