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Safety Program
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PUTZHEIM CRESCENT INCORPORATED
The importance that the work is of value to the organization.
The importance of the work meeting medical restrictions and physical limitations.
Step Four--Determine Functional Capacity Job Descriptions for Present Jobs and
Potential Transitional Duty Assignments
Develop written job descriptions
Identify the physical functional requirements for jobs in your workplace. By planning ahead, the
manager and department will be prepared to identify for the treating physician the requirements of any
transitional duty assignments they may have. Ideally, these should be developed in advance, but can be
completed at the time of injury.
 Complete the Employer’s Physical Capacities Requirements form
Include the injured employee in planning for transitional duty
An injured employee may have ideas for assignments that they are capable of performing or
accommodations that would allow them to perform most, if not all, of their regular duties. Determine the
appropriate work hours, shifts, duration and locations of all transitional duty assignments with the
assistance of others that may include: the MEM claims representative; the nurse case manager and the
attending physician.
Potential assignments for transitional duty might include:
 Safety inspections
 Quality control inspections
 Equipment cleaning
 Housekeeping
 Security assignments
 Miscellaneous clerical duties
 Job sharing
Treat injured employees with respect
Injured employees deserve the same type of care and concern that is provided to employees who are
experiencing an illness or injury that is not job related.
Maintain regular contact with injured employees
Direct communication with the injured employee will display a genuine feeling of concern on the
employer’s part. Some ways to stay in contact include:
 Making regular telephone calls
 Sending get well cards
Communicate with the attending physician
 Send the Employer’s Physical Capacities Requirements form to the treating doctor.
 Send a letter (See Appendix) informing the doctor of your return to work program.
Step Five--Establish Expectations for the Transitional Duty Assignment,
Including the Duties and Length of the Assignment
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