Pregnant Woman Risk Assessment

• Property

  Select

• Conducted on

  Date

• Prepared by

• Name of the Expectant Mother

• Department

• Job Role

• Brief description of duties

• Number of weeks pregnant if known

• Written notification received of pregnancy?(if yes enter date received)

  Yes

  No

  N/A

• Requested official Maternity Record from employee after first 3 months of pregnancy (if yes enter date requested)

  Yes

  No

  N/A

• Received official Maternity Record after first 3 months of pregnancy (if yes enter date received)

  Yes

  No

  N/A

1 - PHYSICAL JOB DEMANDS - Is the work free from:

• Lifting or pushing heavy objects?

  Yes

  No

  N/A

• If No to above, advise team member to avoid manual handling activities, use mechanical aids/colleague support, reduce load to less than 5kg.

• Standing for long periods?

  Yes

  No

  N/A

• If No to above advise team member to make sure they sit down as often as they feel is necessary. If you do stand for long periods, have a chair nearby.

• A Lot of Walking?

  Yes

  No

  N/A

• If No to above advise team member take regular rest stops and sit down as often is necessary.

• Work at height or climbing steep steps?

  Yes

  No

  N/A

• If No to above advise team member to avoid working at height (e.g. Work on elevated platforms) Use lifts instead of stairs where possible.

• Are any task still considered safe for expectant mothers considering their changing shape or size?

  Yes

  No

  N/A

• If No to above advise team member to inform their General Manager if and when body shape becomes a problem (I.e. you cannot get close enough to the task)

• Is the expectant mother exempted from shift / lone working?

  Yes

  No

  N/A

• If No to above advise team member night working and lone working should be avoided. Allow for flexibility. Limit hours worked.

2 - MENTAL JOB DEMANDS - Is the work free from:

• Requiring the expectant mother to meet challenging demands? (Is she under pressure of deadlines, customer requirements, etc.?)

  Yes

  No

  N/A

• Involving rapidly changing demands and priorities?

  Yes

  No

  N/A

• Requiring a high degree of concentration?

  Yes

  No

  N/A

• If No to any of the above advise team member to inform their line manager immediately if they feel their workload is to high and/or is causing stress. Their General Manager should discuss this with them and take appropriate action.

3 - GENERAL WORKING CONDITIONS

• Is the expectant mother free from any discomfort and strains from DSE (Display Screen Equipment)?

  Yes

  No

  N/A

• If no to above, please encourage regular breaks (ideally every hour) to move around, stretch, and rest eyes.

• Are toilet facilities easily accessible to the expectant mother?

  Yes

  No

  N/A

• If no to above please note - toilet facilities should be suitably close to allow toilet break to be taken as necessary.

• Can the expectant mother take toilet & rest breaks immediately as necessary?

  Yes

  No

  N/A

• If no to above please note - ensure a room is always available to take a break if necessary.

• Can the expectant mother control the pace of work?

  Yes

  No

  N/A

• If no to above advise team member that if the pace of work is causing stress to consult their General Manager who should discuss this with them and take appropriate action.

• Is a reasonable temperature maintained in the environment?

  Yes

  No

  N/A

• If no to above advise team member to report any uncomfortable temperatures to their General Manager.

• Is there sufficient area for the expectant mother to gain access & to egress to & from the work area?

  Yes

  No

  N/A

• If no to above advise team member to inform their line manager as soon as body shape becomes a problem so that remedial action can be taken.

• If the work is desk work only, does the expectant mother have a suitable adjustable chair?

  Yes

  No

  N/A

• If no to above advise team member if their job entails desk work their job should conform to DSE standards. If they do not normally sit to undertake their work a chair should be available for you to rest when necessary.

• Does the role include any home working?

  Yes

  No

  N/A

• If yes to above advise team member to ensure their home working environment is comfortable and that the same display screen practices are observed as would be at work.

• Does the work or additional duties free from dealing with emergencies?

  Yes

  No

  N/A

• If No to above consider that in the later stages of pregnancy the expectant mothers mobility will be reduced as well will their ability to respond to emergencies. Their emergency duties may have to be considered at this stage.

4 - SPECIFIC HAZARDS - Does the expectant mother free from/not expose to:

• Harmful substances?

  Yes

  No

  N/A

• Fumes?

  Yes

  No

  N/A

• Smoke?

  Yes

  No

  N/A

• Noise?

  Yes

  No

  N/A

• Dust?

  Yes

  No

  N/A

• Vibration?

  Yes

  No

  N/A

• Ionising Radiation?

  Yes

  No

  N/A

• Extremes of Temperature

  Yes

  No

  N/A

• Uneven Floors?

  Yes

  No

  N/A

• Wet/Slippy Floors

  Yes

  No

  N/A

• Poor Lighting?

  Yes

  No

  N/A

• If No to any of the above, Occupational Health may be necessary in some cases. Refer this case immediately to the Global Compliance Manager.

• Is Personal Protective Equipment (PPE) not a problem as the Pregnancy develops?

  Yes

  No

  N/A

• If No to above consider that if PPE becomes restrictive, uncomfortable or cannot be worn due to the body shape then the task for which the PPE is required should not be carried out.

5 - TRAVEL - Is the expectant mother exempted to travel on business by:

• Road?

  Yes

  No

  N/A

• If No to above advise team member if undertaking a long journey ensure they leave long enough time for rest breaks.

• Rail?

  Yes

  No

  N/A

• If No to the above advise team member to walk up and down aisles as necessary if feeling uncomfortable.

• Air?

  Yes

  No

  N/A

• If No to the above advise team member to consult their Department Heads before booking travel

• Sea?

  Yes

  No

  N/A

• If No to the above advise team member to consult their Department Heads before booking travel.

• ***IN GENERAL LONG DISTANCE BUSINESS RELATED JOURNEYS SHOULD BE AVOIDED WHERE POSSIBLE IN THE LATER STAGES OF PREGNANCY***

6 - OUTPUT RESULTS FROM ABOVE RISK ASSESSMENT

• Does expectant mother free from exposure to high risk based on the above assessment?

  Yes

  No

  N/A

• If No to the above and you feel the expectant mother is at risk in their role please request an appointment with Global Compliance Manager through the Q&C department.

• ***Please schedule next review date with Expectant Mother (approx 12 weeks from today's date)***

• Select date

  Date

• Recommendations & Comments

7 - DISCLAIMER

• ***I can confirm I have read and understood the above document. I can also confirm that if I experience any issues at all such as discomfort, pain etc. I will inform my General Manager immediately.***

• Expectant Mother Sign

  Sign

• ***I will ensure that the expectant mother named above will be allowed to heed the above advice as appropriate. In addition, I will ensure that the above noted recommendations are implemented as appropriate and will continue for as long as is possible, however will need to be managed and monitored in line with the needs of the business.***

• General Manager Sign

  Sign