Return to work
- Name
- [name]
- First day off
- [date]
- First day back
- [date]
- Held on
- [date]
- Held by
- [name]
Outcome
- Back to normal duties
- A phased return
- Adjustments agreed
- Referred to occupational health
Health notes
For example: no lifting for four weeks. Health detail: only people who can see health details see it.
- Notes