Assessment of stressors for the role: Date:

Guidance Notes Comments Actions Review

When answering these questions please consider the
areas shown on the attached sheet.

Demands How do you cope with the amount of work

that you are doing; the physical and mental
demands of your job?

Control To what extent do you have a say in the

way your work is organised or planned?

Support How would you describe the training,

support and resources for the job you are
doing, taking into account your own
circumstances and abilities?

Relationships How would you describe your relationship

with your colleagues and the people who
manage you?

Roles How do you balance the main

responsibilities of your job against each
other, taking into account the different
people you are accountable to?

Change If things are changing at work how do you

feel they are handled and how are you
involved?

Ref: Management of Standards for Stress: HSE

Assessment of stressors for the role: Date:

Considerations:

Demands Workloads, work patterns and the work environment

Control How much say the person has in the way they do their work

Support Encouragement, sponsorship and resources provided by the business, line management and colleagues

Relationships Promoting positive working to avoid conflict and dealing with unacceptable behaviour

Role Whether the person understands their role within the business and whether the business ensures that they do not have
conflicting roles

Change How organisational change (large or small) is managed and communicated

Ref: Management of Standards for Stress: HSE