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Lumiform Mobile audits & inspections
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Create custom checklists and use logics to predefine workflows.
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Quickly conduct inspections with the easy-to-use inspection app.
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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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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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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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