What is an Employee Modified Duty Log?

An Employee Modified Duty Log (EMD) is a document used post signing the Modified Work Agreement. This document is to be completed each day outlining the worker’s modified duties and hours.

What is the purpose of an Employee Modified Duty Log?

The purpose of an EMD is to keep track of a modified worker’s hours and the jobs they have accomplish throughout the day, along with making sure they are complying with the Modified Work agreement.

Why do I need an Employee Modified Duty Log?

The EMD is an in-depth view of the employee’s day, in addition to some comments (i.e. if he/she is finding a job too laborious on their injury).

How do I complete an Employee Modified Duty Log?

To complete an EMD one should:

Include their full name, the date and their injury

1. Indicate a detailed description of the duties completed that day along with the time spent to complete the tasks
2. Additional comments can be indicated in the table below
3. Sign and date the form, followed by an approval signature and date

How do I use an Employee Modified Duty Log?

Have the EMD available throughout or at the end of the day to be completed

• Have the document revised and approved
• Hand in document to be kept for future referrals

Employee Modified Duty Log Companion
Employee Modified Duty Log

The following provides a listing of sample templates, documents, articles and other resources to help you in carrying out your duties and managing your worksite. It is expected that the documents will be amended to suit the styles, needs and circumstances of the individual, or company, involved. These resources are not intended to replace an individual’s, or a company’s, professional and skillful judgement. Each template, document and article and other resource should be assessed within the context of the individual’s, or company’s own day-to-day operation. Individuals and companies must exercise proper judgment respecting the correctness and applicability of the material. Hard Hat Hunter accepts no responsibility for any errors or omissions, and expressly disclaims any such responsibility.