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Pregnancy risk assessment template 2025

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The document is a Pregnancy Risk Assessment template designed to help employers comply with the Protection of Pregnant, Post Natal and Breastfeeding Employees Regulations 2007. It outlines the process for assessing risks to pregnant employees, breastfeeding mothers, and post-natal employees in the workplace. The assessment includes evaluating exposure to physical, biological, and chemical agents, as well as considering work conditions such as night shifts and posture. Employers are encouraged to review the assessment regularly throughout the employee's pregnancy.

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Click ‘Get Form’ to open the pregnancy risk assessment template in the editor.
Begin by filling out Section 1: Employee Risk Assessment. Enter the employee's name, date, company address, job title, and other relevant details. Ensure accuracy as this information is crucial for the assessment.
In Section 2, assess physical agents. For each listed activity, indicate 'Yes' or 'No' based on the employee's work conditions. Provide comments where necessary to clarify any potential risks.
Continue with biological and chemical agents hazards in Section 2. Again, mark 'Yes' or 'No' and add comments regarding control measures and PPE availability.
Review night work conditions and movement/posture requirements in subsequent questions. Document any concerns that may affect the employee’s health during pregnancy.
Finally, complete Section 3: Risk Assessment Recommendations by summarizing findings and suggesting necessary actions to mitigate identified risks.

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Versions	Form popularity	Fillable & printable
2018	4.2 Satisfied (60 Votes)
2016	4.5 Satisfied (35 Votes)

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What is a prenatal risk assessment?

Some medical conditions in a pregnant person can raise pregnancy risks, including: High blood pressure. Obesity. Diabetes. Epilepsy. Thyroid disease. Heart or blood disorders. Poorly controlled asthma. Infections.

What are the 5 things a risk assessment should include?

The Health and Safety Executives Five steps to risk assessment. Step 1: Identify the hazards. Step 2: Decide who might be harmed and how. Step 3: Evaluate the risks and decide on precautions. Step 4: Record your findings and implement them. Step 5: Review your risk assessment and update if. necessary.

What shouldnt you do when pregnant?

Pregnancy Donts Dont smoke. Dont drink alcohol. Dont eat raw meat. Dont eat deli meat. Dont eat unpasteurized milk products. Dont sit in a hot tub or sauna. Dont drink a lot of caffeine. Dont clean the cats litter box.

What is not allowed during pregnancy?

Foods to avoid during pregnancy typically include those that carry a risk of infection, such as undercooked or raw meat or fish, but youll want to limit your intake of caffeine and processed foods, too. Its essential to eat well during pregnancy to nourish both yourself and your unborn child.

What is the 5 5 1 rule for pregnancy?

Lifestyle habits to stop or avoid during pregnancy include smoking, drinking alcohol, gaining too much weight, consuming too much caffeine, eating certain foods like raw or undercooked meat and eggs, raw sprouts, some seafood, and others.

What are the donts of pregnancy?

Risk assessment in pregnancy helps to predict which women are most likely to experience adverse health events and enables providers to administer risk-appropriate perinatal care.

Pregnancy risk assessment template 2025

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