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tap and plug socket - The W1nners' club

Doctor’s name: Dr.  Aaron Jones                        Date: 14/07/2017

Address: The Surgery, Amunsden Hil, Port Sunlight

Postcode: CH62 5DG

PLEASE ACKNOWLEDGE RECEIPT OF THIS LETTER IF THERE IS LIKELY TO BE ANY DELAY IN REPLYING

Re: Likelihood of return to work

Name: Barry Thompson

Address: 65 Tudorville Rd, Bebbington

To administer Statutory Sick Pay, and the Company’s sick pay scheme, and to plan the work in the department, it would be helpful to have a report on your patient, who works for our organisation.

The absence record for the past year is summarised as follows:

Total days lost: 30

This month: 10

Previous months: 20

What is the likely date of return to work? __/__/____

Is there any disability expected at that time apart from an unnatural fear of running a tap anywhere near a plug socket? ……………………….

How long is it likely to last and when will his body hair grow back? ……………………….

Are there any reasonable adjustments we could make in the office like putting a ‘Do Not Use’ sign over the tap in our canteen (see picture attached)? ……………………….

Is there any underlying medical reason for this attendance record apart from the fact that Barry was jettisoned a good 20 ft. into the air as he went to pour himself a glass of water? ……………………….

Is he likely to be able to render regular and efficient service in the future? ……………………….

Is there any specific recommendation you wish to make about him which would help in finding an alternative job, (for instance no climbing ladders, no driving, or no turning on taps that pour directly onto a live electrical circuit etc.)? ……………………….

I would be grateful for an early reply and enclose a stamped addressed envelope. Please attach your account to the report (following the BMA guidance on fees).

Yours sincerely

Signature - The W1nners' club

Health and Safety Manager

 

 

 

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