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Inspection

HAVS Risk Assessment

Task Description

Vibrating tool or equipment used to complete task
Select vibrating tool or equipment used

Specify vibrating tool or equipment

Start Time of Vibrating Tool or Equipment Use
End Time of Vibrating Tool or Equipment Use

Trigger Time

HAVS Check

Do my hands feel numb during/after using vibrating tool/s or equipment?

Inform your team manager about a potential HAVS symptom you are experiencing.

Are my hands tingling after using vibrating tool/s or equipment?

Inform your team manager about a potential HAVS symptom you are experiencing.

Are my fingers turning white and becoming red and painful on recovery?

Inform your team manager about a potential HAVS symptom you are experiencing.

Completion

Additional Observations

Full Name and Signature of Construction Worker

HAVS Risk Assessment Template Checklist

Created by: SafetyCulture Staff | Industry: General | Downloads: 2

This HAVS Risk Assessment template has been designed to easily document the time you started and ended using a specific vibrating tool or equipment. Determine your trigger time and minimize hand-arm vibration risks by doing a simple HAVS check with the use of this template.

Signup for a free iAuditor account to download and edit this checklist. It will be added to your free account and you will be able to conduct inspections from your mobile device.

Download and edit this free checklist

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Inspection

HAVS Risk Assessment

Task Description

Vibrating tool or equipment used to complete task
Select vibrating tool or equipment used

Specify vibrating tool or equipment

Start Time of Vibrating Tool or Equipment Use
End Time of Vibrating Tool or Equipment Use

Trigger Time

HAVS Check

Do my hands feel numb during/after using vibrating tool/s or equipment?

Inform your team manager about a potential HAVS symptom you are experiencing.

Are my hands tingling after using vibrating tool/s or equipment?

Inform your team manager about a potential HAVS symptom you are experiencing.

Are my fingers turning white and becoming red and painful on recovery?

Inform your team manager about a potential HAVS symptom you are experiencing.

Completion

Additional Observations

Full Name and Signature of Construction Worker