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Pregnancy Risk Assessment Template
Need a Pregnancy Risk Assessment Template for our manufacturing facility in Singapore that specifically addresses chemical exposure risks and heavy machinery operation, to be implemented by March 2025 for our workforce of 200 employees.
1. Employee Information: Details of the pregnant employee, including name, job role, department, and duration of employment
2. Workplace Hazard Identification: Systematic identification of potential risks to pregnant employees in the current work environment
3. Risk Evaluation: Detailed assessment of identified risks and their potential impact on pregnancy, including severity and likelihood
4. Control Measures: Specific measures implemented to eliminate or minimize identified risks, including timeline and responsible parties
5. Medical Recommendations: Documentation of medical advice, restrictions, and accommodations required during pregnancy
1. Remote Work Arrangements: Details of work-from-home or remote working options when job duties can be performed remotely
2. Temporary Role Modification: Specifications for modified duties or alternative roles when current position poses significant risks
3. Special Equipment Requirements: Documentation of additional equipment or modifications needed to ensure safe working conditions
1. Schedule A - Risk Assessment Checklist: Comprehensive checklist of common pregnancy-related workplace hazards and risk factors
2. Schedule B - Medical Certification Form: Standard template for recording medical recommendations and workplace restrictions
3. Schedule C - Employee Acknowledgment Form: Form for documenting employee agreement with assessment findings and proposed measures
4. Schedule D - Review Schedule: Timeline and procedures for periodic review of the risk assessment throughout pregnancy
Authors
Risk Assessment
Hazard
Control Measures
Workplace
Occupational Health Professional
Medical Practitioner
Safe Work Procedure
Personal Protective Equipment
Reasonably Practicable
Risk Level
Work Modification
Alternative Duties
Assessment Period
Review Date
Designated Workplace
Essential Functions
Physical Demands
Environmental Conditions
Chemical Exposure
Biological Hazards
Ergonomic Factors
Work Schedule
Rest Periods
Emergency Procedures
Safety Equipment
Workplace Adjustments
Risk Matrix
Severity Level
Likelihood
Implementation Timeline
Competent Person
Assessment Team
Risk Identification
Hazard Assessment
Control Measures
Workplace Modifications
Medical Requirements
Review and Monitoring
Implementation Timeline
Documentation Requirements
Emergency Procedures
Responsibilities and Duties
Consultation Process
Health and Safety
Confidentiality
Working Hours and Breaks
Alternative Work Arrangements
Equipment and Resources
Training Requirements
Reporting Procedures
Medical Examination
Assessment Review
Sign-off Requirements
Compliance Statement
Appeal Process
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