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Maternity RA Form template

Workplace Risk Assessment Form – New or Expectant Mother


This Workplace Risk Assessment Form – New or Expectant Mother covers health and safety issues that would affect all staff, but the form has been specifically aimed at the expectant or new mother, and covers such things as manual handling, workplace temperatures, workload and posture, shift work, smells, rest facilities and access. Additional fields can be used for other identifiable hazards appropriate to the job and employee.

Once you have completed the risk assessment form whether hand-written or electronic, you should transfer the information in the ‘further controls/action’ column into your Action Plan so that you can monitor who has carried out the works and when.

This New & Expectant Mother Risk Assessment Form template is in fixed field format and contains macros. All macros are virus free. Always click "enable" if an automatic pop-up appears.

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.

This same document can also be downloaded at:-

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