Reasonable Adjustment Assessment Checklist form template


Our Reasonable Adjustment Assessment Checklist Form Template helps evaluate and implement accommodations, ensuring fair treatment and accessibility for employees with disabilities.
- 2 pages / 253 words
- Instantly download as Word / PDF / plain text
- Suitable for worldwide use (but check local legislation)
- Includes 12 months’ access, with all updates to this page provided free of charge and notified to you.
Reasonable Adjustment Assessment Checklist form
Employee Details:
Name: | |
Employee ID: | |
Department: | |
Job Title: |
Nature of Disability/Condition:
Describe the employee's disability/condition for which reasonable adjustments are being considered:
Requested Adjustments:
List the requested adjustments proposed by the employee:
1: | |
2: |
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The Reasonable Adjustment Assessment Checklist Form is a tool used to evaluate and document the feasibility and effectiveness of reasonable adjustments requested by employees with disabilities or specific needs. It enables employers to assess the impact of proposed adjustments on job performance, feasibility of implementation, and compliance with legal requirements.
This form serves as a systematic approach to assessing reasonable adjustment requests, ensuring that employers can make informed decisions and provide appropriate accommodations to support employees in the workplace.
By documenting the assessment process, it promotes transparency and accountability, helping to create an inclusive work environment where all employees can thrive.
Direction:
Compliance
Compliance
This Reasonable Adjustment Assessment Checklist form template incorporates relevant UK laws and HR standards, including those listed below:
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Equality Act 2010: Mandates employers to make reasonable adjustments for employees with disabilities or health conditions to ensure they are not disadvantaged.
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Health and Safety at Work Act 1974: Requires employers to ensure the health, safety, and welfare of their employees, which may involve making reasonable adjustments.
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Data Protection Act 2018 (incorporating GDPR): Governs the handling of personal data within the reasonable adjustment assessment checklist form in compliance with data protection principles.
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Agency Workers Regulations 2010: Employers engaging agency workers may need to consider reasonable adjustments under these regulations.
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Occupational Health and Safety Regulations: May contain provisions or guidelines related to making reasonable adjustments to ensure workplace safety.
Flowchart
Flowchart
Check which resources should be implemeted before and/or after the Reasonable Adjustment Assessment Checklist form template, to understand the workflow.

Reasonable Adjustment Request form
Our Reasonable Adjustment Request Form Template enables employees to request accommodations, ensuring inclusivity and compliance with disability regulations.

Reasonable Adjustment Plan
Our Reasonable Adjustment Plan template facilitates fair accommodations, ensuring inclusivity and compliance with disability regulations for employees.
Frequently Asked Questions
Frequently Asked Questions
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Can I use this template in my small business?
Yes. The Reasonable Adjustment Assessment Checklist form template is designed to be flexible and suitable for organisations of all sizes, including small businesses and charities. It follows UK employment law best practice, so even if you don't have an in-house HR team, you can confidently apply it.
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Is this template compliant with 2025 UK employment law?
Absolutely. Like the Reasonable Adjustment Assessment Checklist form template, all of our templates are drafted with the latest ACAS guidance and UK employment legislation in mind. We review and update them regularly, so you can be confident they remain compliant.
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Can I customise this template for my organisation?
Yes, in the Reasonable Adjustment Assessment Checklist form template, as with all of our templates, we highlight the areas that you need to update with your own details, and where you need to make decisions to suit your situation. This saves you time and ensures that you meet best practice.
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Do I get instant access to the template?
Yes. Once purchased, you'll be able to download the Reasonable Adjustment Assessment Checklist form template instantly. Templates are provided in editable Word or Excel format so you can customise them easily, and in PDF format for easy sharing.
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What if I need more help, not just this template?
If you're looking for broader support, we also offer toolkits and library bundles that include the Reasonable Adjustment Assessment Checklist form template along with other HR templates and policies for fully managing your situation. These may be more cost-effective if you need a complete HR library.