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Return To Work Interview Form Template for Australia

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Key Requirements PROMPT example:

Return To Work Interview Form

"I need a Return to Work Interview Form for a manufacturing company employee returning from a physical injury, with specific focus on graduated return arrangements and workplace safety measures for operating machinery, including clear sections for risk assessment and medical certifications."

Document background
The Return To Work Interview Form is a crucial document used in Australian workplaces when employees return from extended periods of absence due to illness, injury, or other significant time away from work. It is designed to comply with various Australian legislative requirements, including the Work Health and Safety Act 2011, relevant Workers Compensation legislation, and the Fair Work Act 2009. The form facilitates a structured conversation between the employer and employee to ensure a safe and effective return to work, document any necessary workplace adjustments or support measures, and establish a clear plan for the transition back to work. It includes sections for recording the absence details, current health status, medical certifications, risk assessments, and agreed arrangements for the return to work. This document is particularly important for maintaining proper records, ensuring duty of care obligations are met, and protecting both the employer and employee during the return to work process.
Suggested Sections

1. Employee Information: Basic details including employee name, position, department, and manager

2. Absence Details: Information about the period of absence, including start and end dates, reason for absence, and whether it was work-related

3. Medical Certification: Details of medical certificates provided and any medical restrictions or recommendations

4. Current Health Status: Employee's current state of health and ability to perform regular duties

5. Return to Work Arrangements: Specific details about the return to work plan, including date, hours, and any phased return schedule

6. Risk Assessment: Assessment of any risks associated with the return to work and required control measures

7. Support Measures: Agreed support or adjustments to facilitate the return to work

8. Follow-up Plan: Schedule of review meetings and monitoring arrangements

9. Declaration: Signatures from employee, manager, and other relevant parties confirming agreement to the return arrangements

Optional Sections

1. Workplace Modifications: Detailed section for cases requiring physical workplace adjustments or equipment modifications

2. Ongoing Medical Requirements: Section for documenting continuing medical appointments or treatments during work hours

3. Performance Adjustment Plan: Used when temporary modifications to performance expectations are needed

4. Psychological Support Plan: Additional section for cases involving mental health or stress-related absences

5. Incident Investigation Reference: Required when the absence was due to a workplace incident or injury

6. Workers Compensation Details: Include when the absence is related to a workers compensation claim

Suggested Schedules

1. Medical Clearance Certificate: Attached medical documentation clearing the employee for return to work

2. Graduated Return to Work Schedule: Detailed weekly plan for phased return to full duties

3. Workplace Adjustment Checklist: List of required modifications to workplace or equipment

4. Risk Assessment Form: Detailed workplace risk assessment related to the return to work

5. Support Services Information: Contact details and information for relevant support services (e.g., EAP)

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

Relevant legal definitions

























Clauses




















Relevant Industries

Healthcare

Manufacturing

Construction

Mining

Education

Retail

Professional Services

Government

Transport and Logistics

Hospitality

Agriculture

Financial Services

Technology

Telecommunications

Relevant Teams

Human Resources

Health and Safety

People and Culture

Risk Management

Employee Relations

Occupational Health

Workers Compensation

Operations Management

Relevant Roles

Human Resources Manager

Health and Safety Manager

Return to Work Coordinator

HR Business Partner

Occupational Health and Safety Officer

Line Manager

Department Supervisor

People and Culture Manager

Workers Compensation Coordinator

Employee Relations Manager

HR Administrator

Workplace Health and Safety Officer

Risk Management Officer

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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