"Return to Work Checklist"
Manager/Supervisor Return to Work Checklist This checklist can be used by managers/supervisors once a return to work and/or accommodation request has been made. When completing this form, keep in mind that each employee’s requirements are unique and need to be taken into consideration when developing their return to work plan. Review the APS Return to Work Guidelines. Contact your Human Resources area to discuss the return to work and/or accommodation request. Meet with the employee to discuss abilities and limitations/restrictions. Obtain medical information from the employee, in support of the accommodation request. Use the Return to Work Plan (see “Forms” [pages 5A-6 – 5A-10]) as a basis for all of your discussions with the employee and other *stakeholders. Determine how requested modifications will affect employees, equipment, materials, and the work environment. Discuss communication plans with the employee before they return to work; seek their input of what will be communicated to other employees in the work unit. Implement the work plan and related actions. Monitor the return to work plan and schedule regular progress reviews. Evaluate the return to work plan with key *stakeholders and revise as required. Ensure the employee continues to provide updated medical information. Continue to communicate with the employee as to progress in their position. Schedule a final meeting, once the return to work plan or rehab plan is completed. _______________________________ *stakeholders: Human Resource Consultant (HRC); LTDI Liaison Officer (LO); Great-West Life (GWL); Morneau Shepell; LifeMark Health; Workers’ Compensation Board (WCB); Alberta Union of Provincial Employees (AUPE). APS Return to Work Guidelines – Manager/Supervisor RTW Checklist 5A-1