A hearing protection device is disclosed which incorporates integrated audiometric testing, thereby allowing for testing without removal of safety hearing protection. The hearing protection is typically intended to be worn for the duration of a work shift, and allows for self-testing during the shift. Embodiments of the device may utilize a series of partial test sessions, so that each test session is kept brief so as to not interfere unduly with the work schedule. This may encourage frequent testing, hopefully aiding in early detection of potential hearing loss. Additionally, methods of use are disclosed.