EMPLOYEE TO COMPLETE THIS PAGE INDIVIDUAL STRESS RISK ASSESSMENT

Burnout STRESS LEVEL Too little stress (Underload) Optimum stress Too much Stress (Overload) Exhausted Ill-health PERFORMANCE Inactive Panic/ anger Laid back ‘Good’ Stress Distress Energised Fatigue Anxious

Number three points on the stress curve that best reflect how you feel now About work About what’s happening outside work Overall how you feel Think about the balance between home and work, and how each relates to the other.

If you feel that issues outside of work outweigh work issues, consider calling the BeSupported 24/7 Helpline on 0800 072 7 072. It is free to call. The advice line covers home and work issues, challenging situations of any sort, medical concerns, financial worries, etc. It can also be accessed at www.axabesupported.co.uk *username: statesofjersey and password: supported

*This site is confidential and GDPR compliant

EMPLOYEE TO COMPLETE THIS PAGE

Relationships Tick the items if they are of concern to you. Unacceptable behaviour at work Bullying and harassment Relationships with colleagues Communications in the team/dept Conflict Change Tick the statements if you agree with them I am able to cope with change I find change unsettling I feel supported during periods of change My manager keeps me informed about change(s) Control of your job Tick the statements below if you agree with them I am in control of how my job is carried out I am included in decisions made about the work I do My skills are used to maximum effect at work Demands of the job Tick the items if they are of concern to you. Workload Work patterns Deadlines Prioritising work Resources Staffing Intensity of work Breaks Training Work environment

Support Tick the statements below if you agree with them My line manager supports me at work My colleagues support me at work I support my colleagues at work Sometimes I feel parts of my job are difficult I have a healthy work/life balance I would welcome more support Role Tick the statements if you agree with them I am clear what my role covers I understand what my responsibilities are I am confused about my role I do not understand what my responsibilities are I feel confident to do my job

Use the items you have highlighted in the boxes to discuss your concerns or issues with your manager. Then complete the action plan on the following page.

EMPLOYEE AND MANAGER TO COMPLETE THIS PAGE

ACTION PLAN
Name of Individual	Manager
Date Completed	Review Date

TYPE OF STRESSOR	Issue/concern	MEASURES ALREADY IN PLACE	FURTHER ACTION TO BE TAKEN	ACTION OWNER	TARGET DATE
Demands
Control
Support
Relationships
Role
Change