NEMRA - New and Expectant Mothers Risk Assessment (All Staff) Ver.2

• Name of the employee:

• Employee I.D

• Branch (If applicable)

• Employee job role

• Managers Name

• Assessment completed by:

• Position

• Assessment Conducted on

  Date

• How many weeks pregnant?

• Estimated due date?

  Date

• Have you informed your Manager?

  Yes

  No

  N/A

• Have the first aiders been informed?

  Yes

  No

  N/A

• Have the site management staff been informed

  Yes

  No

  N/A

Movement & Posture

• Do any tasks or processes involve awkward twisting, stretching or reaching?

  Yes

  No

  N/A

• Do you stand for periods of more than two to three hours without a break?

  Yes

  No

  N/A

• Do you sit for periods of more than two-three hours?

  Yes

  No

  N/A

• Are there space restrictions (for example, working behind a desk)

  Yes

  No

  N/A

• Is the workstation and chair suitable for you (DSE)

  Yes

  No

  N/A

Manual Handling

• Does the job involve twisting, stooping or stretching to lift objects?

  Yes

  No

  N/A

• Does the job involve the lifting, pushing or pulling of heavy loads?

  Yes

  No

  N/A

• Does the job involve rapid repetitive lifting (even of lighter objects)?

  Yes

  No

  N/A

• Does the job involve lifting objects that are difficult to grasp or awkward to hold?

  Yes

  No

  N/A

• Do you lift objects that have to be held away from your body and transported to another location?

  Yes

  No

  N/A

COSHH (Control of Substances Hazardous to Health)

• Are any chemicals used at work known to be of risk to women of childbearing age? If yes to above, are pregnant workers kept away from work that could increase exposure?

  Yes

  No

  N/A

• Are there any infection risks in the work? For example: Clearing up spilled body fluids/disposing of used syringes.

  Yes

  No

  N/A

Working Times

• Are you expected to work long hours or overtime?

  Yes

  No

  N/A

• Do you have some flexibility or choice over her working hours?

  Yes

  No

  N/A

• Do your shift patterns involve early starts or late finishes? (Before 6am & after 9pm)

  Yes

  No

  N/A

• Do you work a night shift?

  Yes

  No

  N/A

Work-Related Stress

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

  Yes

  No

  N/A

• Are colleagues and supervisors supportive toward the NEM?

  Yes

  No

  N/A

• Are you aware of what to do if you feel victimised?

  Yes

  No

  N/A

Extremes Tempratures

• Are you exposed to temperatures that are uncomfortably cold (below 16ºC) or hot (above 27ºC)?

  Yes

  No

  N/A

• Are you exposed to cold draughts even when the average temperature is acceptable?

  Yes

  No

  N/A

Work at Height

• Do any tasks or processes involve climbing up and down steps or ladders?

  Yes

  No

  N/A

• Do any tasks involve carrying items up or down stairs/ladders?

  Yes

  No

  N/A

Work-Related Violence

• In your opinion, does the site you work at an above-average high risk of violence?

  Yes

  No

  N/A

• Is there support available if you feel threatened by a customer?

  Yes

  No

  N/A

• Are managers and supervisors aware of the extra risks posed by violence to pregnant women?

  Yes

  No

  N/A

Wellfare Issues

• Is there somewhere quiet for youto rest or lie down if needed?

  Yes

  No

  N/A

• Does the site have easy access to toilets?

  Yes

  No

  N/A

• Is there a clean, private area to express breast milk?

  Yes

  No

  N/A

• Is there somewhere safe for them to store expressed milk?

  Yes

  No

  N/A

• Is your pregnancy high risk from a personal medical perspective?

  Yes

  No

  N/A

• Did your last blood pressure indicate a risk to you?

  Yes

  No

  N/A

• Have any other medical concerns been identified we need to be aware of?

  Yes

  No

  N/A

• Are you suffering from morning sickness?

  Yes

  No

  N/A

• Does the morning sickness affect your ability to work?

  Yes

  No

  N/A

• Are there facilities for to make hot/cold drinks and to rest?

  Yes

  No

  N/A

• How do you commute to work?

  Select Walk to work Use public transport (Bus, train, taxi) Drive to work Lift share Partner/ family member takes me to work

  • Walk to work
  • Use public transport (Bus, train, taxi)
  • Drive to work
  • Lift share
  • Partner/ family member takes me to work

• Is it the hospital you are having the baby in?

  Yes

  No

  N/A

• Who would you contact for emergencies?

• Are you having issues with attending medical appointments?

  Yes

  No

  N/A

• When do you think you will go on maternity leave? (Estimated date)

  Date

• Do you feel that you need additional support at this time?

• Next Assessment Date:

  Date

• Magnitude of Risk

  Low

  Medium

  High

• Reasonable Adjustments Requested or Advised