RTWP

Return to Work Plan Generator

AI-powered Return to Work Plan builder for Australian employers.

Which workers compensation scheme does this claim fall under?

Select the scheme your insurer operates under. By the time you are building a Return to Work Plan, the applicable scheme will already have been identified by your insurer.

Step 1 of 8 — Eligibility & consent

Before you begin

Confirm all items below before creating this Return to Work Plan. All must be ticked to proceed.

Legal eligibility

A treating medical practitioner has issued a First Certificate of Capacity certifying the worker is partially incapacitated for work

s.160(2)(a) Workers Compensation and Injury Management Act 2023

The worker is currently employed and the injury occurred in the course of their employment

This Return to Work Plan applies for 12 months from the date of incapacity

A claim for workers compensation has been lodged with the insurer

The insurer must be notified — provide them a copy of this plan as best practice

Privacy & consent

🔒 Tick all items above to unlock the plan builder

Step 2 of 8

Participant details

Worker and Employer details are required. Practitioner and Insurer are recommended — complete them when you have the information.

Full name *

Claim number

Residential address

Phone *

Company name *

ABN

Address

Supervisor (direct line manager)

Supervisor name *

Phone

Program coordinator

Same as supervisor

Coordinator name

Phone

The treating practitioner must receive a copy of the completed Return to Work Plan. Details will be pre-filled if you upload the First Certificate of Capacity in Step 3.

Practitioner name

Practice / address

Phone

Insurer name

Contact person

Phone

⚠️ Please complete the required Worker (name & phone) and Employer (name & supervisor) fields before continuing.

Step 3 of 8

Certificate of Capacity

Upload the Certificate of Capacity and the AI will pre-fill the work capacity fields. Or skip to enter manually in Step 4.

In this demo version, upload is simulated. In the full version, a real First, Progress, or Final Certificate of Capacity will be read automatically.

Upload Certificate of Capacity

First, Progress, or Final Certificate of Capacity — PDF, JPG or PNG

Have the details?

Step 4 of 8

Work capacity

Confirm the Certificate of Capacity details. These map directly to the approved Return to Work Plan form.

Certificate details

Certificate date *

Date of injury

Next review date *

Diagnosis *

Description of work capacity *

Work restrictions *

Certified hrs/day

Certified days/wk

Max lift certified (kg)

Program start date *

Additional injuries or pre-existing conditions

This worker has additional injuries or pre-existing conditions relevant to this plan

These will be included in the AI-generated staged plan to ensure duties and restrictions account for all active conditions.

Return to work goal type

RTW goal type *

Goal description (optional — auto-filled in Step 6)

Step 5 of 8 — Pre-injury baseline

Pre-injury duties

Define the pre-injury role. This sets the target for the Return to Work Plan and drives the progress visuals in the report.

Role & hours

Pre-injury position *

Hours per week *

Hours per day

Days per week

Shift / roster

Site / location

Physical demands

Maximum lift (kg) *

Heaviest item regularly lifted

Frequent lift (kg)

Lifted more than once per hour

Sit tolerance (mins)

Stand tolerance (mins)

Walk tolerance (mins)

Overhead work

Key tasks

Step 6 of 8 — AI assisted

Graduated staging plan

Enter a diagnosis in Step 4 and a program start date to generate the staged plan.

Step 7 of 8

Actions & responsibilities

Workplace actions only — not medical or allied health appointments. Assign each to the employer, supervisor, or worker.

✦ AI suggested actions

Actions table

Action

Responsible

Due date

Step 8 of 8 — Final

Review & download

Check the compliance summary, sign Section 3, then download your completed Return to Work Plan.

Compliance check

Section 3 — Worker's agreement

"I agree to the content of this Return to Work Plan."

Worker signature *

✍ Click to sign electronically

Date

Electronic signatures are permitted under the Workers Compensation and Injury Management Act 2023 and explanatory notes.

Distribution

Required

Worker

Worker must receive a signed copy before the plan commences.

Copy provided to worker

Required

Treating practitioner

Must receive a copy of the Return to Work Plan.

Copy sent to practitioner

Best practice

Insurer

Recommended but not legally required.

Copy sent to insurer

If applicable

Workplace rehab provider

Only if a WRP has been engaged.

Not applicable

Download

Important disclaimer. RTWP.com.au is a guided tool to assist in completing WorkCover WA Approved Form IM1. It does not constitute legal or professional advice. The employer remains responsible for ensuring compliance with the Workers Compensation and Injury Management Act 2023 and Regulations 2024.

⚠️ Pre-production reminder: Replace hardcoded API key with Cloudflare Worker proxy before going live.

What to do next

Worker signs Section 3 if not signed electronically above
Distribute to worker and treating practitioner (required)
Send a copy to insurer (best practice)
Monitor Stage 1 and obtain a Progress Certificate of Capacity before Stage 2 activates
Return to amend this plan if the treating practitioner modifies restrictions