Maternity protection risk assessment template (PDF and Excel)
Two-part template: every activity checked against the prohibited activities under Sections 11 and 12 of the Maternity Protection Act (MuSchG) – plus the steps after a pregnancy is reported: notifying the authority, offering a meeting, order of protective measures.
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The Maternity Protection Act requires an assessment for every activity of whether and which protective measures would be needed for pregnant or breastfeeding women – even if nobody there is currently pregnant (Section 10 (1) of the Maternity Protection Act, MuSchG). As soon as an employee reports her pregnancy or that she is breastfeeding, the protective measures must be defined without delay and she must be offered a meeting (Section 10 (2)).
The template covers both stages: Part 1 checks each activity against the prohibited activities and working conditions under Sections 11 and 12, plus working time and rest facilities, and records the result under Section 10. Part 2 guides you through the steps after notification – from informing the supervisory authority to documentation under Section 14.
What the template contains
- PDF Part 1: assessment of each activity regardless of a specific pregnancy with 22 checkpoints, separately for pregnant and breastfeeding women
- Result under Section 10 (1) MuSchG and a field for protective measures in the order of priority of Section 13
- PDF Part 2: steps after notification with report to the authority, offer of a meeting, measures and documentation
- Excel overview of all activities, list of checkpoints and follow-up after notification
How to use the template
- 1
Assess the activities
Fill in Part 1 for every activity – including those where no woman currently works. Group similar workstations together. The Excel overview shows all activities and their results at a glance.
- 2
Communicate the result
Inform all employees about the result and the need for protective measures (Section 14 (2) MuSchG), for example via a notice, the intranet or during safety instruction.
- 3
Act after notification
Use Part 2 as soon as a pregnancy or breastfeeding is reported to you: notify the authority, define measures in the order of priority of Section 13, offer a meeting and document everything.
Legal basis
- Section 10 MuSchG: assessment of every activity, protective measures after notification, offer of a meeting
- Sections 11 and 12 MuSchG: prohibited activities and working conditions for pregnant and breastfeeding women
- Section 13 MuSchG: order of priority of protective measures up to an employment ban by the employer
- Section 14 MuSchG: documentation and information of employees
- Section 27 MuSchG: notification of the supervisory authority, retention of records
Frequently asked questions
Do I need the assessment for activities carried out only by men?
Yes. Section 10 MuSchG requires the assessment for every activity – regardless of who currently carries it out. Where working conditions are similar, assessing one workstation or activity is sufficient. If it shows no hazard, a note in the existing risk assessment is enough (Section 14 (1) MuSchG).
What do I have to do after a pregnancy is reported?
Notify the supervisory authority without delay (Section 27 MuSchG), define the required protective measures and offer the employee a meeting on further adjustments (Section 10 (2)). She may not carry out activities for which the protective measures have not yet been put in place (Section 10 (3)). Part 2 of the template guides you through these steps.
When is an employment ban by the employer permitted?
Only as a last resort: if unacceptable hazards can be ruled out neither by redesigning working conditions nor by deployment at another suitable and reasonable workstation (Section 13 (1) MuSchG). This is distinct from a medical employment ban under Section 16 MuSchG.
You may use and adapt the template freely in your own company and for your own clients. It reflects the regulations named as they stand.
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