Fitness for duty form 2026

1. Click ‘Get Form’ to open the fitness for duty certification in the editor.
2. Begin by filling in the employee's name, date of birth, job title, and department at the top of the form.
3. In Section I, assess the physical activities required for the job. Use the provided scale to indicate how often each activity is performed during a typical workday.
4. Proceed to Section II to evaluate repetitive hand/wrist activities. Again, mark the frequency of each activity as per your assessment.
5. In Section III, answer questions regarding working conditions. Provide descriptions where necessary to clarify any potential hazards.
6. Section IV requires you to describe physical skills and abilities such as vision and hearing acuity.
7. Complete Section V by indicating whether specific skills and abilities are required for the job role.
8. Use Section VI for any additional comments that may help clarify job requirements.
9. Finally, ensure both employee acknowledgment and supervisor signatures are completed in Sections VII and VIII before submitting.

Start using our platform today to easily complete your fitness for duty form online, for free!