Standards › Standard 14 › Forms
Form · OHS-FRM-005 · Version 1.0 · Approved by the ASF Expert Committee
Supports: Standard 14 (Occupational Health), criterion 14.6
Purpose
Records the agreed return-to-work plan, its duties, its review date and each review.
How to complete
- Agree the plan with the worker.
- Set the review date.
- Record each review.
Checks
| Check | Entry |
|---|---|
| Reason for absence (summary only) | Yes |
| Duties and hours agreed | Yes |
| Adjustments in place | Yes or N/A |
| Review date | Yes |
| Review record (date and change) | Yes or N/A |
| Copy given to worker and employer | Yes |
Evidence
| Reference | Note |
|---|---|
| E-009 | Based on ILO Convention No. 161 concerning Occupational Health Services (1985) and the WHO Healthy Workplaces framework (2010). |
| E-006 | ASF Policy Framework v1.2. Adapted. |
| E-009 | ASF Expert Committee consensus. |
Change history
| Version | Date | What changed | Approval |
|---|---|---|---|
| 1.0 | the date of approval | First version | set Expert Committee approval |
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References
- Accréditation Sans Frontières (2026). ASF Policy Framework v1.2. (E-006)
- Accréditation Sans Frontières (2026). ASF Expert Committee consensus on Standard 1. (E-009)