Hse critical illness protocol 2026

1. Click ‘Get Form’ to open the hse critical illness protocol in the editor.
2. Begin with Section 1, where you will enter your personal details. Fill in your surname, first name, PPS number, date of birth, personnel number, grade, and place of work. Ensure all fields are completed in block capitals.
3. Indicate your application for extended paid sick leave by selecting the appropriate box and providing the start date. Attach a medical certificate from your treating consultant if applicable.
4. In Section 2, your line manager will confirm whether you have been referred to Occupational Health and provide necessary recommendations. They should also attach relevant reports.
5. Section 3 requires the Hospital Manager or General Manager's approval. They will indicate their recommendation and provide a reason if rejected.
6. The Employee Relations Manager will complete Section 4 by approving or refusing the application and providing reasons for refusal if necessary.
7. Finally, ensure that all sections are reviewed and signed as required before submitting the form through our platform for processing.

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