Safety During Pregnancy

Safety During Pregnancy

Preliminary Risk Assessment for Pregnant Employee

Information provided by you via this online risk assessment is automatically forwarded to the Health & Safety Office. 

This information remains confidential and may be shared only with the DCU engaged Clinical Nurse Specialist.

Have you been certified pregnant?:
Have you formally notified your Manager?:
THE WORKING ENVIRONMENT - GENERAL
Night Work - Do you at least 3 hours between 11pm and 6am?
Do you work alone?
Have you completed Lone Worker Training?
Do you have means of communicating in an emergency?
Are you aware of first aid arrangements?
Are you likely to encounter aggressive or violent persons?

THE WORKING ENVIROMENT - PHYSICAL AGENTS 

Does your work activity involve exposure to the following?

Excessive noise?
Vibration or Physical Shocks?
Handling of loads entailing risk?
Cold Environment?
Hot Environment?
Ionising Radiation?
Non-Ionising Radiation?
Confined Spaces?
Pressurised enclosures?
Movement, travelling or postures that are abrupt or severe or give rise to excessive fatigue?:
Underwater Diving?
Are you required to wear/provided with any personal protective equipment (PPE)

THE WORKING ENVIRONMENT - BIOLOGICAL AGENTS

Is there likely exposure to biological agents which can endanger human health (Groups 2,3 or 4 biological agents)?
If "No" proceed to The Working Environment - Chemical Agents \n

Is there possible exposure to:

Toxoplasmosis?
Rubella?
Is Personal Protective Equipment provided if required?

THE WORKING ENVIRONMENT - CHEMICAL AGENTS

Does your job involve likely exposure to any chemical agents?
If "No" proceed to The Working Environment - Movement and Posture\n\n

Is there possible exposure to:

R40: Limited evidence of a carcinogenic effect
H350/H351/R45: May cause cancer/suspected of causing cancer
H340/H341/R46: May cause genetic defects/suspected of causing genetic effects
H350i/R49: May cause cancer by inhalation
H360/ H360D/ H360FD/ H360Fd/ H360Df/ H361/ H361d/ H361fd/ R61 / R63: May damage fertility or the unborn child/ suspected of damaging fertility or the unborn child
H362/ R64: May cause harm to breastfed children
H370: Causes damages to organs
H371: May cause damage to organs
R68: Possible risk of irreversible effects
Mercury or mercury derivaties?
Antimitotic (Cytotoxic) drugs?
Carbon monoxide?
Lead or lead derivaties?
Chemical agents of known dangerous percutaneous (skin) absorption?

If YES please list each chemical in use and its specified risk phase.

Chemical Name

Risk Phases (e.g. R61, R64)

THE WORKING ENVIRONMENT - VISUAL DISPLAY UNITS

Are you a Visual Display User (VDU)?
Have you completed the web based VDU Risk Assessment on your workstation?
Have you been provided with information on the safe use of VDUs?
Does your work involve long periods of time sitting or standing?
Are there constraints preventing good posture?
Can you vary tasks at your own discretion?
Is entry to tightly fitting workspaces required which would present comfort difficulties?
Is it necessary to reach over and around obstacles?
Is there any difficulty evacuating the building in an emergency due to lack of speed and movement?
Is there any difficulty wearing PPE due to increased size as the pregnancy develops?
Is there exposure to strong air movements?
Poor lighting?
Use of ladders/platforms at height?

Following submission A copy of the information is automatically provided to you for download

Do you wish the H&S Office to contact you regarding specific safety issues in pregnancy?