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Fitness for Work Checklist - intranetsecuregriffitheduau 2026

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The document is a Fitness for Work Checklist used by medical professionals to assess an individual's ability to perform work duties based on their medical condition. It includes sections for determining fitness levels, recommended work hours, and specific duties the individual can or cannot perform. The checklist requires the signature of a treating doctor or registered therapist.

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Click ‘Get Form’ to open the Fitness for Work Checklist in the editor.
Begin by entering the name and date of birth in the designated fields at the top of the form.
In the medical condition section, specify the examined individual's condition clearly.
Indicate their fitness status by selecting one of the options: fit, partially fit, or unfit. Fill in any relevant dates as required.
For recommended work hours, choose between usual or reduced hours and specify details if applicable.
In the selected duties section, mark how frequently each task can be performed based on your assessment.
Provide any additional recommendations in the space provided at the end of the form.
Finally, ensure that a treating doctor or registered therapist signs and dates the form before submission.

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