Title Page

  • Prepared by

  • Location
  • CHECK SHEET FOR THE MONITORING AND CONTROL OF ACTIVITIES INVOLVING THE USE OF VIBRATORY TOOLS

  • Site Address:

  • Project Number:

  • Date:

  • Name of Operative

  • Task / Activity / Location

  • Tool [Manufacturer/Model]

  • Estimated / Actual Exposure Time [Hours:Minutes]

Any developing sensation experienced during the period of works must be reported immediately by operatives to the site manager / supervisor, who is required to inform the H&S Advisor. Operatives are to be reminded of the following:

  • To wear gloves

  • To keep warm

  • To use the tools as directed

  • Not to smoke

  • Not to ignore symptoms

  • Avoid gripping or forcing tools to hard

  • Exercise and massage hands and fingers during breaks

  • Report defects immediately

  • Not to exceed how long the tool can be used

  • To ensure tools are in good condition and kept sharp

Records:

Copy to:

  • Printed Name:

  • Signature of Assessor:

  • H&S Advisor

  • Site Safety File

  • This document is to be used as a tool for both monitoring and controlling operations. The intention is not to check all operatives every day, but to check a percentage of the workforce on a regular basis, particularly those operatives who are frequently exposed. Vibration magnitudes can be obtained from the manufacturers own information provided in the tool/plant manual or online. The HSE ready reckoner and exposure calculator tools should be used to form the Exposure Action Value [EAV] and Exposure Limit Value [ELV] to give the A (8) daily exposure

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