Title Page

  • Site conducted

  • Third Space new and expectant mother workplace risk assessment

  • Third Space

  • Conducted on


  • This risk assessment should be completed jointly by the new and expectant mother and a supervisor/manager. The assessment should be reviewed throughout the pregnancy tied in with GP information and at the request of the new and expectant mother.
    The information gathered is used to compile a general risk assessment to ensure that the level of risk is acceptable and any follow up actions managed.

  • Select date

  • NEM name

  • Carried out by

Movement and posture

  • Do work activities involve awkward twisting or stretching

  • Does the NEM need to stand for long periods of time without a break

  • Does the NEM have to sit for long periods of time without a break

  • Is there sufficient space within the workplace without restrictions

Manual handling

  • Do work activities involve twisting stooping or stretching to lift objects

  • Do work activities involve lifting pushing or pulling of heavy loads

  • Do work activities involve repetitive lifting of objects

  • Do work do work activities involve lifting objects that are difficult or cumbersome to grasp or hold

PPE and uniform

  • Are adequate/suitable sizes of PPE/uniforms available

Hazardous substances/cross contamination

  • Are hazardous substances used at work known to be of risk to the NEM

  • Are there any infectious risks in the workplace undertaken by the NEM

Working time

  • Is the NEM expected to work long hours or overtime

  • Does the NEM have some flexibility and choice over her working hours

  • Do work activities involve very early starts or late finishes

  • Does the work involve overnight shifts

Work related stress

  • Is the NEM aware of what to do if she believes she is being bullied harassed or victimised

  • Has the individual risk assessment taken into account any concerns the woman has about her own pregnancy such as medical condition

  • Are there work activities which are known to be particularly stressful, for example dealing with irate customers

  • Are colleagues and supervisors supportive toward the pregnant worker

Environmental conditions

  • Do work activities involve exposure to uncomfortably cold/hot temperatures below 16c above 27c

  • Is there sufficient lighting around the workspace of the NEM


  • Is there somewhere suitable and quiet for the NEM to rest or lie down

  • Is the NEM provided with easy access to toilets and allowed sufficient breaks when needed

  • Is there suitable welfare facilities for the NEM to comfortably sit and have her breaks for food and drink

  • Any other notes?

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  • NEM sign

  • Risk assessor sign

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.