Title Page
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Conducted on
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Client / Site
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Prepared by
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Location
Hand Arm Vibration Assessment
Vibration Magnitude Tool Levels
Operatives to answer these questions prior to using any vibrating equipment
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Equipment being used
Tool
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Manufacturer
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Equipment
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Vibration magnitude
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Description of Work
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Operatives
Operative
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Are you suffering from any of the symptoms listed below?
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Tingling and numbness in the fingers (which can cause sleep disturbance)
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Not being able to feel things with your fingers
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Loss of strength in your hands (you may may be less able to pick up heavy objects)
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In the cold and wet, the the tips of your fingers going white then red and being painful on recovery
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If any of the above are 'Yes' no work should be undertaken using vibrating equipment until advice has been sought from your Doctor or an Occupational Hygieniest
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Operatives Signature