Get Pregnancy Risk Assessment Template

Filling out the Pregnancy Risk Assessment Template is an important step in ensuring the health and safety of employees who are pregnant, post-natal, or breastfeeding. This guide provides clear, step-by-step instructions to help you navigate the form online effectively.

Follow the steps to complete the Pregnancy Risk Assessment Template.

1. Click the ‘Get Form’ button to obtain the Pregnancy Risk Assessment Template and open it in your preferred editor.
2. Begin by filling out Section 1: Employee Risk Assessment. Enter the employee's name, date, company address, job title, and assessment details, including the name of the manager or supervisor managing the assessment and the medical advisor's contact information. Indicate the number of weeks pregnant, the expected date of delivery, and obtain the employee's signature to confirm they have formally notified their employer about their pregnancy or breastfeeding status.
3. Move to Section 2: Physical Agents. For each item listed, mark 'Yes' or 'No' based on whether the employee’s work activities involve exposure to the specified physical agents. Provide any relevant comments to elaborate on your assessments regarding risks.
4. Continue with Section 2: Biological Agents. Again, assess any potential exposure to biological agents that could endanger health and indicate whether control measures and personal protective equipment are in place. Ask the employee about their immunity to specific biological agents.
5. Review the Chemical Agents Hazards section, answering the questions regarding chemical exposure. Ensure to cover all hazardous agents indicated and check for existing control measures and protective equipment.
6. In the Night Work section, check whether the employee works during the specified hours and if a medical certificate is necessary to avoid night work.
7. Examine the Movement/Posture section. Fill out the relevant information concerning the employee's working conditions, such as sitting or standing duration and accessibility of sufficient seating. Assess the employee's awareness of emergency procedures and handling potentially aggressive situations.
8. Document any additional safety and health hazards identified during the assessment process in the provided comments section.
9. Complete Section 3: Risk Assessment Recommendations by noting the frequency of review for the assessment throughout the pregnancy. This is crucial for adapting to any changes in the employee’s condition or workplace circumstances.
10. Once all sections are completed, ensure all entries are accurate and save your changes. You may then choose to download, print, or share the completed form.

Take proactive steps to ensure the health and safety of employees by completing the Pregnancy Risk Assessment Template online.