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Employee Return To Work Form

Employee Return To Work Form Template for Australia

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Key Requirements PROMPT example:

Employee Return To Work Form

"I need an Employee Return to Work Form for our manufacturing facility that focuses on physical workplace modifications and graduated return arrangements, compliant with Australian WHS regulations, for employees returning from long-term physical injuries."

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Document background
The Employee Return to Work Form is a critical document used in Australian workplaces to manage and document the process of employees returning to work after illness, injury, or extended absence. This form is designed to comply with Australian workplace health and safety legislation, workers' compensation requirements, and privacy laws. It captures essential information including medical clearance, current work capacity, required workplace adjustments, and the agreed return to work plan. The document helps ensure a safe and well-managed return to work process while protecting both employer and employee interests. It is particularly important in cases involving work-related injuries or illnesses where workers' compensation is involved, but is also valuable for managing returns from non-work-related absences.
Suggested Sections

1. Employee Information: Employee's personal details including name, position, department, and contact information

2. Absence Details: Information about the injury/illness, date of occurrence, and period of absence

3. Medical Clearance: Details of medical clearance including doctor's name, date of assessment, and certification of fitness to return

4. Return to Work Details: Specific date of return and whether return is full or graduated

5. Work Capacity: Clear outline of current work capacity including any restrictions or limitations

6. Workplace Adjustments: Details of any required modifications to duties, equipment, or working hours

7. Review Timeline: Schedule for reviewing the return to work arrangements and monitoring progress

8. Signatures: Space for employee, supervisor, and return to work coordinator signatures and dates

Optional Sections

1. Workers Compensation Details: Include when the absence was related to a workplace injury/illness covered by workers compensation

2. Rehabilitation Provider Details: Include when external rehabilitation providers are involved in the return to work process

3. Risk Assessment: Include when specific workplace risks need to be assessed and documented for the returning employee

4. Support Person Details: Include when the employee has nominated a support person to assist with their return to work

5. Alternative Duties Plan: Include when the employee requires temporary alternative duties as part of their return

Suggested Schedules

1. Medical Certificate: Attached medical certificate from treating healthcare provider

2. Graduated Return to Work Plan: Detailed schedule of graduated return to work if applicable, including hours and duties progression

3. Task Analysis: Breakdown of job tasks and their physical/mental requirements to assist with planning

4. Workplace Modification Checklist: List of required workplace modifications or equipment adjustments

5. Communication Plan: Details of how return to work progress will be monitored and communicated between all parties

Authors

Alex Denne

Head of Growth (Open Source Law) @ ¶¶Òõ¶ÌÊÓƵ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co
Relevant legal definitions
























Clauses
















Relevant Industries

Healthcare

Manufacturing

Construction

Mining

Retail

Hospitality

Professional Services

Education

Government

Technology

Transport and Logistics

Agriculture

Financial Services

Telecommunications

Relevant Teams

Human Resources

Workplace Health and Safety

Risk and Compliance

Operations

Legal

Employee Relations

Workers Compensation

Occupational Health and Safety

People and Culture

Relevant Roles

Human Resources Manager

Health and Safety Manager

Return to Work Coordinator

Workplace Health and Safety Officer

HR Business Partner

Operations Manager

Department Manager

Team Leader

Rehabilitation Coordinator

Risk Manager

Compliance Officer

Workers Compensation Coordinator

Employee Relations Manager

Industries







Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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