Functional Abilities Assessment: Template for Employers

This template helps BC employers gather medical input from healthcare providers about an injured worker’s current physical capabilities. Use the completed Functional Abilities Assessment to guide modified duties, workplace accommodations, and safe return-to-work planning. The document includes a customizable letter to providers, detailed assessment fields, and submission instructions for WorkSafeBC. A practical tool for occupational health and safety programs, HR teams, and return-to-work coordinators.