This Kinross fatigue management reassessment form is used after a fatigue event to confirm a worker’s condition before returning to duty. It captures site and shift details, rotation day, department and crew, and prompts employees to describe how they feel, what recovery actions they took during rest, and whether an extra break helped. If a second event occurs, it directs the user to contact HR and complete a travel home form. Employee and supervisor signatures document the decision and next steps.
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This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.