In order to compare post-health care between medium sized enterprises(50-300 employees) and a large enterprise(an automobile manufacture plant) and to evaluate factors related to post?health care performance of workers with noise induced hearing loss, this study was carried out. One hundred and eighty nine workers were surveyed to the questionnaire on general and occupational characteristics, receipt of the examination result, perception and attitudes toward special health examination, contentedness with post-health care performance on the examination result and reason not to have post-health care performance. The results were as follows: 1. The employee in large enterprise perform post-health care higher than medium sized enterprises and main control method was taking ear protective device. The 27.5% of workers with NJHL did not perform any post-health care. 2. Comparing with large enterprise, medium-sized enterprises had more interview with workers of NJHL and some enterprises performed more health education and more improvement of working environment. But there were a few medium-sized enterprises which did not provide ear protective device and had indifference manager. 3. The variables that significantly related to the post-health care of manager side was receipt of health examination result(p < 0.05), the post-health care of worker side were size of enterprise, age(p <0.05) and receipt of health examination result(p <0. 1).