Michigan Fitness for Duty Certification

State:
Multi-State
Control #:
US-264EM
Format:
Word; 
Rich Text
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Description

This form is used to give authorization to an employer to contact a health care provider for purposes of certification and authentication.
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FAQ

forduty exam determines if the employee is physically and/or psychologically able to safely perform their current role. These specialized exams are typically reserved for more laborintensive roles, and the exams are unique to each employer and their positions.

According to OSHA, fit for duty means that an individual is in a physical, mental, and emotional state which enables the employee to perform the essential tasks of his or her work assignment in a manner which does NOT threaten the safety or health of oneself, co-workers, property, or the public at large.

Functional Testing is designed specifically to test the physical ability of the candidate to safely perform the essential job tasks. This includes physical tests such as push/pull, grip, lifting or stair climbing.

The COMPANY is responsible for paying the cost of any fitness for duty evaluation(s) required by the COMPANY. If the employee wishes to get a second opinion, or an additional evaluation from another provider, the employee is responsible for paying the cost of any additional evaluations.

Here are a few things a typical fit for duty exam may include: Vision test performed by an ophthalmologist or an optometrist. Blood, urine or breath analysis to check for alcohol use. Various tests to check for diseases or genetic markers.

Fitness For Duty The employee is physically and mentally capable of safely performing the essential functions of his/her job.

A fitness-for-duty certification is, in a basic sense, just what it sounds like. It is a statement that an employee is fit to get back to his or her job and can handle all of that job's essential functions.

A fitness for duty evaluation is job related and consistent with business necessity when an employer has a reasonable belief based on objective evidence that (1) an employee's ability to perform essential job functions will be impaired by a medical condition; or (2) an employee will pose a direct threat due to a

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Michigan Fitness for Duty Certification