Pennsylvania Light Duty Assignment Request

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Multi-State
Control #:
US-189EM
Format:
Word; 
Rich Text
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Description

This form is to be used by an employee requesting a light duty work assignment due to health issues.

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FAQ

2022Temporary or permanent work that is physically or. mentally less demanding than normal job duties.

What is the definition of light duty work? Due to the nature of employee sickness or injury, they may need to take some time off work to recuperate. Alternatively, with a doctor's fit note, an employee can request to work light duties temporarily until they're fully fit.

Generally, "light duty" refers to temporary or permanent work that is physically or mentally less demanding than normal job duties (EEOC, 1996).

Light duty assignments play a key role in Return to Work (RTW) programs. They offer flexible accommodations for employees who encounter workplace injuries and illnesses. These modified duties are typically less demanding, allowing injured workers to stay engaged while they're recovering.

So basically, light-duty means that the workers compensation insurance company or the employer will place the injured employee in a less-physically-demanding job position than the employee's usual job position, and/or that the workers compensation insurance company or the employer will modify the employee's present

Examples of Light-Duty WorkTaking inventories.Performing office tasks.Working a desk job.Supervising and reporting on job sites.Monitoring surveillance cameras.Performing machinery/equipment maintenance.

When a workers' comp authorized doctor renders an opinion that an employee is injured, but not injured enough to stay home from work, the doctor may issue orders to place that employee on light duty.

What is light duty? The term "light duty" has a number of different meanings in the employment setting. Generally, "light duty" refers to temporary or permanent work that is physically or mentally less demanding than normal job duties (EEOC, 1996).

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Pennsylvania Light Duty Assignment Request