HAVS Weekly Exposure – A M Water Services Forms

AMWS — Hand-Arm Vibration Weekly Exposure Record (HS_FM_24)

Operator weekly HAVS exposure log. Mirror of paper HS_FM_24.

This field is for validation purposes and should be left unchanged.

Operator weekly HAVS exposure log. Captures the points-per-hour rating × hours used for each handheld power tool, totalled across the week.

Document Reference	HS_FM_24 — HAVS Weekly Exposure Record
Issue Number	2
Issue Date	12 May 2026
Next Review	12 May 2027
Controlled By	Sean Ashton (HSQE Consultant, Onyx Operations)
Approved By	Aaron Mason, Managing Director
Status	Paper version (HS_FM_24, Issue 1) retired on digital go-live.

Site(Required)

Project reference number

Operator name(Required)

Week commencing(Required)

One row per tool. Points per hour comes from the HSE-issued tool tag (or vibration risk assessment). Daily columns = hours used.

Tool exposure log(Required)

Tool ID No.

Handheld power tool

Points per hour

Mon (hrs)

Tue (hrs)

Wed (hrs)

Thu (hrs)

Fri (hrs)

Total weekly points

Total weekly exposure points (operator)

Please enter a number from 0 to 10000.

Sum across all tools. HSE EAV = 100 points/day · ELV = 400 points/day.

Did weekly total exceed Exposure Action Value (EAV — 500 points across the week)?(Required)

Yes

If EAV exceeded — what mitigations have been put in place?

Operator signature(Required)

Supervisor name(Required)

Supervisor signature(Required)

Your email (for confirmation)