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Fitness for Duty and Substance Use AP 517APPENDIX A Fitness for Duty Assessment Guidelines for Supervisors When you become aware of concerns with respect to an employee not being fit for duty at work,

How to fill out fitness for duty and

How to fill out fitness for duty and

1. Obtain fitness for duty forms from your employer or the designated authority.
2. Read the form carefully and familiarize yourself with the requirements.
3. Provide accurate personal information in the designated fields such as your name, employee ID, and contact details.
4. Answer the questionnaire honestly and to the best of your knowledge.
5. If required, disclose any medical conditions, medications, or treatments that may affect your ability to perform your job.
6. If necessary, provide supporting documents from healthcare professionals or specialists.
7. Sign and date the document, acknowledging that the information provided is true and accurate.
8. Submit the completed fitness for duty form as instructed by your employer or the designated authority.
9. Follow any additional instructions or procedures provided by your employer for further assessment if needed.
10. Keep a copy of the filled-out form for your records.

Who needs fitness for duty and?

1. Fitness for duty evaluations are typically required for individuals involved in safety-sensitive positions.
2. Specific examples of people who may need fitness for duty evaluations include:
3. - Pilots and flight crew members
4. - Train operators and railroad personnel
5. - Commercial truck drivers
6. - Firefighters and emergency responders
7. - Law enforcement officers
8. - Nuclear power plant workers
9. - Health care professionals
10. - Construction workers operating heavy machinery
11. - Any employee who performs tasks that could potentially endanger their own safety or the safety of others.

For pdfFiller’s FAQs

What is fitness for duty?

Fitness for duty is a determination of an individual's capability to perform their job tasks safely and effectively.

Who is required to file fitness for duty?

Employees who are required to file fitness for duty are typically those in safety-sensitive positions or those with medical restrictions.

How to fill out fitness for duty?

Fitness for duty forms are usually filled out by the employee's healthcare provider and may require information on medical history, current medications, and any restrictions on work activities.

What is the purpose of fitness for duty?

The purpose of fitness for duty is to ensure that employees are physically and mentally able to perform their job tasks without putting themselves or others at risk.

What information must be reported on fitness for duty?

Information that must be reported on fitness for duty forms may include medical history, current health status, any medications being taken, and any restrictions on work activities.

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