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HAVS Record Sheet

Regular HAVS assessments help prevent the development of HAVS among construction workers. Use this HAVS record sheet to evaluate and control hand-arm vibration risks in a construction site.

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HAVS Record Sheet

Inspection

HAVS Record Sheet

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

Workers exposed to HAVS risks

Full Name

Source of Vibration

Select vibrating tool or equipment

Specify vibrating tool or equipment

Vibration Magnitude

Trigger Time

Exposure Points

Exposure Level

Select control of exposure

Specify control of exposure

Completion

Additional Recommendations

Full Name and Signature of Safety Officer

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Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.