Post-offer, Pre-placement - Connecticut Department of Labor

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PROTECTING YOU AND YOUR

EMPLOYEES

By using:

POST-OFFER,PRE-PLACEMENT SCREENINGS

Bruce A. Jacobsen PT, M.Ed.

Coordinator of Industrial Rehabilitation Services

203-789-3490

Occupational Health Plus/Worker Health Solutions 6/18/2013 1

Also know as…

• Pre-work Screening, PWS

• Return to Work Screenings, RTWS

• Physical Demand Screenings, PDS

• Functional Capacity Evaluations, FCEs

• Limited functional Capacity Evaluations

• Ability Screenings

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• A Post-offer, Pre-placement screening is a screening that tests an applicant’s ability to perform the physical demands of a specific job.

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Purpose: Job Matching

• Definition: Matching an applicant’s and/or employee’s physical abilities to a job’s essential physical demand requirements.

• An objective measure to help hire the right people for a specific job.

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Job Match Grid

Essential Job Task,

Physical Demand Requirement

Floor to waist lift, 50-pounds

Floor to waist lift, 50-pounds

Floor to waist lift, 50-pounds

Applicant’s Abilities Job Match: Yes or No

25, pounds

50-pounds

100-pounds

No

Yes

Yes

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Post-offer, Pre-employment Screening

• Derived from a Functional Job Description.

• Specifically, the physical demands of the job.

• Department of Labor Physical Demands:

– Lifts, push & pull forces, carries, crawling , kneeling, crouching, climbing, hand grip forces, hand coordination activities (gross and fine motor).

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Additional Considerations

• Positive culture of safety.

• Ergonomic applications.

• Employee and Employer safety ownership.

• PDS are only a part of work safety programs.

• A snapshot of a person’s abilities

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Benefits of PDS

• Establishes a baseline level of physical abilities at time of hire.

• Reduction in first 90-day injuries (WorkWell

Systems, Inc.).

• More realistic return to work options if injured later on.

• Introduction to safe material handling; coaching.

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Benefits continued…

• Can identify if a screening failure is due to conditioning vs. pathologic vs. poor body mechanic issues.

• Considered non-discriminatory if based on the essential job functions.

• Helps to assure an injured employee is physically ready to return to work.

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Cost Considerations

• Adds to hiring cost, as an additional service.

• Based on the PDS pass rate of a specific job, more applicants may need to be screened.

(examples: CANs and EMTs).

– HR vs. safety/risk view points

• Again, helps identify if applicants have the essential physical abilities to perform the job.

• The idea is to help reduce WC costs.

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Legislation

• American Disability Act (ADA)

– 3 situations for testing

• Pre-employment

• Job Transfers

• Return to work clearance

– Work and non-work related injuries

• Equal Employment Opportunity Commission

(EEOC) looks at non-discriminatory application of the screenings.

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Physical Limiting Factors.

• Muscle weakness.

– Weak quadriceps

• Pathologies.

– osteoarthritis

• Poor body mechanics:

– bad habits

– Weakness

– pathologies

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Functional Capacity Evaluations (FCE)

• A standardized test of about 21 to 25 physical testing components.

• A physical exam is done prior to an FCE to help correlate findings for consistency of effort purposes.

• Range form 3 to 5 hours over 1 to 2 days.

• Looking to determine the employees maximum abilities.

• Observational criteria to help determine estimated work categories, i.e. frequent, occasional and rare work levels.

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FCE vs. PDS

• 3 to 5 hours

• Tests to maximal abilities

• More costly

• Done if no PDS is set up, mostly for RTW reasons.

• Often done at MMI to help quantify any permanent restrictions

• 15-60 minutes average

• Only as required within a work cycle

• Less costly

• Done for PWS, RTW and job transfers

• Not done for MMI restrictions

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Functional Job Descriptions (FJD)

• Required by both FCEs and PDSs

• Quantifies the physical demands of a job.

• A job analysis needs to be conducted to determine the physical demands of the essential functions.

• Strongly recommend employee and employer involvement during the development.

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