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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
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
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.
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