Return to work arrangements - includes proposed suitable or pre-injury employment

A blank form for filling out you and your injured worker’s plan for their return to work.

Last updated

Dec 2016

Reading level

medium

File Type and Size

PDF, 185.52 kB

Document Length

3 pages

What it contains

Supporting your worker to remain at or return to work benefits you and your worker. Employers have legal obligations to provide suitable or pre-injury employment to a worker following a work-related injury or illness, and to plan for their return to work.

Planning an injured worker’s return to work as soon as possible after the injury can help reduce the impact on your worker and your organisation.

This blank form will help you plan:

  • duties or tasks to be undertaken
  • workplace supports, aids or modifications to be provided
  • specific duties or tasks to be avoided
  • medical restrictions
  • hours to be worked.