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1. Document Information: Assessment date, assessor details, and document version control
2. Employee Information: Details of the employee returning to work, including their role and department
3. Background Information: Reason for absence, duration, and relevant medical clearance information (while respecting privacy)
4. Assessment Methodology: Description of the risk assessment approach and evaluation criteria used
5. Workplace Assessment: Evaluation of the physical workplace, equipment, and environmental factors
6. Job Role Analysis: Assessment of specific tasks, responsibilities, and associated risks
7. Current Control Measures: Existing safety measures and protocols in place
8. Risk Evaluation: Detailed analysis of identified risks and their potential impact
9. Recommendations: Specific measures and adjustments needed for safe return to work
10. Implementation Plan: Timeline and responsibilities for implementing recommended measures
11. Review and Monitoring: Schedule and process for reviewing the effectiveness of measures
1. Disability Accommodations: Specific accommodations required for employees returning with disabilities or permanent restrictions
2. Phased Return Schedule: Detailed timeline and progression of work hours/duties for graduated return to work
3. Remote Working Assessment: Additional assessment for employees returning to hybrid or remote working arrangements
4. Mental Health Considerations: Specific considerations and support measures for mental health-related returns
5. Training Requirements: Additional training or refresher courses needed before or during return to work
6. Emergency Procedures: Modified emergency protocols if standard procedures cannot be followed by the returning employee
1. Risk Assessment Matrix: Detailed risk scoring matrix and evaluation criteria
2. Workplace Modification Checklist: Specific modifications required for the workplace or equipment
3. Medical Restrictions Form: Documentation of medical restrictions and limitations
4. Employee Consultation Record: Record of discussions with employee regarding the assessment and plans
5. Health and Safety Checklist: Standard safety checks relevant to the return to work situation
6. Review Schedule: Timeline for follow-up assessments and reviews
7. Contact Information: List of relevant contacts including occupational health, HR, and emergency contacts
Manufacturing
Construction
Healthcare
Office and Administrative
Education
Retail
Information Technology
Transportation and Logistics
Financial Services
Hospitality
Public Sector
Professional Services
Industrial
Energy and Utilities
Human Resources
Occupational Health
Health and Safety
Operations
Facilities Management
Legal and Compliance
Employee Relations
Risk Management
Medical Services
Department Management
HR Manager
Health and Safety Manager
Occupational Health Advisor
Risk Assessment Specialist
Return to Work Coordinator
HR Business Partner
Workplace Safety Officer
Operations Manager
Facility Manager
Department Manager
HR Director
Compliance Officer
Occupational Health Nurse
Employee Relations Manager
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