Return to Work Form Checklist for Returning Healthcare Workers
This return to work form can be used by public health professionals when assessing whether a healthcare personnel (HCP), who was cleared from having COVID-19, can return to work or not. This tool uses criteria set by the Center for Disease Control and Prevention (CDC) to help determine if a returning HCP meets the set criteria. Learn more about the CDC interim guidance on returning HCP here: https://www.cdc.gov/coronavirus/2019-ncov/hcp/return-to-work.html Note: The CDC advises that decisions about return to work for HCP with confirmed or suspected COVID-19 should be made in the context of local circumstances.
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Templateby SafetyCultureCovid Return to Work Sign In form
To help prevent the spread of COVID-19 in the workplace, every worker must complete and sign this form before returning to work.
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Return to Work Risk Assessment Form Template
This return to work risk assessment form is intended to be used to list the identified safety implications associated with the return to work process of employees that are high-risk. The risk assessment process should consider the impact of the workplace on the returning employee's ability to work and if there are existing controls to help mitigate the risk to the employee.
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Return to Work Plan Template
This Return to Work Plan template can be used, particularly by Australia-based employees, to develop a recovery and return to work strategy if they are likely to be away from work for more than four weeks. The return to work plan aims to include the necessary steps required to achieve the objectives agreed on by the employee and the manager.
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COVID 19 Response Guidance Checklist for Businesses and Employers
This interim guidance is based on what is currently known about the coronavirus disease 2019 (COVID-19). The following interim guidance may help prevent workplace exposures to COVID-19, in non-healthcare settings.This guidance also provides planning considerations for community spread of COVID-19. Reference: https://www.cdc.gov/coronavirus/2019-ncov/community/guidance-business-response.html
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