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Return To Work Interview Form
"I need a Return to Work Interview Form for our manufacturing company that includes sections for phased return arrangements and machinery safety assessments, compliant with Irish health and safety regulations."
1. Employee Information: Basic details including employee name, department, role, employee ID, and line manager details
2. Absence Details: Dates of absence, reason for absence (general category), and whether appropriate notification procedures were followed
3. Return to Work Discussion: Record of the discussion between manager and employee about their wellbeing and readiness to return
4. Work Status Assessment: Confirmation of whether employee is fully fit to return or requires adjustments
5. Action Plan: Agreed actions to support the return to work, including any temporary adjustments or support measures
6. Declaration: Signatures from both employee and manager confirming the accuracy of information and agreed actions
1. Medical Certification: Section for recording details of medical certificates provided - used when absence was due to illness/injury
2. Phased Return Schedule: Detailed schedule for graduated return to work - used when employee requires phased return
3. Risk Assessment: Assessment of any workplace risks relevant to the employee's condition - used when absence was health-related
4. Occupational Health Review: Details of any occupational health recommendations - used when professional medical input has been received
5. Absence Pattern Review: Review of previous absence history - used when addressing recurring absence patterns
6. Reasonable Adjustments: Detailed documentation of required workplace adjustments - used when permanent adjustments are needed
1. Schedule A - Phased Return Timeline: Detailed week-by-week schedule for graduated return to work, including hours and duties
2. Appendix 1 - Workplace Adjustment Form: Detailed form documenting specific workplace adjustments required
3. Appendix 2 - Follow-up Meeting Schedule: Timeline for follow-up meetings to monitor progress
4. Appendix 3 - Support Services Information: Information about available employee support services and contact details
5. Appendix 4 - Health and Safety Guidelines: Relevant health and safety information related to the return to work
Authors
Healthcare
Manufacturing
Retail
Financial Services
Technology
Education
Public Sector
Construction
Hospitality
Professional Services
Transportation
Telecommunications
Energy
Agriculture
Non-Profit
Human Resources
Operations
Health and Safety
Occupational Health
Employee Relations
Management
Administration
Legal
Compliance
HR Manager
Line Manager
Department Head
Team Leader
Supervisor
HR Business Partner
Operations Manager
Health and Safety Officer
Occupational Health Manager
HR Director
General Manager
Department Manager
Site Manager
Branch Manager
Shift Supervisor
Human Resources Coordinator
Employee Relations Manager
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