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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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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
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