Vibration exposure evaluation checklist

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1 Assessment details
2 Physical controls
3 Health surveillance

Assessment reference:

Task description:

Those involved:

Assessed by:

Date of this assessment:

Day Month Year

Assessment details

Methods that do not involve exposure to vibration were thoroughly investigated before it was decided that it could not be totally eliminated for this task to be done:

Comments/actions:

Assessment details

Ways to reduce vibration (e.g. tool support devices) have been investigated and implemented:

Any hazards introduced by equipment and processes meant to reduce vibration have been addressed:

All sorts of working conditions where vibration might be an issue have been considered (i.e. abnormal settings and emergency situations):

Where there is a high vibration risk, a Permit to Work system has been considered:

Comments/actions:

Bodily considerations

Workers are able to rotate jobs and/or are given sufficient time to rest and recover following and between work that exposes them to vibration:

Movement is designed into tasks as much as possible to prevent lengthy times with a static posture:

To ensure good blood circulation throughout the task, the work area is kept suitably warm:

Comments/actions:

Equipment

Tools, equipment and devices that have been identified as either a source of vibration or an aid to reduce exposure are subject to a maintenance programme:

Equipment was purchased and is used for specific tasks based on expert advice:

Personal protective equipment has been included in vibration assessments:

The manufacturer’s information is always readily available to help assess risks; It has been consulted for this evaluation:

Comments/actions:

Medical checks

Pre-employment questionnaires are used to identify if a worker may have previously been exposed to vibration and therefore might have a problem:

Period medical questionnaires are completed at least annually to check for potential problems relating to vibration:

Medical assessments and questionnaire reviews are carried out by someone with the right knowledge and experience:

Documented reporting and investigations procedures for health and safety incidents include the effects of vibration:

Comments/actions:

Workers are trained and can access information so that they...

recognise potential sources of vibration and minimise the risk:

understand how exposure to vibration can affect health and what the early signs of injury are:

know how to report a vibration-related injury:

Comments/actions:

To protect workers...

a documented Permit to Work system has been considered for activities where the risk of vibration affecting health is thought to be high:

Comments/actions:

1 Assessment details
2 Physical controls
3 Health surveillance

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