ࡱ> [ bjbj 8kikiLLLLL```8d`(([ d 4&x'x'x'x'x'x'$=*,'L  'LLM($$$ jLL)&$ &$$$@]!v$&c(0($-!Z-$-L$@ $ ''-# ( - X :  EXPLANATORY DETAILS Upon receiving written notification of pregnancy the Line Manager/ responsible person will carry out this risk assessment. See  HYPERLINK "http://www.imperial.ac.uk/occupational-health/health-protection-at-work/pregnancy/risk-management/" New and Expectant Mothers in the Workplace for guidance. Contact Occupational Health/Safety Department if specific advice required. Section 1: Action must be taken to avoid exposure to identified risks by substitution with a safer substance, adaptations to the job, to allow the work to be conducted safely and without risk to health. Where this is not possible, the person should be provided with suitable alternative work as required by of the Management of Health and Safety at Work Regulations1999.Section 2: The varying health effects of pregnancy should be considered and plan any action to which may be needed. The assessment should be reviewed at reasonable intervals as the pregnancy progresses or if problems arise. Section 3: Return to work within 6 months of delivery or continuing to breastfeed. Name:  FORMTEXT      Job title:  FORMTEXT      Department:  FORMTEXT      Date of assessment:  FORMTEXT      Line Manager/Person in charge of assessment:  FORMTEXT       SECTION 1: HAZARD IDENTIFICATION 1. PHYSICAL HAZARDSIonising radiation Yes  FORMCHECKBOX  No  FORMCHECKBOX Non-ionising radiation Yes  FORMCHECKBOX  No  FORMCHECKBOX Manual HandlingYes  FORMCHECKBOX  No  FORMCHECKBOX Adverse movements and posturesYes  FORMCHECKBOX  No  FORMCHECKBOX Electro Magnetic fields in excess of 0.5mT generated by laboratory equipmentYes  FORMCHECKBOX  No  FORMCHECKBOX Details:  FORMTEXT       Action:  FORMTEXT       2. CHEMICAL HAZARDSCan the work result in exposure to chemicals with any of the following risk phases?H340: May cause genetic defectsH341: Suspected of causing genetic defectsH360: May damage fertility or the unborn childH361: Suspected of damaging fertility or the unborn childH361d: Suspected of damaging the unborn childH362: May cause harm to breast-fed childrenH340: May cause genetic defectsYes  FORMCHECKBOX  No  FORMCHECKBOX Details:  FORMTEXT       Action:  FORMTEXT        3. BIOLOGICAL HAZARDSCan the work result in exposure to Biological agents of hazard groups 2, 3 and 4?Yes  FORMCHECKBOX  No  FORMCHECKBOX Details:  FORMTEXT       Action:  FORMTEXT       4. WORKING CONDITIONSWork with computers Yes  FORMCHECKBOX  No  FORMCHECKBOX Confined spacesYes  FORMCHECKBOX  No  FORMCHECKBOX Mental and Physical FatigueYes  FORMCHECKBOX  No  FORMCHECKBOX Lone workingYes  FORMCHECKBOX  No  FORMCHECKBOX Stress Yes  FORMCHECKBOX  No  FORMCHECKBOX Shift workYes  FORMCHECKBOX  No  FORMCHECKBOX Working at Heights Yes  FORMCHECKBOX  No  FORMCHECKBOX Adverse Thermal EnvironmentsYes  FORMCHECKBOX  No  FORMCHECKBOX Travelling for WorkYes  FORMCHECKBOX  No  FORMCHECKBOX Standing for prolonged periodsYes  FORMCHECKBOX  No  FORMCHECKBOX Details:  FORMTEXT       Action:  FORMTEXT       5. LESS PREVALENT HAZARDSHyperbaric atmosphere /Scuba divingYes  FORMCHECKBOX  No  FORMCHECKBOX Shock & VibrationYes  FORMCHECKBOX  No  FORMCHECKBOX Mercury & its derivativesYes  FORMCHECKBOX  No  FORMCHECKBOX Lead & its derivatives Yes  FORMCHECKBOX  No  FORMCHECKBOX Carbon monoxideYes  FORMCHECKBOX  No  FORMCHECKBOX ViolenceYes  FORMCHECKBOX  No  FORMCHECKBOX Details:  FORMTEXT       Action:  FORMTEXT        SECTION 2: ASPECTS OF PREGNANCY WHICH MAY AFFECT WORK Refer to guidance on health problems associated with pregnancy Plan any contingencies should problems ariseComments:  FORMTEXT       Summary of contr 4 5 D    x j Ͻr^LLLLL#h hq[5CJOJQJ^JaJ'h# hq[0J6CJOJQJ^JaJ,jh# 6CJOJQJU^JaJh# 6CJOJQJ^JaJ&jh# 6CJOJQJU^JaJ h hq[CJOJQJ^JaJ#hshq[5CJOJQJ^JaJh hq[5OJQJ^J,h hq[5B*CJOJQJ^JaJphh95OJQJ^JD  vqFFF+$$d%d&d'dIfNOPQgd gdq[~kd$$Ifld&&  t 330644 l` 33ap 33yt $Ifgd%  x n ee\ $Ifgd%+$$d%d&d'dIfNOPQgd nkd$$Ifld&& t0644 lap yt j l n p r ~  νuuuuu]uuuuuݽ/jhh hq[CJOJQJU^JaJ4jh hq[CJOJQJU^JaJmHnHu/jh 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be briefed about?Yes  FORMCHECKBOX  No  FORMCHECKBOX Details:  FORMTEXT       Review date:  FORMTEXT      Signatures:  FORMTEXT       (Line Manager)  FORMTEXT       (Staff member)  FORMTEXT           New and Expectant Mothers Risk Assessment Imperial College London Page  PAGE 1 of  NUMPAGES 3 Nov 2024 Occupational Health  vvmm $Ifgd%kdM$$IflT0d&@ t0644 lapyt prtvxVXZbdkS/jRh h%CJOJQJU^JaJ/jSQh h 4CJOJQJU^JaJ/jPh h 4CJOJQJU^JaJ)jh h 4CJOJQJU^JaJ h h 4CJOJQJ^JaJ h hcWCJOJQJ^JaJ)jh hcWCJOJQJU^JaJ/jNh hcWCJOJQJU^JaJvxVvm $Ifgd%kd[O$$IflT0d&@  t0644 lapyt VXZ $Ifgd%pkd7P$$IflTd&& t0644 lap yt vmmm $Ifgd%kdQ$$IflT0d&@  t0644 lapyt  "$&(*,.0246NPdfhjlпппiNN4jh hI CJOJQJU^JaJmHnHu/jTh hI CJOJQJU^JaJ h hI CJOJQJ^JaJ)jh hI CJOJQJU^JaJ/jSh h%CJOJQJU^JaJ h h 4CJOJQJ^JaJ)jh h 4CJOJQJU^JaJ4jh h 4CJOJQJU^JaJmHnHu4 $Ifgd%pkdS$$IflTd&& t0644 lap yt 46 $Ifgd%pkd)T$$IflTd&& t0644 lap yt lnprt пЪлЪzпvnjjnjjnjhjhUha>/jUh hI CJOJQJU^JaJ/j7Uh hI CJOJQJU^JaJ h hI CJOJQJ^JaJh 4 h h 4CJOJQJ^JaJ)jh hI 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