The aim of this study was to assess the hand-Arm vibration (HAV), noise exposure, and loss in hearing threshold (HT) due to the hand tools used in carpet alignment. The effect of new handles on the transmissibility of HAV was tested. Data about HAV and noise level were collected from 10 experienced workers. A case-control study was conducted to compare the HT and hand grip strength (GS) among the workers with a control group. The daily vibration exposure, A(8) for prototypes tools for both hands indicated reduction by over 26% when compared to the conventional tools. Mean equivalent sound pressure level (Leq) was quiet high (97.62 dB), exceeding the exposure limit. In agreement with dose consumed, exposed workers exhibits mild to moderate hearing impairment in the frequency range of 1500 6000 Hz with the loss in GS. Strain Index score revealed that the current working posture requires urgent action. As the main outcomes, a low cost intervention was found effective in curtailing HAV during the field testing. Copyright © 2018 Inderscience Enterprises Ltd.