EARLY RETURN-TO-WORK PROGRAM POLICY

EFFECTIVE DATE: [DATE]

[YOUR COMPANY NAME] is committed to providing a safe work environment for all employees. An Early Return To Work - Modified Duty procedures program has been implemented which will allow employees who become injured or ill while on the job to return to work as soon as reasonably possible. It is recognized that returning to work environment as soon as possible after an on-the-job injury or illness occurs has positive impact upon the healing process and is in the best interests of the employee and employer alike. Adopting a comprehensive ERTW-Modified Duty program will effectively manage worker's compensation costs throughout the institution and safeguard its most valuable resources: the skills, knowledge, and experience of our employees.

Employees must report all work-place injuries and work-related illnesses to their supervisor the same day of the accident or as soon as it is suspected that an illness is work related. Employees are required to advise their treating physician or other medical care provider that [YOUR COMPANY NAME] provides Early Return To Work and/or Modified Duty opportunities.

Although there may be some variability in how Early Return To Work and Modified Job opportunities are developed, the end result shall be consistent throughout, that every effort shall be made to provide these opportunities to employees. [YOUR COMPANY NAME] will initiate and maintain a process, which incorporates input from throughout our institution to develop, implement and periodically review the ERTW-Modified Duty program.

The cooperation of individual supervisors plays the most significant part in the success of the ERTW-Modified Duty program. Supervisors shall identify and provide Early Return To Work and/or Modified Job opportunities for injured or ill employees whenever possible.

Applicability: All Company Employees

Print Name: __________________________________

Signature: ___________________________________ Date: __________________