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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
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