Risk Assessment Form For Pregnant Employees Template for Indonesia

Create a bespoke document in minutes, or upload and review your own.

4.6 / 5

4.8 / 5

Let's create your Risk Assessment Form For Pregnant Employees

1. Select your governing law and document type:

2. Enter your key requirements:

3. Create your document to edit, review or download

Get your first 2 documents free

Your data doesn't train Genie's AI

You keep IP ownership of your information

Key Requirements PROMPT example:

Risk Assessment Form For Pregnant Employees

"I need a Risk Assessment Form For Pregnant Employees for our chemical manufacturing facility in Jakarta, with particular emphasis on laboratory safety protocols and exposure to chemical agents, ensuring compliance with Indonesian regulations by March 2025."

Document background

The Risk Assessment Form For Pregnant Employees is a crucial document required under Indonesian labor laws to protect the health and safety of pregnant employees in the workplace. This form should be completed as soon as an employee notifies their employer of their pregnancy and should be reviewed regularly throughout the pregnancy period. The assessment is designed to identify potential risks in accordance with Law No. 13 of 2003 on Manpower and related health and safety regulations, documenting necessary workplace adjustments and control measures. It includes detailed evaluations of physical demands, workplace environment, and specific job-related hazards, ensuring both employer compliance with legal obligations and employee safety. The document serves as a formal record of risk assessment and agreed accommodations, protecting both the employer and employee while facilitating appropriate workplace modifications.

Suggested Sections

1. Employee and Workplace Details: Basic information including employee name, department, job role, manager details, and current stage of pregnancy

2. Current Role Analysis: Detailed description of regular duties, working hours, and normal workplace conditions

3. Risk Categories Assessment: Systematic evaluation of physical, chemical, biological, and ergonomic risks in the workplace

4. Physical Demands Assessment: Evaluation of physical activities including standing, lifting, climbing, and repetitive movements

5. Workplace Environment Assessment: Assessment of temperature, noise, lighting, ventilation, and other environmental factors

6. Control Measures: Existing and additional control measures needed to minimize identified risks

7. Temporary Workplace Adjustments: Specific modifications required to the employee's role, workspace, or schedule

8. Emergency Procedures: Special considerations for emergency evacuation and response

9. Review and Sign-off: Signatures from the employee, assessor, HR representative, and line manager, with review dates

Optional Sections

1. Chemical Exposure Assessment: Required when workplace involves potential exposure to chemicals, cleaning agents, or other hazardous substances

2. Manual Handling Details: Needed for roles involving significant lifting or moving of objects

3. Night Work Assessment: Required for employees who normally work night shifts or irregular hours

4. Travel Requirements: Necessary for roles involving business travel or commuting between sites

5. Remote Working Assessment: Required for employees who work from home or other remote locations

6. Radiation Exposure: Required in healthcare settings or environments with radiation equipment

Suggested Schedules

1. Schedule A: Risk Matrix: Standard risk assessment matrix for evaluating likelihood and severity of risks

2. Schedule B: Workplace Hazard Checklist: Comprehensive checklist of common workplace hazards relevant to pregnant employees

3. Schedule C: Legal Requirements Reference: Summary of relevant Indonesian legal requirements and employer obligations

4. Appendix 1: Emergency Contact Information: List of relevant emergency contacts and medical facilities

5. Appendix 2: Pregnancy-Related Health Guidelines: General health and safety guidelines specific to different stages of pregnancy

6. Appendix 3: Adjustment Implementation Guide: Detailed guidance on implementing common workplace adjustments

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Manufacturing

Healthcare

Education

Retail

Financial Services

Technology

Hospitality

Construction

Professional Services

Public Sector

Transportation

Telecommunications

Food and Beverage

Pharmaceutical

Chemical Industry

Relevant Teams

Human Resources

Occupational Health and Safety

Risk Management

Legal

Operations

Medical Services

Facilities Management

Compliance

Employee Relations

Relevant Roles

Human Resources Manager

Occupational Health and Safety Manager

Risk Assessment Officer

Workplace Safety Coordinator

HR Business Partner

Environmental Health and Safety Specialist

Facilities Manager

Operations Manager

Department Supervisor

Medical Officer

Compliance Officer

Employee Relations Manager

Find the exact document you need

Fire Assessment

A technical evaluation of building fire safety conditions and compliance requirements under Indonesian regulations, including risk assessment and improvement recommendations.

How a Sales & Marketing Lead uses Genie AI to reduce contract drafting time by 95%

Let's create your Risk Assessment Form For Pregnant Employees

Authors

Alex Denne

Find the exact document you need

Fire Assessment

Risk Assessment For Restaurant

Risk Assessment Form For Pregnant Employees

Health And Safety Assessment

Fire Safety Risk Assessment

Coshh Risk Assessment

Commercial Risk Assessment

Job Risk Assessment

Water Risk Assessment

Risk Assessment For Schools

Bribery And Corruption Risk Assessment

Pre Job Hazard Assessment

Risk Assessment And Management Plan

Legionella Risk Assessment For Landlords

OHS Assessment

Food Risk Assessment

Occupational Therapy Risk Assessment

Psychology Risk Assessment

Food Defence Risk Assessment

Food Fraud Vulnerability Assessment

Health Risk Assessment

Warehouse Risk Assessment

Travel Risk Assessment

Stress Risk Assessment

Risk Assessment Form

Pregnancy Risk Assessment

Pest Risk Assessment

Infection Control Risk Assessment

Legal Risk Assessment

Functional Risk Assessment

Food Safety Risk Assessment

Finance Risk Assessment

Chemistry Risk Assessment

IT Risk Assessment Form

Security Risk Assessment Form

Information Security Risk Assessment Form

Vendor Risk Assessment Form

Risk Assessment And Control Form

Composite Risk Assessment Worksheet

Risk Management Form

Plant Risk Assessment Form

Deliberate Risk Assessment Worksheet

Operational Risk Management Form

Job Safety Assessment Form

Health Risk Assessment Form

Download our whitepaper on the future of AI in Legal

Genie’s Security Promise

Your documents are private:

Your documents are protected:

Organizational security

Innovation in privacy:

Want to know more?

Commercial

Employment

IP

Administration

Finance

R&D

Use Cases