Safety Checklist Form Template

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New and Expectant Mothers Safety Checklist

Use our Checklist creator tool to create customised workplace safety documents. Learn more about New and Expectant Mothers Safety Checklist Template below

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Safety Checklist Creator

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Create a Safety Checklist in 4 Easy Steps: Complete the checklist details below, add or edit the questions, add your logo and sign-off, then export a professional, print-ready PDF with Yes / No / N/A tick-boxes and a comments space.

Checklist Details

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Checklist Questions

Every question is included by default. Untick any you want to leave out, or delete the ones you don't need.

Click Add Question to add your own custom checks. Click a row to edit its wording, and drag to reorder.

The Yes / No / N/A tick-boxes and comments space are added automatically on the exported PDF or Word document.

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Print-ready PDF with Yes / No / N/A tick-boxes and a comments space.

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An editable Word (.doc) version with Yes / No / N/A tick-boxes and a comments space.

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A spreadsheet version for digital tracking and filtering.

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Risk Assessment Description:

Use this checklist for:

Identifying workplace hazards that may affect pregnant or nursing employees.
Ensuring reasonable adjustments are made to duties, environment and equipment.
Demonstrating compliance with health and safety legislation and equality duties.

This checklist follows the ten‑dimension safety framework – planning, people, environment, task, plant, substances, personal protective equipment, control measures, emergency procedures and completion verification – providing a comprehensive, industry‑agnostic review of risks associated with pregnancy and early motherhood in the workplace.

How to use: answer each question with Yes, No or N/A. Record any required actions for ‘No’ responses, assign responsibility and set deadlines. Review the checklist at key stages of the pregnancy and whenever work conditions change, updating actions and confirming completion.

Additional guidance: monitor changes in shift patterns, workload and physical demands as the pregnancy progresses; ensure regular communication between the employee, line manager and occupational health; and maintain records of any adjustments made.

Further considerations: verify that lighting levels are adequate, walkways are clear of obstacles, emergency alarms are audible to pregnant staff, break facilities are accessible and hydration is encouraged.

Regular monitoring and review are essential to adapt to the changing needs of pregnant employees. Ensure that risk assessments are revisited each trimester and that any new hazards are promptly addressed. Maintain open dialogue with occupational health services to support safe return to work after maternity leave.

Compliant with: Management of Health and Safety at Work Regulations 1999, HSE Guidance HSG73 – Managing Health and Safety for Pregnant Workers, Equality Act 2010 and Maternity and Parental Leave Regulations 1999. These references ensure statutory duties are met and best practice is followed. Employers should keep records of all actions taken to demonstrate compliance.

Sample PDF Document Image:

Checks covered in this Assess workplace suitability and control risks for pregnant and nursing employees checklist

This Assess workplace suitability and control risks for pregnant and nursing employees safety checklist template covers 17 checks. Customise the questions to your workplace, then download a professional, print-ready PDF with Yes / No / N/A tick-boxes and a comments space.

#	Checklist item
1	Has a risk assessment been completed for pregnant or nursing employees?
2	Is there a documented plan for reasonable adjustments to duties or hours?
3	Are manual handling tasks assessed and adjusted for suitability?
4	Is workplace temperature maintained within safe limits for pregnant staff?
5	Is ventilation adequate to control exposure to fumes, dust or gases?
6	Are hazardous substances controlled, substituted or removed where possible?
7	Is appropriate personal protective equipment provided and correctly fitted?
8	Are workstations ergonomically suitable and adjustable for pregnant employees?
9	Is equipment and plant inspected and safe for use by pregnant staff?
10	Are emergency evacuation procedures reviewed for pregnant or nursing staff needs?
11	Is there a clear line of communication for reporting pregnancy‑related concerns?
12	Are training and competence records up to date for staff supporting pregnant employees?
13	Have control measures been documented and signed off as completed?
14	Is there a schedule for regular review of the risk assessment as the pregnancy progresses?
15	Has the completion of all checklist items been verified and recorded?
16	Is the work environment free from excess noise or vibration that could affect pregnant employees?
17	Are walkways and access routes clear and safe for pregnant employees?

Frequently asked questions

Are these safety checklist templates really free to download?

Yes — completely free. Customise any checklist to your workplace and download a professional, print-ready PDF in minutes. No paywall, and no signup required for guests.

What format do the safety checklists download in?

Checklists download as a professional PDF, ready to print and complete on-site — each question has clear Yes / No / N/A tick-boxes and a comments space. You choose portrait or landscape at download. Word and spreadsheet formats are being added.

Can I customise the checklist questions to my workplace?

Yes — fully. Add your own questions, edit or remove any of the pre-written ones, and reorder them to suit your site, task or inspection before you download.

Are the safety checklists suitable for UK workplaces?

Yes. The checklists are written around UK health and safety good practice and HSE guidance, and are suitable for inspections, audits, toolbox checks and routine workplace monitoring.

Do I need an account to use the checklist templates?

No — guests can build and download a checklist for free without signing up. Register a free account if you want to save checklists to your dashboard and edit them later.

Can I add my company logo and branding to the checklist?

Yes — add your company logo, colours and details on Standard and Pro plans, so the exported checklist carries your own branding. Guests and Free downloads carry Health & Safety Zone branding.

How do I complete the checklist once it is downloaded?

The exported checklist is a blank, ready-to-use document: print it and tick Yes, No or N/A against each question and write any comments in the notes space, then sign and date it in the sign-off section.

What types of safety checklist can I create?

We are building specialist checklists across a wide range of subjects and industries — fire safety, workplace inspections, equipment and machinery checks, site inductions, vehicle checks, PPE, first aid and more. Browse by category to find the right one.

How often should safety checklists be completed?

It depends on the activity and your risk assessment — many checks are daily, weekly or monthly, while others are done before each task or shift. Completed, dated checklists provide a useful record of your monitoring.

Are the checklists a substitute for a risk assessment?

No. A checklist is a monitoring and inspection tool that complements your risk assessments and method statements — it helps confirm that controls are in place and working. Use them alongside your risk assessments.