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Workability form 2026
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- Click ‘Get Form’ to open the workability evaluation form in the editor.
- Begin by entering the injured employee's name in the designated field, followed by the date of injury.
- In the 'Present Job and Description' section, provide a brief overview of the employee's current role.
- For each activity listed (e.g., sitting, walking), check the appropriate frequency and indicate how many hours per day the employee can perform these activities.
- Circle any restrictions that apply to lifting and hand functions. Specify if there are limitations on pushing, pulling, or reaching above shoulder level.
- Answer questions regarding environmental factors such as heat, cold, and exposure to dust. Provide explanations for any 'Yes' answers.
- Complete sections regarding limitations in communication and ability to work full-time. Include any necessary remarks or comments at the end of the form.
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See more workability form versions
We've got more versions of the workability form form. Select the right workability form version from the list and start editing it straight away!
| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2002 | 4 Satisfied (49 Votes) |
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