Introduction:Hearing loss is one of the largest sensory disabilities globally. Hearing loss in childhood can seriously affect speech, language, cognitive and social development. Hence early identification of hearing impairment in children is imperative for appropriate preventive and intervention strategies which can be done effectively by school hearing screening programs. Present study aimed to screen primary school going children using otoscopic, pure tone and immittance screening with the main objective of identifying the percentage of children at high risk for hearing loss and to assess the agreement between these tools. Method: For every participant, first otoscopic screening is done. Then pure tone and tympanometric screening was performed as per ASHA (1997) guidelines.If participant did not pass on any one or more screening tools in either ear, rescreening was done within three months of initial screening using same screening tools and parameters. If participant who did not pass either on otoscopy or immittance rescreening was referred to otolaryngologist.