Broadland Housing HAVS Assessment

• Name of Operative

• Main Location of Work

• Full Name of Safety Officer

• Date of Assessment

  Date

HAVS Assessment

• Briefly describe the work activities that require workers to use vibrating tools and equipment.

• Workers exposed to HAVS risks

WORKER

• Full Name and Role

• Source of Vibration

TOOL

• Specify vibrating tool or equipment (Make and Model)

• Add Photo if provided

  Media

• Vibration Magnitude (m/s2)

• Points Value (PPM) 10 min use

• Trigger Time (Expected max daily use)

• Total Exposure Points (Include if exceed EAV (100 points) or ELV (300 points BHA or 400 points HSE)

• Exposure Level (Individual Risk Rating maybe higher than Tool Tag requirement - this must take into account Health Surveillance Reports)

  High Risk

  Medium Risk

  Low Risk

• Select control of exposure

  Select Eliminated vibration exposure Applied time limit Reduced vibration exposure Applied job rotation Trained worker Replaced tool or equipment Repaired tool or equipment Other

  • Eliminated vibration exposure
  • Applied time limit
  • Reduced vibration exposure
  • Applied job rotation
  • Trained worker
  • Replaced tool or equipment
  • Repaired tool or equipment
  • Other

• Specify control of exposure

Completion

• Additional Recommendations

• Full Name and Signature of Safety Officer

  Sign