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Cancer and Work Job Analysis tool


Your employer or insurance company may ask your doctor to fill out forms about your work ability and readiness to return to work. A job analysis will help your doctor better understand your ability to do your former job or any alternative job your employer proposes. Your job analysis can also help your doctor specify limitations that will need to be accommodated. Based on your doctor’s recommendations, your employer will determine whether or not they have a job ready for you or if they can make the necessary changes for you to return to work. Your doctor’s assessment is also helpful for determining eligibility for insurance.

A job analysis is an in-depth description of a particular job. It breaks down the job’s specific tasks as well as the expectations of and demands on the employee who does it. This can include detailed information about the tasks of the job, working conditions, requirements of the job including aptitudes, attitudes, skills, temperaments, as well as physical, psychological and cognitive demands. Job analyses are often created to help with recruiting, training and returning to work and human resources planning. In the case of returning to work following disability or illness such as cancer, a job analysis is a useful tool to provide information about a job to assess whether someone is ready to return to work or what parts of the job need to be changed to enable someone to work again.

Create a cancer and work job analysis

If you cannot get a job analysis from your employer, we suggest that you take the time to do your own cancer and work job analysis. Then you can give the summary sheet to all the healthcare professionals who are asked to provide opinions on your readiness to return to work. Your cancer and work job analysis can also help your healthcare team refer you to rehabilitation services and advise you about things to consider before or when you return to work.

Ready? Go! Start your analysis.

In completing your job analysis, we suggest following these four steps (all are contained in the Cancer and Work Job Analysis PDF below):

Once you have completed your job analysis form, give the summary sheet to all your doctors. You can also give a copy to your healthcare providers, your employer or insurance company. This form could assist in the discussion of workability and readiness to return to work.

Job Analysis preview

Cancer and work job analysis form (PDF)

Get the free Cancer and work job analysis form! By completing this short fillable PDF, you’ll discover challenges that may be encountered when returning to work following cancer.
Download File size: 1.2 MB
Note: If you are on a mobile device (e.g., iOS, Android) you will need the free Adobe Acrobat Reader app to be able to fill out the form.