Return-to-Work Restriction Planner
Interactive employer planning tool for modified duty and return-to-work coordination.
Organize temporary work restrictions
Printable Work Restriction Summary
Injury date: Not entered
Suggested follow-up date: Enter injury date
Restriction expiration: Not entered
- Maximum lift: 10 lb
- Push/pull: Avoid heavy push/pull
- Standing: Up to 2 hours at a time
- Walking: As tolerated
- Driving: No commercial driving
- Overhead work: Avoid overhead work
- Climbing: No ladders
- Repetitive motion: Limit repetitive motion
- Shift length: 8 hours
Supervisor checklist:
- Match restrictions to available modified-duty tasks.
- Confirm the employee understands limits before each shift.
- Escalate if symptoms worsen or job tasks cannot be modified.
Employee instructions:
- Follow the clinician-issued restrictions.
- Report any worsening symptoms or task conflicts.
- Attend the scheduled follow-up before restrictions expire.
Reminder timeline:
- Day of visit: provide written restrictions to supervisor.
- 48 hours before follow-up: confirm appointment and modified duty status.
- Expiration date: confirm updated clearance or extension.
Review occupational medicine, workplace injury care, and employer resources.
This planner does not create medical restrictions. Use clinician-issued restrictions as the source of truth.
Recommended Workplace Injury Workflow
After an incident, employers may need to evaluate immediate next steps, distinguish first aid from medical treatment, assess OSHA recordability, organize documentation, estimate financial impact, and coordinate modified duty.
What happens after modified-duty planning?
Employers should communicate restrictions clearly, monitor task fit, confirm follow-up timing, and update the plan when the clinician changes work status.
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Need help managing workplace injuries?
Use these resources as a starting point, then request an employer consultation for injury evaluation, documentation, follow-up care, and occupational medicine services.
Occupational Medicine Tool FAQs
What occupational medicine services do Tampa Bay employers usually need?
Most employers need a mix of pre-employment physicals, drug testing, DOT physicals for regulated drivers, respirator clearance or fit testing for exposed roles, OSHA documentation, injury evaluation, and return-to-work support.
Can occupational medicine be set up as an employer program instead of one-off visits?
Yes. Castellan Health can help employers standardize ordering, scheduling, documentation, and communication so HR, safety, and operations teams have a repeatable workforce health workflow.
How should employers estimate occupational medicine costs?
Useful cost planning starts with employee count, annual hiring volume, DOT driver count, safety-sensitive roles, respirator users, expected drug testing volume, and likely injury visits. A custom employer quote is still needed for final pricing.
Need a real employer workflow?
Use the tool as a planning starting point, then request a custom Castellan Health occupational medicine program for your workforce.