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1. Employee and Workplace Information: Details of the pregnant employee, their role, department, and typical workplace locations
2. Assessment Details: Date of assessment, assessor details, stage of pregnancy, and expected due date
3. Current Role Description: Detailed description of the employee's regular duties, responsibilities, and typical working patterns
4. Physical Workplace Assessment: Evaluation of physical workplace conditions including ergonomics, standing/sitting requirements, and physical demands
5. Environmental Hazards Assessment: Assessment of workplace environmental factors such as temperature, noise, radiation, and ventilation
6. Chemical Exposure Assessment: Evaluation of any potential exposure to chemical substances
7. Biological Hazards Assessment: Assessment of potential exposure to biological agents
8. Work Pattern Assessment: Evaluation of working hours, shifts, breaks, and potential stress factors
9. Control Measures: Existing control measures and their adequacy
10. Required Actions: Specific actions needed to address identified risks
11. Review Schedule: Timeline for regular reviews and updates of the assessment
1. Manual Handling Assessment: Detailed assessment of lifting, carrying, and moving tasks - required if role involves manual handling
2. Night Work Assessment: Additional assessment required if employee works night shifts
3. Travel Requirements: Assessment of business travel requirements and associated risks - include if role involves travel
4. Emergency Procedures: Special considerations for emergency evacuation - required for multi-story buildings or high-risk environments
5. Remote Working Assessment: Assessment of home working environment - required if employee works remotely
1. Risk Matrix: Standard risk assessment matrix used to evaluate likelihood and severity of risks
2. Workplace Photographs: Visual documentation of workplace setup and potential hazards
3. Medical Recommendations: Any specific recommendations from occupational health or the employee's healthcare provider
4. Task Modification Plan: Detailed plan for modified duties or alternative work arrangements
5. Review Log: Record of assessment reviews and updates throughout pregnancy
6. Legal Reference Guide: Summary of relevant Swiss legal requirements and employer obligations
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