What is a Fitness for Duty Exam?
What is a Fitness for Duty Exam?
A Fitness for Duty Exam (FFDE) is a medical and/or psychological examination undergone by an employee at the direction of the employer. The exam is performed by a licensed physician who evaluations the individual's abilities (emotion, mental, and physical) to perform the essential functions of a specific job.
When may an employer require a Fitness for Duty Exam?
LUSD has a duty to provide a safe, effective, and efficient workplace.
An employer may require an employee to undergo an FFDE only if the purpose is job related and consistent with a business necessity. This means the examination must be limited to determining the functional limitation(s) that require(s) reasonable accommodation.
A FFDE may be conducted if the employer has a reasonable belief, based on objective evidence, that:
An employee has difficulty performing the essential job functions due to a disability or medical condition;
An employee will pose a direct threat to themselves or others because of a disability or medical condition.
There is good cause such as excessive absenteeism or poor productivity.
There are several ways an employer can establish reasonable belief:
An employer knows about a specific disability or medical condition AND has observed performance problems that can be attributed to the condition;
Reliable third parties have reported a disability or medical condition AND the employer observes performance problems that can be attributed to the condition;
An employer observes symptoms indicating an employee may have a disability or medical condition that will prevent them from performing the essential job functions OR that pose a direct threat (defined as a significant threat to the health and safety of themselves or others that cannot be eliminated by reasonable accommodation).
Can a Fitness for Duty Exam be conducted when an employee requests an accommodation?
If an employee requests an accommodation for a disability, the employer can require an employee to undergo an FFDE under the following conditions:
The employee does not present documentation from a health care provider confirming the existence of a disability AND the disability is not obvious.
Documentation from a health care provider is insufficient because it does not specify the existence of disability and explain the need for accommodation.
A health care provider lacks the expertise to confirm the disability or need for accommodation.
Objective evidence to indicate the information is not credible and/or is fraudulent.
An FFDE conducted under the above conditions must be limited to documentation to establish:
The existence of a disability;
The need for accommodations for the disability.
Can an employer require a Fitness for Duty Exam upon return to work?
An employer can require an employee returning from medical leave to undergo an FFDE if the exam is job related and consistent with business necessity, but only if:
The employer has a reasonable belief, based on objective evidence, that the employee has difficulty performing their essential job functions; or
The employer has a reasonable belief, based on objective evidence, that the employee poses a direct threat to themselves or others.
What are the special FFDE requirements when an employee returns from FMLA Leave?
An employee returning from FMLA leave for their own serious health condition may be required to undergo an FFDE:
After the employee returns to their position; and,
When the FFDE is job related and consistent with business necessity, and supported by a reasonable belief, based on objective evidence, that the employee has difficulty performing their essential job functions or poses a direct threat to themselves or others. The employer can rely on past conduct.