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WORK REFUSAL Subject: Procedures and Guidelines for Work Refusal Applies to: All employees Pages: 3 Effective Date: August 2012 Supersedes: July 2006 Prepared and Approved by: Occupational Health

How to fill out work refusal

How to fill out work refusal?

1. Begin by clearly stating your identification details. Include your full name, job title, employee number (if applicable), and the date of the refusal.
2. Provide a brief and concise explanation of the reason for the work refusal. Clearly state why you are refusing to perform the assigned task or job.
3. Mention any potential hazards or risks associated with the task that make it unsafe or dangerous for you to proceed. Emphasize any health and safety concerns that you have identified.
4. If you have reported the issue to your supervisor or manager prior to filling out the work refusal form, mention that in your statement. This shows that you have already raised your concerns and provides a record of your actions.
5. Include any relevant information about attempts made to resolve the issue, such as discussions with colleagues, requests for additional training or equipment, or suggestions for alternative approaches. This demonstrates your proactive attitude towards finding a solution.
6. Sign and date the work refusal form. By signing, you acknowledge that the information provided is accurate and truthful to the best of your knowledge.

Who needs work refusal?

1. Any employee who believes that their assigned task or job poses a significant risk to their health or safety has the right to file a work refusal.
2. This can include situations where the employee believes that they have not been provided with appropriate training, protective equipment, or a safe work environment.
3. Work refusal can also be initiated if the task violates company policies, government regulations, or any other legal requirements.
4. It is essential to note that work refusal is not just limited to blue-collar or manual labor jobs. Employees from all industries and sectors have the right to refuse work if they genuinely believe it compromises their health or safety.
5. In some jurisdictions, including specific industries such as construction or healthcare, there may be specific procedures or protocols in place for initiating a work refusal. It is important to familiarize yourself with these requirements to ensure a proper and effective refusal process.

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