ࡱ> Z\[ bjbjO O 4>-a-a )228[6 ${-([[(=p QdFS0@0"((VX2 R: INSTITUTE OF MEDICAL SCIENCES RISK ASSESSMENT RECORD FOR NEW AND EXPECTANT MOTHERS WHO ARE LABORATORY WORKERS Name: Job title: Lab number: Supervisor/line manager: Tel No.: Date of risk assessment: A risk assessment should be carried out for new and expectant mothers (defined as any woman who is pregnant, or has given birth in the last six months or is breast feeding). This should be carried out by the supervisor of the pregnant worker who can seek assistance from the IMS safety adviser assigned to the laboratory concerned. The risk assessment should include an assessment of the following aspects of the member of staffs normal working environment and should be carried out in full consultation with the member of staff. 1. Chemical hazards: In the course of the pregnant workers normal work activity is she exposed to any of the following chemicals or chemicals with the following risk phrases? carbon monoxideR46 (may cause heritable genetic damage)lead or lead derivativesR60 (may impair fertility)mercury or mercury derivativesR61 (may cause harm to the unborn child)antimitotic (cytotoxic) drugsR62 (possible risk of infertility)hormonesR63 (possible risk of harm to the unborn child)bioactive peptidesR64 (may cause harm to breast-fed babies)tetracycline/doxycyclin (safe up to 18 weeks but shouldnt be used beyond that) If yes, please specify and indicate the measures to be used to control the risk*: 2. Biological agents: In the course of the pregnant workers normal work activity is she exposed to any biological agents of hazard groups 2 or above? If yes, please specify and indicate the measures to be used to control the risk*: 3. Ionising radiation: In the course of the pregnant workers normal work activity is she exposed to any ionising radiation (sealed/un-sealed radioisotope sources or X-ray equipment) If yes, please specify and indicate the measures to be used to control the risk*: (If necessary, advice should be sought from the Radiation Protection Supervisor for the laboratory and the Radiation Protection Service) 4. Physical agents: Does the pregnant workers normal work activity involve any of the following? undertaking manual handling taskssitting or standing for long periodsjolts, low frequency vibration or excessive movementworking in a hot environmentworking for prolonged periods at a computer workstation nb this may require an updated work station assessment If yes, please specify and indicate the measures to be used to control the risk*: *Suggested measures to control the risk are indicated below. Where the hazard cannot be removed by any of the following means, legislation requires that the worker be offered alternative work or paid leave. The standard work procedure adequately controls the risk to the pregnant workerThe hazard will be replaced by a harmless substance or procedureThe worker will be temporarily removed from the taskThe activity will be carried out temporarily by another person Note: The first aid room (IMS room 1.56) can be used for resting and for breast feeding or expressing milk; a fridge is provided for storage purposes. NAME OF SUPERVISOR: SIGNATURE OF SUPERVISOR: DATE: REVIEW DATE: (Before completing the assessment, it must have been discussed with and agreed with the member of staff concerned). 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