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Flexing Cold Bond Pulley Lagging Installation, Operation and Maintenance ManualLightDutyPlainPatternDiamondPattern RubberDiamondPattern Ceramic (13%)Medium Ceramic (39%)Full Ceramic (80%)www.flexco.com

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How to fill out light-duty

01

To fill out a light-duty form, follow these steps:

02

Begin by obtaining a light-duty form from your employer or downloading it from their website, if available.

03

Read through the form carefully to familiarize yourself with the information required.

04

Enter your personal details, such as your name, employee ID, and contact information, in the designated fields.

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Provide details about your injury or illness that necessitates the need for light-duty work. Include the date of the injury or onset of the illness.

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Specify any work restrictions or limitations that have been assigned to you by your healthcare provider.

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Indicate the types of light-duty tasks or alternative work you are capable of performing, considering your restrictions.

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If applicable, provide any supporting documentation, medical certificates, or reports that validate your need for light-duty.

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Sign and date the form, acknowledging the accuracy and completeness of the information provided.

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Submit the completed light-duty form to your employer or the appropriate department, following their instructions.

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Light-duty is typically needed by individuals who have experienced an injury, illness, or impairment that temporarily prevents them from performing their regular job duties.

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Some common situations where light-duty may be necessary include:

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- Employees recovering from a work-related accident or injury

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- Individuals with medical conditions that temporarily restrict their physical abilities

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- Pregnant employees who require job modifications to ensure a safe and healthy work environment

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- Employees with disabilities that may benefit from reasonable accommodations

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The specific eligibility criteria for light-duty may vary depending on local labor laws, company policies, and individual circumstances. It is advisable to consult with your employer or HR department to determine if you qualify for light-duty and the process for requesting it.

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What is light-duty?

Light-duty refers to work that is less strenuous or physically demanding than a person's regular job duties.

Who is required to file light-duty?

Employees who are unable to perform their regular job duties due to a medical condition or injury may be required to file for light-duty.

How to fill out light-duty?

Employees must obtain a medical evaluation and approval from a healthcare provider, then submit the necessary documentation to their employer.

What is the purpose of light-duty?

The purpose of light-duty is to provide employees with a temporary alternative job assignment that accommodates their medical restrictions.

What information must be reported on light-duty?

Employees must report their medical condition, work restrictions, and any other relevant information to their employer.

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