Spreadsheet: 872020d1718375520-force-entry-into-cell-based-on-another-cell-ws-copy
Sheet: 13.05.24

DEMOGRAPHICS |  |  |  |  |  |  | ABSENCE INFORMATION |  |  |  |  |  |  |  |  |  | MEDICAL CERTIFICATE |  |  |  |  | SALUS |  |  |  | OTHER INFO |  |  | FOR OFFICE USE ONLY
Choose your area from the drop down box and enter No Sickness if none to report |  |  | Enter staff details below |  |  |  | Enter the date using this format 00/00/00 | Enter the date using this format 00/00/00 | Enter the reason for the current absence | Enter number of days | Enter  Yes or No | Enter total absences | Enter number of days | Enter  Yes or No | Enter  Yes or No |  | Enter the details of the medical certificate utilising the drop down box, enter days and follow correct date format 00/00/00 |  |  |  |  | Enter  Yes or No | Enter date in format 00/00/00 | Enter date in format 00/00/00 |  | Enter date in format 00/00/00 | Additional Notes
Department | No Sickness To Report |  | Name | Payroll No | Band |  | Date Current Absence Started | Date Current Absence  Ended | Reason for Absence | Number of Calendar Days in Current Absence | LTS triggered Y/N | Number of Absences in Past 12 Months (incl this absence) | Number of Short term WORKING days off in past 12 months (inc this absence) | Has the Staff Member been Referred to EASY?                                  Y/N | Has the Staff Member followed reporting process?                                  Y/N |  | Medical Certificate received Y/N | If Yes, date of Medical Certificate | Duration of Medical Certificate (In Days) | Date Medical Certificate Expires |  | Has there been a Management  Referral to SALUS?        Y/N | Date Referred | Date for SALUS Appointment |  | Provisional Return to Work Date | Additional Notes |  | LTS Appointments | Last Appointment | Time between Appointments | HR involved?
Column1 | Column2 | Column3 | Column4 | Column5 | Column6 | Column7 | Column8 | Column9 | Column10 | Column11 | Column12 | Column13 | Column14 | Column15 | Column152 | Column16 | Column17 | Column18 | Column19 | Column202 | Column21 | Column22 | Column23 | Column24 | Column25 | Column26 | Column27 | Column28 | Column29 | Column30 | Column31 | Column32
Area 1 | NoSickness |  | [NAME] | L0000000 | 6 |  | 2024-04-05 00:00:00 |  | broken toe/foot & backache | 42 |  | 3 | 24 | No | No |  | Yes | 2024-04-08 00:00:00 | 30 |  |  | No |  |  |  |  | [NAME] had a fall and has broken her toe/foot and has a protective boot to wear and is unable to walk or drive therefore unfit for work at present - has been told by a&e will take 4-6weeks to heel.
Area 2 |  |  | [NAME] | L0000001 | 4 |  | 2024-05-14 00:00:00 |  | backache following fall | 6 |  | 2 | 15 | No | No |  | Yes |  |  |  |  | No |  |  |  |  | [NAME] has stated she is suffereing from backache following a fall after taking her elderly mother to hospital. She has stated she will be attending the GP to obtain a fit note
Area 3 |  |  | [NAME] | L0000002 | 5 |  | 2024-02-27 00:00:00 |  | Personal Stress | 81 |  | 3 | 53 | Yes | Yes |  | Yes | 2024-03-27 00:00:00 | 60 |  |  | Yes | 2024-05-22 00:00:00 | 2024-04-23 00:00:00 |  | 2024-05-27 00:00:00
Area 4 |  |  | [NAME] | L0000003 | 6 |  | 2024-05-14 00:00:00 |  | CHEST/SINUSITIS | 7 |  | 3 | 99 | No | No |  | Yes |  |  |  |  | No |  |  |  |  | [NAME] went home from shift 14/05 AM, 3rd absence in 12 months - first one long term sick - will trigger a stage 1 on her return
Area 5 |  |  | [NAME] | L0000004 | 6 |  | 2024-05-13 00:00:00 | 2024-05-14 00:00:00 | Migraine | 1 |  | 5 | 13 | No | No |  | N/A |  |  |  |  | No |  |  |  |  | Has final stage 1 sickness meeting 23/5/24 at 0930 via teams