HSE rules for new and expectant mothers explained: individual risk assessment, altered conditions, suspension on full pay, night work and rest facilities.
Regulatory citation: Management of Health and Safety at Work Regulations 1999 (SI 1999/3242), regulations 16 to 18; Employment Rights Act 1996, sections 66 to 68; Workplace (Health, Safety and Welfare) Regulations 1992, regulation 25(4)
Regulations 16 to 18 of the Management of Health and Safety at Work Regulations 1999 (MHSWR) protect workers in Great Britain who are pregnant, have given birth within the previous six months, or are breastfeeding. The regulations call them new or expectant mothers. Giving birth includes a stillbirth after 24 weeks of pregnancy. Regulations 16A, 17A, 18A and 18AB apply similar protections to agency workers.
Some work hazards are more serious during pregnancy or breastfeeding. Examples include heavy lifting, long periods of standing, certain chemicals and biological agents, ionising radiation, extreme heat, and shift patterns that cause fatigue.
Where the workforce includes women of child-bearing age and the work could put a new or expectant mother or her baby at risk, the employer's general risk assessment under regulation 3 must cover that risk.
HSE guidance says that once a worker tells the employer in writing that she is pregnant, has given birth in the last six months or is breastfeeding, the employer must carry out an individual risk assessment. The findings should be recorded, shared with the worker and her safety representative, and reviewed as the pregnancy progresses. It does not have to be a separate document.
If other control measures do not avoid the risk, the employer must alter her working conditions or hours of work, where that is reasonable and would avoid the risk. If that is not possible, she must be offered any suitable alternative work that is available, on terms not substantially less favourable than her usual terms. If there is no such work, she must be suspended for as long as needed to avoid the risk.
An employee suspended on maternity grounds is entitled to be paid during the suspension. She loses that right for any period in which she unreasonably refuses suitable alternative work.
If a new or expectant mother works at night and a registered medical practitioner or registered midwife certifies that she should not work nights for a stated period, the employer must suspend her from night work for that period, after first offering suitable alternative day work.
The duties to alter conditions or suspend do not apply until the worker has told the employer in writing. The employer can ask for a certificate from a doctor or midwife confirming the pregnancy, and can stop the measures if one is not produced within a reasonable time.
Suitable facilities must be provided for pregnant workers and nursing mothers to rest. HSE guidance says this should include somewhere to lie down if needed, and that toilets are not a suitable place to express milk.
Cover lifting, standing, chemicals, infections, temperature, working hours, travel and stress, and set a review date for each trimester and return to work.
Repeat the assessment when a worker returns while breastfeeding, and agree a private space and breaks for expressing milk.
A warehouse picker tells her manager in writing that she is pregnant. The manager reviews her job with her and finds frequent lifting of 15 kg cartons and long night shifts. The company moves her to lighter picking lines and day shifts, gives her extra breaks and access to a rest room with a couch, and agrees to review the assessment at 28 weeks. When a later stage of the pregnancy rules out warehouse work altogether and no suitable office role is available, she is suspended on full pay.
Related regulations: HSE Management Regulations 1999, HSE COSHH, HSE RIDDOR.
Note: This summary reflects the regulations as they apply in Great Britain, enforced by the Health and Safety Executive (HSE) and local authorities. Northern Ireland has equivalent but separate legislation. HSE guidance notes these protections can also apply to some transgender men, non-binary people and intersex people. Always check the current legislation and HSE guidance.
HSE guidance says you must carry out an individual risk assessment once you have been told in writing, record the findings and share them with her. It does not need to be a separate document from your general assessment.
If altering conditions or hours does not avoid the risk and no suitable alternative work is available, she must be suspended on full pay for as long as necessary.
They apply for six months after giving birth, and for as long as the worker is breastfeeding.
This guide is for general information only and is not legal advice. Always check the current text of the regulation with the relevant regulator.
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