Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Team number

  • Date of first absence

  • Date of returning to work

  • Number of days in rolling year

  • Number of periods in rolling year

  • Enter percentage of overall absence

  • Reason for absence

  • Supporting information (as applicable) eg doctors note

  • Add media

  • Did the person visit doctor whilst absent?

  • Is the person on medication as a result of absence?

  • Details of discussion at return to work meeting (welcome)

  • Employee feedback

  • Support / action ( if applicable )

  • Occupational health referral ?

  • Is the person aware of absence policy/absence policy issued?

  • Will this absence trigger an absence hearing?

  • Will this absence period be paid?

  • Engineers signature

  • Managers signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.