Occupational and Environmental Safety & Health (OESH)

Policies, Operational Procedures and Guidelines

Section 3: Case Management

Disability Case Management

Operational Procedure - Reasonable Accommodation and Return to Work

Concordia General Hospital - Site Specific Package
Manager to OESH Referral Form - This form is to be completed by the Supervisor/Manager when an employee is absent for more than two weeks, and/or is unable to perform regular job tasks due to a medical reason
Employee Return to Work Package - includes Intro Letter, Employee Responsibilities Handout, My Contacts Handout, Modified Duty Form
Handout Only - Employee Responsibilities CGH
Form Only - Modified Duty Form - CGH
Corporate and Community - WRHA Specific Package
Manager to OESH Referral Form - This form is to be completed by the Supervisor/Manager when an employee is absent for more than two weeks, and/or is unable to perform regular job tasks due to a medical reason
Employee Return to Work Package - includes Intro Letter, Employee Responsibilities Handout, My Contacts Handout, Modified Duty Form
Handout Only - Employee Responsibilities WRHA CC
Form Only - Modified Duty Form - WRHA CC
Deer Lodge Centre - Site Specific Package
Please note that Deer Lodge Centre is currently participating in a Lean Project.  The following forms are part of the DLC Lean Pilot Project regarding the Return to Work Process.
Manager to OESH Referral Form - This form is to be completed by the Supervisor/Manager when an employee is absent for more than two weeks, and/or is unable to perform regular job tasks due to a medical reason
Employee Return to Work Package - includes Time Sensitive Actions for You, Planning a Safe Return to Work Form (Modified Duty Form), Employee Responsibilities Handout, and My Contacts Handout.
Handout Only - Employee Responsibilities DLC
Form Only - Modified Duty Form - DLC
Grace General Hospital - Site Specific Package
Manager to OESH Referral Form - This form is to be completed by the Supervisor/Manager when an employee is absent for more than two weeks, and/or is unable to perform regular job tasks due to a medical reason
Employee Return to Work Package - includes Intro Letter, Employee Responsibilities Handout, My Contacts Handout, Modified Duty Form
Handout Only - Employee Responsibilities GGH
Form Only - Modified Duty Form - GGH
Health Sciences Centre - Site Specific Package
Manager to OESH Referral Form - This form is to be completed by the Supervisor/Manager when an employee is absent for more than two weeks, and/or is unable to perform regular job tasks due to a medical reason
Employee Return to Work Package - includes Intro Letter, Employee Responsibilities Handout, My Contacts Handout, Modified Duty Form
Handout Only - Employee Responsibilities HSC
Form Only - Modified Duty Form - HSC
Middlechurch Personal Care Home - Site Specific Package
Manager to OESH Referral Form - This form is to be completed by the Supervisor/Manager when an employee is absent for more than two weeks, and/or is unable to perform regular job tasks due to a medical reason
Employee Return to Work Package - includes Intro Letter, Employee Responsibilities Handout, My Contacts Handout, Modified Duty Form
Handout Only - Employee Responsibilities - Middlechurch
Form Only - Modified Duty Form -Middlechurch
River Park Gardens - Site Specific Package
Injury Near Miss Form - RPG
Manager to OESH Referral Form - This form is to be completed by the Supervisor/Manager when an employee is absent for more than two weeks, and/or is unable to perform regular job tasks due to a medical reason
Employee Return to Work Package - includes Intro Letter, Employee Responsibilities Handout, My Contacts Handout, Modified Duty Form
Handout Only - Employee Responsibilities - RPG
Form Only - Modified Duty Form -RPG
Seven Oaks General Hospital - Site Specific Package
Manager to OESH Referral Form - This form is to be completed by the Supervisor/Manager when an employee is absent for more than two weeks, and/or is unable to perform regular job tasks due to a medical reason
Employee Return to Work Package - includes Intro Letter, Employee Responsibilities Handout, My Contacts Handout, Modified Duty Form
Handout Only - Employee Responsibilities SOGH
Form Only - Modified Duty Form - SOGH
Victoria General Hospital - Site Specific Package
Manager to OESH Referral Form - This form is to be completed by the Supervisor/Manager when an employee is absent for more than two weeks, and/or is unable to perform regular job tasks due to a medical reason
Employee Return to Work Package - includes Intro Letter, Employee Responsibilities Handout, My Contacts Handout, Modified Duty Form
Handout Only - Employee Responsibilities VGH
Form Only - Modified Duty Form - VGH

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