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Return To Work Discussion Form
"I need a Return To Work Discussion Form for an employee returning from a 6-month medical leave due to a workplace injury, with specific focus on implementing a phased return starting March 2025 and including necessary workplace modifications for someone with reduced mobility."
1. Employee Information: Basic details including name, department, position, and employee ID
2. Absence Details: Information about the reason for absence and duration
3. Current Health Status: Assessment of employee's current health condition and capability to return
4. Return Plan: Proposed date and arrangements for return to work
5. Work Modifications: Required adjustments to duties or workspace
1. Medical Documentation: Medical certificates or reports, used when return is following medical leave
2. Phased Return Schedule: Detailed timeline for gradual return, used for long-term absences
3. Risk Assessment: Workplace safety evaluation, used when return involves health/safety considerations
1. Medical Clearance Form: Doctor's approval for return to work
2. Workplace Adjustment Checklist: List of required modifications to workplace or duties
3. Follow-up Schedule: Timeline for review meetings and progress assessment
Authors
Return to Work Date
Phased Return
Regular Hours
Modified Duties
Workplace Adjustments
Medical Certificate
Fit Note
Line Manager
Occupational Health Provider
Risk Assessment
Reasonable Accommodation
Working Capacity
Normal Duties
Review Period
Support Measures
Follow-up Meeting
Workplace Restrictions
Health Status
Return to Work Plan
Medical Clearance
Work Limitations
Temporary Modifications
Recovery Period
Essential Job Functions
Absence Details
Current Health Status
Medical Clearance
Work Capacity Assessment
Workplace Modifications
Return Schedule
Support Requirements
Risk Assessment
Review Arrangements
Confidentiality
Data Protection
Health and Safety
Monitoring and Follow-up
Duties and Responsibilities
Performance Expectations
Training Requirements
Emergency Procedures
Communication Protocol
Acknowledgment and Agreement
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