Fitness-for-Duty Exams

Fitness-for-Duty Exams
Fitness-for-Duty Exams admin August 19, 2021
Fitness-for-duty exams

The Preventive PLUS Fitness-For-Duty Examination is a cost-effective mean of protecting your valuable human resources. Healthy employees contribute more to the success and productivity of your company than any other single asset.


Fitness-for-duty examinations

The Preventive PLUS Fitness-For-Duty Programs are a comprehensive medical / clinical examination of an employee when the extent of a medical or psychiatric condition is unknown or possibly untreated.

A Fitness-For-Duty Examination will provide a detailed report addressing the referring manager’s questions and concerns relating to the employees’ fitness for work.

What does fitness-for-duty mean?
Physical, mental, and emotional fitness for duty refers to the ability of an individual to perform the essential tasks of a work assignment in a manner that does not threaten the safety or health of the employee, coworkers, property, or the public.

About fitness-for-duty

Post job offer physical exams

Return-to-work (FMLA, ADA, STD, LTD, WC injury/illness)

Observed behavior with objective evidence of a problem

Employee expresses concern or requests job accommodation

Medical surveillance exams

May be minimizing health problems

May be exaggerating health problems

May be seeking excessive sick-leave or unpaid leave

May be trying to return-to-work too quickly

Excessive number of errors in job tasks

Reduced productivity

Frequent injuries or near-misses

Desire to minimize health risk to employee and company liability

Desire to maintain safety of co-workers

Concern for public interest or safety

Clarify poor job performance vs. a legitimate health issue

Observed health problems on the job (e.g. low blood sugar episodes; seizures; falling asleep)

Fitness for duty examination details
  1. Personal medical history
  2. Occupational history

  3. Review of body systems

Height, weight, pulse, blood pressure
Head, eyes, ears, nose, throat
Chest – heart and lungs
Cardiovascular-performed by stethoscopic examination
Abdomen – liver, spleen, kidney and hernia
Musculoskeletal system
Extremities-strength, range of motion
Genitourinary System
Neurological-mental status, cranial nerves, motor and sensory, and reflexes

Audiometric Testing
Laboratory Analysis
Drug/Alcohol Testing
Vision Testing
Pulmonary Function Testing
Stress Testing

I have reviewed the results of the medical evaluation of the above-named individual. I recommend that this individual:

  1. Has no medical condition that would place the individual at increased risk of health impairment from work when conducted under the conditions of adequate training and a health and a safety plan.

  2. Has been advised to seek medical evaluation with his/her private physician for, or is currently being treated for, a medical condition which will not interfere with placement into the current position.

  3. Has been advised to seek immediate consultation with his/her private physician. The employee has been advised to contact this office after the evaluation has been completed.

  4. Has been deferred pending receipt of information from the employee’s private medical physician.

  5. Have the following restrictions or limitations when the employee is placed on duty: