RETURN TO WORK MEETING

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Date*

Employee Name*

FIRST NAME LAST NAME

Name of person conducting the meeting*

FIRST NAME LAST NAME

Updates

Have you updated the employee on any changes at work while they have been away?*

If yes, give details*

Confidentiality

Have you let the employee know that the information they share will stay confidential?*

You should only share this information with someone else if the employee agrees that you need to.

If no, give details*

Discuss any trends / patterns
Identify any underlying causes

Has the employee provided Self Certification / Medical Certificate?*

Did the employee report according to procedure?*

If no, give details*

Was the absence linked to disability or pregnancy?*

Number of Days Non Attendance Over Last 12 Months*

Details of Absence

Any workplace adjustments required?*

Is the employee ready to return to work physically?*

Is the employee ready to return to work mentally?*

Details

Do they have a doctors note saying that are fit for work?*

Details

Has their doctor recommended any actions, for example a phased return to work?*

Details

Phased return to work to be considered?*

Details

Reduced workload, reduced hours for limited period?*

Details

Risk Assessment required?*

Details

Have you agreed any actions to support the employee’s return to work?*

For example: - • Reasonable adjustments – required by law (Equality Act 2010) to reduce or remove a disadvantage related to someone’s disability. • An occupational health referral • Mental health support • Changes to employee’s hours or duties

Details

Is there anything that might affect their recovery or cause the sickness to happen again?*

Details

Has the employee already returned to work?*

Details

If not, have you agreed a date for the employee to return?*

Details

(Include the date of the next meeting if they are not returning)