Reasonable Adjustments Review (UK) (Acas)
This template is designed to help employers and employees regularly review and monitor reasonable adjustments made in the workplace. It provides a structured way to document existing adjustments, record any requested changes, detail agreed modifications, and schedule future reviews. This ensures that adjustments remain effective and appropriate for the employee's needs.
Template Reasonable Adjustments Review
Use this template to review and monitor reasonable adjustments.
Instructions or options to fill in this template are in square brackets.
Date of review: [review date]
Employee name: [employee name]
Name and role of person carrying out the review: [reviewer name and role]
Current adjustments
Give details of the reasonable adjustments in place
Changes requested
Does the employer or employee want to change anything about the existing adjustments?
Yes / No
Give details of:
what change was requested
who requested the change
reason for requesting the change
Changes agreed
Give details of any changes agreed
Date of next review: [next review date]
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About this template
What is this template?
This is a record-keeping form used to update an existing disability accommodation plan. It is not an initial application for adjustments nor is it a medical assessment form. It contains specific fields for tracking requested versus agreed changes and scheduling the next review date.
When should you use it?
Use this form when an employee already has adjustments in place and you need to monitor their effectiveness or respond to a change in circumstances. Use a Reasonable Adjustment Agreement or Passport if you are setting up accommodations for the first time.
What's inside
| Clause | Name | What it does |
|---|---|---|
| Current adjustments | Current adjustments | Records specific details of the disability accommodations currently active for the employee at the time of the review date. |
| Changes requested | Changes requested | Documents whether the employer or employee proposed modifications and the specific reasons provided for those requests. |
| Changes agreed | Changes agreed | Provides a dedicated space to list all new or modified adjustments that both parties have formally accepted during the review. |
| Date of next review | Review Schedule | Estapes a specific future date for the next monitoring session to ensure adjustments remain effective. |
Who it's for
- a UK employer reviewing existing disability accommodations with an employee
- an employee requesting changes to their agreed workplace reasonable adjustments
- a manager documenting the effectiveness of current disability support measures
How long it runs and how it's signed
England & Wales note
This version is drafted for England & Wales. Scotland and Northern Ireland differ on some points — for example notice periods and tribunal procedure. Tell GitLaw where you hire and it adjusts the draft.
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