The Return To Work Form Template is a critical document used in Singapore workplaces when employees resume work following an extended absence. It addresses requirements under Singapore's Employment Act and Workplace Safety and Health legislation, ensuring proper documentation of medical clearance, necessary workplace modifications, and compliance with MOM guidelines. This document helps organizations manage risk, maintain safety standards, and provide appropriate support for returning employees while protecting both employer and employee interests. The form is particularly relevant in light of recent workplace safety emphasis and COVID-19 related protocols in Singapore.
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1. Employee Information: Basic details including name, department, position, and employee ID
2. Absence Details: Information about the period of absence and reason
3. Medical Clearance: Documentation of fitness to return to work
4. Work Modifications: Any required adjustments to duties or working conditions
5. Safety Declaration: Employee confirmation of ability to perform duties safely
1. Phased Return Plan: Details of gradual return to full duties, used for long-term absences
2. Workplace Accommodations: Specific modifications needed, used when medical conditions require adjustments
3. Follow-up Schedule: Timeline for review meetings, used for complex cases
1. Medical Certificate: Copies of relevant medical documentation
2. Risk Assessment: Workplace safety evaluation if required
3. Modified Duties Checklist: Detailed list of adjusted responsibilities if applicable
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