Sickness Absence Trigger Points Tracker
Easily record and monitor employee sickness absence events, track trigger points, and document follow-up actions for effective absence management.
Employee Name
*
First Name
Last Name
Employee ID
*
Date of Absence Start
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Date of Absence End
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reason for Absence (do not include sensitive or medical details)
*
Please Select
Short-term illness
Recurring absence
Unplanned absence
Other (please specify)
Total Number of Absence Days (this event)
*
Current Trigger Point Total (after this event)
*
Manager Review / Notes
Follow-Up Actions Planned
Please Select
No action required
Schedule a return-to-work meeting
Monitor future absences
Other (please specify)
Submit
Should be Empty: