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Return to Work Plan Template

by Jamie Mallinder, from the Community

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This structured Return to Work Plan template helps employers, consultants, and workers coordinate a safe, timely return after injury or illness. Capture pre-injury role and schedule, injury type, affected body parts, and likely cause. Record medical restrictions and current capacity from the treating practitioner, then define suitable duties, adjusted hours, and workplace modifications. Document client support, alternative duties, upcoming treatments, and recovery timelines. Include notes from consultations with the worker and practitioner, address concerns, and outline actions. The plan concludes with acknowledgments from the worker, consultant, and client supervisor to confirm responsibilities and commitment.

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With SafetyCulture you can

Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log

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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.