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Reduce injury risk with a HAVS risk assessment template

Reduce injury risk with a HAVS risk assessment template

Use this template to assess your employee’s exposure level to harmful vibration frequencies.

Use this template
or download pdf
Reduce injury risk with a HAVS risk assessment template

Use this template to assess your employee’s exposure level to harmful vibration frequencies.

Use this template
or download pdf

About the Reduce injury risk with a HAVS risk assessment template

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.

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Preview of the template
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
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This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.