A print-ready planning tool
Workplace planning worksheet.
Use this page to prepare practical examples and questions before a return-to-work, workplace, benefits, or accommodation conversation.
Preparation support only. This worksheet helps you collect observations and questions. It does not provide medical, legal, employment, or insurance advice.
Use it your way
Make the next conversation more specific.
Print it, write on it, or use the prompts to organize your thoughts. Nothing entered on this page is stored or sent anywhere.
PR
Prosthetic Resource
Workplace planning worksheet.
This worksheet is general preparation support, not legal, medical, or employment advice. It can help you describe a workday and decide what you want to ask next.
01
What does my workday include?
List the essential tasks, locations, tools, schedule demands, commute, or transitions that matter most.
02
Where do I need more context or support?
Describe a specific task, time of day, environment, or change you want to make sense of.
03
Who needs to be part of the conversation?
Note the care, workplace, benefits, or support contacts you may need to speak with.
04
Questions I want to remember
Tick a prompt below if it helps, then add your own.
Before I leave
What is the next step, who owns it, and when will I follow up?
Continue with context