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1. Assessment Details: Basic information including employee details, assessor information, date of assessment, and expected date of childbirth/return to work
2. Current Work Role: Description of the employee's current position, duties, working hours, and location
3. Physical Workplace Hazards: Assessment of manual handling, posture-related risks, workstation ergonomics, and physical workplace conditions
4. Environmental Hazards: Evaluation of temperature, noise, radiation, vibration, and other environmental factors
5. Chemical Hazards: Assessment of exposure to chemicals, cleaning products, and other substances
6. Biological Hazards: Evaluation of risks from infectious diseases and biological agents
7. Working Conditions: Assessment of working hours, shift patterns, rest breaks, and stress factors
8. Control Measures: Detailed description of existing and additional control measures to be implemented
9. Action Plan: Specific actions required, responsible persons, and completion deadlines
10. Review Schedule: Timeline for regular reviews and circumstances requiring reassessment
1. Night Work Assessment: Additional assessment required if the employee works night shifts or irregular hours
2. Travel Requirements: Assessment of business travel risks if the role involves traveling
3. Remote Working Assessment: Specific assessment for employees working from home or remote locations
4. Emergency Procedures: Special considerations for emergency evacuation and first aid for pregnant workers
5. Return to Work Plan: Specific arrangements for returning to work after maternity leave
1. Risk Matrix: Template for evaluating likelihood and severity of identified risks
2. Workplace Adjustment Checklist: Detailed checklist of potential adjustments and modifications
3. Review Log: Record of assessment reviews and updates throughout pregnancy
4. Employee Consultation Record: Documentation of discussions and agreements with the employee
5. Reference Guidelines: Relevant sections of applicable legislation and workplace policies
6. Medical Recommendations: Form for recording any medical advice or restrictions provided by healthcare professionals
Risk Assessment
Control Measures
Hazard
Risk
Workplace
Display Screen Equipment
Manual Handling
Personal Protective Equipment
Night Work
Rest Facilities
Suitable Alternative Work
Biological Agents
Chemical Agents
Physical Agents
Occupational Exposure Limit
Nursing Mother
Assessment Period
Reasonable Adjustments
Work Station
Ergonomic Factors
Safety Data Sheet
Competent Person
First Aid Facilities
Emergency Procedures
Review Date
Risk Matrix
Significant Finding
Occupational Health Provider
Line Manager
Health and Safety
Risk Identification
Workplace Adjustments
Working Hours and Patterns
Environmental Conditions
Physical Hazards
Chemical Exposure
Biological Hazards
Ergonomic Considerations
Emergency Procedures
Medical Requirements
Monitoring and Review
Control Measures
Consultation Requirements
Documentation
Reporting Procedures
Training Requirements
Return to Work Arrangements
Rest and Welfare Facilities
Manufacturing
Information Technology
Healthcare
Education
Retail
Financial Services
Hospitality
Construction
Pharmaceuticals
Professional Services
Public Sector
Transportation
Telecommunications
Media and Entertainment
Research and Development
Human Resources
Health and Safety
Occupational Health
Facilities Management
Operations
Risk Management
Compliance
Employee Relations
Legal
Medical Services
Health and Safety Manager
HR Director
Occupational Health Nurse
Risk Assessment Specialist
Facilities Manager
HR Business Partner
Compliance Officer
Employee Relations Manager
Workplace Safety Coordinator
Operations Manager
Department Manager
Site Manager
HR Operations Manager
EHS (Environment, Health & Safety) Manager
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