Introduction Noise exposure is a significant concern for fish harvesters, as it can cause serious health problems. Occupational noise exposure can result in hearing loss and non-auditory health issues such as annoyance, asthma, insomnia, cognitive disability, and diminished quality of life and well-being.

Objectives The aim of this study is to determine how fish harvesters in Newfoundland and Labrador perceive noise risk and to examine their experiences with noise exposure, noise-related health problems, and barriers and challenges associated with preventing hearing loss.

Methods A mixed-methods study was conducted among NL fish harvesters. The study comprises an online questionnaire and telephone interviews. Survey tool consist of a 37-item questionnaire included noise risk perception and self-reported hearing loss questions. A semi-structured interview guide was developed to elicit information about fish harvesters’ experiences with noise exposure and related health issues, as well as the obstacles and challenges associated with noise reduction and hearing loss prevention.

Results The survey results represents that an average noise risk awareness score of 2.3 to 2.9 out of 5 based on perceived benefits, barriers, and self-efficacy reflects that NL fish harvesters have a relatively positive attitude toward noise reduction and hearing loss prevention. Similarly, the noise-related perceived attitude and susceptibility score (3.9 to 4.5) shows that harvesters disliked the high level of noise and indicated a high risk of hearing loss. Around 62% of participants reported having hearing problems. Most participants acknowledged their workplace is noisy. There was a conflict between onboard safety and wellbeing.

Conclusions Harvesters stop wearing hearing protectors on a daily basis for safety reasons. Participants emphasized the importance of increasing education and awareness, training, and the use of specialized equipment in order to minimize noise exposure. Regulating onboard noise levels is necessary to avoid noise-related health problems.