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Return To Work Interview Form Template for Ireland

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Key Requirements PROMPT example:

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."

Document background
The Return To Work Interview Form is a crucial document used in Irish workplace settings to manage and document an employee's return to work following any significant absence. This form is essential for compliance with Irish employment legislation, including health and safety regulations, equality laws, and data protection requirements. It should be completed during a face-to-face meeting between the returning employee and their manager, typically on the first day back at work or as soon as practicable thereafter. The document captures vital information about the absence, assesses the employee's readiness to return, documents any necessary workplace adjustments, and outlines support measures or action plans. It serves as an official record of the return to work process and helps organizations demonstrate their duty of care while protecting both employer and employee interests.
Suggested Sections

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

Optional Sections

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

Suggested Schedules

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

Alex Denne

Head of Growth (Open Source Law) @ tiktok³ÉÈ˰æ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant legal definitions
























Clauses




















Relevant Industries

Healthcare

Manufacturing

Retail

Financial Services

Technology

Education

Public Sector

Construction

Hospitality

Professional Services

Transportation

Telecommunications

Energy

Agriculture

Non-Profit

Relevant Teams

Human Resources

Operations

Health and Safety

Occupational Health

Employee Relations

Management

Administration

Legal

Compliance

Relevant Roles

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

Industries







Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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