Capture functional limits and proposed measures before you meet HR — notes stay on this device.
Use before an RTW meeting or when a member asks for an active accommodation. Keep diagnosis off this form.
Primacy of human rights
Human rights legislation has quasi-constitutional status. It supersedes collective agreements and employer policies when they conflict. If a contract clause blocks a required accommodation, that clause cannot stand against the Code.
Undue hardship — what counts
Only three factors may support an undue-hardship claim:
What does not count
Co-worker morale, customer preference, and conflict with the collective agreement are not undue hardship.
Meiorin three-step test (quick reference)
Gradual work-hardening grid
Weeks 1–2
15 hrs
Phase 1Weeks 3–4
22.5 hrs
Phase 2Weeks 5–6
30 hrs
Phase 3Then
Full hours
Phase 4Medical privacy rule
The employer has no right to demand a diagnosis, symptoms, or treatment plan. They are only entitled to functional limitations and restrictions. Keep diagnosis details off this form.
What kind of request is this?
Scripts update as you fill the form. They are talking points — not legal advice.
Email draft
Dear HR, We propose a phased work-hardening schedule starting at reduced hours. Based on the member's functional limitations (—). We ask that any temporary measures preserve the member's pre-injury wage rate and bargaining-unit standing. In solidarity,
Verbal script
Verbal talking points for the meeting: We propose a phased work-hardening schedule starting at reduced hours. Based on the member's functional limitations (—). We ask that any temporary measures preserve the member's pre-injury wage rate and bargaining-unit standing.