FORM R4
Information for Principals/Managers – Independent Medical
Examinations
Injury Management staff manage the Independent Medical Examination process on behalf of work
units.

A memo is prepared by the Senior Injury Management Consultant/HR Director/HR Consultant
(Injury Management), with input from the employee’s supervisor. This memo recommends to
the Regional Human Resources Director/Director People, Culture and Change, that the
employee be directed to attend an Independent Medical Examination. The information
contained in the memo is also used as background information that is provided to the
independent doctor and the employee.

The supervisor does not get to talk to the independent doctor, so it is vital that the background
information provided to the independent specialist includes all the relevant background
information and TAFE Queensland concerns about the impact of the employee’s
absence/performance on work.

The Regional Human Resources Director/Director People, Culture and Change arrange the
Independent Medical Examination appointment and organise funding.

Once the memo is approved, letters are sent to the employee and independent specialist, the
letters include:
 background information,
 a copy of the employee's role description,
 a copy of the relevant Functional Job Requirement Report,
 Managing Unsatisfactory Performance Plan or performance notes or absence
history, and
 questions for the doctor to respond to (the employee does not get a copy of the
questions prior to the medical examination)

The employee gets a copy of everything that we provide to the doctor (except for the
questions).

After the appointment the independent doctor writes a report that is sent to the Regional
Human Resources Director/Director People, Culture and Change.

The employee is provided with a copy of the report (either directly or through their treating
doctor)

The supervisor is not provided with a copy of the Independent Medical Examination report,
however, the contents of the report may be discussed with the supervisor if the supervisor
requires the information to appropriately manage the employee.

Senior Injury Management staff consider the information in the Independent Medical
Examination report and propose a course of action in line with the PSC Guidelines.
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
The Regional Human Resources Director/Director People, Culture and Change informally
discuss with the employee the next course of action (preferably in a face-to-face meeting) and
then prepare a letter confirming the course of action.

The employee has 14 days to respond to the letter advising the course of action.

Any responses are considered before finalising the course of action. The employee is advised
by letter of the final course of action.

The course of action is then implemented.
The IME memo, letters, background information and report are kept in a secure cabinet in the
Region Human Resource Office/People, Culture and Change Office and also in a TRIM container
with access controls.
For further information, contact

Human Resources Director
Region 1 <Name> <Location> <Contact Number>
Region 2 <Name> <Location> <Contact Number>
Region 3 <Name> <Location> <Contact Number>
Region 4 <Name> <Location> <Contact Number>
Region 5 <Name> <Location> <Contact Number>
Region 6 <Name> <Location> <Contact Number>
Statewide Services
<Name> <Location> <Contact Number>

Director People, Culture and Change
<Name> <Location> <Contact Number>
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