This back to work form helps line managers conduct return to work interviews after an employee has been out of the business for more than half a day. Capture employee name, reason for absence, first and last day away, total working days off, and whether a doctors note was provided. Record the interview date, pay status, probation status, and any updates or briefings the employee missed. Include notes on treatment or ongoing issues, follow up actions, and ensure both employee and manager sign and date the form.
With SafetyCulture you can
Digitize team workflows
Turn your workflows into digital templates or checklists so your team can conduct inspections efficiently and access them from any device.
Reduce manual errors
Help your team complete tasks more accurately with digital templates that minimize errors from manual processes.
Create and share inspection reports
Generate inspection reports and share them with your team and stakeholders to keep everyone informed.
About author
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.