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Forms

Form L: Employee Orientation Checklist

This checklist describes what a supervisor needs to tell employees about the RTW program.

Form K: List of Modified Work

This form describes how a modified work list should be developed and includes a sample list for hotels.

FormsReturn to Work

Form J: Graduated Return to Work Plan

This form is for documenting an RTW plan to get an injured employee back to regular duties.

Forms

Form I (alt): Coordinator’s Communication Log

This alternative Form I is for coordinator communication with injured employees regarding the injury management process.

Forms

Form I: Supervisor’s Communication Log

This form is for documenting communications with injured employees regarding return to work planning.

FormsHealth & SafetyReturn to Work

Form G: No Time Loss and No Medical Aid Checklist – Non-Reportable Incidents (Accommodation)

This checklist describes steps to follow for incidents that don’t require care from a health-care provider or time away from work.

Form B2: Letter to Physician – Modified Work (Accommodation)

Form B2: Letter to Physician – Modified Work (Accommodation) This is a letter for the employer to send to an injured employee’s physician. It explains that there is an offer of work duty accommodations, which are described in the Modified Work Offer form. go2HR is BC’s tourism & hospitality, human resources and health & safety… Continue reading Form B2: Letter to Physician – Modified Work (Accommodation)

WorkSafeBC

Form B1: Letter to Physician (Accommodation)

Form B1: Letter to Physician (Accommodation) This is an accommodation letter for the employer to send to an injured employee’s physician. It explains that there is an RTW program and modified work is available. go2HR is BC’s tourism & hospitality, human resources and health & safety association driving strong workforces and safe workplaces that deliver… Continue reading Form B1: Letter to Physician (Accommodation)

FormsReturn to Work

Form A (alt): Employee Injury Management/Return to Work Checklist

Form A (alt): Employee Injury Management/Return to Work Checklist This alternative Form A describes an injured employee’s responsibilities under the company’s RTW program. go2HR is BC’s tourism & hospitality, human resources and health & safety association driving strong workforces and safe workplaces that deliver world class tourism and hospitality experiences in BC. Follow us on… Continue reading Form A (alt): Employee Injury Management/Return to Work Checklist

FormsReturn to Work

Form A: Early and Safe Return to Work Letter to Employee

This is a letter for the employer to send to an injured employee. It explains that there is an injury management/RTW program and modified work is available. It also describes which forms the employee should bring to their physician.

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