ࡱ>  Zbjbj11 7fp[gp[g x x     4448l,$4g &  "C%P    ! MMM@   M MM.@N7CX7 0g ,%/%.% .M Mg %x X : Risk Assessment Form for New and Expectant Mothers who are Students Please complete this form making reference to the risk assessment guidance notes provided. Students name:Registration No: Date baby is due:Course Department:Who could be harmed?Student who is pregnant or recently given birth (in the last 6 months) and their unborn or breastfeeding child.Significant hazards or possible risks applying to students:Risk ID (From guidance)Risk / hazardPlease give details (to be completed by student) Control measures required (to be completed by Student Support in discussion with the student In place? Y/N/NAExample 4 Stress and fatigueStudent feels OK at the moment but is concerned that during later stages of pregnancy she may have trouble sleeping and feel tired, which may affect her ability to study for her exams.Agreed that student should speak to Student Support now about possible support / options available should she find pregnancy is significantly affecting her studies.     Are there any additional hazards/risks to the new and expectant student mother and control measures (if any)?Refer to risk assessments for hazardous activities relating to the students normal work and record the specific action to be taken to control the risks to the pregnant student and by whom. In place? Y/N/NA   Are there any placements and/or field trips (including Study Abroad) which the student will be expected to attend during her pregnancy? REVIEW: Assessment should be reviewed at regular intervals throughout the pregnancy and if student returns to study within 6 months of birth or whilst still breastfeedingAgreed Review DateReview Notes / Action   Both person carrying out assessment and student should sign and date the assessment to confirm they agree to the proposed actions:Signed: (signing to confirm completion of risk assessment) Date:Name of employee assisting with assessment: Job role:Signed (Student): (signing to confirm completion of risk assessment and accuracy of information given)Date:FURTHER GUIDANCE   Student Support should speak to their Departmental Health and Safety Officer or the Health and Safety Advisory Service if they need advice on the risk assessment.     CDE]_ ; W h i j q  " # 7 8 9 h  ûrhh}C5B*phh3}h-5B*phhE hnh-h- hh-hh-5B*phhh5 hGz5 h5 hhP hhP 5hGzhCJ aJ hGzhJ_ hGzh}ChGzh}CCJ aJ hJ_CJOJQJ^JaJhJ_5CJ\aJ%DEi gskd$$Ifl<U= t0U=644 lap ytd$Ifgd dgdJ_ $da$gdJ_i j " ~d$Ifgdskd$$Ifl<U= t0U=644 lap yt" # 8 ~d$Ifgd3}skd2$$Ifl<U= t0U=644 lap yt8 9 wd$Ifgd3}zkd$$Ifl<U=  t p00U=644 lap p0yt3} d$Ifgd3}jkdd$$Ifl<U= t0U=644 layt3} ? tttcctt$d$Ifa$gdP $d$Ifa$gd3}zkd$$Ifl<U=  t p00U=644 lap p0yt3} ! = ? Y m | } - . / 0 1 2 3 4 5 6 7 8 9 : ; < = > ? ɺѵh}ChE hjX6 h\{6hI$hhE6hI$hh}C6hI$hhI$h6 hE6 hI$h6jh\{0JB*UphhP B*phh3}h}CB*phh3}h}C5B*phh3}hI$h5B*phhI$h5B*ph4 kd$$Iflr "6<U t2p0p0p0p0p00U=644 lap2p0p0p0p0p0ytI$h . / d$Ifgd\{d$IfgdI$hd$Ifgd3}$d$Ifa$gd\{/ 0 1 2 3 4 H7777$d$Ifa$gd\{kd$$Iflr "6<U t0U=644 laytI$h4 5 6 7 8 9 :kd`$$Iflr "6<U t0U=644 laytI$hd$Ifgd3}9 : ; < = > ? @ A d$Ifgd3}$d$Ifa$gd\{? @ A B C D E F G H I J K L M N O P Q R S T U V W X Y Z [ \ ] 12345678 hnhP hP hP 5 hP 5hA hnhA hnhQh7hQ5B*phhP B*phh7hQB*phhQh3}hQ5B*phh}ChE?A B C D E F H7777$d$Ifa$gd\{kd$$Iflr "6<U t0U=644 laytI$hF G H I J K :kd$$Iflr "6<U t0U=644 laytI$hd$Ifgd3}K L M N O P Q R S d$Ifgd3}$d$Ifa$gd\{S T U V W X H7777$d$Ifa$gd\{kdv$$Iflr "6<U t0U=644 laytI$hX Y Z [ \ ] :kd($$Iflr "6<U t0U=644 laytI$hd$Ifgd3} wwff$d$Ifa$gdQd$IfgdQzkd$$Ifl<U=  t p00U=644 lap p0yt3}gYYYd$IfgdQkds $$Ifl06<G7  tp0p00U=644 lapp0p0ytI$hsssd$IfgdQ}kd0 $$Ifl06<G7 t0U=644 laytI$hsssd$IfgdQ}kd $$Ifl06<G7 t0U=644 laytI$h23ssd$IfgdQ}kd@ $$Ifl06<G7 t0U=644 laytI$h3456ssd$IfgdQ}kd $$Ifl06<G7 t0U=644 laytI$h6789qqd$IfgdQkdP $$Ifl06<G7 t0U=644 laytP 89:B#B/˴hQ hnhQh7hQ5B*phhGzh3}hECJaJhShEh3}hE5B*phhnhA5^J hnhAh7hAB*phh7hAB*^Jphh7hA5B*^Jph hnhP 29:qd$Ifgd3}kd $$Ifl06<G7 t0U=644 laytP wwd$Ifgd3}zkdh $$Ifl<U=  t p00U=644 lap p0ytAssd$Ifgd3}}kd$$Ifl0 < 80 t0U=644 laytI$hsssd$Ifgd3}}kd$$Ifl0 < 80 t0U=644 laytI$hsssd$Ifgd3}}kd$$Ifl0 < 80 t0U=644 laytI$hp$d$Ifa$gd3}}kd$$Ifl0 < 80 t0U=644 laytI$hwd$IfgdSzkd!$$Ifl<U=  t p00U=644 lap p0yt3}d$Ifgd3}jkd$$Ifl<U= t0U=644 layt3}sssd$Ifgd3}}kd4$$Ifl0b< t0U=644 laytI$h/sssd$Ifgd3}}kd$$Ifl0b< t0U=644 laytI$hp$d$Ifa$gdQ}kdD$$Ifl0b< t0U=644 laytI$hwwwwwwwd$IfgdQzkd$$Ifl<U=  t p00U=644 lap p0ytQKLMNOPQRSTUVWXYZjhJ$UhJ$hxjhx0JUhY hnhQ hnhGzKLNOQRTUWXYZ|||| dgd\{ dgdJ_jkde$$Ifl<U= t0U=644 laytQ51h0:pGzA .!"#7$% $$If!vh#vU=:V l t0U=65U=/ p yt$$If!vh#vU=:V l t0U=65U=/ p yt$$If!vh#vU=:V l t0U=65U=/ p yt$$If!vh#vU=:V l  t p00U=65U=p p0yt3}x$$If!vh#vU=:V l t0U=65U=yt3}$$If!vh#vU=:V l  t p00U=65U=/ p p0yt3}'$$If!vh#vU#v#v#v#v:V l t2p0p0p0p0p00U=65U5555p2p0p0p0p0p0ytI$h$$If!vh#vU#v#v#v#v:V l t0U=65U5555ytI$h$$If!vh#vU#v#v#v#v:V l t0U=65U5555ytI$h$$If!vh#vU#v#v#v#v:V l t0U=65U5555ytI$h$$If!vh#vU#v#v#v#v:V l t0U=65U5555ytI$h$$If!vh#vU#v#v#v#v:V l t0U=65U5555ytI$h$$If!vh#vU#v#v#v#v:V l t0U=65U5555ytI$h$$If!vh#vU=:V l  t p00U=65U=p p0yt3}$$If!vh#vG7#v:V l  tp0p00U=65G75pp0p0ytI$h$$If!vh#vG7#v:V l t0U=65G75ytI$h$$If!vh#vG7#v:V l t0U=65G75ytI$h$$If!vh#vG7#v:V l t0U=65G75ytI$h$$If!vh#vG7#v:V l t0U=65G75ytI$h$$If!vh#vG7#v:V l t0U=65G75ytP $$If!vh#vG7#v:V l t0U=65G75ytP $$If!vh#vU=:V l  t p00U=65U=p p0ytA$$If!vh#v #v80:V l t0U=65 580ytI$h$$If!vh#v #v80:V l t0U=65 580ytI$h$$If!vh#v #v80:V l t0U=65 580ytI$h$$If!vh#v #v80:V l t0U=65 580ytI$h$$If!vh#vU=:V l  t p00U=65U=p p0yt3}x$$If!vh#vU=:V l t0U=65U=yt3}$$If!vh#v#v:V l t0U=655ytI$h$$If!vh#v#v:V l t0U=655ytI$h$$If!vh#v#v:V l t0U=655ytI$h$$If!vh#vU=:V l  t p00U=65U=p p0ytQx$$If!vh#vU=:V l t0U=65U=ytQx666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@66666 OJPJQJ_HmH nH sH tH J`J CNormal dCJ_HaJmH sH tH DA D Default Paragraph FontRi@R 0 Table Normal4 l4a (k ( 0No List tt Y Table Grid7:V0 d>@> \{0 Footnote TextCJaJ@/@ \{0Footnote Text ChartH @&`!@ \{0Footnote ReferenceH*B' 1B a60Comment ReferenceCJaJ<B< a60 Comment TextCJaJ>/Q> a60Comment Text ChartH @jAB@ a60Comment Subject5\J/qJ a60Comment Subject Char 5\tH RR a60 Balloon Text dCJOJQJ^JaJR/R a60Balloon Text CharCJOJQJ^JaJtH PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vj\{cp/IDg6wZ0s=Dĵw %;r,qlEآyDQ"Q,=c8B,!gxMD&铁M./SAe^QשF½|SˌDإbj|E7C<bʼNpr8fnߧFrI.{1fVԅ$21(t}kJV1/ ÚQL×07#]fVIhcMZ6/Hߏ bW`Gv Ts'BCt!LQ#JxݴyJ] C:= ċ(tRQ;^e1/-/A_Y)^6(p[_&N}njzb\->;nVb*.7p]M|MMM# ud9c47=iV7̪~㦓ødfÕ 5j z'^9J{rJЃ3Ax| FU9…i3Q/B)LʾRPx)04N O'> agYeHj*kblC=hPW!alfpX OAXl:XVZbr Zy4Sw3?WӊhPxzSq]y |Z Z f  ? 8Z $1i " 8 / 4 9 A F K S X 369Z  !"#%&'()*+,-./028@0(  B S  ? L N O Q R T U W [ 0 7 L N O Q R T U W [ 33D]_#<<m|}-]]:#B J [ 1&2^`OJPJQJ^Jo(^`OJQJ^Jo(hHop^p`OJQJo(hH@ ^@ `OJQJo(hH^`OJQJ^Jo(hHo^`OJQJo(hH^`OJQJo(hH^`OJQJ^Jo(hHoP^P`OJQJo(hH1& 5        ,+-1  d."System-"Systemb1? -"System--@"Calibri---@"Arial--------- p2 6+CcRisk Assessment Form for New and Expectant Mothers who are Students               ---  2 67c  @"Calibri---  2 C0c  @"Calibri--- /2 S0cPlease complete this for  2 Scm  U2 S1cmaking reference to the risk assessment guidance   2 Scnotes  2 S"cprovided  2 SXc.  2 S\c  ---  2 ^0c  ~?a)@"Calibri--- "2 o0)a?~Students name:   2 o)a?~  '- @ !`(-- @ !`(-- @ !`)- - @ !`?-- @ !`?- - @ !a(- - @ !a?- ?~)--- %2 0)~?Registration No:   g2 =)~?  d2 a;)~?  52 $)~?  %2 )~?Date baby is due:   2 )~?  '- @ !~(-- @ !~)- - @ !~?- - @ !(- - @ !?- ?)--- 2 0)?Course  2 ]})?  &2 )?  ,2 8)?  2  )?Department:    2 )?  '- @ !(-- @ !)- - @ !?- - @ !(- - @ !?-  p0p0- @ !)- ?)------ p0p0- @ !0- --- )2 0)?Who could be harmed? ---  2 )?  '- @ !(-- @ !)- - @ !?- - @ !(- - @ !?- ?)--- R2 0/)?Student who is pregnant or recently given birth   2 J)?  ,2 M)?(in the last 6 months)   2 )?  G2 ()?and their unborn or breastfeeding child.  2 )?  '- @ !(-- @ !)- - @ !?- - @ !(- - @ !?-  p0p0- @ !)- ?)------ p0p0- @ !0- --- d2 0;)?Significant hazards or possible risks applying to students:---  2 )?  '- @ !(-- @ !)- - @ !?- - @ !(- - @ !?-  p0p0- @ !5I)- #r)--- p0p0- @ !<0-  2 9)r#Risk ID   2 b)r#   p0p0- @ !<0-  2 ;)r#(From    p0p0- @ !<0-  2 0 )r#guidance)  2 l)r#  ' p0p0- @ !5s- #s--- p0p0- @ !tz-   2 s#R 2 s#isk / hazard  2 s#  ' p0p0- @ !5- #u--------- p0p0- @ !r- --- )2 #u#Please give details --- 52 u#(to be completed by student) ---  2 Gu#   2 Iu#  ' p0p0- @ !5cu- #u--------- p0p0- @ !U|- --- 22 }u#Control measures required  --- )2 $u#(to be completed by   2 u#Student  @"Calibri--------- p0p0- @ !U|-  --- 2 u#Support ---#u--- 2 1'---  2 u#  :2 u#in discussion with the student    2 u# ---  2 u#  ' p0p0- @ !5f-  #?--- p0p0- @ !Y-   2  ?#In place?  2 '?#   p0p0- @ !Y-   2 ?#Y/N/NA    2 $?#  '- @ !(-- @ !I)- - @ !r-- @ !s- - @ !-- @ !- - @ !t-- @ !bu- - @ !-- @ !g- - @ !?- - @ !5(- - @ !5r- - @ !5- - @ !5t- - @ !5- - @ !5?- lr$)@"Calibri- - -  2 24)$rlExample   2 2h)$rl    2 DJ)$rl4  2 DQ)$rl    2 VN)$rl    2 hN)$rl  'l$s- - -  &2 2zs$lStress and fatigue  2 2s$l  'lu$- - -  2 2$ulStudent  2 2,$ul  #2 2.$ulfeels OK at the   2 2 $ulmoment but    2 2$ul  2 2 $ulis concerned  2 2 $ul  2 2" $ulthat during   e2 D<$ullater stages of pregnancy she may have trouble sleeping and    k2 V@$ulfeel tired, which may affect her ability to study for her exams.     2 Vk$ul  'l$u- - -  Y2 2|4u$lAgreed that student should speak to Student Support   \2 D|6u$lnow about possible support / options available should    2 V| u$lshe find pre P2 V.u$lgnancy is significantly affecting her studies.  2 Vu$l  'l?$- - -   2 2$?l  '- @ !#(-- @ !I#)- - @ !#r-- @ !#s- - @ !#-- @ !#- - @ !#t-- @ !b#u- - @ !#-- @ !g#- - @ !#?- - @ !H$(- - @ !H$r- - @ !H$- - @ !H$t- - @ !H$- - @ !H$?- rl)---  2 zN)lr    2 N)lr    2 N)lr    2 N)lr  'ls---  2 zzsl  'ul---  2 zlu  'lu---  2 z|ul  '?l---  2 zl?  '- @ !l(-- @ !Il)- - @ !lr-- @ !ls- - @ !l-- @ !l- - @ !lt-- @ !blu- - @ !l-- @ !gl- - @ !l?- - @ !Gm(- - @ !Gmr- - @ !Gm- - @ !Gmt- - @ !Gm- - @ !Gm?- r)---  2 N)r    2 N)r    2 N)r    2 N)r  's---  2 zs  'u---  2 u  'u---  2 |u  '?---  2 ?  '- @ !(-- @ !I)- - @ !r-- @ !s- - @ !-- @ !- - @ !t-- @ !bu- - @ !-- @ !g- - @ !?- - @ !G(- - @ !Gr- - @ !G- - @ !Gt- - @ !G- - @ !G?- Er)---  2 N)rE    2 N)rE    2 /N)rE    2 AN)rE  'Es---  2 zsE  'Eu---  2 uE  'Eu---  2 |uE  'E?---  2 ?E  '- @ !(-- @ !I)- - @ !r-- @ !s- - @ !-- @ !- - @ !t-- @ !bu- - @ !-- @ !g- - @ !?- - @ !H(- - @ !Hr- - @ !H- - @ !Ht- - @ !H- - @ !H?- rE)---  2 SN)Er    2 eN)Er    2 wN)Er    2 N)Er  'Es---  2 SzsE  'uE---  2 SEu  'Eu---  2 S|uE  '?E---  2 SE?  '- @ !E(-- @ !IE)- - @ !Er-- @ !Es- - @ !E-- @ !E- - @ !Et-- @ !bEu- - @ !E-- @ !gE- - @ !E?- - @ !GF(- - @ !GFr- - @ !GF- - @ !GFt- - @ !GF- - @ !GF?- r)---  2 N)r    2 N)r    2 N)r    2 N)r  's---  2 zs  'u---  2 u  'u---  2 |u  '?---  2 ?  '- @ !(-- @ !I)- - @ !r-- @ !s- - @ !-- @ !- - @ !t-- @ !bu- - @ !-- @ !g- - @ !?- - @ !G(- - @ !(-- @ !(-- @ !I)- - @ !Gr- - @ !r-- @ !s- - @ !G- - @ !-- @ !- - @ !Gt- - @ !t-- @ !bu- - @ !G- - @ !-- @ !g- - @ !G?- - @ !?-- @ !?-  ---c'---  2 c @ Calibri- - - - @ !0-  @"Calibri- - - @"Calibri- - - - - - - - -  - - - c- - - 2 01'- - -   2 5c  2 8WcStudent Support should speak to their Departmental Health and Safety Officer or the Hea   |2 Kclth and Safety Advisory Service if they need advice on the risk assessment.   2 c  "Arial- - ccbbaa ՜.+,0 hp  Vlog   Title  !"#$%&'()*+,-./012356789:;<=?@ABCDEFGHIJKLMNOPRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~Root Entry F_8C@Data 41Table>%WordDocument 7fSummaryInformation(QLdDocumentSummaryInformation8MsoDataStore6C@N7CXGAV5UA==26C@N7CItem  PropertiesUCompObj r   F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q