1. Mental Health Considerations: Additional assessment of psychological factors and supports - include when mental health is a factor in the return to work

2. Remote Work Assessment: Evaluation of home office or remote work setup - include for employees returning to remote work arrangements

3. Transportation Assessment: Analysis of commuting capabilities and risks - include when travel to work is affected by condition

4. Equipment Requirements: Detailed list of specialized equipment needed - include when adaptive equipment or modifications are required

5. Third-Party Service Providers: Details of external support services - include when rehabilitation or support services are needed

6. Chemical/Environmental Sensitivities: Assessment of workplace environmental factors - include when employee has specific sensitivities

7. Communication Protocol: Specific communication requirements - include when communication abilities are affected

1. Schedule A - Physical Demands Analysis: Detailed breakdown of job physical requirements and measurements

2. Schedule B - Workplace Modification Checklist: Itemized list of required workplace modifications and status

3. Schedule C - Progress Monitoring Forms: Templates for tracking return to work progress

4. Schedule D - Emergency Contact Information: List of emergency contacts and response procedures

5. Appendix 1 - Medical Documentation Guidelines: Standards for required medical documentation

6. Appendix 2 - Risk Assessment Matrix: Standardized risk evaluation tool

7. Appendix 3 - Accommodation Request Forms: Standard forms for requesting and documenting accommodations

8. Appendix 4 - Relevant Workplace Policies: Copies of applicable workplace policies and procedures