Lumiform / Templates / Reduce injury risk with a HAVS risk assessment template

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.

Downloaded 24 times

★ ★ ★ ★ ★

Rated 5/5 stars on Capterra

Say goodbye to paper checklists!

Lumiform enables you to conduct digital inspections via app easier than ever before

Cut inspection time by 50%
Uncover more issues and solve them 4x faster
Select from over 5,000 expert-proofed templates

Digitalize this paper form now

Cut inspection time by 50%
Uncover more issues and solve them 4x faster
Select from over 4000 expert-proofed templates

★ ★ ★ ★ ★

Rated 5/5 stars on Capterra

Reduce injury risk with a HAVS risk assessment 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

This template is also available in:

Previous template

Next template

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.