Get Sa1 Rev 3 Sickness Absence Report Form - Norfolk - Esinet Norfolk Gov

Filling out the SA1 Rev 3 Sickness Absence Report Form is essential for reporting absences due to health issues or other valid reasons. This guide provides a clear and structured approach to completing the form accurately and efficiently online.

Follow the steps to complete the Sickness Absence Report Form online.

1. Click ‘Get Form’ button to access the Sickness Absence Report Form and open it in your preferred editor.
2. In Part 1, provide the employee's name, employee number, job title, section or place of work, reason for absence, and the first day of absence. Additionally, indicate if the absence is due to an accident at work, a disability, a pregnancy-related illness, or none of the above. Ensure this information is entered in block capitals.
3. If the absence is one week or less, the employee should complete Part 2 upon their return to work. The line manager is responsible for completing Parts 4 and 5 and then processing the form according to departmental procedures. Remember to add the employee's signature and date.
4. For absences greater than one week, the line manager should fill out Parts 3, 5, and 6 for each period of absence. This includes retaining a copy of the form and processing the original promptly according to departmental protocols. Document anticipated length of absence and ensure acknowledgment of information provided by the employee.
5. In Part 4, the line manager should document the last day of absence, total working days, total hours absent, and complete a return to work interview. Add any comments or necessary actions before signing and dating the form.
6. Record all working days absent in Part 5, including any partial days. Complete each weekly record accurately, detailing both hours that should have been worked and those lost due to absence. Continue on a separate sheet if needed.
7. For certificated sickness absence, complete Part 6 with the record of medical certificates for absences exceeding one week. Ensure these certificates are processed promptly according to departmental procedures, noting the dates of issue and reception as well as the nature of the sickness.
8. After completing all necessary parts of the form, you have the option to save your changes, download a copy, print, or share the form as required.

Complete the SA1 Rev 3 Sickness Absence Report Form online today to ensure a smooth reporting process.