• Maternity Risk Assessment

    To be completed by manager
  • Date of Risk Assessment*
     - -

  • Physical Job Demands

  • Does the work involve lifting or pushing heavy objects?*
  • Does the work involve standing or squatting for long periods?*
  • Does the role involve a lot of walking?*
  • Does the work involve working at height or climbing steep steps?*
  • Does the employee need access to areas with limited space?*
  • Will any tasks become more hazardous as the employee changes shape and size throughout pregnancy?*
  • Does the role involve shift work?*
  • Does the role involve working at night?*

  • Mental Job Demands

  • Does the job involve meeting challenging deadlines?*
  • Does the role involve rapidly changing priorities and demands?*
  • Does the role require a high degree of concentration?*

  • Working Conditions - General

  • Does the work involve lone working or working in remote locations?*
  • Does the role involve any home working?*
  • Are toilet facilities easily accessible to a pregnant worker?*
  • Is the worker able to take toilet breaks when necessary?*
  • Can the worker take rest breaks when needed?*
  • Can the worker control the pace of her work?*
  • Does any part of the job involve dealing with members of the public?*
  • If so, does it involve with dealing with distressed or disturbed people?*
  • Does the role involve:*
  • Are there any obstacles in corridors or offices that could cause problems for pregnant women e.g in the event of a fire evacuation?*
  • Is the workplace non smoking?*
  • If not, is the worker separated from any designated smoking area?*
  • Is there any other form of indoor air pollution?*
  • Is the temperature in her working environment reasonable?*
  • Is there enough room for the worker to get in and out of her workstation?*
  • Does the worker have an adjustable seat with a backrest?*

  • Specific Hazards

  • Does any part of the job involve use of chemicals?*
  • If so, are there any risks to the employee whilst she is pregnant or a nursing mother?*
  • Is there any exposure to vibration e.g through the use of hand tools?*
  • Does the employee need to wear any personal protective clothing?*
  • If so, will this present a problems as the pregnancy develops?*
  • Should be Empty: