|
Transition
Plan
(PDF File) (MS Word)
Assessing
Physical Fitness Before Taking Work Capacity Test (Automatic External
Defibrillator (AED) be on-site during all WCT. Beginning January 1, 2012)
(pdf file)
Work Capacity Test Guidelines
(PDF File) (MS
Word)
Letter
to Current/Prospective Employee (2010)
(PDF File)
(MS Word)
Letter
to Physician for Current/Prospective Employee/Casuals (2011)
(PDF File) (MS Word)
FAX
Sheet to ASC-HCM for HSQ Pending Notification(2010) (PDF) (MS
Word)
Work
Capacity Test Administration Report (PDF)
Implementation
Guide
(PDF) (updated December 13,2007)
Test Administrator's
Guide
(PDF) (Updated 12/03 - Appendix G)
Pack
Test "Arduous" (PDF)
|
|
Confidentiality Form
(PDF File) (MS
Word)
Informed Consent Form FS-5100-30
(PDF File) (MS Word)
Health Screening Questionnaire (HSQ)
FS-5100-31 (Rev 8/2009)
(PDF) (MS Word)
Optional Form 178 (Arduous)
(January 2010) (PDF)
Optional Form 178 (Moderate)
(January 2010) (PDF)
Optional Form 178 (Light)
(January 2010) (PDF)
Work Capacity Test Brochure
(PDF)
WCT Analysis
(PDF) (3/2009)
If you have trouble accessing
some of the pdf files on this site, it may be because you are using an old
version of Adobe Acrobat Reader.
To solve this problem, download a free copy of Acrobat Reader
here. |
|
|
|