Workplace Support and Reasonable Adjustment Request Form
This editable Workplace Support and Reasonable Adjustment Request Form helps a worker and authorised manager discuss, assess, agree and review temporary or ongoing workplace support arrangements.
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Your editable Word and PDF files are ready to download after purchase.
- 100% Compliant with Australian WHS Acts & Regulations
- Fully Editable MS Word & PDF Formats Included
- Pre-filled Content - Ready to Deploy Immediately
- Customisable - Easily Add Your Logo & Site Details
- Includes 2 Years of Free Compliance Updates
Product Overview
This editable Workplace Support and Reasonable Adjustment Request Form helps a worker and authorised manager discuss, assess, agree and review temporary or ongoing workplace support arrangements.
What the Form Captures
- Functional needs and work-related barriers without requiring unnecessary diagnosis details
- Workload, roster, location, supervision, task and communication options
- Urgent safety concerns and interim arrangements
- Worker consultation and decision-making considerations
- Agreed arrangements, responsibilities and review dates
- Reasons and alternatives where a request is changed or not approved
- Review, closure and privacy records
Focuses on safe work and functional needs
The form helps limit collection and disclosure of health information while ensuring broader workplace hazards are not overlooked.
Form Features (Click to Expand)
- Editable Microsoft Word format
- Practical support and adjustment options
- Interim arrangement section
- Decision and acknowledgement record
- Ongoing review table
$19.00
Includes all formats + 2 years updates
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$19.00
One-time payment