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1. Employee Information: Details of the pregnant employee including name, role, department, and stage of pregnancy
2. Workplace Details: Information about the work environment, including location, department, and nature of work
3. Assessment Details: Date of assessment, assessor details, and review schedule
4. Current Role Analysis: Detailed description of regular duties, responsibilities, and working conditions
5. Hazard Identification: Systematic list of potential hazards in the workplace relevant to pregnancy
6. Risk Assessment: Evaluation of identified hazards, their likelihood and potential impact
7. Control Measures: Existing and proposed measures to eliminate or minimize identified risks
8. Adjustments and Accommodations: Specific workplace modifications or role adjustments required
9. Emergency Procedures: Special considerations for emergency response involving the pregnant worker
10. Monitoring and Review: Schedule and process for regular review of the assessment
1. Night Work Assessment: Additional assessment for employees working night shifts or irregular hours
2. Manual Handling Details: Specific assessment for roles involving lifting or physical strain
3. Chemical Exposure Assessment: Detailed evaluation for workplaces with potential chemical hazards
4. Remote Work Considerations: Assessment of risks and controls for employees working from home
5. Travel Requirements: Assessment of work-related travel risks and accommodations
6. Multiple Pregnancy Considerations: Additional considerations for employees carrying multiple pregnancies
1. Schedule 1: Hazard Checklist: Comprehensive checklist of common pregnancy-related workplace hazards
2. Schedule 2: Risk Matrix: Standard risk assessment matrix for evaluating hazard severity and likelihood
3. Schedule 3: Control Measure Templates: Templates for documenting and implementing control measures
4. Appendix A: Relevant Legislation: Summary of applicable New Zealand health and safety legislation
5. Appendix B: Medical Information: General medical guidelines and considerations for pregnant workers
6. Appendix C: Review Form: Template for conducting regular reviews of the risk assessment
Healthcare
Education
Manufacturing
Retail
Construction
Professional Services
Hospitality
Transportation
Agriculture
Mining
Chemical Industry
Public Sector
Technology
Financial Services
Telecommunications
Media and Entertainment
Human Resources
Health and Safety
Occupational Health
Risk Management
Operations
Employee Relations
Compliance
Facilities Management
Medical Services
Environmental Health
Health and Safety Manager
Human Resources Director
Occupational Health Nurse
Risk Assessment Officer
Workplace Safety Coordinator
Human Resources Business Partner
Operations Manager
Facilities Manager
Department Supervisor
Employee Relations Manager
Compliance Officer
Workplace Wellness Coordinator
Industrial Hygienist
Environmental Health Officer
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