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Return To Work Plan Form

Return To Work Plan Form Template for Australia

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Key Requirements PROMPT example:

Return To Work Plan Form

"I need a Return to Work Plan Form for a manufacturing employee returning from a physical injury, with progressive return starting March 2025, including specific provisions for heavy machinery operation and detailed safety protocols."

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Document background
The Return to Work Plan Form is a critical document required under Australian workplace health and safety legislation to facilitate and document the safe return to work of employees following injury, illness, or extended absence. This document becomes necessary when an employee requires a structured return to work program, typically after a workplace injury, illness, or extended medical absence. The form ensures compliance with various Australian legislative requirements, including the Work Health and Safety Act 2011 and relevant state-specific workers' compensation laws. It documents the agreed arrangements between all parties, including the worker, employer, medical practitioners, and other stakeholders, detailing the step-by-step process for returning to work, any workplace modifications required, and the responsibilities of each party involved. The plan serves as both a practical guide and a legal record of the return to work process.
Suggested Sections

1. Worker Information: Essential details about the worker including name, contact information, position, and employment status

2. Injury/Illness Details: Information about the work-related injury or illness, including date of injury, nature of injury/illness, and claim number if applicable

3. Current Work Capacity: Assessment of the worker's current capacity to work, including medical restrictions and capabilities

4. Return to Work Goal: Clear statement of the ultimate goal for return to work (e.g., return to pre-injury role, modified duties, new position)

5. Planned Return to Work Arrangements: Detailed description of how the return to work will be implemented, including hours, duties, and workplace modifications

6. Support and Modifications: Specific workplace modifications, equipment, or support required to facilitate the return to work

7. Review Timeline: Schedule of review dates and milestones for monitoring progress

8. Responsibilities: Clear outline of responsibilities for all parties involved in the return to work process

9. Agreement and Signatures: Space for all relevant parties to sign and date the plan, indicating their agreement to the arrangements

Optional Sections

1. Treatment Plan Summary: Overview of ongoing medical treatment or rehabilitation required, used when the worker has continuing medical needs

2. Alternative Duties Bank: List of potential alternative duties that could be assigned, useful for complex cases where multiple duty options need to be considered

3. Risk Assessment: Detailed assessment of risks associated with the return to work plan, included when there are significant safety considerations

4. Dispute Resolution Process: Outline of the process for resolving any disagreements, included when there are complex arrangements or higher risk of disputes

5. Travel Arrangements: Details of any special travel arrangements required, included when the worker has mobility restrictions or modified transport needs

Suggested Schedules

1. Medical Capacity Certificate: Most recent medical certificate outlining the worker's capacity and restrictions

2. Task Analysis: Detailed breakdown of physical and cognitive requirements of proposed duties

3. Weekly Schedule: Detailed timetable showing agreed working hours and duties for each day

4. Contact List: List of key contacts including treating healthcare providers, supervisor, and return to work coordinator

5. Progress Review Form: Template for documenting progress at scheduled review points

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

Manufacturing

Construction

Healthcare

Mining

Retail

Hospitality

Education

Transport and Logistics

Professional Services

Public Sector

Agriculture

Financial Services

Technology

Telecommunications

Relevant Teams

Human Resources

Work Health and Safety

Risk Management

Operations

Employee Relations

Injury Management

Workplace Rehabilitation

People and Culture

Occupational Health and Safety

Workers Compensation

Relevant Roles

Human Resources Manager

Return to Work Coordinator

Workplace Health and Safety Manager

Occupational Health and Safety Officer

HR Business Partner

Risk Management Officer

Rehabilitation Coordinator

Workers Compensation Coordinator

Employee Relations Manager

Operations Manager

Line Manager

Workplace Rehabilitation Officer

Injury Management Coordinator

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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