Title Page

  • Conducted on

  • Client / Site

  • Prepared by

  • Location

Hand Arm Vibration Assessment

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Vibration Magnitude Tool Levels

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Operatives to answer these questions prior to using any vibrating equipment

  • Equipment being used

  • Tool
  • Manufacturer

  • Equipment

  • Vibration magnitude

  • Maximum finger on trigger time allowed in hours

  • Description of Work

  • Operatives

  • Operative
  • Are you suffering from any of the symptoms listed below?

  • Tingling and numbness in the fingers (which can cause sleep disturbance)

  • Not being able to feel things with your fingers

  • Loss of strength in your hands (you may may be less able to pick up heavy objects)

  • In the cold and wet, the the tips of your fingers going white then red and being painful on recovery

  • 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

  • Operatives Signature

If exposure is above the action value of 2.5m/2 (A8), Control measures to be implemented as followed

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The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.