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Return To Work Discussion Form
"I need a Return To Work Discussion Form for our manufacturing company that includes specific sections on machinery safety assessments and phased return options, as we frequently handle cases where employees return from long-term physical injuries."
1. Employee Information: Basic details including employee name, employee ID, department, role, and line manager
2. Absence Details: Information about the period of absence, including start and end dates, reason for absence (if disclosed), and any medical certification provided
3. Current Health Status: Employee's current fitness for work status, including any relevant medical recommendations (noting that detailed medical information should only be included if voluntarily disclosed)
4. Work Assessment: Review of the employee's role, responsibilities, and current capability to perform their duties
5. Support Measures Discussion: Documentation of any support measures or adjustments discussed to facilitate the return to work
6. Action Plan: Agreed steps and measures to be implemented for the return to work
7. Follow-up Arrangements: Schedule of follow-up meetings and review points
8. Signatures and Acknowledgment: Space for both employer and employee to sign, confirming the accuracy of the discussion record and agreement to any actions
1. Phased Return Schedule: To be included when a gradual return to work has been agreed, detailing the planned progression of working hours and duties
2. Workplace Modifications: Details of any specific modifications to the workplace, equipment, or working arrangements required
3. Risk Assessment Outcomes: To be included when a specific risk assessment has been conducted for the return to work
4. Medical Recommendations: Section for documenting specific medical recommendations if provided by healthcare professionals and voluntarily shared by employee
5. Training Requirements: To be included if refresher training or new training is needed before or during the return to work
6. Occupational Health Input: To be included when occupational health has been involved in the return to work process
1. Schedule A - Phased Return Timetable: Detailed week-by-week breakdown of working hours and duties if a phased return is planned
2. Schedule B - Workplace Adjustment Checklist: Checklist of required workplace adjustments and their implementation status
3. Schedule C - Support Services Information: List of available support services including EAP, occupational health, and other relevant resources
4. Appendix 1 - Review Meeting Template: Template for documenting follow-up review meetings
5. Appendix 2 - Risk Assessment Form: Standard risk assessment form for return to work situations where applicable
Authors
Healthcare
Manufacturing
Financial Services
Retail
Technology
Education
Public Sector
Construction
Professional Services
Hospitality
Transport and Logistics
Telecommunications
Pharmaceutical
Energy
Agriculture
Human Resources
People Operations
Health and Safety
Occupational Health
Employee Relations
Operations
Legal
Workplace Relations
HR Manager
HR Business Partner
Line Manager
Department Manager
Supervisor
Team Leader
Health and Safety Manager
Occupational Health Manager
HR Director
Operations Manager
Department Head
Human Resources Officer
Employee Relations Manager
Workplace Relations Officer
People Operations Manager
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