Pregnancy risk assessment form template

£14.99

UK-specific • Editable • Instant download • 12 months' updates

A structured template to assess and manage workplace risks for pregnant employees, ensuring safety and legal compliance.

Pregnancy risk assessment form template
2026 Reviewed
Specifications
Access 12 months (includes updates)
Length 2 pages • 357 words
Jurisdiction England, Wales and Scotland
Based on UK employment law, ACAS guidance
Last review 01/08/2026
Next review 01/02/2027
Delivery Instant download
Formats .doc · .xls · .txt · email

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Pregnancy risk assessment

Under the Management of Health and Safety at Work Regulations, we have a responsibility to ensure that new and expectant mothers are not exposed to risks that could affect their health, safety, or wellbeing, or that of their child.

When an employee notifies us that they are pregnant, have given birth within the last six months, or are breastfeeding, we must carry out a specific risk assessment and take appropriate measures to remove, reduce or control any identified risks.

Department  
Date of risk assessment  
Name of person carrying out risk assessment
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What is a pregnancy risk assessment form?

Pregnancy risk assessment form template preview

This Pregnancy Risk Assessment Form template helps employers identify, evaluate, and manage potential hazards for employees who are pregnant, have recently given birth, or are breastfeeding.

It guides managers through a consistent assessment process, ensuring suitable controls are in place to protect health and wellbeing.

Using this template demonstrates commitment to employee safety, compliance with health and safety law, and supports a positive and inclusive workplace culture.

The wider HR process

Related HR resources and workflow

Explore the HR resources that may be relevant before and / or after using the Pregnancy risk assessment form, helping you understand the wider process, maintain appropriate documentation and follow a consistent approach.

Previous
Forms
Pregnancy notification checklist form

Our pregnancy notification checklist is designed to guide managers through key steps when an employee notifies them verbally of their pregnancy.

This
Pregnancy risk assessment form
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Implementation guidance

Use these best practice actions, recommended timescales and process stages to understand when and how the Pregnancy risk assessment form should be used, helping ensure each step is handled consistently and appropriately documented.

Step Description Responsibility Timing
1 Employee notifies employer of pregnancy, including expected due date, so appropriate risk assessments can be initiated. Employee As soon as pregnancy is known
2 Line Manager or HR schedules a pregnancy risk assessment meeting, reviewing workplace duties, environment, and potential hazards. HR / Line Manager Within 1 week of notification
3 Complete the Pregnancy Risk Assessment Form with input from the employee, assessing risks related to physical demands, chemicals, biological hazards, and work patterns. Line Manager / Employee During the assessment meeting
4 Agree on control measures or adjustments required to mitigate risks, document them on the form, and provide a copy to the employee and HR. HR / Line Manager Immediately after assessment meeting
5 Review and update the risk assessment regularly throughout pregnancy or if work circumstances change, ensuring continued safety and wellbeing. HR / Line Manager Every 4–6 weeks or as required
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Frequently Asked Questions

Can I use this in my small business?

Yes. This template has been designed for organisations of all sizes, including small businesses, charities and growing employers. It follows UK employment law best practice and can be adapted to suit your organisation.

Is it compliant with 2026 UK employment law?

Our templates are developed with UK employment legislation, Acas guidance and HR best practice in mind and are reviewed and updated as relevant requirements change. However, every employment situation is different, so the template should be adapted to the circumstances and checked against the employee's contract and your organisation's procedures before use.

Can I customise it for my organisation?

Yes, we highlight the areas of the document that you need to update with your own details, and where you need to make decisions to suit your situation. This saves you time and ensures that you meet best practice.

Do I get instant access to it?

Yes. Once purchased, you'll be able to download it instantly. Templates are provided in editable format (such as .doc or .xls) so you can customise them easily, and in PDF format for easy sharing.

What if I need more help, not just this template?

If you're looking for broader support, we also offer toolkits and library bundles that include the Pregnancy risk assessment form template, along with other HR templates and policies for fully managing your situation. These may be more cost-effective if you need deeper advice.

Why should I use this Pregnancy risk assessment form template, and not AI to generate it?

AI can produce a document quickly, but effective HR documentation needs to be more than well-written words. It needs to reflect relevant UK employment law, HR best practice, practical considerations and the circumstances in which it will be used. These resources have been professionally developed around that wider HR context, drawing on extensive practical experience, rather than simply generating a generic document from a prompt.

How this content is developed and reviewed

The Pregnancy risk assessment form template is developed using a practical HR methodology that considers current UK employment legislation, ACAS guidance, CIPD good practice and the real-world HR process it supports. Templates are regularly reviewed and updated, with additional reviews triggered by significant changes to legislation, guidance or established HR practice, helping ensure each document remains practical, relevant and suitable for UK employers.

About the author

Darryl Horn, Chartered HR Director

Darryl is a Chartered HR professional with over 25 years' experience in senior HR and employee relations roles.

He has extensive practical experience of managing risk assessment processes and founded hrdocbox to provide businesses with practical, professionally developed HR resources grounded in UK employment law and best practice.

HRDocBox has been creating practical UK HR documents since 2009.

Executive recommendation

"Darryl provides support and advice with excellent judgement, and has a strong understanding of people, policies and UK employment legislation."

"He is someone I trust; consistent, dependable, and committed to doing things properly."

RB
Ruth Brock Chief Executive Officer The Hygiene Bank
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