Request for Fitness for Duty or Return-to-Work Evaluation. The Ohio State University Office of Human Resources Policy 4.40 Request for Fitness for Duty or Return-to-Work Evaluation form. - hr osu 2025

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The document outlines the procedure for completing a Request for Fitness for Duty or Return-to-Work Evaluation form, which is to be filled out by a supervisor or manager after consulting with the Office of Human Resources. It includes sections for employee information, descriptions of physical and mental capabilities, safety concerns, and a checklist for HR professionals to ensure all necessary steps are taken before scheduling an evaluation.

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Who typically requests a fitness for duty evaluation?

The employer may request a fit for duty evaluation for reasons including an employees work-related injuries, safety concerns, performance issues, or transfer to a new position. Fit for duty evaluations include input from the employer as well as from the medical professional who performing the exam.

Who fills out fitness for duty form?

The assessment of fitness for work is defined as the determination of whether an individual is fit to perform his or her tasks without risk to self or others,2 and is contextualised in this review within the practice of occupational medicine.

How to get a fitness for duty evaluation?

The employee is required to provide a complete and sufficient Fitness for Duty Certification, completed by his or her health care provider, prior to returning to work from FMLA leave. This certification is being sought only with regard to the particular health condition that caused the employees need for FMLA leave.

When to request a fit for duty?

Assessment of fitness for work is defined by most as the evaluation of a workers capacity to work without risk to their own or others health and safety. It is mainly assessed at recruitment (pre‐offer or post‐offer), and when changes of work or health conditions occur.

What is a fit for work evaluation?

An employer may seek fitness-for-duty certification only with regard to the particular health condition that caused the employees need for FMLA leave. The certification from the employees health care provider must certify that the employee is able to resume work.