2019-597-E Human Resources - Select Physical Therapy work fitness testing

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DocuSign Envelope ID:00D05599-14C3-451E-84B4-EDC8CADBDAFD "Attachment All Description of Services Post Offer Testing to Include: Medical History—The job candidate is asked to complete a comprehensive medical history administered by an occupational healthcare professional that has been trained and certified in the WorkSTEPS Program. This history includes information gathering on previous injuries and/or surgeries, previous physical therapy/chiropractor visits, etc. The employee also signs a statement that falsification of the information he/she has provided could result in the withdrawal of the conditional job offer, Musculoskeletal Examination — A WorkSTEPS certified clinician completes this portion of the exam. The exam looks at all major joints and muscle groups.Thirty(30)baseline measurements are documented. The muscle groups are checked for strength as well as any atrophy. The shoulders, elbows, wrists, back, ankles, knees and hips are checked for signs of crepitus as well as ligament stability. In addition, the lumbar and the cervical spine is also checked. Flexion, extension, side bending and twisting are all measured. Visual inspection of the spine for signs of surgery is performed. Deep tendon reflexes of the biceps, triceps, patellar tendon and Achilles tendon are performed to further check for spinal cord problems. Shoulder range of motion is checked and measured as well for movement in the internal and external rational planes. The rotator cuff is also thoroughly checked. Static Grip-This portion of the tests measures grip strength and gathers baseline strength readings on the employee. Dynamic Lifting - This portion of the test gathers baseline, full motion, and strength readings. The employee is asked to lift a NIOSH box from 4 different positions. These 4 positions are lifting the box from floor to knuckle height, 12 inches off the floor to knuckle height, knuckle height to shoulder and shoulder to overhead. With each of these lifts,the employee is asked to lift the box. After the lift,they are asked if they can safely handle more weight. The employee is asked at the beginning to try and lift their maximum safe lift. The employee is shown and instructed on the proper lifting techniques for each of these lifting positions. Job Specific Tasks - This portion tests assesses the job candidate's ability to perform the essential functions of the job he/she is applying for. The essential functions for a job description are created through job analysis that is performed by a qualified vendor of the employer's choosing (this can be the WorkSTEPS Provider who will be providing testing service but is not required).The employer is obligated to participate in the job analysis process by approving and verifying that the essenflai functions have been properly identified and are accurate. Fit For Duty Testing As Part Of A Return To Work("RTW")Program To Include: WorkSTEPS will be conducting Fit-far-Duty(Post-Injury RTW)Tests on existing employees to include the following: • Any reported injury,illness,or condition that gives the employer reasonable belief that the employee's ability to perform essential job functions will be impaired or create a direct threat to health and safety. ■ This category may also include testing at the request of the employer because,although there has been no formal injury or medical condition reported,the employer has observed current performance problems or has received reliable reports of performance problems indicating that the employee may not be able to perform essential job functions,or may pose a direct threat to the health and safety of the employee or others. 8