New and Expectant Mothers at Work Guidance Note Page 1 of 12 New and Expectant Mothers at Work Guidance Note Contents Page 1.0 Introduction……………………………………………………………………………………………………………………… 3 2.0 Legal Requirements…………………………………………………………………………………………………………… 3 3.0 Responsibilities………………………………………………………………………………………………………………… 3 4.0 Rest Facilities for Pregnant and Breast Feeding Women…………………………………………………… 4 5.0 Associated Documents…………………………………………………………………………………………………………… 4 Appendix 1 Stage one – Initial risk assessment…………………………………………………………………………… 5 Appendix 2 Stage two – On notification of pregnancy, birth or breastfeeding …………………………… 6 Appendix 3 Pregnancy Health and Safety Checklist …………………………………………………………………… 7 Appendix 4 Aspects of Pregnancy that may affect work …………………………………………………………… 9 Appendix 5 Working Conditions Assessment ……………………………………………………………………………… 10 Page 2 of 12 1.0 Introduction 1.1 This guidance document has been developed to describe the standards to be applied to ensure the health, safety and welfare of new and expectant mothers. Managers and supervisors must understand that being pregnant is not classed as an illness. It should be regarded as part of everyday life and the health and safety implications can be addressed by the same normal health and safety management that applies to all workplace hazards and risks. 1.2 Many women continue to work while they are pregnant and many return to work following their maternity leave. Some new mothers may return to work while they are still breastfeeding. 1.3 Any female who is pregnant must inform their manager or supervisor in writing as soon as possible in order for them to comply with the employer’s responsibilities. 2.0 Legal Requirements 2.1 The University has a duty of care for the health, safety and welfare of all employees whilst at work under the Health and Safety at Work Act. The Management of Health and Safety at Work Regulations, specifically requires assessment of the risks to the health and safety of new or expectant mothers. 2.2 Other regulations such as the Control of Substances Hazardous to Health Regulations and the Manual Handling Operations Regulations also require specific assessments to be carried out. 2.3 The Workplace (Health, Safety and Welfare) Regulations require suitable rest facilities to be provided for pregnant or nursing mothers. 3.0 Responsibilities 3.1 Managers are required to carry out risk assessments and evaluate the significant hazards associated with the workplace to new and/or expectant mothers. The assessment should eliminate the risk or control it to an acceptable level. If the risk cannot be avoided by other means, then a change will need to be made to the working conditions or hours, other suitable alternative work will need to be offered, or if that is not possible then the employee should be given paid leave for as long as is necessary to protect her health and safety and that of her child. 3.2 Following the completion of an initial risk assessment (appendix 1), a specific risk assessment should be undertaken each time you are informed of a pregnancy or each time an employee returns from maternity leave within six months of giving birth or when they are still breastfeeding (appendix 2). To assist you in this process a Pregnancy Health and Safety Checklist has been compiled (appendix 3). If you answer yes to any of the questions on the checklist some advice on appropriate actions can be found in appendix 4. Further guidance on aspects of pregnancy that may affect work and which you will need to consider as part of the risk assessment can be found in appendix 5. Page 3 of 12 4.0 Rest Facilities for Pregnant and Breast Feeding Women 4.1 Many pregnant women feel tired and need to rest. Breastfeeding mothers need a clean, private place to express and store their milk. Employers are legally required to provide suitable rest facilities for workers who are pregnant or breastfeeding. Also, although not a legal requirement, employers are encouraged to provide a healthy and safe environment for nursing mothers to express and store milk. This could be provided in the suitable rest facilities. It is not suitable for toilets to be used for this purpose. 5.0 Associated Documents Maternity Policy Page 4 of 12 Appendix 1 Stage one – Initial risk assessment NO Inform employees of outcomes Are there any hazards present? YES Inform workers of the risk and the need to notify you of the pregnancy or if they are breastfeeding or have given birth in the last six months, as early as possible. Assess risks, reduce or remove if possible Page 5 of 12 Appendix 2 Stage two – On notification of pregnancy, birth or breastfeeding Carry out a specific risk assessment based on initial assessment Has a risk been identified? NO YES YES Remove Risk NO Monitor and review Adjust conditions/hours Action 3 Suspend her from work on paid YES leave for as long as necessary to protect her health and safety, or that of her child Can the risk be removed? YES Action 1 Can the mother’s working conditions/hours of work be adjusted? NO NO Action 2 Can she be given suitable alternative work Page 6 of 12 YES Give suitable alternative work on same terms and conditions Appendix 3 Pregnancy Health and Safety Checklist The workplace can present extra hazards to pregnant women, use our checklist to help you identify them. It’s divided into four sections, which look at physical and mental job demands as well as working conditions. Carrying out a risk assessment on a pregnant worker is a legal requirement. Use this checklist to highlight any particular areas that this assessment will need to focus on. It is important to discuss with the pregnant woman any potential risks to ensure no adverse impact on her wellbeing. If answering YES to any question and it is not imposing a health risk please document in the ACTION column. Pregnancy health and safety checklist 1. Physical Job Demands - Does the work involve: o Lifting or pushing heavy objects e.g. lifting boxes? o Standing or squatting for long periods? o A lot of walking? o Working at height or climbing steep steps? o The need to access areas with limited space, e.g. store rooms? - Will any tasks become more hazardous to the worker’s changing shape and size? - Does the role involve shift work? - Does the role involve night work? 2. Stress/Fatigue Demands - Does the job involve meeting challenging deadlines? - Does the role involve rapidly changing priorities and demands? - Does the role require a high degree of concentration? 3. Working Conditions - Does the work involve lone working or working in remote locations? (If lone worker – a lone worker risk assessment should be carried out) - Does the role involve home working? - Are toilet facilities easily accessible to a pregnant worker? - Is the worker able to take toilet breaks when necessary? - Can the worker take rest breaks when needed? - Can the worker control the pace of her work? Page 7 of 12 YES NO ACTION - Pregnancy health and safety checklist Are there any risks of violence at work? - Does any part of the job involve dealing with members of the public/students? If so, does the role involve: o Dealing with distressed or disturbed people? o Contact with young children or sick people? o Unpredictable working hours? o Dealing with emergencies? - Are there any obstacles in corridors or offices that could cause problems for pregnant women, e.g. in the event of fire evacuations? - Is there any other form of indoor air pollution, e.g. diesel fumes? - Is the temperature in her working environment reasonable? - Is there enough room for the worker to get in and out of her workstation? - Will there be enough room as the pregnancy develops? - Does the worker have an adjustable seat, e.g. with backrest? (Advise – Review Workstation Assessment as per DSE Regulations) YES NO 4. Specific Hazards - Does any part of the job involve the use of chemicals? If so, please consult COSHH documents to determine if there are any risks to the worker whilst she is pregnant or nursing. - Does the worker need to wear personal protective clothing? If so, will this present a problem as the pregnancy develops? 5. Return to Work - Would rest facilities be required for breastfeeding, expressing or storing milk? - Where would rest facilities be available? This risk assessment checklist has been completed to the best of my knowledge Signed: ………………………………………………………………. Date …………………………………………………… Line Manager Signed:……………………………………………………………….. Date………………………………………………….. Employee NOTE: This checklist is to be retained on file for at least three years Page 8 of 12 ACTION Appendix 4 Aspects of Pregnancy that may affect work Apart from the general hazards in the workplace, there are other aspects of pregnancy that may affect the new or expectant mother’s work. The impact will vary during the course of the pregnancy and managers and supervisors will need to keep their effects under review, for example the posture of expectant mothers alters to cope with the increasing size. Aspects of Pregnancy Morning sickness Headaches Factors in Work Early shift work Travelling in rush hours Exposure to nauseating smells Backache Standing or sitting for prolonged periods of time Posture Manual handling Repetitive manual handling Varicose veins Standing or sitting for prolonged periods of time Inadequate seating Haemorrhoids Working in hot conditions Frequent visits to the toilet Difficulty in leaving job Site of work/location of toilets Increasing size Use of PPE/uniform Work in confined areas Manual Handling Working environment Tiredness Shift patterns (i.e. night work) Evening work Overtime Lone Working Balance Problems of working on slippery wet surfaces Slips and trips Comfort Problems with working environment and workspace Dexterity, agility, coordination, speed of movement, reach May be impaired because of increasing size as pregnancy progresses Page 9 of 12 Appendix 5 Working Conditions Assessment Area of Consideration Stress/Anxiety How to Avoid the Risk Regular meetings/support from the manager. Reduction of workload during pregnancy if necessary and phased return to work. Provision of counselling. Fatigue Provision for resting. Ability to alternate between standing and sitting. Adequate breaks between shifts (11 hours) Workstation Is the desk suitably adjustable to allow the worker to get close enough? Is there adequate space around the workstation for access and egress? – consider the increasing size of the employee Is the temperature within the room comfortable or too hot? Is there any reaching or stretching to access equipment on the workstation? Chair Is the chair suitable? Does it offer adequate support with adjustability? Is the seat depth adequate? Can the employee place her feet flat on the floor or footrest? Does the employee know how to adjust the chair? Driving Consider change of hours to prevent employee travelling in rush hour. If part of work – employee may have difficulty driving later on in the pregnancy due to size. Frequent exposure to whole body vibration can increase the risk of miscarriage. Risk assess the frequency, duration and environment of driving during pregnancy and post natal. Lone Worker – concerns can cause anxiety, which may result in raised blood pressure and complications during pregnancy and birth. Emergency procedure. Risk assessment for lone worker who is pregnant. Later on in pregnancy it would be advisable to not allow employee to work alone for health and safety reasons. Night Shift Workers Offer suitable alternative daytime work if available. Suspend from work for as long as is necessary to protect her health and safety. This is only a requirement if the employee produces a medical certificate stating night work could affect her health and safety or on advice from the Occupational Health Adviser. Listeria (organism found in soil) Ensure that hands are thoroughly washed after working with soil or unwashed vegetables, especially salad vegetables. Page 10 of 12 Hepatitis B and C, HIV, TB, Typhoid Chicken Pox Rubella (German Measles) Safe working practices should be adopted and standard infection control precautions followed to control transmission. Each department where there is a risk of exposure must have a policy with a 24 hr emergency procedure in place should an employee be exposed to transmission. Advice to inform Occupational Health and visit A&E Department, consult Midwife. If there is a known high risk exposure to a highly infectious agent, then it will be appropriate for the pregnant worker to avoid exposure altogether. PPE must be freely available to prevent contamination. Employee must be encouraged to inform her midwife or GP as soon as exposure is suspected and review of preventative systems undertaken immediately. Employee must not be exposed to working with any person or child who is suspected of having chicken pox if they have not had the disease themselves. GP or Midwife must be informed immediately if employee has come into contact with chicken pox and they have not had it. Again, employee must not knowingly be exposed to working alongside someone who is suspected to be suffering with, or has rubella. GP or midwife must be informed so appropriate action can be taken. Page 11 of 12 New and Expectant Mothers at Work Guidance Note Date of Issue: February 2012 Next review date: February 2015 Approved by (e.g. Committee, Director, etc): Date of last approval: February 2012 Author/Owner: Occupational Health Adviser Department: Human Resources This document can be obtained from the Human Resources website, Docushare or by contacting Human Resources (0191 515 2055). If you would like this document in larger print please contact Human Resources. Page 12 of 12