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Return To Work Interview Form
"I need a Return to Work Interview Form for a manufacturing company in Saudi Arabia, specifically tailored for employees returning from long-term medical leave, with emphasis on workplace safety assessments and phased return options."
1. Employee Information: Basic details including employee name, ID number, department, position, and line manager
2. Absence Details: Dates of absence, reason for absence (general category), and whether proper notification procedures were followed
3. Return to Work Discussion: Record of the conversation about the employee's wellbeing and readiness to return
4. Work Status Assessment: Evaluation of whether the employee can return to full duties or requires modifications
5. Required Actions: List of any necessary actions, adjustments, or support measures needed
6. Declaration: Signatures from both employee and manager confirming the discussion and agreed actions
1. Medical Certification Review: Section for reviewing medical certificates when the absence was due to illness or injury
2. Phased Return Plan: Detailed schedule for gradual return to full duties, used when recommended by medical professionals
3. Workplace Adjustments: Specific modifications needed to accommodate any temporary or permanent health conditions
4. Performance Support Plan: Additional support or training needed if the employee has been absent for an extended period
5. Follow-up Schedule: Planning for follow-up meetings when ongoing monitoring is needed
1. Medical Fitness Certificate: Attached medical documentation confirming fitness to return to work
2. Workplace Adjustment Form: Detailed form outlining any required modifications to workplace or duties
3. Absence History Record: Summary of previous absences if relevant to current return-to-work plan
4. Risk Assessment: Assessment of any health and safety considerations for returning employee
Authors
Healthcare
Manufacturing
Financial Services
Technology
Retail
Construction
Education
Oil and Gas
Telecommunications
Professional Services
Hospitality
Transportation
Government
Mining
Agriculture
Human Resources
Operations
Health and Safety
Employee Relations
Occupational Health
Facilities Management
Legal
Compliance
HR Manager
HR Director
HR Officer
Line Manager
Department Manager
Team Leader
Supervisor
Health and Safety Manager
Occupational Health Advisor
HR Business Partner
Employee Relations Manager
HR Coordinator
Facilities Manager
Operations Manager
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