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Return To Work Interview Form
"I need a Return To Work Interview Form for our manufacturing company with 500+ employees, compliant with South African law and including specific sections for workplace injuries and phased return arrangements, as we often deal with physical health-related absences."
1. Employee Information: Basic details including employee name, ID number, department, and position
2. Absence Details: Information about the absence period, including start and end dates, type of absence (illness, injury, etc.), and whether proper notification procedures were followed
3. Return to Work Discussion: Record of the conversation about the employee's wellbeing, reason for absence, and current fitness for work
4. Work Status Assessment: Evaluation of the employee's ability to perform regular duties and any temporary or permanent limitations
5. Required Actions: Documentation of any necessary workplace adjustments, modified duties, or support measures
6. Attendance Record Review: Discussion of overall attendance pattern and any concerns or support needed
7. Confirmation and Signatures: Signatures of both manager and employee confirming the discussion and agreed actions
1. Medical Certification Review: For reviewing medical certificates and fitness for work documents when the absence was due to illness or injury
2. Workplace Injury Follow-up: Specific section for cases where the absence was due to a workplace injury, including incident review and prevention measures
3. Reasonable Accommodation Plan: Detailed plan for cases requiring long-term or permanent workplace adjustments
4. Occupational Health Referral: Section for cases requiring occupational health assessment or ongoing medical monitoring
5. Performance Impact Assessment: For addressing any impact on work performance and setting catch-up goals where necessary
1. Medical Certificate Guidelines: Guidelines on acceptable medical certification and documentation requirements
2. Workplace Adjustment Options: List of potential workplace adjustments and accommodation measures
3. Return to Work Risk Assessment: Template for assessing any risks associated with the return to work
4. Employee Support Services: Information about available support services including EAP and occupational health
5. Absence Management Policy Extract: Relevant excerpts from the company's absence management policy for reference
Authors
Manufacturing
Financial Services
Retail
Healthcare
Mining
Construction
Information Technology
Education
Professional Services
Public Sector
Agriculture
Transportation
Hospitality
Telecommunications
Energy
Human Resources
Operations
Health and Safety
Employee Relations
Occupational Health
Wellness
Legal
Industrial Relations
People Development
Line Management
HR Manager
HR Business Partner
Line Manager
Department Supervisor
Team Leader
Operations Manager
Health and Safety Manager
Employee Relations Manager
HR Director
Occupational Health Nurse
Wellness Coordinator
Department Head
Shift Supervisor
General Manager
HR Administrator
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