NEM workplace risk assessment Third Space

• Third Space new and expectant mother workplace risk assessment

• Third Space

• Conducted on

  Date

Information

• 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

  Date

• NEM name

• Carried out by

Movement and posture

• Do work activities involve awkward twisting or stretching

  yes

  no

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

  yes

  no

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

  yes

  no

• Is there sufficient space within the workplace without restrictions

  Yes

  No

  N/A

Manual handling

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

  yes

  no

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

  yes

  no

• Do work activities involve repetitive lifting of objects

  yes

  no

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

  yes

  no

PPE and uniform

• Are adequate/suitable sizes of PPE/uniforms available

  Yes

  No

  N/A

Hazardous substances/cross contamination

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

  yes

  no

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

  yes

  no

Working time

• Is the NEM expected to work long hours or overtime

  yes

  no

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

  Yes

  No

  N/A

• Do work activities involve very early starts or late finishes

  yes

  no

• Does the work involve overnight shifts

  yes

  no

Work related stress

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  yes

  no

• Are colleagues and supervisors supportive toward the pregnant worker

  Yes

  No

  N/A

Environmental conditions

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

  yes

  no

• Is there sufficient lighting around the workspace of the NEM

  Yes

  No

  N/A

Welfare

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Any other notes?

• NEM sign

  Sign

• Risk assessor sign

  Sign