Get the free Supervisor Modified Duty Follow Up Form - rmi prep colostate

Supervisor Modified Duty Follow Up Form Employee Temporary Department Assigned to: Supervisor & PH# Position Assigned Hours worked/week Please list job tasks the employee is performing Is the employee

How to fill out supervisor modified duty follow

How to fill out supervisor modified duty follow:

1. Start by gathering all relevant information regarding the employee who requires a modified duty follow-up. This includes their name, employee number, and the specific job duties they are unable to perform due to their injury or medical condition.
2. Identify the specific restrictions or limitations that have been placed on the employee's work activities. This may include physical restrictions, such as lifting or bending limitations, or cognitive limitations, such as reduced concentration or memory capabilities.
3. Clearly outline the modified duties that have been assigned to the employee. This can include tasks that are within their abilities and do not violate their restrictions. These modified duties should be temporary and aim to facilitate their recovery while still contributing to the overall functioning of the workplace.
4. Specify the expected duration of the modified duty assignment. This can range from a few days to several weeks, depending on the employee's recovery progress. It's important to regularly reassess the employee's condition to determine if any adjustments need to be made to their modified duties or restrictions.
5. Document any accommodations or assistive devices that have been provided to the employee to support their modified duty assignment. This can include ergonomic equipment, additional training, or any other necessary resources that help them perform their duties effectively and safely.
6. Ensure that both the employee and their supervisor review and sign the completed supervisor modified duty follow-up form. This signifies that both parties are aware of the modified duties, restrictions, and expectations for the employee during their recovery period.

Who needs supervisor modified duty follow:

1. Employees who have experienced a work-related injury or are currently unable to perform their regular job duties due to a medical condition may require supervisor modified duty follow-up.
2. It is important for these employees to receive appropriate support and accommodations during their recovery process to ensure a safe and smooth transition back to their regular job duties.
3. The supervisor modified duty follow-up helps both the employee and the employer to monitor the progress of their recovery and ensure that adequate measures are in place to facilitate their return to work.

For pdfFiller’s FAQs

What is supervisor modified duty follow?

Supervisor modified duty follow is a form used to document and track any modifications made to an employee's duties to accommodate for a work-related injury or illness.

Who is required to file supervisor modified duty follow?

Supervisors are required to file supervisor modified duty follow for their employees who are on modified duty.

How to fill out supervisor modified duty follow?

You can fill out supervisor modified duty follow by providing details of the employee, the injury or illness, the modifications to their duties, and any other relevant information.

What is the purpose of supervisor modified duty follow?

The purpose of supervisor modified duty follow is to ensure that employees who are on modified duty are properly accommodated and that their work tasks are adjusted to meet their physical limitations.

What information must be reported on supervisor modified duty follow?

Information such as employee details, injury or illness details, modifications to duties, start and end dates of modified duty, and any medical restrictions or limitations must be reported on supervisor modified duty follow.

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