Belte r r a Cor p or at ion S afety M an ual D oc I D C H S M BE L 2 0 1 7 Pa g e 4 70 of 53 8 INJUR Y MAN AGEM ENT RETUR N TO WORK WO RKER I N STR UCTION S Doc u m e n t Identif icat ion F R M 020A P age Nu m b e r 1 of 1 Doc u m e n t C r e ation Dat e J une 30 2014 Im p le m e n tat ion Dat e S e ptembe r 1 2 014 Injury M anag eme nt Ret urn to Wo rk Progr ams W orker I nstruct ion s This pl a n will g uide y ou in re turning to y our re g ul a r job a c ti vit ies b y g ra du a ll y incr e a sin g wor k hou rs a nd job tasks a s y ou re c ov e r f ro m y our injur y i ll ne ss I t a ll ows y ou to pac e y our a c ti vit ies a c c ord i n g to i mprove ments in y our p h y sic a l abili t y Ex pectations an d Spe cial Instr uc tions to W orker E xtr a mea ns y ou a re not c onsi de re d a s pa rt of the staf fing for the shift Th i s a ll ows y ou to m a na ge s y m ptom s a nd pa c e a c ti vit y without be ing r e li e d upon f or p r oduc ti on I t also e nsure s that th e e mpl o y e r w il l not e x pe rie nc e produ c ti on los s A RTW plan is c onsi de re d the f inal pha se of re h a b il it a ti on taking plac e a t t he wor ksit e C he c k in re g ular l y a t t he e nd of e a c h da y with y o ur supe rvisor o r f irst aid a tt e nda nt to l e t t he m kn ow how y o u a re pro gre ssi n g on th e re tu r n to wo rk pla n C ontac t y our I MR TW C oordina tor a t t he e nd o f e a c h we e k to update on pr og r e ss L e a v e a mess a g e on voice mail about y our p ro g re ss a nd a c onta c t num be r if u na ble to spe a k with I MR TW C oordina tor I mm e diat e l y c ontac t y ou r I MR TW C oordina tor if y ou a re not p ro g re ssi n g a s pe r y our RTW plan or if y ou ha ve a n y c onc e rns or a re a ske d to per fo rm duti e s NO T inc luded in thi s pl a n I njur e d wor k e r s sup e rvi sor plea se c onta c t t he IM RTW C oordina tor a t t he e nd of e a c h w e e k to r e port the wor ke r s hours o f w ork w hil e on thi s I MR TW plan Strategies f or Sy mpto m Manage ment S tre tching prior to t he b e g inni n g of e a c h shi ft a n d following br e a ks wil l help wa rm up muscle s M icr o p au se s ar e short pa use s 1 5 mi nutes wh e re y ou will be a bl e to st e p ba c k f rom the w ork a nd st re tch or re st and the n g o ba c k to t he wor k a c ti vit ies The y a re not additi ona l c of fe e bre a ks The mi c ro pa us e s w i ll be most fr e que nt at the be g i nning of the R TW plan a nd ma y b e incor por a ted i nto y our job tasks a s a pa c ing tool B y the la st we e k of the pl a n bre a ks shoul d o c c ur d uring r e g ular l y sc h e duled bre a ks a nd with natur a l pa use s in y o ur wor k Hom e e xe r c ise prog r a m s w or k style m od if icat ion s an d sa f e w or k in g p osture s r e c omm e nde d b y the ph y siot he r a pist or ph y sic ian should be i nc orpor a t e d i nto y our d a il y routine a t hom e a nd a t wor k to maintain fitne ss and a void fur the r inj ur y If h otc old p ac k s a re re c omm e nde d to m a na g e s y mpt oms a rr a n g e a c c e ss t o fr e e z e r o r mic row a ve S e e k a ssi stanc e o f the fir st aid a tt e nda nt whe n ne e de d A ppo i ntm en ts f o r m edi c a l t rea tm ent s ho ul d b e m a de out s i de of the retu rn to w o r k pla n ho ur s