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Return To Work Interview Form
"I need a Return to Work Interview Form for our manufacturing company in Manila, compliant with Philippine labor laws, that specifically addresses employees returning from long-term medical leave and includes sections for workplace safety assessments and phased return arrangements."
1. Employee Information: Basic details including employee name, ID number, department, position, and immediate supervisor
2. Absence Details: Information about the period of absence, including start and end dates, reason for absence, and whether proper notification procedures were followed
3. Health Status Declaration: Employee's current health status and fitness for work, including any medical certificates or clearances provided
4. Work Capability Assessment: Assessment of the employee's ability to perform regular duties, including any limitations or restrictions
5. Return to Work Plan: Specific arrangements for the return to work, including any phased return or modified duties
6. Support Measures: Details of any workplace adjustments, additional support, or accommodations required
7. Follow-up Actions: Agreed actions, monitoring arrangements, and review dates
8. Acknowledgment: Signatures of both employee and manager confirming the discussion and agreed arrangements
1. Medical Information Details: Additional section for detailed medical information when returning from a serious illness or injury, subject to medical privacy regulations
2. Occupational Health Referral: Section for cases requiring occupational health assessment or ongoing medical monitoring
3. Performance Concerns: Section to address any performance issues related to or affected by the absence
4. Attendance History: Section for documenting pattern of absences when addressing recurring attendance issues
5. Risk Assessment: Detailed risk assessment section for returns involving workplace safety considerations or specific health risks
1. Medical Certificate Form: Standard form for medical certification of fitness to return to work
2. Workplace Adjustment Checklist: Checklist of potential workplace modifications or accommodations
3. Phased Return Schedule: Detailed schedule for graduated return to full duties if applicable
4. Follow-up Meeting Schedule: Timeline for follow-up meetings and progress reviews
Authors
Manufacturing
Services
Information Technology
Healthcare
Education
Retail
Construction
Financial Services
Transportation
Hospitality
Mining
Agriculture
Public Sector
Telecommunications
Business Process Outsourcing
Human Resources
Occupational Health
Health and Safety
Employee Relations
Legal
Compliance
Employee Benefits
Operations
Line Management
Medical Services
HR Manager
HR Business Partner
Line Manager
Department Supervisor
Health and Safety Officer
Occupational Health Nurse
HR Director
Employee Relations Manager
Benefits Administrator
Compliance Officer
Department Head
Team Leader
HR Coordinator
Workplace Safety Manager
Employee Wellness Coordinator
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