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1. Employee Information: Details of the pregnant employee including name, position, department, and gestational stage
2. Assessment Details: Information about when the assessment was conducted, by whom, and review dates
3. Work Environment Assessment: Evaluation of the physical workplace environment including layout, equipment, and facilities
4. Physical Job Requirements: Assessment of physical demands such as lifting, standing, reaching, and repetitive movements
5. Chemical Exposure Assessment: Evaluation of potential exposure to hazardous substances or chemicals
6. Biological Hazards Assessment: Assessment of exposure to biological agents or infectious materials
7. Working Hours and Patterns: Review of work schedules, break times, and shift patterns
8. Control Measures: Specific actions and adjustments to be implemented to minimize identified risks
9. Emergency Procedures: Special considerations for emergency evacuation and response
10. Consultation Record: Documentation of discussions with employee, healthcare providers, and other relevant parties
11. Review and Monitoring: Schedule and process for ongoing assessment and updates
1. Remote Work Assessment: Additional assessment for employees working from home or remotely
2. Travel Requirements: Assessment of business travel needs and associated risks
3. Mental Health Considerations: Evaluation of stress factors and psychological wellbeing
4. Temperature and Environmental Controls: Specific assessment for workplaces with extreme temperatures or environmental conditions
5. Radiation Exposure: Assessment for workplaces where radiation exposure is possible
6. Multiple Pregnancy Considerations: Additional considerations for employees carrying multiple pregnancies
1. Schedule A - Risk Matrix: Detailed risk assessment matrix for evaluating hazard severity and likelihood
2. Schedule B - Control Measures Checklist: Comprehensive checklist of possible control measures and accommodations
3. Schedule C - Emergency Contacts: List of relevant emergency contacts and medical facilities
4. Appendix 1 - Hazardous Substances Register: List of workplace chemicals and substances with pregnancy-related risk ratings
5. Appendix 2 - Safe Working Procedures: Specific procedures modified for pregnant employees
6. Appendix 3 - Legislative References: Relevant sections of WHS legislation and other applicable laws
7. Appendix 4 - Review Timeline: Recommended schedule for reviewing and updating the assessment throughout pregnancy
Competent Person
Control Measures
Due Date
Ergonomic Risk
Gestational Period
Hazard
Hazardous Substance
Health Care Provider
Manual Handling
Medical Certificate
PCBU (Person Conducting a Business
Personal Protective Equipment (PPE)
Physical Hazard
Pregnant Employee
Pregnancy-Related Medical Condition
Reasonable Adjustments
Review Date
Risk
Risk Assessment
Risk Control
Risk Level
Safe System of Work
Safety Data Sheet (SDS)
Suitable Duties
Workplace
Work Environment
Working Hours
WHS Representative
Workplace Adjustment
Confidentiality
Risk Identification
Physical Hazards
Chemical Hazards
Biological Hazards
Ergonomic Considerations
Workplace Environment
Manual Handling
Working Hours and Patterns
Control Measures
Emergency Procedures
Medical Requirements
Consultation Process
Review and Monitoring
Documentation Requirements
Privacy and Data Protection
Reporting Obligations
Training and Support
Dispute Resolution
Healthcare
Education
Manufacturing
Retail
Hospitality
Construction
Mining
Professional Services
Public Sector
Transportation
Agriculture
Chemical Industry
Laboratory Services
Financial Services
Technology
Media and Entertainment
Human Resources
Workplace Health and Safety
Operations
Risk Management
Compliance
People and Culture
Employee Relations
Occupational Health
Legal
Industrial Relations
Human Resources Manager
Workplace Health and Safety Manager
Risk Assessment Officer
Occupational Health Nurse
HR Business Partner
Operations Manager
Facility Manager
Department Supervisor
Line Manager
People and Culture Director
Compliance Officer
Industrial Relations Manager
Employee Relations Specialist
Workplace Safety Coordinator
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