Background: Noise has many health hazards either auditory or extra auditory.Aim of the work: To detect the cumulative effects of exposure to noise on the blood pressure and the hearing level of exposed workers with assessment of salivary cortisol as stress biomarkers.Subjects and methods: This study was conducted on ninety male workers exposed to occupational noise. Half of them were exposed to continuous noise (textile factory). The others were exposed to impact noise (forging factory). We choose a control group of forty five male persons from a trading company. The studied group were matched according to age, BMI and duration of exposure. They were subjected after taking their consent to a clinical questionnaire, general examination, blood pressure measurement, audiometric test and finally morning basal salivary cortisol assessment. The Environmental measurements were above the Egyptian permissible limits of sound intensity levels (90dB ( A) except the weaving sector which was 85dB (A).Results: Our study showed a statistically significant difference between exposed and control groups as regards: Hearing disability and hypertension while, no statistically significant difference was found among the two exposed groups. As regards the age, duration of exposure and the audiometric results of both ears no statistically significant correlation was found. This study showed also no statistically significant correlation between salivary cortisol and both systolic and diastolic blood pressure.Recommendations: proper engineering, medical and administrative control measures should be done. The Egyptian compensation scheme for hearing disability should be reevaluated. Others stress biomarkers should be investigated.