Pregnant Employee Risk Assessment Page 3
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1
2
3Pregnant Employee Risk
Assessment Form
Version No
Rev 2
September 2010
Where applicable state who
What is the risk to the
Hazard
Suggested Control measures
will implement controls and
expectant/nursing mother
Date for Implementation
Awkward spaces and
Pregnant employees may experience
Workstation and chairs will be assessed as
workstations /Abnormal
problems in working in tight fitting
pregnancy progresses to avoid any postural
movements and
workspaces or workstations, which do not
problems
postures
adjust sufficiently to take account of
In later stages of pregnancy employees are
increased abdominal size. This may lead to
encouraged to use the lifts where possible and
strain or sprain injuries.
avoid using the stairs
Dexterity, agility, co-ordination, speed of
movement reach and balance may also be
impaired.
Travel
Sitting in a car for long periods can affect
Ensure hours of work and the volume and pacing
circulation and lead to fatigue Regular air
of work are not excessive
travel is not recommended when in your
If traveling long distances then extra time should
first and third trimester when
the risk of
be allowed to ensure that sufficient breaks can be
miscarriage and preterm labor are lower
taken e.g. overnight stay instead of traveling to
and from a destination in a day.
Travel is not recommended from week 35
onwards as there is a risk of pre term labor
Use of Protective
Increasing size
Provision of bigger sizes when needed
Clothing
Difficulty in leaving job
Frequent visits to toilet
Flexible work allocation
Working in hyperbaric
Potential to harm the fetus
Pregnant workers should not work in compressed
atmosphere
air, nor should they dive.
No Modifications to work Necessary
Modifications to work Needed as per the controls above
Risk Assessment Recommendations
Reassignment / Alternative duties
Health and Safety Leave
Employee Signature and Date
Manager Signature and Date
Where Applicable Health and Safety Officer
Signature and Date
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