HSG/CW Issue: V1.1 18/09/2015 The University of Salford Pregnant Students and New Mothers at Study - Risk Assessment Checklists Pregnant Students As soon as a student advises you they are pregnant, you must complete the pregnant students risk assessment checklist for University related activities. It is the responsibility of a placement provider to undertake the risk assessments for the students studying or undertaking a placement with them. Checklist 1 should be used to assess the activities, which may result in significant risk to the mother or unborn child during pregnancy. A copy of the completed checklist should be retained for record purposes and a copy given to the pregnant student. This assessment should cover all activities. If significant risks are identified by the assessment you should remove the hazard; prevent exposure; or introduce control measures to reduce the risk. If there is still a significant risk, the following steps must be taken: Step 1 – temporarily adjust the study conditions. If this is not reasonable, or would not avoid the risk; Step 2 – interrupt study and commence maternity leave, should be taken. The hazards relating to the physical, biological, chemical agents and general study conditions should be included in the risk assessment. A summary of the hazards is included at the end of this document to assist your assessment and discussion with the student (see appendix 1 for details). In addition, a list of the other aspects, which may affect ability to study, are also included (see appendix 2). Their impact will vary at different stages of the pregnancy and you will need to monitor their impact throughout the pregnancy. If advice or assistance is needed with the risk assessment, you can contact your health and safety coordinator for support. Details of your coordinator can be found at: http://www.salford.ac.uk/hr/health-and-safety/local-safety-contacts New Mothers Breastfeeding Checklist 2 should be used when the new mother is returning to study and intends to breastfeed their baby. If the new mother is planning to return to study within 6 weeks of the birth of their baby, the new mother should be advised to confirm with their midwife or GP that they are well enough to return and resume study, and any restrictions that need to be imposed. These restrictions will need to be discussed with the Programme Leader, to see if reasonable adjustments can be put in place. However, it might not be appropriate for the new Mum to return to their programme until the restrictions are no longer required. If the new mother is planning to return to study more than 6 weeks after the birth of their baby, they must confirm that the 6 week post-natal check with their midwife or GP has taken place and they are able to resume their normal study. If there are any complications or restrictions, the midwife or GP must detail what these are. If the new mother is undertaking a programme supported by Student Occupational Health facility, an HSG/CW Issue: V1.1 18/09/2015 The University of Salford appointment should be made by the new mother. If the programme leader has any concerns about the health or wellbeing of the new mother resuming study, they should refer the new mother to the student’s GP or Student Occupational Health facility, as appropriate. Suitable spaces for new mothers to breast feed or express milk will be provided on request in an appropriate University building. Before the new mother returns to work, the school office should contact the Estates & Property Services helpdesk to request access to a room. Five working days’ notice is required to enable them to prepare and clean a room for the new mother. Estates and Property Services can be contacted via: Telephone - 0161 295 4444 Email - estates-supportteam@salford.ac.uk HSG/CW Issue: V1.1 18/09/2015 The University of Salford Checklist 1 – Risk Assessment for Pregnant Students at Study Section A - Personal Details Student Name: School: Programme of Study: Module Anticipated date of confinement: Student’s Signature: Date: Programme Leader (print): Signature: Section B – Remedial Actions List of actions required: By when: 1. 2. 3. 4. Section C - Does the individual undertake physical activities which involve: 1. Physical shocks, low frequency vibration or excessive movement? YES/NO If YES, redesign task 2. Manual handling of heavy loads where there is a risk of injury? If YES, assess the activity and take steps to YES/NO reduce the risks by task redesign or reducing physical work 3. Prolonged exposure to loud noise? YES/NO If YES, reduce noise level or limit exposure 4. Ionising radiation? YES/NO 5. Extremes of heat? YES/NO 6. Excessive movement, travel, mental or physical fatigue? YES/NO 7. Pressurised atmospheres? YES/NO If YES, refer to detailed risk assessments in accordance with the Ionising Radiation Regulations If YES, ensure rest facilities and access to refreshments are available If YES, take action to reduce risk by task redesign If YES, seek advice from Health & Safety Coordinator HSG/CW Issue: V1.1 18/09/2015 The University of Salford Section D - Study Conditions: 1. Does study involve working underground or in cramped/confined spaces? 2. Is study likely to result in excessive tiredness or fatigue? 3. Is access to good hygiene facilities restricted or difficult? YES/NO If YES, arrange for alternative work/interrupt study If YES, arrange for alternative work/interrupt study If YES, arrange for alternative work/interrupt YES/NO study YES/NO Section E – Biological Agents: 1. Does study involve biological agents? YES/NO If YES, refer to COSHH assessment regarding implementation of control measures. YES/NO If YES, refer to COSHH assessment for employing control measures YES/NO If YES, refer to COSHH assessment for employment of control measures. YES/NO If YES, refer to COSHH assessment for employment of control measures. YES/NO If YES, refer to COSHH assessment for employment of control measures. Section F – Chemical Agents:1. Does study involve working with substances labelled with risk phrases R40, R45, R46, R49, R61, R63, R64 and R68 or H340, H341, H360, H361, H362? 2. Does study involve working with substances, preparations or processes listed in Annex 1 of EC Directive, Control of Carcinogenic Substances? 3. Does study involve working with mercury, mercury derivatives or antimitotic (cytotoxic) drugs? 4. Can the student come into contact with agents marked ‘SK’ according to guidance book EH40. This may also include some pesticides 5. Exposure to carbon monoxide? 6. Does study involve exposure to lead? If YES, remove individual from the source as YES/NO carbon monoxide causes oxygen starvation to the foetus If YES, refer to detailed risk assessments in YES/NO accordance with the Lead at Work Regulations Section G - Specialist Medical Advice: 1. Has the student received medical advice from their GP or Midwife concerning study restrictions that should be taken into account during pregnancy? YES/NO If YES, record these with action taken in Section B above. HSG/CW Issue: V1.1 18/09/2015 The University of Salford Checklist 2 - Risk Assessment for New Mothers Breastfeeding at Study Section A - Personal Details Student Name: School: Programme of Study: Module Anticipated date of confinement: Student’s Signature: Date: Programme Leader (print): Signature: Section B – Remedial Actions List of actions required: By when: 1. 2. 3. 4. Section C – Biological Agents: 1. Does study involve biological agents? YES/NO If YES, refer to COSHH assessment regarding implementation of control measures. YES/NO If YES, refer to COSHH assessment for employing control measures YES/NO If YES, refer to COSHH assessment for employment of control measures. YES/NO If YES, refer to COSHH assessment for employment of control measures. YES/NO If YES, refer to COSHH assessment for employment of control measures. Section D – Chemical Agents:1. Does study involve working with substances labelled with risk phrases R40, R45, R46, R49, R61, R63, R64 and R68 or H340, H341, H360, H361, H362? 2. Does study involve working with substances, preparations or processes listed in Annex 1 of EC Directive, Control of Carcinogenic Substances? 3. Does study involve working with mercury, mercury derivatives or antimitotic (cytotoxic) drugs? 4. Can the student come into contact with agents marked ‘SK’ according to guidance book EH40. This may also HSG/CW Issue: V1.1 18/09/2015 The University of Salford include some pesticides 5. Exposure to carbon monoxide? 6. Does study involve exposure to lead? If YES, remove individual from the source as YES/NO carbon monoxide causes oxygen starvation to the foetus If YES, refer to detailed risk assessments in YES/NO accordance with the Lead at Work Regulations HSG/CW Issue: V1.1 18/09/2015 The University of Salford Appendix 1 Hazard Risk Physical Hazards – where these are regarded as agents causing foetal lesions and/or likely to disrupt placenta attachment and in particular: Increased susceptibility to ligament damage and Movements and posture/load handling postural problems Can lead to dizziness, fainting and fatigue. It can also Standing for long periods contribute to an increased risk of premature childbirth and miscarriage. Poses a relatively high risk of thrombosis or embolism, particularly with constant sitting. In later Sitting for long periods stages of pregnancy, more likely to experience backache. Regular exposure to shocks, low frequency vibration Shocks and Vibration (e.g. off road vehicles) or excessive movement may increase risk of miscarriage. No specific risk, but prolonged exposure to loud noise Noise may lead to increased blood pressure and tiredness Ionising radiation Harmful to unborn child Non ionising radiation No specific risks identified Work in pressurised enclosures – hyperbaric atmosphere Risk to unborn child Underground mining or confined spaces Difficult physical conditions and may pose risk owing to cramped conditions and dangerous atmosphere Biological Agents – infectious diseases Any biological agent of hazard group 2, 3 or 4 Biological agents know to cause abortion of the unborn child, or physical and neurological damage. Diseases in these risk groups may be transmitted through the placenta whilst child is in the womb, or during or after birth, for example through breastfeeding. These include: rubella (German measles), toxoplasma, cytomeglavirus (common outside the workplace) Chlamydia in sheep. Chemical Agents – may enter the human body through different pathways: inhalation, ingestion, cuts and abrasions, and dermal absorption. The following may endanger the health of the pregnant woman and unborn child Substances labelled R40, R45, R46, R61, The actual risk to health can only be determined by a R63, R64, R68 and H340, H341, H360, detailed risk assessment H361 and H362 Preparations labelled on the basis of The actual risk to health can only be determined by a Directive 1999/45/EC detailed risk assessment HSG/CW Issue: V1.1 18/09/2015 Chemical agents and industrial processes in Annex 1 to Directive 90/394/EEC Mercury and mercury derivatives Antimitotic (cytotoxic) drugs Chemical agents of known and dangerous absorption through skin – this includes some pesticides. Carbon monoxide Lead and lead derivatives The University of Salford The actual risk to health can only be determined by a detailed risk assessment Organic mercury compounds could have adverse effects on the unborn child. In the long term these drugs cause damage to genetic information in sperm and eggs. Some cause cancer. Absorption is by inhalation or through the skin. Can penetrate skin and cause ill health effects. This substance readily crosses the placenta and can result in unborn child being starved of oxygen. Indications are that exposure to lead, either before or after birth via the mother or during early childhood, can impair development of the child’s nervous system. Study conditions Tiredness/fatigue and resting facilities Access to hygiene facilities Stress Passive smoking Extremes of cold or heat Use of VDU’s Lone working Working at heights Work related violence Personal protective equipment Appendix 2 Tiredness increases during and after pregnancy and this may have an effect on work patterns and or working hours Without easy access to toilets and associated hygiene facilities, there may be significant risk of infection and kidney disease Hormonal, physiological and psychological changes in addition to changes in life circumstances may lead to an increased vulnerability to anxiety and depression. Cigarette smoke poses a risk to the infant Extremes of temperature or sudden temperature changes may lead to physical stress There is no scientific link between use of VDU’s and birth defects or miscarriage Pregnant women are more likely to need urgent medical attention It is hazardous for pregnant women to work at heights, for example ladders, platforms, etc. There is an increased risk to students who are pregnant, have recently given birth or are breastfeeding, who may be subject to work related violence. It can lead to detachment of the placenta, miscarriage, premature birth, etc. Physiological changes may make wearing equipment uncomfortable and in some cases affect fit resulting in a risk to the wearer. HSG/CW Issue: V1.1 18/09/2015 The University of Salford Aspects of Pregnancy Which May Affect Study Activity Possible effects of pregnancy May cause difficulties Morning sickness, headaches Early shift work and exposure to nauseating smells Backache Standing/manual handling/posture Varicose veins Standing Haemorrhoids Study in hot conditions Frequent visits to the toilet Difficulty leaving job/site Increase in size Use of protective clothing, confined spaces, manual handling and sitting Tiredness Overtime, evening work Balance Working on slippery, wet or uneven surfaces Comfort Problems of working in tightly fitting uniforms Dexterity, agility and coordination, speed of movement and reach All may be impaired owing to increasing size