Template

New and Expectant Mothers - Checklist and Risk Assessment

by Victor Medina, from the Community

Use this new and expectant mothers checklist and risk assessment to identify workplace hazards and define controls. Covers DSE, driving, lone working, manual handling, physical factors, slips, violence and aggression, welfare, working at height, and stress. Includes guidance on biological and chemical agents, COSHH, ionising radiation, and when to adjust duties or provide alternative work. Record employee details, assess risks, and implement actions, then review regularly throughout pregnancy and after return to work.

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Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

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Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
New and Expectant Mothers Risk Assessment (NEMRA)
A practical NEMRA checklist for workplaces to assess risks affecting new and expectant mothers. It covers DSE and workstation setup, manual handling, exposure to chemicals, working at height, temperature extremes, shift patterns and long hours, work-related stress and violence, and access to welfare facilities. Use it at key stages of pregnancy and return to work to document concerns, adjustments, contacts, and next assessment dates.
by Alex Tomkins, from the Community
Downloads: 10+
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Template
Schneider Electric: New and Expectant Mothers Assessment
This workplace risk assessment template helps managers evaluate and document the needs of new and expectant mothers in office or factory environments. It covers personal and emergency contacts, COSHH and chemical exposure, DSE and workspace setup, environmental factors such as temperature, lighting, and noise, fire and first aid notifications, manual handling requirements, access to suitable rest areas, wellbeing considerations, working hours, workload pressures, and general feedback. Use it to identify hazards, determine if additional assessments are required, and share findings with HR, managers, and the employee.
by Chris Stapylton, from the Community
Downloads: 20+
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Template
Expectant Mothers Risk Assessment
This expectant mothers risk assessment template helps employers and managers review workplace risks for pregnant employees and new mothers. It guides you through physical demands such as manual handling, standing, walking, working at height, shift or lone work; mental demands including deadlines, changing priorities and concentration; and general working conditions like DSE, facilities, temperature, space and suitable seating. It covers specific hazards including chemicals, fumes, noise, dust, vibration, radiation, extremes of temperature, uneven or wet floors, lighting and PPE fit. Travel considerations for road, rail, air and sea are included, with advice to limit long journeys in later pregnancy. The template also prompts HR documentation such as pregnancy notification and MAT B1, Occupational Health referrals, review scheduling and required confirmations from both the employee and manager.
by Garry Longthorne, from the Community
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Template
New Mothers Risk Assessment ED4 Template
This New Mothers Risk Assessment ED4 template helps colleges and training providers evaluate risks for pregnant and new mothers at work. It covers welfare facilities, manual handling, chemicals, biological agents, noise, vibration, night and shift work, display screen equipment, working at height, lone working, heat and cold, and fatigue. Record job details, hours, and duties, note breastfeeding needs, and confirm access to rest and privacy. Plan reasonable adjustments, assign actions, and advise staff using official HSE guidance. Capture sign off and notifications to keep everyone informed.
by Niki Shuttleworth, from the Community
Downloads: 10+
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New and Expectant Mothers - Checklist and Risk Assessment

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