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Return to work assessment form

Return to work assessment form 2025

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The document is a Self-Assessment Guide for Ontario workplaces provided by the Workplace Safety and Insurance Board (WSIB) to facilitate the return to work (RTW) of injured or ill employees. It emphasizes the shared responsibility between employers, workers, and health providers in achieving safe and timely RTW outcomes. The guide outlines key components such as organizational frameworks, program management, and strategies for successful RTW, along with a structured assessment process to identify strengths and areas for improvement in existing RTW practices.

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Click ‘Get Form’ to open the return to work assessment form in the editor.
Begin by reviewing the introduction section, which outlines the purpose of the self-assessment. This will help you understand what information is required.
Proceed to the Organizational Framework section. Here, answer each question regarding your company's return to work policy by selecting 'Yes' or 'No'. Ensure you have supporting documentation for a 'Yes' response.
Move on to Return to Work Program Management. Fill out this section by assessing your case management practices and ensuring that all relevant personnel are aware of their roles.
Finally, complete the Strategies for Successful Return to Work Outcomes section. This involves evaluating your implementation strategies and ensuring that they align with best practices for employee support.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the purpose of a return to work order?

The return-to-work process aims to facilitate the return of an employee often someone whos recovering from an illness or injury, or who has become disabled to their job as soon as possible. In doing so, a delicate balance must be struck between meeting the employers and the employees needs.

What do I write in a return to work form?

Within the return to work form, managers and employees will need to typically provide details relating to their absence, such as: the duration of absence; the method used by employees to notify of their absence; the reason for absence; details about previous absences over the past calendar year (if applicable);

What is a return to work release?

A physician release to return to work form is a document that verifies an employees fitness to resume work after a period of illness or injury. It serves as evidence that the employee is healthy enough to perform their job duties.

What is the purpose of the return to work form?

A return to work form is a document employers use to record relevant details when staff start working again after sickness. You should fill it in during the return to work interview, to establish further necessary steps. Some employees need support with a long recovery, for example.

What is a risk assessment for someone returning to work?

The risk assessment should consider: The impact of the workplace on the employees ability to work without causing harm to themselves or others. The work task list of the individual. If existing controls are sufficient or if additional controls will need to be considered by the employer.

What is a return to work release form?

Purpose of the Form: The Release to Return to Work Form must be completed when an associate is released to return to work following an absence as a result of an injury or illness.

What is a functional assessment for return to work?

A functional abilities evaluation (FAE) or functional capacity evaluation (FCE) is a comprehensive evaluation of your physical and functional abilities, using objective and measurable tests. The FAE can be general or specific to your job and related duties.

Return to work assessment form 2025

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