Occupational Assessors Contract Operational Guidelines October 2008 This is a living document and will be updated as required. Occupational Assessors – Operational Guidelines Contents Introduction .......................................................................................................... 1 Role of ACC ..................................................................................................... 1 Purpose of the guidelines .................................................................................. 1 Definition of rehabilitation .................................................................................. 1 Individual rehabilitation plan .............................................................................. 1 Discussing recommendations with the client ......................................................... 2 ‘Next working day’ rule ...................................................................................... 2 ACC quality checklist for reviewing provider reports .............................................. 2 About Vocational Rehabilitation ............................................................................... 3 Purpose of vocational rehabilitation ..................................................................... 3 Qualifications required for Occupational Assessors ................................................ 4 Key terms used in vocational rehabilitation .......................................................... 4 About Occupational Assessments ............................................................................. 6 The Initial Occupational Assessment (IOA) ........................................................... 6 The Vocational Independence Occupational Assessment (VIOA) .............................. 7 Assessing Work Type Options .................................................................................. 8 Work Type Detail Sheets .................................................................................... 8 The ACC653 IOA Work detail sheet ..................................................................... 9 Barriers to return to work ................................................................................ 10 The Initial Occupational Assessment (IOA) Process .................................................. 10 Background information from ACC .................................................................... 11 Interview with the client .................................................................................. 12 Occupational assessment versus career counselling ........................................ 12 Reporting on the Initial Occupational Assessment .................................................... 13 Five important considerations ........................................................................... 13 Details of the report ........................................................................................ 13 The Vocational Independence Occupational Assessment (VIOA) Process ..................... 14 Purpose of the VIOA ........................................................................................ 14 Referral information ........................................................................................ 15 Reporting on the Vocational Independence Occupational Assessment ......................... 16 Report requirements ....................................................................................... 16 Appendices ......................................................................................................... 18 Appendix 1: Relevant Legislation ...................................................................... 18 Appendix 2: Example - IOA Report .................................................................... 25 Appendix 3: Example - VIOA Report .................................................................. 30 Appendix 4: Example – ANZSCO Work Type Detail Sheets ................................... 39 Appendix 5: Quarterly Contract Monitoring Requirements .................................... 44 Appendix 6: US Department of Labor Physical Demand Characteristics of Work ...... 45 Appendix 7: Flowchart of Client Participation in Vocational Rehabilitation ............... 46 October 2008 Occupational Assessors – Operational Guidelines Introduction Welcome to the Occupational Assessors Operational Guidelines. This document covers information about: Carrying out initial and vocational independence occupational assessments for ACC clients who need vocational rehabilitation after an injury The details ACC requires in the assessment reports. These guidelines should be read in conjunction with ACC’s Master Agreement for the provision of services to ACC, and the Service Schedules for Initial Occupational Assessments and Vocational Independence Occupational Assessments. Role of ACC The role of ACC is to determine a client’s eligibility for services and provide timely and effective rehabilitation to ensure maximum independence. Additional information for providers is contained on ACC’s website www.acc.co.nz. Purpose of the guidelines The purpose of the guidelines is to: Achieve consistency in the approach to assessments and report writing Provide information to assessors about ACC’s rehabilitation model and legislative framework. Definition of rehabilitation Legislative definition: AC Act, section 6 “rehabilitation— (a) means a process of active change and support with the goal of restoring, to the extent provided under section 70, a claimant's health, independence, and participation; and (b) comprises treatment, social rehabilitation, and vocational rehabilitation” Individual rehabilitation plan (IRP) All clients are required to have an IRP completed if they are likely to need social or vocational rehabilitation for 13 weeks or more following an injury. These plans are negotiated with the client and may include input from employers and the client’s doctor and family. Included in these plans are: Goals for rehabilitation, including assessment and treatment Outcomes for vocational, social, and medical rehabilitation entitlements. October 2008 Page 1 of 46 Occupational Assessors – Operational Guidelines These plans are signed by both the client and ACC’s client service staff. Occupational assessments must be included in the plans as well as the agreed rehabilitation that will be arranged for the client. The assessments are vital to setting goals and planning rehabilitation. IRPs are updated when an assessment or any rehabilitation is initiated or completed, and form an important agreement between ACC and clients. Discussing recommendations with the client The assessment procedure must follow the principles of natural justice. One of these principles is the client’s right to a fair hearing. A client may have a support person present during their assessment. Clients also occasionally request a tape recording of the session and should arrange this with the assessor before the assessment. In these cases the assessor may also arrange to either retain a copy of the tape or also record the session. When the assessor has completed the initial interview, they should discuss their findings and the recommendations they are considering with the client and ask them for their comments. It is important that the client has the opportunity to discuss any issues they have concerning their injury and the occupations. All types of work must be discussed with the client, and their responses on each of the recommended job options are written into the assessor’s report. Non-injury factors to discuss may include job availability, transport, and location. However, these comments need not limit the scope of the report and recommended work options. Client’s copy of the assessment The legislation requires a copy of the assessment to be given to the client by ACC client service staff and not by the assessor. ‘Next working day’ rule During a Vocational Independence Occupational Assessment (VIOA) it is important that Occupational Assessors follow the ‘next working day’ rule when considering the types of work that are suitable regarding education, training, or experience for the client. The rule means that the client could start a job the next working day if it was available. It is essential that the client not only has the skills but also has completed the necessary training and education in a work type before it can be identified as suitable. This includes any licence, etc required for specific occupations. The client may have gained these skills as a result of rehabilitation and treatment identified as needed in the initial assessment. ACC quality checklist for reviewing provider reports The Occupational Assessment reports are an important document for rehabilitation planning and review. Therefore, ACC client service staff quality review the reports using the checklist below. This is to ensure that the relevant information has been provided in the report and that the recommendations are consistent with all information provided in the body of the report and the referral information. October 2008 Page 2 of 46 Occupational Assessors – Operational Guidelines Report checklist: The assessor took into account the referral information provided by ACC The client’s previous work experience, education, training, qualifications, and preincapacity earnings are identified The assessor has identified the client’s skills The assessor has identified the steps a client could take to achieve work or work readiness in relation to the suitable work types Any needs and/or barriers the client has in relation to achieving work or work readiness are identified All identified work options have a comprehensive Work Type Detail Sheet and are to the 6-digit level The assessor has identified and prioritised a reasonable number of work type recommendations for the client Work type options are justified following consideration of the client’s previous experience, training, pre-incapacity earnings, and qualifications The client clearly has the minimum qualifications identified in the work type detail sheet (or other source of reference) ‘Reasons for stating this job’ are explained clearly and logically Client comments in relation to the job options are recorded Work type options identified were included in the client’s IRP (for VIOA only). About Vocational Rehabilitation Purpose of vocational rehabilitation Vocational rehabilitation is designed to help a client: Maintain employment, or Obtain employment, or Regain or acquire vocational independence. See also Part 4 section 80 of the AC Act for the scope of vocational rehabilitation. If a client needs vocational rehabilitation ACC will provide the entitlements and interventions they need to carry out their current work or, if necessary, help them into a more suitable role. Earning an income will further enhance the client’s quality of life. The employment must be: Suitable for the client (in terms of their capacity to function) Appropriate for the client’s levels of training, experience, and qualifications. In practical terms, ACC provides comprehensive vocational rehabilitation services that: Focus on the client’s needs. Address any injury-related barriers to the client’s independence that prevent their participation in work environments. October 2008 Page 3 of 46 Occupational Assessors – Operational Guidelines ACC may provide vocational rehabilitation: For longer than three years For clients beyond the New Zealand Superannuation Qualifying Age. ACC may not take into account the age limits for weekly compensation when deciding whether vocational rehabilitation will be cost effective. All applications for vocational rehabilitation longer than three years and for clients over 65 years of age are considered on their merits. Applications for vocational rehabilitation that are longer than three years are initially received by client service staff who will then complete a submission for consideration by the Team Manager/Branch Manager. The application is then referred to the Customer Service Technical Support Team for consideration and they will make a recommendation which will be sent back to the client service staff member. Qualifications required for Occupational Assessors Section 90 of the AC Act states: “An occupational assessment must be undertaken by an assessor whom the Corporation considers has the appropriate qualifications and experience to do the assessment required in the particular case.” Each approved assessor must have: A tertiary qualification relevant to vocational rehabilitation (eg occupational therapy, rehabilitation, psychology, career counselling, social work, human resource management). At least two years’ relevant experience in providing vocational rehabilitation services, with demonstrated excellence in service provision and an ability to work effectively with ACC. Current full membership of a relevant professional association* (eg New Zealand Association of Occupational Therapists, Career Practitioners Association of New Zealand, or New Zealand Society of Physiotherapists). *Note: Practitioners without current professional membership of a relevant association must have at least another class of membership, eg provisional, associate, student etc, and demonstrate their intent to work towards professional membership within a stated timeframe. Key terms used in vocational rehabilitation Independence in employment The purpose of vocational rehabilitation is to restore the client’s independence in their employment situation. Scope of vocational rehabilitation See Purpose of vocational rehabilitation on pg 3. October 2008 Page 4 of 46 Occupational Assessors – Operational Guidelines Types of work “Types of work” refers to a broad group of jobs and roles that have a common set of work tasks and functions. For more information see Work type detail sheets on pg 8, and Appendix 4 on pg 39 for examples. Vocational independence Vocational independence is achieved when a client can do the work they are trained, experienced, or educated in and they can work for 35 hours per week or more. In considering the suitability of the types of work, the occupational assessor must take into account, among other things, the client’s pre-incapacity earnings. Vocational assessments There are two types of assessments in the vocational rehabilitation process: initial assessments and vocational independence assessments. Initial assessments The initial assessment process is used to assess a client’s vocational rehabilitation needs. It is split into two parts: An initial occupational assessment (IOA) to identify the types of work that may be appropriate for the client, taking into account their education, experience, preincapacity earnings, and training. An initial medical assessment (IMA) to determine whether the types of work identified in the IOA can be medically sustainable for the client. See also, section 89 of the AC Act. After these assessments the rehabilitation and treatment agreed to is included in the IRP. If the client’s circumstances change (eg their medical status or their employer’s willingness to help with their rehabilitation), the IRP is modified to reflect the change. The IRP will address any injury-related barriers the client has to achieving employment. (See also, Barriers to return to work on pg 10.) Vocational independence assessments Once the rehabilitation specified in a client’s IRP has been completed, and if the client is receiving weekly compensation, two further assessments may be completed: The vocational independence occupational assessment (VIOA) The vocational independence medical assessment (VIMA) The vocational independence assessment process will show whether a client’s rehabilitation has been completed and they are able to obtain/maintain employment or have achieved vocational independence. This assessment confirms that the client has been given comprehensive vocational rehabilitation that has addressed any injury-related barriers to their independence in employment. (See Appendix 1 for relevant legislation references, specifically section 107 on pg 22.) October 2008 Page 5 of 46 Occupational Assessors – Operational Guidelines Vocational paths There are three paths, Maintain employment, Obtain employment, and Regain or acquire vocational independence, to help the client to return to work or work readiness. (See Part 4 section 80 (1) of the AC Act.) They can be noted in the IRP, but this is not required. Maintain employment This rehabilitation will help the client to continue working with their current employer in either the same type of work or a different type. This rehabilitation aims to both: Ensure the client maintains their existing job Return them to their pre-injury level of work activity, in both the type of tasks and the number of hours they work. Obtain employment The second purpose is to help clients gain appropriate employment, even if with a different employer. This includes the client making a reasonable effort to actually obtain work and this path aims to restore the client’s ability to work in either: The same type of work for a different employer, or A different type of work for a different employer, which uses their pre-injury experience, education, or training, and is suitable for the status of their injury. Regain or acquire vocational independence The focus of this path is to: Remove any obstacles or barriers to the client’s ability to work in any type of work that matches their skills, education, or experience Help the client use as many of their pre-injury skills as possible in obtaining work. About Occupational Assessments There are two types of occupational assessments provided for in the Act – the Initial Occupational Assessment (IOA) and the Vocational Independence Occupational Assessment (VIOA). These assessments are required by ACC: Whenever a vocational rehabilitation requirement needs are assessed (section 89, AC Act), and the client is unlikely to maintain their pre-injury employment, and When a client is likely to need to obtain employment, or regain or acquire vocational independence. See also, Qualifications required for Occupational Assessors on pg 4. The Initial Occupational Assessment (IOA) The purpose of the IOA is to produce a report that ACC uses to determine the client’s vocational rehabilitation needs and direction. The assessor is required to: Assess the client’s skills, experience, and ability to undertake employment, Identify suitable types of work for the client taking into account their education, experience, pre-incapacity earnings, and training, and October 2008 Page 6 of 46 Occupational Assessors – Operational Guidelines Complete a work type detail sheet for each suitable work type, including the client’s pre-injury occupation. After the initial occupational assessment (IOA), the initial medical assessment (IMA) will then give an opinion on whether the types of work identified in the IOA are, or are likely to be, medically sustainable for the client. This is based on consideration of the tasks on the work type detail sheet and the client’s post-injury condition. Note: It is not the Occupational Assessor’s role to consider whether the job option is medically sustainable for the client. This is a consideration for the medical assessor only. For a definition of medically sustainable see Vocational Medical Assessors Operational Guidelines, Key Terms on pg 5. The Vocational Independence Occupational Assessment (VIOA) The Accident Compensation Act (2001), section 108 (2), indicates that the purpose of the VIOA is to consider the progress and outcomes of vocational rehabilitation carried out under the client’s individual rehabilitation plan, and consider whether the types of work identified in the client’s individual rehabilitation plan are still suitable for the client because they match the skills that the client has gained through education, training, and experience. The definition of vocational independence in Part 1 section 6 of the AC Act is: “vocational independence, in relation to a claimant, means the claimant’s capacity, as determined under section 107, to engage in work— (a) for which he or she is suited by reason of experience, education, or training, or any combination of those things; and (b) for 35 hours or more a week” The vocational independence occupational assessor is required to follow the ‘Conduct of occupational assessment’ as set out in Schedule 1, clause 25 of the Accident Compensation Act, 2001: “(1) An occupational assessor undertaking an occupational assessment as part of an assessment of a claimant’s vocational independence under section 108 must– (a) take into account information provided by the Corporation and the claimant; and (b) consider the individual rehabilitation plan prepared for the claimant and review the vocational rehabilitation carried out under the plan, and (c) discuss with the claimant all the types of work that the assessor identifies as suitable for the claimant; and (d) consider any comments the claimant makes to the assessor about those types of work. [(1A) In considering the suitability of the types of work referred to in subclause (1)(c), the occupational assessor must take into account, among other things, the claimant’s earnings before the claimant’s incapacity.] (2) The Corporation must provide to an occupational assessor all information the Corporation has that is relevant to an occupational assessment.” October 2008 Page 7 of 46 Occupational Assessors – Operational Guidelines Notes: Regarding (1)(b) when reviewing the client’s vocational rehabilitation, consider whether this is has been completed. Regarding (1)(c) when discussing work types with the client, go over work types identified in the IOA as well as any other options that have become suitable for the client as a result of their vocational rehabilitation. ACC can ask for a determination on a client’s vocational independence at any reasonable interval. It is usually completed when the client has finished the vocational rehabilitation set out in their IRP. Assessing Work Type Options ACC needs the Occupational Assessor to provide evidence about the client’s education, experience, training, and pre-incapacity earnings. An assessor should use their professional expertise to source earnings information about other job types and keep a record of the particular source(s) they have used to gather this information. The assessor must ensure that their opinion can be supported by evidence obtained through referral information and interviews with the client. The assessor must be certain that the evidence obtained from the interview is factual. A useful test may be: If this client wanted to work in one of the types of work specified, would there be any vocational reason to advise them that they could not, or should not, apply for this position based on their education, skills, and experience? Is there anything else they would require before being able to start in that role? If there is doubt over whether the information obtained from the interview is factual, it should be verified by, eg phone calls to organisations to confirm skills required for particular jobs, or discussion of skills listed in work type sheets. Note: Number of Recommended Work Options: For clients with comprehensive work histories and skills which enable them to perform a vast number of work options, assessors should recommend a reasonable number of work options based on the best match to the client’s current skill level and experience. The medical assessor can then focus on a reasonable set of recommended work options which are the most suitable for the client’s rehabilitation. Work Type Detail Sheets The Australian and New Zealand Standard Classification of Occupations 2006 (ANZSCO) work type details sheets can be accessed through ACC’s website under For Providers > Resources > Rehabilitation Resources > Worksheets for occupational assessments > Work type detail sheets. The 565 Work Type Detail Sheets can be used by Occupational Assessors when preparing work options for clients during occupational assessments. Occupational Assessors will provide these sheets to Medical Assessors to clarify work detail. October 2008 Page 8 of 46 Occupational Assessors – Operational Guidelines The sheets have been developed to achieve national consistency regarding descriptions of work types. They provide information on work tasks, work environment, work function/activity, qualifications, and other relevant comments. Using a consistent format for Work Type Detail Sheets when describing work options helps the Medical Assessor establish whether the client can perform the work described. Assessors must show that the work option exists in the current New Zealand labour market. The relevant Work Type Detail Sheet must then be filled out using a format consistent with the sheets in Appendix 4 on pg 39. The sheet should be signed and dated for reference. The ANZSCO sheets are categorised into the following major occupational groups and indexed numerically: Managers (Major Group 1) Professionals (Major Group 2) Technicians and Trades Workers (Major Group 3) Community and Personal Service Workers (Major Group 4) Clerical and Administrative Workers (Major Group 5) Sales Workers (Major Group 6) Machinery Operators and Drivers (Major Group 7) Labourers (Major Group 8) When a work option is not covered by an ANZSCO Work Type Detail Sheet The 565 work options on ACC’s website might not cover all suitable work options. If an option identified for a client is not covered in the existing Work Type Details Sheets a new work type option must be developed. Before doing this a thorough job analysis involving interviews with current incumbents of the role must be undertaken. The ACC653 Initial Occupational Assessment: work detail sheet Work Type Detail Sheets are not the only option for assessors to use when completing a report for the client, and they do not have to be used if an assessor considers that an alternative is preferable, as bulleted below. See also the blank ACC653 Initial Occupational Assessment: work detail sheet in Appendix 4. Other useful material: US Department of Labor Physical Demand Characteristics (see Appendix 6 on pg 45). Australian and New Zealand Standard Classification of Occupations 2006 (ANZSCO). October 2008 Page 9 of 46 Occupational Assessors – Operational Guidelines Barriers to return to work Injury-related barriers The AC Act, section 107 Corporation to determine vocational independence states: (3) The purpose of the assessment is to ensure that comprehensive vocational rehabilitation, as identified in a claimant's individual rehabilitation plan, has been completed and that it has focused on the claimant's needs, and addressed any injuryrelated barriers, to enable the claimant— (a) to maintain or obtain employment; or (b) to regain or acquire vocational independence. Literacy It is important that occupational assessors identify any literacy issues during the assessment and provide comment in the report. A literacy test should be conducted if the assessor suspects a deficit in reading and writing skills. If literacy issues are identified the occupations identified as suitable for the client must be sympathetic to these limitations. Although not stated as a specific requirement, most jobs require some level of literacy. Criminal convictions This should be covered with the client as some occupations exclude potential employees with criminal convictions. For example, many large organisations conduct security screening as a standard procedure in their recruiting process. It is therefore reasonable to ask the client if they have any prior criminal convictions with the rationale that many organisations run security checks for any position within the organisation. The work option can still appear in the occupational assessment report with the comment that the client does have prior criminal convictions that may jeopardise actual employment in the work type. If the client refuses to answer the question, this can be noted also. The Initial Occupational Assessment (IOA) process The Initial Occupational Assessment (IOA) must include, but need not be limited to: Reviewing and considering all background information provided with the referral before interviewing the client. Explaining to the client the purpose and process of the IOA. Identifying the client’s transferable skills, including experience, education, and training and taking into account their pre-incapacity earnings. Identifying positive client attributes and competencies that will help their employment options. Identifying all types of work available in NZ which is suitable for the client’s experience, education, training, and pre-incapacity earnings or any combination of these. In identifying such jobs, the assessor will: Consider the client’s suitability for particular types of work. Be realistic about work options, which must exist in the current labour market. Make reference to a variety of publications to reflect the availability of work within NZ, eg job vacancies in newspapers or industry journals, Kiwi Careers, Australian and New Zealand Standard Classification of Occupations 2006 (ANZSCO). October 2008 Page 10 of 46 Occupational Assessors – Operational Guidelines Ensure that each suitable work type is identified by the 6-digit code in the Australian and New Zealand Standard Classification of Occupations 2006. Comment on the occupation at the 6-digit code level as to whether it is suitable for the client. For example “Training and Development Officer (223311)”. Provide information on how each identified work type is relevant to the client’s experience, education, or training and pre-incapacity earnings. The assessor will use their professional expertise to source earnings information of other work types and will be expected to keep a record of the particular source(s) they have used to gather the information. Identify and prioritise work types that most closely align with the client’s preinjury occupation, training, experience, and pre-incapacity earnings. Current ANZSCO work options are held on ACC’s website under For Providers > Resources > Rehabilitation Resources > Worksheets for occupational assessments > Work type detail sheets. Invite the client to comment and raise any issues or concerns about: Their experience, education, and training. Potential work type options. Assessor’s findings and proposed options. Any other issues. These may include job availability, effects of client’s injury or any medical conditions, work tasks, salary levels, transportation availability, child care. However, the scope of the assessments must not be limited by any of these factors. Client comments must be recorded and will include: Comments about types of work that are regarded as suitable and available in NZ. Any issues and/or concerns prior to recommendations being made to ACC. However, a client’s disagreement with some or all of the identified types of work because they are not the client’s preference, is not a reason for excluding them from the recommendations. These concerns will be discussed with the client and documented. The client’s work preferences and discuss any reasons why these are not considered to be realistic options. Background information from ACC ACC gives the occupational assessor the following information to familiarise them with the client’s vocational rehabilitation to date, to help with the assessment: A standard referral form containing the client’s name and contact details, and the contact details of the referring client service staff member. A summary of the client’s injury and vocational rehabilitation, including the reason for the Initial Occupational Assessment. This will also include any factors that may impact on the assessment, eg if the client has communication difficulties, has been identified as a potential risk to the assessor, or needs cultural services, eg an interpreter. The client’s individual rehabilitation plan (IRP) where applicable. Previous vocational rehabilitation reports requested by ACC as part of the rehabilitation process. Details of the client’s recent employment history. October 2008 Page 11 of 46 Occupational Assessors – Operational Guidelines Details of the client’s earnings before their incapacity. Note: Pre-incapacity earnings are the amount recorded as the client’s actual weekly earnings at the date of their current incapacity. This could be the date of first incapacity (DOFI) or, if there has been a subsequent incapacity, then this would be earnings at the date of subsequent incapacity (DOSI). Advice of any other planned or agreed rehabilitation interventions. The occupational assessor must review and consider all the information provided with the referral, before having the interview with the client. They may return any referral that contains inadequate information to the client service staff member and ask for more details before accepting the referral. Doing this by phone would help prevent further delays for the client. Interview with the client During the interview the occupational assessor will identify all of the client’s work experience prior to injury, and since the injury. The interview will form the basis of the report and recommendations, and is therefore the mechanism for obtaining accurate information from the client so that the work options identified are suitable and appropriate for them. Clear rationale for recommended work options must be provided. The interview should take place over more than one session so that the assessor has time to consider the suitability of the work type options for the client, and the client has time to consider the recommended work types. The second interview may be conducted over the phone if it is not practical for the client to attend. The recommendations the assessor will be including in the final report should be discussed at this time. Occupational assessment versus career counselling: The role of occupational assessor is different from that of career counsellor work that some assessors may also undertake for non-ACC clients. It is important to understand this difference and set expectations with the client in the initial interview. The assessment is about identifying current skills, training, and experience and from there identifying the types of work suitable to the client based on their assessed skill level. In this regard, work options should closely align with the client’s experiences. The table below shows the difference between the focus of the occupational assessment, and considerations in career counselling which takes place over several sessions. Occupational assessment focus Career counselling focus Labour Market Interests Skills Significant Others Educational Background Personal Style Work & Leisure Experience Values October 2008 Page 12 of 46 Occupational Assessors – Operational Guidelines Reporting on the Initial Occupational Assessment Five important considerations ACC requires a report from the Occupational Assessor that identifies facts gained from the referral information and client interview(s). This helps make recommendations for suitable types of work or occupations. The reports are important documents that help develop a client’s rehabilitation and, therefore, may be subject to analysis by a reviewer or the court on whether the work types identified are appropriate for the client. Because of this particular attention should be paid to the following five points. 1. The assessor must confirm that the client has the qualifications required for each work type. Many jobs which were previously unskilled labour now require qualifications for entry into a role. For example, do not recommend that the client is suited to counselling work because they “would love to do counselling” unless the client has, as a minimum, a 2-year diploma in counselling. 2. The client must also have the skills to realistically perform a role even if the skills are not specifically stated. For example, literacy skills are particularly important to check for and if they are an issue and no alternative work is suitable, literacy skills can be addressed through recommending another vocational service. 3. Be careful when designating that the client has particular transferable skills. Transferable skills should be grouped according to the client’s employment history. Assessors should use current resources, eg KiwiCareers job descriptions, to identify actual employment duties the client has carried out. 4. The question of being physically or medically able to engage in work is a medical issue. The Occupational Assessor must only provide evidence on the client’s experience, education, or training which will help ACC decide on appropriate vocational rehabilitation. 5. When looking at strategies for finding work, the assessor should concentrate on industry requirements, and current labour market information pertaining to work types. The strategies need to be comprehensive for rehabilitation planning purposes. A work trial is not always necessary if the client has the relevant skills, education, and experience required for a recommended work type. Details of the report The report must identify: The client’s current experience, training, and skills, and the dates they gained them. How the client’s pre-incapacity earnings have been taken into account. Suitable work type options (stating the 6-digit code) the client could do. The match between the client’s current skills and abilities, and the requirements on the Work Type Detail sheet. Example: if a qualification is desirable but not essential, and the client is not qualified but does have the relevant work experience and ability to do a job, then the work can be regarded as suitable, with the rationale for this explained in the report. October 2008 Page 13 of 46 Occupational Assessors – Operational Guidelines Current barriers the client has to obtaining work in the identified areas, and options that will meet these needs, eg requirements for any skill development or obtaining of licences where the client has experience and skills for specific work types. Example: If a client has the relevant training and experience to operate as a real estate agent, but lacks the actual licence, then gaining this licence can be recommended in the IOA. The client’s Individual Rehabilitation Plan could then identify the occupation, with obtaining a licence as a step required to achieve this. Note: This is in contrast to the VIOA where the client must be eligible to perform an occupation the ‘next working day’. In summary, the report should cover four main areas: The client’s work experience. The client’s completed training and qualifications. The client’s transferable skills. The work type options (6-digit level) that are suitable for the client, with reasons for the recommendations which contain direct reference to the client’s education, training, experience and pre-incapacity earnings. Work type detail sheets must be included in the report for each of the work types identified as being suitable for the client. See also, ACC quality checklist for reviewing provider reports on pg 2. The Vocational Independence Occupational Assessment (VIOA) Process Purpose of the VIOA The vocational independence assessment process determines whether a client’s rehabilitation has been completed and they have achieved vocational independence, ie they are able to obtain or maintain employment. The assessment considers whether the client has received the rehabilitation needed to address the injury-related barriers to their independence in employment. (See also Barriers to return to work on pg 10.) The IOA and VIOA assessments are generally done by different assessors. The referral process for the VIOA is detailed below. The vocational independence occupational assessment is not a review of the initial occupational assessment, but is a review of the client’s Individual Rehabilitation Plan, and the rehabilitation which has been provided to the client in order to obtain work readiness in the identified job options. Each assessment and report is therefore individual. October 2008 Page 14 of 46 Occupational Assessors – Operational Guidelines The purpose of the vocational independence occupational assessment is to: Consider the Individual Rehabilitation Plan prepared with the client. Review the vocational rehabilitation carried out and completed under the plan. Consider the types of work suitable for the client. This requires a review of the client’s vocational rehabilitation and transferable skills (experience, education, and training) by the assessor in relation to the work types on the Individual Rehabilitation Plan supplied with the referral information. Referral information Each client referred from ACC will have received an: Initial occupational assessment providing ACC with a comprehensive list of work types and prioritising those that most closely align with the client’s pre-injury work based on their education, experience, pre-incapacity earnings, and training (or any combination of these). Initial medical assessment that considers the consequences of the client’s injury and whether they are able to work in each of the Work Types identified as suitable by the occupational assessor, or whether further rehabilitation is required. The referral should contain the following information: A copy of the client’s Individual Rehabilitation Plan(s) completed and signed by the client and their client service staff member. The IRP must list the work type options for the assessor to comment on which have been confirmed as medically sustainable by the initial medical assessment. Case notes and reports relevant to vocational rehabilitation milestones being completed as per the IRP, ie any documents that show progress of the planned vocational rehabilitation. A copy of the ACC191 – Vocational Independence File Summary, Team Review and Quality Check. This follows a branch process to ensure the client is appropriate for referral to Vocational Independence. A copy of the client’s Curriculum Vitae (if available). Any factors that may impact on the assessment, eg if the client has communication difficulties, any non-injury related disability, or has been identified as a potential risk to the assessor. The report from the initial occupational assessment detailing the client’s education, training, experience, and pre-incapacity earnings in relation to the identified work options. The report lists all types of work reasonably identified as suitable for the client and provides the requirements for each option, including any environmental modifications deemed necessary to enable the client to function safely in that type of work. This information is to help the vocational independence occupational assessor become familiar with the client’s vocational rehabilitation to date, and the types of work determined as suitable by the initial occupational assessor and initial medical assessor. October 2008 Page 15 of 46 Occupational Assessors – Operational Guidelines Reporting on the Vocational Independence Occupational Assessment Report requirements Schedule 1, clause 26 outlines the requirements for a ‘Report on occupational assessment’ as follows: “(1) The occupational assessor must prepare and provide to the Corporation a report on the occupational assessment specifying– (a) the claimant’s work experience; and (b) the claimant’s education, including any incomplete formal qualifications; and (c) any work-related training in which the claimant has participated; and (d) all skills that the assessor has reasonably identified the claimant as having; and (e) the vocational rehabilitation that the claimant has received under the individual rehabilitation plan or in any other way; and (f) the outcome of the vocational rehabilitation; and (g) all types of work reasonably identified as suitable for the claimant; and (h) in relation to each type of work, the requirements of that type of work, including any environmental modifications that the assessor identifies as necessary to enable the claimant to function safely in that type of work. (2) The Corporation must provide a copy of the report to the claimant and the medical assessor.” Notes: When listing the client’s work experience, the dates any qualifications etc were gained must also be listed as this will determine the validity of certificates or experience. Assessors must not send a copy of the report to clients as this is ACC’s responsibility. Recommendations All recommendations in the assessment report, Work Type Detail Sheet, and Vocational Independence Recommendation Form must be: Supported by the findings obtained during the interview with the client. Clear and easily understood. Clarifications The assessor will promptly review and make any necessary written amendments to the Assessment Report, Work Type Detail Sheet, and/or Vocational Independence Recommendation Form if a client service staff member advises that: The recommendation is not consistent with clause 26 above; Errors or omissions need to be amended. Keeping records The provider will maintain all clinical notes, copies of Assessment Reports, Work Type Detail Sheets, Vocational Independence Recommendation Forms and related financial documents for a period of not less than seven years after completing each assessment. October 2008 Page 16 of 46 Occupational Assessors – Operational Guidelines Need for original comment Occasionally VIOA reports have repeated excerpts from the Initial Occupational Assessment (IOA) report verbatim and without reference. This does not demonstrate that a ‘review of vocational rehabilitation’ as required by the Act has occurred. It is acknowledged that due to the nature of each assessment the content of the reports, eg client’s work history and training, will be similar. However, copying verbatim is not acceptable, particularly when explaining the rationale for stating that a particular work type is suitable. Work type options The VIOA report includes identifying the occupations considered suitable for the client. A Work Type Detail Sheet must be provided for each work type option. Work types identified must be 35 hours or more per week. Teacher Aide for example is a work type that is usually only 30 hours per week. The assessment is based on the client’s: Previous work experience Education and training attainments Transferable skills Pre-incapacity earnings. Note: The assessor should use their professional expertise to source earnings information of other work types and should keep a record of the source(s) they have used. Identified jobs as listed in the individual rehabilitation plan (IRP), which have been considered medically sustainable for the client by the medical assessment. Note: Work options from the IRP must be disregarded if the client has not gained the necessary qualifications since the Initial Occupational Assessment recommendations. As the client is likely to have received a period of rehabilitation and treatment based on the initial assessments, the VIOA will consider and report on work options that the client is able to perform the ‘next working day’ (see Next working day rule on pg 2). Once the client has met the identified requirements for starting work, eg they have gained a necessary licence, the assessor can recommend that the client be reassessed if there are few work options. See also ACC quality checklist for reviewing provider reports on pg 2. October 2008 Page 17 of 46 Occupational Assessors – Operational Guidelines: Appendices APPENDICES Appendix 1: Relevant Legislation Accident Compensation Act 2001 Note: Legislation in square brackets is in effect from 1 October 2008. Part 1 –Interpretation 6. Vocational independence, in relation to a claimant, means the claimant’s capacity, as determined under section 107, to engage in work— (a) for which he or she is suited by reason of experience, education, or training, or any combination of those things; and (b) for 35 hours or more a week Part 4 - Vocational rehabilitation 80. Purpose of vocational rehabilitation (1) The purpose of vocational rehabilitation is to help a claimant to, as appropriate,— (a) maintain employment; or (b) obtain employment; or (c) regain or acquire vocational independence. (2) Without limiting subsection (1), the provision of vocational rehabilitation includes the provision of activities for the purpose of maintaining or obtaining employment that is— (a) suitable for the claimant; and (b) appropriate for the claimant’s levels of training and experience. 85. Corporation liable to provide vocational rehabilitation (1) The Corporation is liable to provide vocational rehabilitation to a claimant who— (a) has suffered personal injury for which he or she has cover; and (b) is— (i) entitled to weekly compensation; or (ii) likely, unless he or she has vocational rehabilitation, to be entitled to weekly compensation; or (iii) on parental leave. [(2) Despite subsection (1)(b)(i), the Corporation is liable to provide vocational rehabilitation to a person who was entitled to weekly compensation and who would, but for clause 52 of Schedule 1 (relationship between weekly compensation and New Zealand superannuation), continue to be entitled to weekly compensation.] October 2008 Page 18 of 46 Occupational Assessors – Operational Guidelines: Appendices 86. Matters to be considered in deciding whether to provide vocational rehabilitation (1) In deciding whether to provide vocational rehabilitation, the Corporation must have regard to the matters in section 87. (2) In deciding what vocational rehabilitation is appropriate for the claimant to achieve the purpose of vocational rehabilitation under section 80,— (a) the Corporation must consider whether it is reasonably practicable to return the claimant to the same employment in which the claimant was engaged, and with the employer who was employing the claimant, when the claimant’s incapacity commenced; and (b) if it is not, the Corporation must consider the following matters: (i) whether it is reasonably practicable to return the claimant to an employment of a different kind with that employer: (ii) whether it is reasonably practicable to return the claimant to the employment in which the claimant was engaged when the claimant’s incapacity commenced, but with a different employer: (iii) whether it is reasonably practicable to return the claimant to a different employment with a different employer, in which the claimant is able to use his or her experience, education, or training: (iv) whether it is reasonably practicable to help the claimant use as many of his or her pre-injury skills as possible to obtain employment. 87. Further matters to be considered in deciding whether to provide vocational rehabilitation (1) In deciding whether to provide vocational rehabilitation, the Corporation must have regard to— (a) whether the vocational rehabilitation is likely to achieve its purpose under the claimant’s individual rehabilitation plan; and (b) whether the vocational rehabilitation is likely to be cost-effective, having regard to the likelihood that costs of entitlements under this Act will be reduced as a result of the provision of vocational rehabilitation; and (c) whether the vocational rehabilitation is appropriate in the circumstances. (2) The Corporation is liable to provide the vocational rehabilitation for the minimum period necessary to achieve its purpose, but must not provide any vocational rehabilitation for longer than 3 years (which need not be consecutive). [“(2A) Subsection (2) is subject to subsection (2B). [“(2B) Despite subsection (2), the Corporation may, at its discretion, provide vocational rehabilitation for longer than 3 years if the Corporation considers that— “(a) the vocational rehabilitation would be likely to achieve its purpose under the claimant’s individual rehabilitation plan; and “(b) the vocational rehabilitation would be likely to be cost effective, having regard to the likelihood that costs of entitlements under this Act will be reduced as a result of the provision of vocational rehabilitation; and “(c) the vocational rehabilitation would be appropriate in the circumstances. [“(2C) However, despite subsections (1)(b) and (2B)(b), the Corporation must not take into account as a factor against providing vocational rehabilitation that the claimant is, or may become, a person to whom clause 52 of Schedule 1 (relationship between weekly compensation and New Zealand superannuation) applies.] (3) This section is subject to any regulations made under section 324. October 2008 Page 19 of 46 Occupational Assessors – Operational Guidelines: Appendices 88. Vocational rehabilitation may start or resume if circumstances change (1) The Corporation may, at any time, decide whether or not there has been a change of circumstances affecting the claimant’s need for vocational rehabilitation. (2) If the Corporation decides that there has been such a change, the Corporation and the claimant may agree to the modification of the claimant’s individual rehabilitation plan to reflect the changed circumstances. (3) The Corporation may resume providing vocational rehabilitation under the claimant’s individual rehabilitation plan, with any agreed modifications, to a claimant who— (a) had vocational rehabilitation; and (b) as a result, obtained employment; but (c) is unable to maintain the employment because of his or her incapacity. (4) This section is subject to section 87(2) and (3). 89. Assessment of claimant’s vocational rehabilitation needs An assessment of a claimant’s vocational rehabilitation needs must consist of— (a) an initial occupational assessment to identify the types of work that may be appropriate for the claimant; and (b) an initial medical assessment to determine whether the types of work identified under paragraph (a) are, or are likely to be, medically sustainable for the claimant. 91. Conduct of initial occupational assessment (1) An occupational assessor undertaking an initial occupational assessment must— (a) take into account information provided by the Corporation and the claimant; and (b) discuss with the claimant all the types of work that are available in New Zealand and suitable for the claimant; and (c) consider any comments the claimant makes to the assessor about those types of work. [(1A) In considering the suitability of the types of work referred to in subsection (1)(b), the occupational assessor must take into account, among other things, the claimant’s earnings before the claimant’s incapacity.”] (2) The Corporation must provide to an occupational assessor all information the Corporation has that is relevant to an initial occupational assessment. 93. Medical assessor (1) A medical assessment must be undertaken by a medical practitioner who is described in subsection (2) or subsection (3). (2) A medical practitioner who provides general medical services must also— (a) have an interest, and proven work experience, in disability management in the workplace or in occupational rehabilitation; and (b) have at least 5 years' experience in general practice; and (c) meet at least 1 of the following criteria: (i) be a Fellow of the Royal New Zealand College of General Practitioners or hold an equivalent qualification: (ii) be undertaking training towards becoming a Fellow of the Royal New Zealand College of General Practitioners or holding an equivalent qualification (iii) have undertaken relevant advanced training. October 2008 Page 20 of 46 Occupational Assessors – Operational Guidelines: Appendices (3) A medical practitioner who does not provide general medical services must— (a) have an interest, and proven work experience, in disability management in the workplace or in occupational rehabilitation; and (b) be a member of a recognised college. 94. Assessments when medical assessor unavailable (1) A… medical practitioner who does not qualify under section 93 may undertake a medical assessment if the Corporation is satisfied that— (a) the circumstances in subsection (2) exist; and (b) the… medical practitioner's qualifications and experience are broadly comparable with the qualifications and experience specified in section 93. (2) The circumstances are that— (a) a… medical practitioner who does qualify under section 93 is not available to undertake a medical assessment without unreasonable delay or unreasonable inconvenience to the claimant; and (b) the delay or inconvenience would have an adverse effect on providing vocational rehabilitation to the claimant. (3) Sections 95 and 96 apply to a… medical practitioner who qualifies under this section to undertake a medical assessment. 95. Conduct of initial medical assessment (1) A medical assessor undertaking an initial medical assessment must take into account— (a) information provided to the assessor by the Corporation; and (b) any of the following reports, information, or comments provided to the assessor: (i) medical reports requested by the Corporation before the individual rehabilitation plan was prepared: (ii) any other relevant medical reports; and (c) the report of the occupational assessor on the initial occupational assessment; and (d) the medical assessor's clinical examination of the claimant; and (e) any other information or comments that the claimant requests the medical assessor to take into account and that the medical assessor decides are relevant. (2) The medical assessor must also take into account any condition suffered by the claimant that is not related to the claimant's personal injury. (3) The Corporation must provide to a medical assessor all information the Corporation has that is relevant to an initial medical assessment. 96. Report on initial medical assessment (1) The medical assessor must prepare and provide to the Corporation a report on the initial medical assessment. (2) The report must— (a) contain the determination required by section 89(b); and (b) take into account the matters referred to in section 95. (3) The Corporation must provide a copy of the report to the claimant. October 2008 Page 21 of 46 Occupational Assessors – Operational Guidelines: Appendices Part 4 - Vocational independence 107. Corporation to determine vocational independence (1) The Corporation may determine the vocational independence of— (a) a claimant who is receiving weekly compensation: (b) a claimant who may have an entitlement to weekly compensation. (2) The Corporation determines a claimant's vocational independence by requiring the claimant to participate in an assessment carried out— (a) for the purpose in subsection (3); and (b) in accordance with sections 108 to 110 and clauses 24 to 29 of Schedule 1; and (c) at the Corporation's expense. (3) The purpose of the assessment is to ensure that comprehensive vocational rehabilitation, as identified in a claimant's individual rehabilitation plan, has been completed and that it has focused on the claimant's needs, and addressed any injuryrelated barriers, to enable the claimant— (a) to maintain or obtain employment; or (b) to regain or acquire vocational independence. 108. Assessment of claimant's vocational independence (1) An assessment of a claimant's vocational independence must consist of— (a) an occupational assessment under clause 25 of Schedule 1; and (b) a medical assessment under clause 28 of Schedule 1. (2) The purpose of an occupational assessment is to— (a) consider the progress and outcomes of vocational rehabilitation carried out under the claimant's individual rehabilitation plan; and (b) consider whether the types of work (whether available or not) identified in the claimant's individual rehabilitation plan are still suitable for the claimant because they match the skills that the claimant has gained through education, training, or experience. (3) The purpose of a medical assessment is to provide an opinion for the Corporation as to whether, having regard to the claimant's personal injury, the claimant has the capacity to undertake any type of work identified in the occupational assessment and reflected in the claimant's individual rehabilitation plan. 109. When claimant's vocational independence to be assessed (1) The Corporation may determine the claimant's vocational independence at such reasonable intervals as the Corporation considers appropriate. (2) However, the Corporation must determine the claimant's vocational independence again if— (a) the Corporation has previously determined that the claimant had— (i) vocational independence under this section; or (ii) a capacity for work under section 89 of the Accident Insurance Act 1998; or (iii) a capacity for work under section 51 of the Accident Rehabilitation and Compensation Insurance Act 1992; and (b) the Corporation believes, or has reasonable grounds for believing, that the claimant's vocational independence or capacity for work may have deteriorated due to the injuries that were assessed in the previous vocational independence or capacity for work assessment. October 2008 Page 22 of 46 Occupational Assessors – Operational Guidelines: Appendices (3) The claimant may give the Corporation information to assist the Corporation to reach a belief under subsection (2)(b). Schedule 1 - Vocational rehabilitation 27. Medical assessor (1) A medical assessment must be undertaken by a medical practitioner who is described in subclause (2) or subclause (3). (2) A medical practitioner who provides general medical services must also— (a) have an interest, and proven work experience, in disability management in the workplace or in occupational rehabilitation; and (b) have at least 5 years' experience in general practice; and (c) meet at least 1 of the following criteria: (i) be a Fellow of the Royal New Zealand College of General Practitioners or hold an equivalent qualification: (ii) be undertaking training towards becoming a Fellow of the Royal New Zealand College of General Practitioners or holding an equivalent qualification: (iii) have undertaken relevant advanced training. (3) A person who does not provide general medical services must also— (a) have an interest, and proven work experience, in disability management in the workplace or in occupational rehabilitation; and (b) be a member of a recognised college. 28. Conduct of medical assessment (1) A medical assessor undertaking a medical assessment as part of an assessment of a claimant's vocational independence under section 108 must take into account— (a) information provided to the assessor by the Corporation; and (b) any individual rehabilitation plan for the claimant; and (c) any of the following medical reports provided to the assessor: (i) medical reports requested by the Corporation before the individual rehabilitation plan was prepared: (ii) medical reports received during the claimant's rehabilitation; and (d) the report of the occupational assessor under clause 26; and (e) the medical assessor's clinical examination of the claimant; and (f) any other information or comments that the claimant requests the medical assessor to take into account and that the medical assessor decides are relevant. (2) The Corporation must provide to a medical assessor all information the Corporation has that is relevant to a medical assessment. 29. Report on medical assessment (1) The medical assessor must prepare and provide to the Corporation a report on the medical assessment specifying— (a) relevant details about the claimant, including details of the claimant's injury; and (b) relevant details about the clinical examination of the claimant undertaken by the assessor, including the methods used and the assessor's findings from the examination; and (c) the results of any additional assessments of the claimant's condition; and October 2008 Page 23 of 46 Occupational Assessors – Operational Guidelines: Appendices (d) the assessor's opinion of the claimant's vocational independence in relation to each of the types of work identified in the occupational assessor's report; and (e) any comments made by the claimant to the assessor relating to the claimant's injury and vocational independence in relation to each of the types of work identified in the occupational assessor's report. (2) The report must also identify any conditions that— (a) prevent the claimant from having vocational independence; and (b) are not related to the claimant's injury. (3) The Corporation must provide a copy of the report to the claimant. October 2008 Page 24 of 46 Occupational Assessors – Operational Guidelines: Appendices Appendix 2: Example – IOA Report Note: The report templates held on ACC’s For Providers> Resources site may be updated at times. Therefore the format of this example may differ slightly from the blank template. ACC 652 Initial Occupational Assessment Report Date 12 November 2004 Branch Wellington Case manager I M Helpful “This form should be completed by vocational rehabilitation providers following an Initial Occupational Assessment. The form details realistic job options based on client transferable skills” Phone number Fax Number Email Client details Client name Mr Bruce Client Claim number 97/287654 Provider details Provider name Vocational Consultant Consultant name D Assessor 123 Main St, Citytown Phone Fax Email Work Experience List below the jobs held by the client, how long the client was employed, the name of the employer, and any related training that the client had. (In the order of the most recent job first.) Job Duration in years and months Employer Fitter & Turner 5 yrs ABC Engineering Fitter & Turner 2 yrs Western Engineering Truck Driver 6 months USA Dairy Lab assistant 1 yr Waikato Milk Shellfish worker 6 months Mussel Brothers Fitter & Turner 3 months Metal Tech Fitter & Turner 9 months Wilson Welders Ltd Apprentice Fitter/Turner to Foreman 7 yrs Redwood Racing Production Machining 1 yr 7 months Pahia Propellers Ltd Computer input 6 months Worster Engineering Related training Deckhand certificate Welding certificate Also mentioned Years in the work force October 2008 16 years Number of job-type changes Four Page 25 of 46 Occupational Assessors – Operational Guidelines: Appendices Work experience comments Bruce has had a logical progression of jobs and experience leading up to the accident and subsequent useful work experience. Overseas travel and work experience adds to worker maturity. Education and training List the formal qualifications completed by the client Qualification Subject Institution Level reached Secondary (School Certificate, University Entrance, Sixth Form Certificate, Bursary) School certificate Maths Worcester College Pass School certificate English Worcester College Pass Tertiary (Certificates, Diplomas, Degrees, Post-Graduate Degrees) Fitter and Turner Trade qualified Welding Certificate Deckhand certificate Yes Incomplete formal qualifications Incomplete qualification No Ongoing requirement to gain qualification Number of years needed to complete employment related qualifications On-the-job training or informal training the client has participated in Type of training Leads to a recognised qualification? Qualifies the client for a higher level job? Ongoing training needed for the qualification? First Aid Warehouse Management Warehouse Stores Making & Design of Hydraulic Cylinders Making & Design of Hydraulic Cylinders (Cylinder manufacturing) Computer Numerically Controlled Centre Operator Quality skills Is the client currently participating in any education or training? Yes No General education comments Bruce has passes in school certificate maths and English which assist with working in tradesman type work. Is well qualified in area of fitter and turner and welding. October 2008 Page 26 of 46 Occupational Assessors – Operational Guidelines: Appendices Transferable skills List the client’s transferable skills and how these are demonstrated Fitting and Turning, design skills have been demonstrated through work as a fitter and turner High precision cutting of components using computers Quality Control Skills Customer satisfaction skills Warehousing skills Motor Racing car and bike par production skills Factory workplace skills Multi-skilled in trades, services Interpersonal skills Heavy truck and trailer skills Computer skills, eg Windows 98 Client’s attributes and competencies that will advantage their employability Precise Pride in his achievements, in a job well done Sociable with wide experience to draw on Has an outlook that lends itself to unlimited development of potential Experience with high performance motorbikes and American cars Interest in movies and building his own movie theatre in his home someday for friends to enjoy A ‘give it a go’ mentality Transferable skills comments A wide range of and transferable skills and interests which can be applied to a variety of practically oriented work type options. Types of work that particularly interest the client Hands-on work which will utilise his trade qualifications. Outdoors is fine. Work type options Note: These are examples for only two of the above work types The following work type options listed in order or priority are available in NZ and have been based on the client's education, training, work experience, pre-incapacity earnings, and transferable skills. These options have been discussed fully with the client and the client participated in their selection. (List first those types of work that most closely align with the client’s pre-injury occupation then all other work types.) Work Type Details Sheets are attached for each of the listed job options. Note: Examples of the Work Type Details Sheets for the two options below are in Appendix 4. 1. Work Type Major Industry Group: Technicians and Trades Workers 3 Work Type (6 digit): Fitter and Turner 323212 Reason (how work type matches skills): Bruce has over 7 years’ previous experience as a fitter and turner. Bruce is trade qualified in this work type. Strategies for assisting the client to become work ready in this Work Type: Bruce requires a CV and he will be work ready for this work option. Client comments (if applicable): I enjoy this work, but I’m not sure how long I will last at it again October 2008 Page 27 of 46 Occupational Assessors – Operational Guidelines: Appendices 2. Work Type: Major Industry Group: Labourers – Occupational Groups 8 Work Type (6 digit): Fishing Hand 899212 Reason (how work type matches skills): Bruce has his deckhand certificate, which is a preferred qualification for the job. Bruce has experience as a shellfish worker gained during his employment with Mussel Brothers. Strategies for assisting the client to become work ready in this Work Type: Job search assistance to gain place on fishing boat. Client comments (if applicable): I enjoyed going to sea, although it was hard work. 3. Work Type: Reason (how work type matches skills): Strategies for assisting the client to become work ready in this Work Type: Client comments (if applicable): 4. Work Type: Reason (how work type matches skills): Strategies for assisting the client to become work ready in this Work Type: Client comments (if applicable): 5. Work Type: Reason (how work type matches skills): Strategies for assisting the client to become work ready in this Work Type: Client comments (if applicable): October 2008 Page 28 of 46 Occupational Assessors – Operational Guidelines: Appendices Barriers to returning to work Based on information obtained during the interview the following are identified as potential barriers to the client successfully obtaining work in the areas identified above (eg lack of knowledge about the labour market, lack of interview and job search skills). Bruce has the skills, qualifications and experience to perform these work options. The main barrier to returning to work for Bruce will be availability of positions in the occupations identified. Client comment Please detail all comments made by the client regarding their experience, education, training, potential work type options, proposed options and any other issues raised. Bruce thinks he will be able to find work okay, no big deal. Also see comments provided against each work type above. Curriculum Vitae Curriculum Vitae completed and attached Advice provided about use of Curriculum Vitae Yes No Yes No - Client experienced in use of CV Other relevant information or comments Client can advance himself. He is not static in his development or aspirations. Bruce is ready to move back into employment and appeared motivated to pursue the range of options which were discussed over the assessment period. The role of the occupational assessor in the IOA process was explained to the client. The information for the work type options section was obtained from the following sources: Australia and New Zealand Standard Classification of Occupations, 2006 Career Services KiwiCareers website Provider knowledge and research of the local job market Signed Consultant name: Consultant signature: D Assessor Date: 12 November 2004 The information collected on this form will only be used to fulfil the requirements of the Accident Compensation Act 2001. In the collection, use and storage of information, ACC will at all times comply with the obligations of the Privacy Act 1993 and the Health Information Privacy Code 1994. October 2008 Page 29 of 46 Occupational Assessors – Operational Guidelines: Appendices Appendix 3: Example – VIOA Report Note: The report templates held on ACC’s For Providers> Resources site may be updated at times. Therefore the format of this example may differ slightly from the blank template. “This form must be completed by Occupational Assessors following a Vocational Independence Assessment. The form reviews the vocational rehabilitation provided by ACC”. Vocational Independence Occupational Assessment Report ACC 195 Date 17 February 2004 Branch Wellington Case manager I M Helpful Phone number Fax Number Email Client details Client name Mrs Patricia Client Claim number 987/234644 Provider details Provider name Vocational Consultant 123 Main St, Citytown Phone Consultant name A Assessor Fax Email Vocational Rehabilitation Review The purpose of this part of the assessment is to determine whether the types of work identified in the IRP are still suitable for the client based on their skills, education, training, experience, and pre-incapacity earnings. List all the work type options identified on the IRP that were determined as appropriate for the client following the Initial Occupational and Medical Assessments 1. Counsellor 2. Probation Officer 3. Special Interest Organisation Administrator 4. Finance Clerk 5. Social Worker 6. Patient Receptionist 7. Case Worker 8. Animal Welfare Worker 9. Gardener 10. Housekeeper (Private Service) 11. Accounts Clerk Referring to the client’s Individual Rehabilitation Plan, state the work type option(s) identified as being suitable As above. October 2008 Page 30 of 46 Occupational Assessors – Operational Guidelines: Appendices List all the vocational rehabilitation activities that were undertaken and the completion dates 1. Initial Occupational Assessment and CV Date completed September 2002 2. Work Hardening Programme Date completed November 2002 3. Initial Medical Assessment Date completed February 2003 4. Work Ready Programme Date completed August 2003 5. Worksite Assessment Date completed August 2003 6. Pre-employment Programme Date completed March 2003 Vocational Rehabilitation Outcome What vocational rehabilitation outcome has been achieved as a result of the vocational rehabilitation provided? Valerie has successfully completed a work trial as an accounts clerk. Consultant name: List below the jobs held by the client, how long the client was employed, the name of the employer, and any related training that the client had. (In the order of the most recent job first.) Job Duration in years and months Employer Related training Grief Counselling Coordinator 7 years Napier Grief Centre On the job Trainer/Educator 3 years Napier Grief Centre On-the-job Counsellor 4 years Self-employed, Helping House On-the-job Community Service Worker/Social Worker 8 years IHC On-the-job Kiwifruit Orchard Worker 1 year (casual) Napier Orchard On-the-job Housekeeper (Private) 1 year Self employed On-the-job Sewing Machinist 3 months Sewing factory, Napier On-the-job Community Teacher 2 years Stone House, Napier On-the-job Accounting/Bookkeeper 7 years (part-time) Self-employed, Taradale On-the-job Facilitator of Support Groups Not specified (voluntary) Various Women’s Groups in Napier On-the-job Community Worker (assisting adults with development of work and literacy skills) Not specified (voluntary) Napier Marae On-the-job Volunteer Teacher (assisting adults to develop literacy skills) Not specified Adult Literacy Group On-the-job Community Teacher 2 years (voluntary) Stone House, England (centre for adults with handicaps) On-the-job Years in the work force: October 2008 Approximately 36 years Number of job-type changes: 8 Page 31 of 46 Occupational Assessors – Operational Guidelines: Appendices Review the Initial Occupational Assessment and identify any of the above that are additional to or variances of the work experience identified in the Initial Occupational Assessment report No additional work experience was identified. Mrs Client disputed that her work at IHC Napier (Community Service Worker) involved retail management as stated on the IOA. Work experience assessor comments Mrs Client has a very diverse work history. She was working approximately 20 hours per week from home for some time and reported that this was an arrangement that, while satisfactory to her, was not acceptable to ACC. Education and training Formal qualifications completed by the client Qualification Subject Institution Level reached Secondary (School Certificate, University Entrance, Sixth Form Certificate, Bursary, NZCEA) ‘O’ Levels (School Certificate) English, Mathematics, English Language, Religious Knowledge, History, Art, Biology, Mathematics with Statistics Napier School for Girls Pass ‘A’ Levels (UE) History, English, Mathematics Napier School for Girls Pass Tertiary (Certificates, Diplomas, Degrees, Post-Graduate Degrees) Certificate in General Studies – Educational Paper 2-3 years (part-time) Napier University Pass Counselling Certificate 1 year (full-time) Truman Polytechnic Pass Advanced Teachers’ Course in Social Education 2 years (part-time) Truman Teachers’ College Pass Certificate in Adult Tutoring 1 year (full-time) Northfleet Technical Institute, Australia Pass Grief Resolution Certificate 1 year (part-time) Napier University Pass Gestalt Therapy Extension Workshops 3 years (part-time) Napier University Pass New Supervisor’s Training Certificate Supervision Napier University Pass Micro-Counselling Certificate Counselling Truman Polytechnic Pass October 2008 Page 32 of 46 Occupational Assessors – Operational Guidelines: Appendices Other formal courses/training (eg Non-certificate trade, pre-entry, LSV, Army, Training Opportunities Programme) Introduction to Art Therapy Certificate Weekend course Toronto University Pass Staying Effective in Community Organisations (Certificate) Community Work Hillier Centre, Napier Pass Recent Developments in Grief Care (Certificate) Grief Care Hillier Centre, Napier Pass Inconsolable Grief Grief Care Waikato University Completed Introductory course Computers Tauranga Boys’ College Adult Education Completed Seminars Adult Tutoring Adult Literacy Group Remedial Reading (Bay of Plenty Polytechnic) Completed Incomplete formal qualifications? Yes No Incomplete qualification Ongoing requirement to gain qualification Bachelor of Social Science (Double Major in Psychology and Education) 4 papers (2 x psychology, 2 x education) Number of years needed to complete employment related qualifications: 1 year full-time (or alternatively, 18 months part-time) Review the Initial Occupational Assessment report and identify any of the above that are additional to, or variances of, the formal qualifications (complete and incomplete) identified in the Initial Occupational Assessment report No variations from the IOA identified. Professional or Trade Association Memberships held by client None reported Driving and other licences held by client Mrs Client has a car licence, and drives frequently. October 2008 Page 33 of 46 Occupational Assessors – Operational Guidelines: Appendices On-the-job training or informal training the client has participated in Leads to a recognised qualification? Qualifies the client for a higher level job? Ongoing training needed for the qualification? Teaching skills training No Yes N/A Counselling skills training Yes No No Bookkeeping skills training No No N/A Disco operation skills training No No N/A Housekeeping skills training No No N/A Sewing machining skills training No No N/A Cooking skills training No No N/A Horticultural skills training No No N/A Type of training Mrs Client has undertaken on-the-job training during many of her jobs. She has learnt the following: Review the Initial Occupational Assessment report and identify any of the above that are additional to, or variances of, informal or on-the-job training identified in the Initial Occupational Assessment report No variations from IOA. General education assessor comments: Mrs Client reported that she intends to complete her degree by July 2005 as long as the papers are available in Napier. Transferable skills List the client’s transferable skills including any transferable skills acquired during their vocational rehabilitation period. Movement Skills Manual dexterity Physical co-ordination Stamina Strength Precision working Analytical Skills Gather information Organise systems into working order Solve problems Set out step-by-step methods to reach goals Review or make judgements about the worth of a process Operational skills Driving or operating vehicles or equipment Assembling equipment/machines Fixing/repairing and improving the performance of equipment etc. Constructing or reconstructing Assembling, operating and improving the performance of disco equipment October 2008 Communication Skills Reading Writing Speaking Explaining Conveying information clearly and accurately Editing written material for grammar etc. Facilitating group discussions Page 34 of 46 Occupational Assessors – Operational Guidelines: Appendices Numerical Skills Counting and taking inventory Calculating through use of basic arithmetic Estimating the value etc. of things Using maths or statistics to solve problems Helping and Interpersonal Skills Listening Advising and helping people to learn new techniques or behaviours Leadership/Management Skills Detail Skills Sorting Verifying Following procedures Keeping records Ensuring regulations are kept Plotting plans, maps or charts Self-Management Skills Deal consistently with stress Manage her time effectively Take initiative and be self-starting Adapt to new ideas and structures Stay calm in difficult situations Act appropriately in a range of social and cultural settings Keep learning to increase her skills and knowledge Contribute to teamwork Appraise her own performance Decision-making Influencing or motivating other people Getting new projects or client relationships started Creative Skills Drawing Performing in front of other people Designing plans Visualising Writing creatively Thinking and/or developing new ideas and approaches and with adapting or improving on systems or things Specific Skills Helping people with particular needs Tending or training animals Managing people or systems Transferable skills acquired during vocational rehabilitation None reported. Review the Initial Occupational Assessment report and identify any other additions to, or variances of, the transferable skills identified in the Initial Occupational Assessment report None reported. Transferable skills assessor comments Nil. Types of work and individual jobs that particularly interest the client Research (Behavioural) October 2008 Page 35 of 46 Occupational Assessors – Operational Guidelines: Appendices Work Type options Note: These are examples for only two of the above work types Specify all the individual work types that are reasonably identified as suitable for the client, based on the client’s skills, education, qualifications, and pre-incapacity earnings. For each individual job identified as suitable for the client please attach a standard work type detail sheet. Note: Work Type Details Sheets for the two examples below are in Appendix 4. 1. Work Type Major industry group: Professionals 2 Work Type (6 digit code): Counsellor 272199 Reason(s) for stating this job: This job is suitable for Mrs Client because she has relevant skills, training and experience. Mrs Client has worked for many years as a counsellor or social worker. She has significant training to justify the inclusion of this occupational category (for example, a Counsellor’s Certificate, a Certificate in Adult Tutoring, a Grief Resolution Certificate and a Micro-counselling Certificate. She has also had formal Gestalt Therapy training and has attended a host of other relevant informal courses. She has also completed a significant portion of a Bachelor’s Degree in Psychology. With such extensive experience and training she would be eligible for employment as a counsellor immediately. State any variations to the standard work type detail sheet (tasks, environment or function/activity) that may make the specific job proposed more suited to the client, eg supervisory or quality management aspects only or particular technology to be used. N/A Comment on any environmental modifications that would be necessary to enable the client to function safely: N/A Client comments (if applicable): “No, part-time 20 hours per week is all I would want.” 2. Work Type: Major industry group: Professionals 2 Work Type (6 digit code) Case Worker 272613 Reason(s) for stating this job: Mrs Client has already worked in such a role (for the Napier Grief Centre) and her own experience as a self-employed counsellor is also relevant. She has accounting and bookkeeping experience and a sound mathematics and statistics education. She also has other relevant training (for example training with the Hillier Centre in co-ordination of voluntary personnel and a Certificate in Staying Effective in Community Organisations). She also has the required administration, budgeting, decision-making and planning skills. State any variations to the standard work type detail sheet (tasks, environment or function/activity) that may make the specific job proposed more suited to the client, eg supervisory or quality management aspects only or particular technology to be used: N/A Comment on any environmental modifications that would be necessary to enable the client to function safely: N/A Client comments (if applicable): “No, I’m no good at administration.” October 2008 Page 36 of 46 Occupational Assessors – Operational Guidelines: Appendices 3. Work Type: Reason(s) for stating this job: State any variations to the standard work type detail sheet (tasks, environment or function/activity) that may make the specific job proposed more suited to the client, eg supervisory or quality management aspects only or particular technology to be used. Comment on any environmental modifications that would be necessary to enable the client to function safely: Client comments (if applicable): 4. Work Type: Reason(s) for stating this job: State any variations to the standard work type detail sheet (tasks, environment or function/activity) that may make the specific job proposed more suited to the client, eg supervisory or quality management aspects only or particular technology to be used: Comment on any environmental modifications that would be necessary to enable the client to function safely: Client comments (if applicable): 5. Work Type: Reason(s) for stating this job: State any variations to the standard work type detail sheet (tasks, environment or function/activity) that may make the specific job proposed more suited to the client, eg supervisory or quality management aspects only or particular technology to be used. Comment on any environmental modifications that would be necessary to enable the client to function safely: Client comments (if applicable): Review the Initial Occupational Assessment report and identify any additions to, or variances of, the work types identified in the Initial Occupational Assessment report. Total number of work type detail sheets attached: ## October 2008 Page 37 of 46 Occupational Assessors – Operational Guidelines: Appendices Barriers to returning to work Based on information obtained during the interview, state here any potential vocational barriers to the client successfully obtaining work in the work types identified above. There are no vocational barriers to Mrs Client successfully obtaining work in the jobs identified above. Client comment Please detail all comments made by the client including comments relating to their experiences during their vocational rehabilitation programme, experience, education, training, potential type of work options, proposed options and any other issues raised. Mrs Client made the following comments: “ACC has been unhelpful” “I’ve done a lot of rehabilitation myself” “Twenty hours per week is my limit” “They need to find something I can do” “I’m too soft for some types of work” “I want to work from home” “I can only manage to get into town three times per week maximum” “I’d love to go back to work full-time, but can’t.” Curriculum Vitae Curriculum Vitae completed and attached: Yes No Advice provided about use of Curriculum Vitae: Yes No Other relevant information or comments Mrs Client was interviewed at Vocational Consultants, Napier. The interviews were held on 5/2/2004 and 7/2/2004, over two one-hour sessions. The purpose of the interviews was covered with Mrs Client and she indicated that she understood. Three copies of this report will be provided to the case manager who will then forward a copy of the VIOA to the client. The role of the occupational assessor and the VIOA process was explained and discussed with the client. The information for the work type options section was obtained from the following sources: New Zealand Standard Classification of Occupations, 1999 Career Services KiwiCareers website Provider knowledge and research of the local job market. Signed Consultant name: A Assessor Consultant signature: ................................................................................ Date: 17 February 2004 The information collected on this form will only be used to fulfil the requirements of the Accident Compensation Act 2001. In the collection, use and storage of information, ACC will at all times comply with the obligations of the Privacy Act 1993 and the Health Information Privacy Code 1994. October 2008 Page 38 of 46 Occupational Assessors – Operational Guidelines: Appendices Appendix 4: Example – Work Type Detail Sheets The examples below relate to the IOA Report example in Appendix 2, and VIOA Report example in Appendix 3. The blank ACC653 template on page 43 may also be used. It is also available on ACC’s website at For Providers > Resources, under the Rehabilitation resources section. Fishing Hand - 899212 Description: Catches fish and shellfish using nets, pots, lines and traps in ocean and inland waters. Work Tasks (may include any combination of the following): Attaches gear and fastens towing cables to nets; casts and lowers nets, pots, lines and traps into water; prepares lines, attaches running gear and bait, and sets lines into position; hauls in fishing gear and removes fish and other marine life; sorts, cleans, preserves, stows and refrigerates catch. Work Environment: Works on fishing boats of varying sizes carrying out a full range of deck and other onboard fishing-related tasks. Works in almost all weather and sea conditions. Occasionally to frequently works with ropes. Work Function/Activity: Medium to heavy physical demand levels. Stands and walks about the deck of vessel to move ropes, lower pots and nets, cleanup, and complete general on-board tasks. Uses upper limbs and body to stretch up and across occasionally when lowering fishing equipment, working winches or brining catch on board. Bends occasionally to frequently. Occasionally to frequently squats or crouches when inspecting catch. Occasionally to frequently twists the body or neck. Frequently lifts and carries equipment, catch and other on-board supplies and materials. Repetitive hand and arm movements are required occasionally when processing fish and working ropes and winches. Driving is not required. Uses a range of hand (or power) equipment such as winches, cleats and boat hooks. Frequently climbs on and off vessel and may climb on superstructure or rigging for some tasks. Mental activities necessary include practical technical and organisational skills. Further Comments: There are limited opportunities for flexibility of movement. Entry Requirements: Nil. October 2008 Page 39 of 46 Occupational Assessors – Operational Guidelines: Appendices Fitter and Turner - 323212 Description: Fits, assembles, grinds and shapes metal parts and sub-assemblies to fabricate production machines and other equipment. Work Tasks (may include any combination of the following): Studies drawings and specifications to determine suitable material, method and sequence of operations and machine settings; fits fabricated metal parts into products and assembles metal parts and sub-assemblies to produce machines and equipment; checks fabricated and assembled metal parts for accuracy, clearance and fit using precision measuring instruments; sets guides, stops and other controls on machining tools, sets up prescribed cutting and shaping tools and dies in machines and presses, and sets controls for textile machines; forms metal stock and castings to fine tolerance using machining tools to press, cut, grind, plane, bore and drill metal; cuts, threads, bends and installs hydraulic and pneumatic pipes and lines; diagnoses faults and performs operational maintenance of machines, and overhauls and repairs mechanical parts and fluid power equipment; may erect machines and equipment on-site. Work Environment: Works predominantly indoors but also frequently travels to worksites to install various machinery parts or items of equipment, often to make repairs. Indoor work spaces need good ventilation to disperse heat and other by-products of welding and associated metal-working processes. Worksites may be dirty and dusty, especially when constantly working with metal. They will also be noisy. Utilises a variety of personal protective equipment including safety glasses, ear muffs, overalls, and steel-capped boots. Work Function/Activity: The physical demand for this job is up to medium. Standing is constantly required, frequently on concrete floors. Walking is occasionally required. Sitting is not required. Squatting, crouching or kneeling, lifting and carrying, and bending can be a frequent requirement. Twisting of the body or neck is occasionally required, and repetitive movements are occasionally to frequently required especially the use of hands and arms for machining or for detailed hand-finishing processes. Driving is not usually required. Employees use a wide range of engineering tools and measuring instruments. Mental activities necessary include practical, technical, organisational and problemsolving skills. Further Comments: There are limited opportunities for flexibility of movement. Entry Requirements: A New Zealand Register Level 4 qualification or at least three years of relevant experience. In some instances relevant experience and/or on-the-job training may be required in addition to the formal qualification. For entry-level positions on-the-job training may be sufficient. October 2008 Page 40 of 46 Occupational Assessors – Operational Guidelines: Appendices Counsellor - 272199 Description: Works with individuals or groups to assist them with personal problems through the provision of information, advice and therapy. Work Tasks (may include any combination of the following): Conducts counselling interviews with individuals, couples and family groups; assists people in the understanding and adjustment of attitudes, expectations and behaviour to develop more effective interpersonal and marital relationships; presents alternative approaches and discusses potential for attitude and behavioural change; consults with clients to develop rehabilitation plans taking account of vocational and social needs; contributes information, understanding and advice on the learning and behaviour of students, especially those with special needs, and assists parents and teachers in dealing with these needs; may work in a call centre. Work Environment: Works indoors in clinics, hospitals and public and private practices within offices and consulting room environments. Works in adequately heated, lit, ventilated and clean, well maintained and private workspaces. Work Function/Activity: Sedentary physical demand. Sits to meet with clients or at computers when preparing or writing reports. Occasionally stands, walks and moves around the workspace. Lifting, carrying or pulling is not a significant requirement. Occasional repetitive hand and finger movements are required when using a computer for report writing and when hand writing. Repetitive movements however, are not a significant component of the job. There is frequent use of hand-held objects and equipment including computers, writing tools, reference materials, tape recorders, video cameras and office machines such as telephones, printers, scanners and faxes. Occasional driving of cars may be required to attend client appointments. Mental activities necessary include a high level of cognitive and counselling skills, verbal and written communication, interpersonal, administration, assessment, research, information gathering, analysis and evaluation, report writing, organisational, problem solving and decision-making capabilities. Further Comments: There are opportunities for flexibility of movement. Entry Requirements: A relevant tertiary qualification or at least five years applicable experience. In some instances particular experience and/or on-the-job training may be required. October 2008 Page 41 of 46 Occupational Assessors – Operational Guidelines: Appendices Case Worker - 272613 Description: Assists individuals, families and groups with social, emotional or financial difficulties to improve quality of life, by educating and supporting them and working towards change in their social environment. Work Tasks (may include any combination of the following): Provides support while exploring alternatives with clients who experience difficulties such as marital problems, unemployment, illness and drug abuse; assesses risks and provides intensive short-term crisis counselling for victims of domestic violence, child abuse, disasters and other crises; assists to establish and administer neighbourhood houses, community groups, employment training programmes and other services. Work Environment: Typically works indoors in office situations as part of government bodies, local councils, schools or community agencies but may visit homes and community locations. Usually works in adequately heated and ventilated offices, but conditions at off-site locations can vary. Work Function/Activity: Sedentary physical demand levels. Frequently sits when carrying out interviews, meeting with fellow professionals or when completing reports. Stands and walks when working in the field. Stretching up and reaching across is not a significant feature of the job. Bending squatting, crouching and kneeling is not a significant component of the job. Twisting of the body or neck is not a significant feature of the job. Contact with skin irritants or water is not a significant feature of the job. Lifting, carrying and holding is not a significant feature of the job. Repetitive movements are likely when using a computer or keeping written notes. Driving is likely to be required. Use of hand-held objects and equipment will include computers, diaries and other record-keeping and office equipment. Mental activities necessary include assessment, computing, communication, decisionmaking, report writing, knowledge of relevant social legislation and good communication skills with cultural sensitivity/knowledge. Further Comments: There are limited opportunities for flexibility of movement. May work with people in very distressing personal situations. Entry Requirements: A relevant tertiary qualification or at least five years’ applicable experience. In some instances particular experience and/or on-the-job training may be required. October 2008 Page 42 of 46 Occupational Assessors – Operational Guidelines: Appendices ACC 653 Initial Occupational Assessment: work detail sheet “This form is completed by Occupational Assessors following an initial occupational assessment. A separate work details sheet must be completed for each work type option identified in the assessment report.” Client's name .............................................................................................................................................. Type of work Give the type of work (unit group) the client has been assessed as suitable for (based on their education, earnings, training, and experience). ............................................................................................................................... Description Please give a brief description of the work type including tasks and any other suitable related occupations that fall into the same grouping. ................................................................................................................................................................................................ ................................................................................................................................................................................................ ................................................................................................................................................................................................ Environment and function Tick the boxes below to show the type of environment and function of the work that is suitable for the client. (For example, a typist would work indoors seven hours a day with the main activities involving sitting and repetitive movements.) Please state whether the listed functions are: constant, intermittent or uncommon. Environment Indoors ................................................................. Hot ........................................................................ Wet ........................................................................ Wheelchair access to work site Outdoors ..................................................................... Cold ............................................................................ Dirty ............................................................................ Other (please specify) ................................................. Function and activity Standing ................................................................ Walking ................................................................. Sitting .................................................................... Stretching up or across .......................................... Squatting or crouching .......................................... Twisting body or neck .......................................... Substantial contact with skin irritants or water ..... Heavy lifting, pulling, or carrying ............................... Repetitive movements ................................................. Driving ......................................................................... Using hand tools .......................................................... Bending ........................................................................ Other (please specify) .................................................. Mental activities (eg, memory use or concentration) ... Note any further descriptions of the above activities (attach additional information if necessary). ......................................................................................................................................................................... Assessor details Name .............................................................................................................................................................. Organisation ................................................................................................................................................... Signature ....................................................................................................................................... October 2008 Date ......./......./....... Page 43 of 46 Occupational Assessors – Operational Guidelines: Appendices Appendix 5: Quarterly Contract Monitoring Requirements Contract monitoring requirements are outlined in the Accident Compensation Corporation’s Master Agreement for provision of services to ACC, and individual service schedules for Initial Occupational Assessments (IOA) and Vocational Independence Occupational Assessments (VIOA). Master Agreement, Schedule 4, Clause 5 5.1 Measures The Agreement requires the vendor to provide results to ACC against a number of contract monitoring measures. The measures are specified in each service schedule. 5.2 Purpose The purpose of these is to monitor progress and quality of delivery of the services in terms of results against excepted performance measures. [Note: See ACC quality checklist for reviewing provider reports on pg 2]. 5.3 Level of Reporting The reporting is to be at an individual client level. [Note: This is outlined in clause 9 of the Initial Occupational Assessments (IOA) and Vocational Independence Occupational Assessments (VIOA) service schedules which cover the reporting requirements for each occupational assessment.] IOA Service Schedule, Clause 9 9.2 Measures This Agreement requires the provider to supply ACC results against a number of contract monitoring measures to demonstrate that the provider is providing a quality service and complying with the service specifications contained in this Agreement. [Note: See ACC quality checklist for reviewing provider reports on pg 2]. 9.5 The Provider will provide the following reports to ACC [Rehabilitation Service Development] and if requested by an individual branch, to that branch: (a) the claim number and branch for each Client referred to this service; (b) the number of Initial Occupational Assessments that were provided within the specified timeframes, and (c) the reason for not completing an Initial Occupational Assessment for any Client referred for the service. Note: Client service staff may contact the assessor to request further clarification, explanation, corrections, or reconsideration of conclusions within the report as long as any alterations do not change any of the recorded facts or interview findings. October 2008 Page 44 of 46 Occupational Assessors – Operational Guidelines: Appendices Appendix 6: US Department of Labor Physical Demand Characteristics of Work Overview The 37.02 US Department of Labor Physical Demand Characteristics of Work chart lists the occupational requirements for physical exertion. Parameters Amount of weight moved at work Relative frequency that activity occurs during workday (occasional, frequent or constant). Physical demand level Occasional Frequent Constant (0-33% of the workday) (34-66% of the workday) (67-100% of the workday) Typical energy required Sedentary 10lbs (4.5 kilos) negligible negligible 1.5-2.1 METS Light 20lbs (9 kilos) 10lbs (4.5 kilos) and/or walk and/or stand with operation of controls negligible and/or operate controls while seated 2.2-3.5 METS Medium 20-50lbs (9-22.7 kilos) 10-25lbs (4.5-11.4 kilos) 10lbs (4.5 kilos) 3.6-6.3 METS Heavy 50-100lbs (22.7-45.4 kilos) 25-50lbs (11.4-22.7 kilos) 10-20lbs (4.5-9 kilos) 6.4-7.5 METS Very heavy > 100lbs (45.4 kilos) > 50lbs (> 22.7 kilos) 20lbs (> 9 kilos) > 7.5 METS Where Operation of controls includes pushing and/or pulling of arm and/or leg controls Operating controls while seated includes pushing and/or pulling of arm and/or leg controls. Reference Matheson LN. Chapter 18: Functional Capacity Evaluation, pp 168-188. In: Demeter SL, Andersson GBJ, Smith GM. Disability Evaluation. Mosby. American Medical Association. 1996. October 2008 Page 45 of 46 Occupational Assessors – Operational Guidelines: Appendices Appendix 7: Flowchart of Client Participation in Vocational Rehabilitation October 2008 Page 46 of 46