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Return To Work Interview Form Template for South Africa

A comprehensive form designed for South African employers to conduct and document return-to-work interviews with employees following a period of absence. The document ensures compliance with South African labor laws, including the Basic Conditions of Employment Act and Occupational Health and Safety Act, while facilitating a structured conversation about the employee's absence, their current fitness for work, and any necessary workplace adjustments. It serves as both a welfare check and a legal record of the return-to-work process, helping organizations manage attendance effectively while protecting both employer and employee interests.

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What is a Return To Work Interview Form?

The Return To Work Interview Form is a essential document used in South African workplaces to manage and document an employee's return to work following any period of absence, whether due to illness, injury, or other reasons. It is designed to comply with South African employment legislation, including the Basic Conditions of Employment Act, Labour Relations Act, and where applicable, the Occupational Health and Safety Act. The form should be completed during a face-to-face meeting between the returning employee and their line manager, ideally on the first day back at work. It captures crucial information about the absence, assesses the employee's fitness to return, documents any required workplace adjustments, and helps identify any patterns or underlying issues that may need addressing. This document plays a vital role in ensuring proper absence management, supporting employee welfare, and maintaining accurate records for legal and HR purposes.

What sections should be included in a Return To Work Interview Form?

1. Employee Information: Basic details including employee name, ID number, department, and position

2. Absence Details: Information about the absence period, including start and end dates, type of absence (illness, injury, etc.), and whether proper notification procedures were followed

3. Return to Work Discussion: Record of the conversation about the employee's wellbeing, reason for absence, and current fitness for work

4. Work Status Assessment: Evaluation of the employee's ability to perform regular duties and any temporary or permanent limitations

5. Required Actions: Documentation of any necessary workplace adjustments, modified duties, or support measures

6. Attendance Record Review: Discussion of overall attendance pattern and any concerns or support needed

7. Confirmation and Signatures: Signatures of both manager and employee confirming the discussion and agreed actions

What sections are optional to include in a Return To Work Interview Form?

1. Medical Certification Review: For reviewing medical certificates and fitness for work documents when the absence was due to illness or injury

2. Workplace Injury Follow-up: Specific section for cases where the absence was due to a workplace injury, including incident review and prevention measures

3. Reasonable Accommodation Plan: Detailed plan for cases requiring long-term or permanent workplace adjustments

4. Occupational Health Referral: Section for cases requiring occupational health assessment or ongoing medical monitoring

5. Performance Impact Assessment: For addressing any impact on work performance and setting catch-up goals where necessary

What schedules should be included in a Return To Work Interview Form?

1. Medical Certificate Guidelines: Guidelines on acceptable medical certification and documentation requirements

2. Workplace Adjustment Options: List of potential workplace adjustments and accommodation measures

3. Return to Work Risk Assessment: Template for assessing any risks associated with the return to work

4. Employee Support Services: Information about available support services including EAP and occupational health

5. Absence Management Policy Extract: Relevant excerpts from the company's absence management policy for reference

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents

Jurisdiction

South Africa

Publisher

Genie AI

Document Type

Return to Work Form

Cost

Free to use

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