ROLE CLARIFICATION — RESPONSIBILITY, DECISION AND HANDOVER RECORD
Original work-planning aid. No burnout score, clinical assessment or assignment
of legal authority. Use your actual role, policy and local workplace process.

WORK WINDOW AND THE SPECIFIC QUESTION
Task / project stage / date:
What changed or became unclear:
Observed request, output and deadline, without guessing anyone's motive:
Existing role description, procedure or decision record actually checked:
What is uncertain rather than confirmed:

RESPONSIBILITY ROW — repeat for each output or decision
Expected output and what counts as done:
Person or role doing the work:
Person or role able to confirm the requirement:
Decision that needs an authorised owner:
Who can approve that particular decision, and any limits:
Who supplies required information or support:
Who receives the handover, and what they must check:
Required checks or approvals that must remain in place:
Agreed timing, dependency and any backup arrangement:
Status: proposed / confirmed / disputed / unknown:
Evidence and date of confirmation:
Open question and person asked:
Do not treat task experience, being copied on an email or silence as authority.

HANDOVER — SENT, RECEIVED, ACCEPTED AND APPROVED ARE DIFFERENT
Current version or permitted location of the work:
What has been completed:
What remains incomplete, blocked or awaiting approval:
Receiving role and delivery route:
Receipt confirmed, by whom and when:
Completion / acceptance criteria checked, by whom and when:
Separate approval still needed, owner and timing:
Incoming work during the handover: who covers it:
Backup route if the receiving person or approver is unavailable:
Next step if no confirmation arrives before the relevant deadline:
Keep client details, health information and confidential files in approved places.

QUESTIONS FOR A ROLE-CLARITY CONVERSATION
Which outputs are core, temporary or still proposed?
Does this new responsibility replace work or add to the current list?
Who can confirm priority when two requirements conflict?
Who decides exceptions, and what can I decide within existing rules?
Who accepts the handover, and what is the acceptance criterion?
Which required approvals remain separate from receipt or acceptance?
Who arranges access, qualified help or backup cover?
When and how should unresolved questions be raised again?

FOLLOW-UP — DO NOT SEND AUTOMATICALLY
My understanding of the confirmed output and working role:
Confirmed decision owner and limits:
Confirmed receiving role and handover requirement:
Changes to existing work actually agreed:
Still proposed / disputed / unknown:
Who will obtain outstanding confirmation by the needed time:
Review trigger or agreed review date:
No reply is not confirmation. A table does not grant authority or waive checks.

REVIEW THE ARRANGEMENT, NOT A HEALTH SCORE
Did the required decision become clear and usable in the work window?
Was the handover actually received and checked?
Did changed work, new coordination or cover appear in the plan?
What remains unresolved and needs the appropriate workplace/support route?
Use suitable support for health, safety or employment-rights concerns directly;
do not wait to finish this record or obtain a burnout label.