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Fitness for duty form 2026
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- Click ‘Get Form’ to open the fitness for duty certification in the editor.
- Begin by filling in the employee's name, date of birth, job title, and department at the top of the form.
- 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.
- Proceed to Section II to evaluate repetitive hand/wrist activities. Again, mark the frequency of each activity as per your assessment.
- In Section III, answer questions regarding working conditions. Provide descriptions where necessary to clarify any potential hazards.
- Section IV requires you to describe physical skills and abilities such as vision and hearing acuity.
- Complete Section V by indicating whether specific skills and abilities are required for the job role.
- Use Section VI for any additional comments that may help clarify job requirements.
- Finally, ensure both employee acknowledgment and supervisor signatures are completed in Sections VII and VIII before submitting.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2008 | 4.6 Satisfied (29 Votes) |
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fit for duty form template
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