NEP HAV's Assessment

• Site

• Location
  Address

• Team Leader

• Date of Assessment

  Date

HAVS Assessment

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

• WORKERS EXPOSED TO HAVS RISK

WORKER

• Full Name

• SOURCE OF VIBRATION

TOOL

• Select vibrating tool or equipment

  Road / Concrete breaker 12m/s2

  Trench Rammer 8.9m/s2

  Angle Grinder 6m/s2

  Disc Cutter 3.9m/s2

  Hilti hammer Drill 9.3m/s2

• Specify vibrating tool or equipment

• Trigger Time

• Ready Reckoner - Vibration magnitude of tool x time used = Exposure point score

  

• Exposure Points - EAV daily maximum is 100, ELV daily maximum is 400

• Resulting Exposure Level

  High

  Medium

  Low

• Select Method to Control 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

  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

Completion

• Additional Recommendations

• Full Name and Signature of Team Leader

  Sign