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1. Employee and Assessor Information: Details of the employee returning to work and the qualified professional conducting the assessment
2. Background Information: Information about the injury/illness, current medical status, and previous role requirements
3. Current Medical Status and Restrictions: Summary of current medical condition and any specific restrictions or limitations advised by healthcare providers
4. Job Analysis: Detailed analysis of the employee's regular job duties and physical/mental requirements
5. Workplace Assessment: Evaluation of the specific workplace environment and potential hazards or risks
6. Risk Identification: Specific risks identified in relation to the return to work plan
7. Risk Control Measures: Proposed controls and modifications to address identified risks
8. Recommendations: Specific recommendations for return to work, including any modifications or staged return plans
9. Monitoring and Review Plan: Schedule and process for monitoring the employee's progress and reviewing the assessment
1. Psychological Risk Assessment: Additional assessment section when returning from mental health conditions or when psychological factors need consideration
2. Alternative Duties Assessment: Required when the employee cannot return to their original role and alternative positions need to be evaluated
3. Equipment Modifications: Detailed section needed when specific workplace equipment modifications are required
4. Team Impact Assessment: Assessment of how the return to work plan affects team dynamics and workload distribution
5. Remote Work Considerations: Required when assessing risks associated with working from home or remote locations
1. Medical Reports Summary: Summary of relevant medical reports and clearances
2. Physical Demands Analysis: Detailed breakdown of physical requirements of the role
3. Risk Assessment Matrix: Detailed risk scoring and evaluation matrix
4. Workplace Modification Checklist: Specific modifications required in the workplace
5. Progress Monitoring Forms: Templates for tracking and recording progress during the return to work period
6. Emergency Response Plan: Procedures to follow if the employee experiences difficulties during return to work
Manufacturing
Construction
Healthcare
Education
Retail
Mining
Agriculture
Transportation
Office and Administrative
Hospitality
Information Technology
Public Service
Logistics
Professional Services
Energy
Human Resources
Health and Safety
Occupational Health
Operations
Risk Management
Employee Relations
Compliance
Medical Services
Rehabilitation Services
Legal
Health and Safety Manager
HR Director
Occupational Health Nurse
Risk Assessment Specialist
Return to Work Coordinator
HR Business Partner
Workplace Health and Safety Officer
Operations Manager
Line Manager
Department Supervisor
Employee Relations Manager
Rehabilitation Coordinator
Safety Compliance Officer
Occupational Therapist
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