Abstract: Working conditions at metallurgical enterprises are characterized by the impact of a complex of harmful production factors that do not correspond to the normalized levels, which causes the risk of developing professional and professionally conditioned pathology. Trained workers who are exposed for a long time to industrial noise that exceeds the permissible values by 10 dB or more are considered as a risk group for the development of aural (sensorineural hearing loss, SHT) and extraaural (high blood pressure, HBP) pathology. Hearing loss is an important medical and social problem, as it turns into a cognitive dissonance and a violation of verbal communication for the employee. Working conditions at one of the modern metallurgical plants were evaluated according to the data of sanitary and hygienic characteristics of working conditions. The study of the prevalence of SHT and HBP was carried out based on the materials of a medical examination and a questionnaire survey of workers (n=73, male, aged 36-75 years (57.32±0.89), with work experience of 8-58 years (34.29±1.16)). To assess the joint influence of age and seniority, an original scoring system was used, which allowed us to distinguish 3 observation groups. The severity of SHT and HBP was also assessed in points. The study showed a significant increase in the prevalence and severity of hearing loss and HBP with an increase in the duration of exposure and the age of employees. The presence of a close relationship between the analyzed pathology and working conditions is illustrated by the value of the odds ratio in groups 1-3 (ORSHT = 3.75-4.71; ORHBP = 2.0-5.0). Thus, the studied professional group of trained qualified metallurgists needs to develop health-improving measures to preserve labor longevity.