Back To Work Employee Consent Form Template for England and Wales

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Key Requirements PROMPT example:

Back To Work Employee Consent Form

"I need a Back To Work Employee Consent Form for a manufacturing employee returning from long-term illness, including provisions for a phased return over 4 weeks starting March 2025 and specific machinery safety protocols."

Document background
The Back to Work Employee Consent Form is essential documentation for managing employee returns to work in England and Wales. It is typically used following extended absences due to illness, injury, maternity leave, or other circumstances requiring formal return-to-work procedures. The form serves multiple purposes: ensuring legal compliance, documenting health status, confirming understanding of safety protocols, and recording any necessary workplace adjustments. It helps organizations fulfill their duty of care while protecting employee rights and maintaining appropriate records in accordance with GDPR and employment law requirements.
Suggested Sections

1. Employee Information: Basic details of the employee including name, position, department

2. Health Declaration: Employee's confirmation of fitness to return to work

3. Workplace Safety Measures: Overview of implemented safety protocols and requirements

4. Employee Acknowledgments: Employee's agreement to follow safety measures and protocols

5. Data Protection Statement: How health-related information will be processed and stored

Optional Sections

1. Medical Certification: Required when returning from long-term illness or specific health conditions

2. Phased Return Plan: Used when employee requires graduated return to full duties

3. Reasonable Adjustments: Required when specific workplace accommodations are needed

4. Remote Working Arrangements: Used when hybrid or remote working is part of return plan

Suggested Schedules

1. Risk Assessment: Detailed workplace risk assessment relevant to employee's role

2. Safety Protocols: Specific safety measures and procedures

3. Medical Documentation: Any relevant medical certificates or assessments

4. Return to Work Plan: Detailed schedule of return including any modifications to duties

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 | Serial Founder & Legal AI Author

Relevant Industries
Relevant Teams
Relevant Roles
Industries

Health and Safety at Work Act 1974: Primary legislation governing workplace safety, including employer's duty of care and employee responsibilities for maintaining a safe working environment

Management of Health and Safety at Work Regulations 1999: Regulations requiring risk assessments and specific provisions for vulnerable workers in the workplace

GDPR and Data Protection Act 2018: Legislation governing the processing, storage and sharing of personal data, including health information and consent requirements

Equality Act 2010: Law protecting against discrimination and requiring reasonable adjustments for employees with disabilities or specific needs

Employment Rights Act 1996: Core employment legislation covering working conditions, employment terms and protection of workers' rights

Working Time Regulations 1998: Regulations governing working hours, rest breaks and any temporary modifications to working patterns

Government and Public Health England Guidance: Current official guidance including COVID-19 measures and industry-specific requirements for workplace safety

RIDDOR 2013: Reporting of Injuries, Diseases and Dangerous Occurrences Regulations covering reporting requirements and health monitoring in the workplace

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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