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Expectant Mother Risk Assessment Form

EMP.MS.03.10

This Expectant Mother Risk Assessment Form is an important document for all employers with pregnant or new mothers on their staff. This pregnancy risk assessment form addresses a number of key hazards and the associated risks.

Space is provided in this Expectant Mother Risk Assessment for expansion. Certain specialised positions or professions may require additional risks and hazards to be addressed. Similarly, there will be points in this document that are not relevant. An office worker, for example, is unlikely to come into contact with biological agents or excessive noise.

This Risk Assessment Form is in fixed field format. Simply press TAB to jump from one field to the next and SHIFT + TAB to go back. Alternatively, use the mouse to click from one field to the next.

The template can be unlocked by clicking on the “Padlock” icon on the tool bar. To display the “Padlock” icon click on “View” and then “Toolbars”. From the “Toolbars” menu, select “Forms”.

When you click on the “Download Document” button below you will be asked what you want to do with the file. It is recommended that you save the document to a location of your choice prior to viewing.

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