Suitable Duties RTW Plan

This form supports the Injury Management Procedure, and is included in the Rehabilitation Pack to be provided to the treating medical practitioner.  The template is to be used with the Suitable Duties Capability Statement to develop a week-by-week plan for the injured worker to undertake meaningful and clearly assigned tasks considering any restrictions, and specific assistance or sources at the workplace.  It will be reviewed and amended fortnightly by the medical practitioners, with input from the Rehabilitation Coordinator and the Supervisor.