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Return To Work Discussion Form Template for Ireland

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Key Requirements PROMPT example:

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."

Document background
The Return To Work Discussion Form is a critical document used in Irish workplaces to facilitate and document the process of an employee's return to work following a period of absence. It serves as an essential tool for ensuring compliance with Irish employment legislation, including the Safety, Health and Welfare at Work Act 2005 and Employment Equality Acts 1998-2015. The form should be completed during a meeting between the returning employee and their line manager, potentially with HR involvement, documenting any necessary workplace adjustments, support measures, and agreed actions. This document helps protect both employer and employee interests by ensuring a clear record of discussions, agreements, and any accommodations required for a successful return to work.
Suggested Sections

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

Optional Sections

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

Suggested Schedules

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

Alex Denne

Head of Growth (Open Source Law) @ ¶¶Òõ¶ÌÊÓÆµ | 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

Financial Services

Retail

Technology

Education

Public Sector

Construction

Professional Services

Hospitality

Transport and Logistics

Telecommunications

Pharmaceutical

Energy

Agriculture

Relevant Teams

Human Resources

People Operations

Health and Safety

Occupational Health

Employee Relations

Operations

Legal

Workplace Relations

Relevant Roles

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

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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