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Fit For Duty Information Sheet Appointment date/time: Employee Name: Phone: Company Contact requesting FFD: Company Contact Phone # : Reason for FFD: (please be VERY detailed) Requirements: Company
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How to fill out fit for duty exam

01
Find a certified medical examiner who can conduct a fit for duty exam.
02
Schedule an appointment with the medical examiner for the exam.
03
On the day of the exam, arrive at the medical examiner's office on time.
04
Bring any necessary documents or paperwork that may be required for the exam.
05
Follow the instructions given by the medical examiner during the exam.
06
Complete any physical or medical tests as requested by the medical examiner.
07
Answer any questions about your medical history or current health condition truthfully.
08
Provide any additional information or documentation requested by the medical examiner.
09
After the exam, follow any post-exam instructions given by the medical examiner.
10
Wait for the results of the fit for duty exam to be provided by the medical examiner.

Who needs fit for duty exam?

01
Employees working in safety-sensitive positions, such as truck drivers, pilots, or heavy machinery operators, may need to undergo a fit for duty exam.
02
Certain industries or organizations may have specific policies or regulations requiring employees to pass a fit for duty exam.
03
Individuals who have experienced a medical condition or injury that could potentially affect their ability to perform their job safely may be required to undergo a fit for duty exam.
04
New job applicants may also be asked to complete a fit for duty exam as part of the pre-employment screening process.
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Fit for duty exam is a medical evaluation conducted to determine if an individual is physically and mentally capable of performing their job duties safely.
Employers may require their employees to undergo a fit for duty exam, especially if there are concerns about their ability to perform their job safely.
To fill out a fit for duty exam, the individual will need to visit a healthcare provider who will conduct a thorough medical evaluation and provide a report to the employer.
The purpose of a fit for duty exam is to ensure that employees are physically and mentally capable of performing their job duties safely, without putting themselves or others at risk.
The fit for duty exam report should include the results of the medical evaluation, any restrictions or accommodations recommended by the healthcare provider, and an overall determination of the individual's fitness for duty.
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