Pregnancy risk assessment form template
5 mins to read, 10 mins to prep
357 words, 2 A4 pages
Reviewed 17 September 2025
Pregnancy risk assessment form
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 this for?
This Pregnancy risk assessment form template aims to offer you a versatile and customisable tool, serving as a solid foundation for your needs. Utilise it to ensure consistency, enhance accuracy, and save valuable time.
Adapt it to suit your unique requirements, ensuring efficiency and effectiveness in your HR processes.
Document sequence
Pregnancy notification checklist form template
Our pregnancy notification checklist is designed to guide managers through key steps when an employee notifies them verbally of their pregnancy.
