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New and Expectant Mothers Risk Assessment Template

Written from experience on CTRL, Crossrail and Network Rail

This new and expectant mothers risk assessment template is used when a worker tells you she is pregnant, has given birth in the last six months, or is breastfeeding. It records the risks to her and her baby, and the adjustments made.

Page 1 of the New and Expectant Mothers Risk Assessment TemplateSee what you get →

Completed except the facts only you know

£25 + VAT

£30 inc. VAT

  • Fills in: Hazards, controls and risk scores before and after controls, for your task.
  • Stays [TO CONFIRM]: Site address and postcode, nearest A&E, named people and contacts.
  • A competent person must review before use.
  • Company logo in header
  • Delivered in minutes
  • Word document (.docx)
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Template

£9 + VAT

£10.80 inc. VAT

Blank assessment — fill in yourself

  • Word document (.docx)
  • Guidance notes included
  • Instant download
  • Use on any project

Prices exclude VAT: UK customers pay 20% VAT; VAT is not charged for customers outside the UK.All documents are drafts. Placeholders marked [TO CONFIRM] must be completed with your site-specific details. A competent person must review before use on site.

What it's for

Regulations 16 to 18 of the Management of Health and Safety at Work Regulations 1999 require employers to assess risks to new and expectant mothers, and to act on them. If a significant risk cannot be removed, the employer must adjust the work or hours, offer suitable alternative work, or, as a last resort, suspend the worker on full pay. The template works through that order and keeps a confidential record.

When you need it

As soon as the worker notifies you in writing that she is pregnant, has given birth within the previous six months, or is breastfeeding. The template sets a review at least monthly, and whenever her circumstances or the work change.

Who signs it

The assessor and the worker.

What's inside

  • Confidential worker details, stage, and the date written notification was received
  • A risk table covering manual handling, prolonged standing or sitting, chemicals and lead, ionising radiation, temperature, night work, stress and long hours, violence, work at height and balance, and welfare
  • The outcome: modified duties, adjusted hours, temporary redeployment, or suspension on full pay
  • Whether medical advice was obtained
  • Monthly review, sign-off and a review table

FAQ

Is this assessment confidential?
Yes. The template is marked confidential. Share it only with the people who need to know.
What if there is no suitable alternative work?
The worker should be suspended on full pay for as long as necessary to protect her health and safety, or that of her baby.
Do welfare facilities need to change?
Pregnant and breastfeeding workers need somewhere suitable to rest. The risk table includes welfare so you can record the arrangements.
What is [TO CONFIRM]?
Details only you know, such as your site address and postcode, the nearest A&E, named people and contact numbers. We never guess these. They appear as highlighted [TO CONFIRM] placeholders, and the document opens with a list of every one, so you can fill them in before the assessment is signed and used.
Can I edit the document?
Yes. Both options are Word documents you can edit freely.
Do I still need to review it?
Yes. A competent person must check every document against the actual site and works before it is used. ClarusDocs gives you a complete first draft, not a substitute for that check.

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