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COVID-19 Checklist: Back to Work

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COVID-19 Checklist: Back to Work

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COVID-19 Return to Work

Period & Reason

Start of absence

End date of the absence

Reason for absence

COVID-19 Security Updates

Has the employee been informed about all updated security measures according to COVID-19?

Has the employee been informed about customer-specific COVID-19 security messages?

Has the employee received all additional COVID-19 PPE that is applicable in his position?

Did the employee check his mailbox and change his answer?

Has the employee cancelled his or her "absence from work"?

Introductory Statement for Resuming Work & Sign-off

The signature confirms that the employee has confirmed that he/she has been successfully reintegrated into the working world after the COVID-19 leave and that he/she is able to return to his/her job with full commitment and in accordance with the company's drug and alcohol policy. If this or an alternative proposal is not confirmed, the reason for this or an alternative proposal must be listed below and sent to Human Resources for approval.

Does the employee confirm that he/she has received the instruction to resume work and that he/she can return to his/her workplace safely?

Remarks

Name & Signature Manager

Name & Signature Employee

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