Noise-induced hearing loss (NIHL) is one of the most prevalent occupational diseases worldwide, particularly among workers exposed to traffic noise. Street cleaners are at high risk of sensorineural hearing loss from prolonged exposure to environmental noise without adequate hearing protection. This study aimed to determine the relationship between traffic noise exposure and the occurrence of sensorineural hearing loss among street cleaners in West Jakarta. The method of this study was a cross-sectional study conducted from August 2024 to March 2025 among 55 street-cleaning workers aged 18–50 years in Cengkareng District, West Jakarta. Data were collected using structured questionnaires, environmental noise measurements, and audiometric examinations. Bivariate and multivariate logistic regression analyses were performed to identify factors associated with hearing loss. The study found that 50.9% of respondents had sensorineural hearing loss, while 49.1% had normal hearing. Most participants were male (89.1%), aged 28–38 years (67.3%), and had worked for ?8 years (89.1%). Bivariate analysis showed that age was significantly associated with hearing loss (p=0.069). Multivariate analysis revealed that workers aged 39–49 years were less likely to experience hearing loss than younger workers (OR=0.241; 95%CI: 0.061–0.955; p=0.043), and those with ?8 years of service also had a lower risk (OR=0.085; 95%CI: 0.007–0.978; p=0.048). Duration of work, noise intensity, and PPE use were not statistically significant. In conclusion, age and length of service were significantly associated with the incidence of sensorineural hearing loss among street cleaners in West Jakarta. Strengthening preventive measures—such as regular noise monitoring, provision of standardized ear protection, and annual audiometric surveillance—is essential to reduce the burden of occupational hearing loss in this high-risk group.