🤰 Free workplace accommodation record tool
PWFA Pregnancy Accommodation Request & Implementation Tracker
Record what adjustment you asked for, what limitation you communicated, how the employer responded, which alternatives were discussed, and whether the accommodation actually worked day to day.
Not legal advice: The Pregnant Workers Fairness Act is fact-specific and state/local laws may be more protective. This tracker documents the interactive process and implementation; it does not decide whether an employer’s response is lawful.
1. Work & request setup
Example mode is temporary. Your real workplace record is untouched.
2. Process dashboard
EEOC predictable-assessment examples: keeping/drinking water as needed; additional restroom breaks; sitting/standing as needed; and breaks to eat/drink as needed are identified in the EEOC rule as modifications that will in virtually all cases be reasonable accommodations that do not impose undue hardship when requested by a pregnant employee.
3. Accommodation matrix
4. Interactive-process chronology
5. Implementation log
6. Local evidence vault
Drop request emails, HR responses, schedules, provider documentation or policy pages
Files stay in this browser. Medical details are not required by this tool; use the minimum documentation you need for your own record.
7. Meeting / escalation brief
8. Export, backup & delete
A request does not need magic words
EEOC guidance explains that a PWFA request does not have to be in writing, use a particular form, or say “reasonable accommodation” or “PWFA.” That makes a dated personal chronology especially useful when the initial request happened in a conversation.
Track implementation, not just approval
An accommodation approved on paper can still be inconsistently implemented. The implementation log separates what was agreed from what happened on actual workdays and records whether the adjustment addressed the need.