Template

Pregnancy Risk Assessment Template

by Christopher Lyle, from the Community

20+

Use this workplace pregnancy risk assessment to help managers and health and safety teams evaluate risks for expectant employees. Capture medical history and personal symptoms, assess manual handling, standing, work at height, lone working, posture, temperature, toilets, ventilation, workstation and DSE, workload, hours, hazardous materials, and mental health. Record actions, adjustments, referrals to Occupational Health, recommendations, and schedule 3-monthly reviews with declarations and signatures.

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Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

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
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
Downloads: 10+
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Template
New and Expectant Mothers - Checklist and Risk Assessment
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.
by Victor Medina, from the Community
Downloads: 10+
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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
Expectant Mother Risk Assessment Form
Use this expectant mother risk assessment form to help employers meet UK and Ireland workplace safety requirements for pregnant and new mothers. The template guides assessors through key hazard areas including workstation setup, manual handling, travel for work, hazardous substances and processes, and welfare considerations. Record existing controls, rate likelihood and severity using a risk matrix, assign actions, and schedule reviews. Complete assessments twice during pregnancy and once on return, with clear sign off for assessor and employee.
by Tiffany Argent, from the Community
Downloads: 10+
Get

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

10+

Get

Template

New and Expectant Mothers - Checklist and Risk Assessment

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.

by Victor Medina, from the Community

10+

Get

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

10+

Get

Template

Expectant Mother Risk Assessment Form

Use this expectant mother risk assessment form to help employers meet UK and Ireland workplace safety requirements for pregnant and new mothers. The template guides assessors through key hazard areas including workstation setup, manual handling, travel for work, hazardous substances and processes, and welfare considerations. Record existing controls, rate likelihood and severity using a risk matrix, assign actions, and schedule reviews. Complete assessments twice during pregnancy and once on return, with clear sign off for assessor and employee.

by Tiffany Argent, from the Community

10+

Get

Pregnancy Risk Assessment Template

About author

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Expectant Mothers Risk Assessment

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