Post-offer physical exams: Benefits and best practices

Post-offer physical exams are essential for verifying that new hires can safely perform their job duties. Conducted by licensed medical professionals, these exams help reduce workplace injuries, boost productivity, and foster a healthier work environment. This article explores the benefits of post-offer physical exams and best practices for their implementation.
What is a post-offer physical exam?
A post-offer physical exam is conducted after a job offer is made to assess if the candidate can safely and effectively perform the job. The exam is usually carried out by a licensed medical professional, often the workers’ compensation preferred provider. The results are shared with the company to determine if the candidate is fit for the job.
Benefits
Post-offer physical exams provide several benefits to employers:
- Ensuring safety: They help ensure new hires are physically capable of performing the essential functions of their job safely
- Reducing injuries: This reduces the risk of workplace injuries, leading to fewer accidents and less downtime
- Boosting productivity: Ultimately, this improves overall productivity and efficiency
- Employee confidence: For employees, these exams provide reassurance that they are fit for the job, boosting their confidence and job satisfaction
- Healthier work environment: Knowing their physical capabilities have been assessed and matched to the job requirements helps prevent injuries and promotes a healthier work environment
Types of exams
Physical exams can range from basic check-ups to comprehensive physical tests. The type of exam should be tailored to the job requirements and determined by the employer, with results and their potential impacts shared with the candidate. The goal is to ensure the prospective employee’s physical fitness aligns with the demands of the specific job or role, promoting a safer and more productive workplace. For example*:
- Ranch/farm worker: A comprehensive exam may include strength and endurance tests to ensure the candidate can handle heavy lifting and physically demanding tasks.
- Food processing worker: An exam may include strength and endurance tests, dexterity and coordination assessments, hearing and vision tests, and a basic health check-up to ensure safe and effective job performance.
- Manufacturer worker: A basic check-up may include a general health assessment and ensure the candidate doesn't have conditions that could be aggravated by prolonged sitting or standing, repetitive movement, and hearing and vision tests.
Considerations for post-offer physical exams
When conducting post-offer physical exams, it's crucial to ensure compliance with legal requirements to avoid disputes. Below are some key considerations when developing your post-offer physical exam program.
Do's
- Create detailed job descriptions: Clearly list the physical demands of the job, including any specific tasks that require physical strength, endurance, or dexterity. This helps medical professionals tailor the exam to the job requirements.
- Build relationships with medical providers: Work with local medical providers who understand the job requirements. This ensures that the exams are appropriate for the demands of the role.
- Make job offers contingent on passing the exam: Ensure job offers are dependent on passing the physical exam, with reasonable accommodations for candidates with disabilities. This helps maintain fair hiring practices.
- Repeat exams for transfers: Before an employee moves to a more physically demanding role, repeat the exam to ensure the candidate can meet the new job demands. This helps prevent injuries and ensures the employee is fit for the new role.
- Maintain consistent practices: Require exams for all candidates offered a position within the same job classification. This ensures fairness and consistency in the hiring process.
- Develop a written program: Create a clear, fair, and legal program for post-offer physical exams. This should include guidelines for conducting exams, handling results and making decisions based on the findings.
Don'ts
- Access candidates’ medical records: Employers should not access candidates’ medical records, as they do not have the authority to access personal medical information. This helps maintain confidentiality and comply with legal requirements.
- Decline without documentation: Don’t reject a candidate based on exam findings without documenting reasons related to business necessity or job relevance. This helps ensure fair hiring practices and provides a record.
- Ignore minor duties accommodations: If a candidate can’t perform minor or non-essential duties based on exam results, explore reasonable accommodations. This helps ensure fair hiring practices and compliance with the Americans with Disabilities Act (ADA).
- Screen for personal medical conditions: Post-offer exams should not be used to screen for personal medical conditions, as employers do not have the authority to review personal medical information. This helps maintain privacy and comply with legal requirements.
- Conduct exams on existing employees without cause: Avoid conducting exams on existing employees unless there is a reasonable belief that the employee cannot fulfill their essential job function or poses a direct threat due to a medical condition. This helps comply with legal requirements.
Conclusion
Implementing post-offer physical exams is a vital step in ensuring that new hires can safely and effectively perform their job duties. These exams not only help in reducing workplace injuries and boosting productivity but also contribute to a healthier and more confident workforce. By tailoring the exams to the job requirements and adhering to legal guidelines, employers can create a fair and consistent hiring process. Remember to consult with legal experts to ensure compliance with all relevant laws and to develop a robust post-offer physical exam program. By following these best practices, you can foster a safer, more efficient and legally compliant workplace.
*This is not an all-inclusive list of exams and potential tests or assessments that could be conducted. Employers should work with medical professionals to determine appropriate testing according to job requirements and legal compliance.