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Activity Based Risk Assessment Form Mom for Canada

Activity Based Risk Assessment Form Mom Template for Canada

A comprehensive workplace safety document designed for use in Canadian jurisdictions to assess and mitigate risks specifically related to pregnant and nursing mothers in the workplace. This form complies with Canadian federal and provincial occupational health and safety regulations, including the Canada Labour Code and relevant provincial legislation. It facilitates a structured evaluation of workplace activities, identifies potential hazards, and establishes necessary control measures to ensure the safety of pregnant and nursing employees while maintaining their ability to perform their duties effectively.

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What is a Activity Based Risk Assessment Form Mom?

The Activity Based Risk Assessment Form Mom is a crucial workplace safety document required under Canadian occupational health and safety regulations to protect pregnant and nursing mothers in the workplace. This assessment must be completed when an employee informs their employer of pregnancy or nursing status, or when there are significant changes to workplace conditions or the employee's health status. The form facilitates a comprehensive evaluation of workplace activities, potential hazards, and necessary accommodations in accordance with federal and provincial safety standards. It includes detailed risk assessments, control measures, and action plans, ensuring compliance with the Canada Labour Code and related provincial legislation while protecting both the mother and child's health and safety. The document serves as a legal record of risk assessment and implemented control measures, and may be required for workplace insurance or accommodation purposes.

What sections should be included in a Activity Based Risk Assessment Form Mom?

1. Assessment Information: Basic details including date, location, assessor name, and mother's information

2. Activity Description: Detailed description of the work activities being assessed

3. Current Stage of Pregnancy/Nursing: Information about the pregnancy trimester or nursing status to properly evaluate risks

4. Hazard Identification: List of potential hazards associated with the activity

5. Risk Evaluation: Assessment of likelihood and severity of identified risks

6. Current Control Measures: Existing safety measures and protocols in place

7. Additional Control Measures Required: New or modified controls needed to ensure safety

8. Action Plan: Specific steps to implement additional control measures, including timelines and responsibilities

9. Sign-off: Signatures from the assessor, mother, supervisor, and occupational health representative

What sections are optional to include in a Activity Based Risk Assessment Form Mom?

1. Ergonomic Assessment: Detailed evaluation of physical movements and postures, particularly relevant for activities involving manual handling

2. Chemical Exposure Assessment: Required when work involves potential exposure to chemicals or hazardous substances

3. Environmental Factors: Assessment of temperature, noise, vibration, and other environmental conditions when relevant to the workplace

4. Emergency Procedures: Specific emergency protocols for pregnant/nursing mothers, added when working in high-risk environments

5. Medical Recommendations: Section for occupational health physician's specific recommendations when medical input is required

What schedules should be included in a Activity Based Risk Assessment Form Mom?

1. Appendix A - Hazard Checklist: Comprehensive checklist of common workplace hazards relevant to pregnant and nursing mothers

2. Appendix B - Risk Matrix: Standard risk assessment matrix for evaluating likelihood and severity of risks

3. Appendix C - Control Measure Guidelines: Reference guide for recommended control measures for common hazards

4. Appendix D - Relevant Legislation: Summary of applicable health and safety legislation and guidelines

5. Appendix E - Emergency Contact Information: List of relevant emergency contacts and procedures

Authors

Alex Denne

Head of Growth (Open Source Law) @ Ƶ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Jurisdiction

Canada

Publisher

Ƶ

Cost

Free to use
Relevant legal definitions































Clauses



















Relevant Industries

Healthcare

Education

Manufacturing

Retail

Office and Administrative

Laboratory and Research

Food Service

Hospitality

Construction

Transportation

Chemical Industry

Pharmaceutical

Public Service

Mining

Agriculture

Relevant Teams

Occupational Health and Safety

Human Resources

Risk Management

Environmental Health

Employee Relations

Medical Services

Operations

Industrial Hygiene

Facilities Management

Legal

Relevant Roles

Occupational Health and Safety Manager

Human Resources Manager

Risk Assessment Specialist

Workplace Safety Coordinator

Occupational Health Nurse

Health and Safety Officer

Environmental Health and Safety Specialist

Industrial Hygienist

Ergonomist

Department Supervisor

Union Safety Representative

Occupational Health Physician

Employee Relations Manager

Workplace Accommodation Specialist

Industries






Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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