Return-to-Duty / Fitness-for-Duty

Our Return-to-Duty and Fitness-for-Duty assessments determine whether an employee can safely return to their previous role or transition into a new one, along with any necessary accommodations to support their success on the job.

Examinetics Services

Getting employees back to work safely and compliantly is critical for both their well-being and your operations. Examinetics offers a comprehensive return-to-work solution that includes Return to Duty assessments for personal leave and Fitness for Duty evaluations following workplace concerns. Our clinical team engages directly with your employee to outline their responsibilities, clarify required documentation, and guide them through every step of the process.

We begin with a thorough review of medical history and any current treatment plans, then determine the appropriate clinical evaluation needed to assess job readiness. The result is a streamlined, professional process that protects your workforce, supports compliance, and minimizes downtime.

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Return-to-Duty Evaluations

Support a safe, compliant, and confident return to work.

When employees return after injury, illness, or medical leave, employers need more than a sign-off; they need clarity and assurance. Our Return to Duty evaluations help ensure readiness while reducing the risk of re-injury and liability.

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Return-to-Duty Testing Is Ideal:

  • After surgery or medical leave
  • Following rehabilitation or a light-duty assignment
  • Post-treatment for substance abuse
  • Upon medical clearance requiring further evaluation

A Trusted Path to Return Employees to Work

At Examinetics, we treat Return-to-Duty as a medical and operational decision, not just a formality. Our team partners with your HR and safety leaders to review each case carefully, match evaluations to job requirements, and deliver evidence-based decisions that prioritize safety and compliance.

 

We help you move from uncertainty to action, with structured oversight, clear documentation, and risk-reducing guidance every step of the way.

Custom Return-to-Duty Testing May Include:

  • Phone consultation to review history and care plans
  • Physical exams
  • Physical ability and ergonomic assessments
  • Functional capacity evaluations
  • Mental health evaluations
  • Drug and alcohol screenings
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Fit-for-Duty Evaluations

Make safe, informed decisions when employee capability is in question.

When medical, behavioral, or physical concerns arise on the job, Fit-for-Duty evaluations give you the tools to protect your workforce and comply with ADA, OSHA, and internal policies. These evaluations are critical in safety-sensitive roles or situations where performance or behavior has changed.

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Fit-for-Duty Assessments Are Ideal:

  • After behavioral or performance concerns are observed
  • Following a medical condition that could affect job performance
  • For safety-sensitive roles with regulatory oversight
  • As part of periodic or post-incident assessments

Objective Insight When It Matters Most

Fit-for-Duty examination is about more than evaluating symptoms, it’s about ensuring an employee can safely and effectively perform their role without risk to themselves or others. Examinetics provides third-party, clinically guided evaluations that remove ambiguity and support confident, legally sound decisions.

 

We collaborate with your safety and HR teams to match evaluation criteria to essential job functions, support ADA compliance, and provide timely, actionable results, so you can address concerns head-on, without delay or uncertainty.

Fit-for-Duty Testing Services Included:

  • Physical, cognitive, and behavioral evaluations
  • Substance abuse and return-to-work clearances
  • Ergonomic analysis and functional testing
  • Clinical consultation and documentation
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Why Examinetics?

  • Clinically Guided Evaluations

    Physical, mental, and behavioral

  • HR-Focused Support

    Clear communication and documentation

  • Policy & Protocol Alignment

    ADA, OSHA, company-specific

  • Complementary Services

    Ergonomics, advocacy, and policy creation

  • Centralized Results

    Access all results on our client portal 24/7

Add-On Services:

  • Patient Advocacy

    Empathetic employee support during the process

  • HR & Safety Policy Development

    Support for clear, compliant practices

  • Ergonomics Program

    Evaluate risk, improve design, and prevent recurrence

Clarity. Compliance. Confidence

With Examinetics as your Return-to-Duty and Fit-for-Duty partner, you get more than evaluations. You get a process backed by medical expertise, consistent standards, and real-time insights.

FAQs

An RTD assessment is a process to determine if employees in safety-sensitive roles are fit to return to work after medical leave. It ensures they are capable of safely performing their job duties.
Return-to-duty testing is required when a regulated employee has violated a company or federal drug and alcohol policy. Employers must confirm the employee has completed the SAP program and passed a return-to-duty test before they are allowed to resume work.
Yes. Under DOT regulations, return-to-duty drug tests must be directly observed. Employers must work with a qualified provider to meet this requirement and ensure proper protocols are followed throughout the process.
A fitness for duty evaluation is a medical assessment used by employers to determine if an employee is physically and medically capable of performing essential job functions. It is commonly used after medical leave, injury, or behavioral concerns to support safety and compliance.
Most fit for duty exams include a medical history review, a physical exam, and additional evaluations based on job demands. These may include functional capacity testing, physical ability assessments, mental health evaluations, or a fit for duty drug test.
Yes. Employers may require a fitness for duty exam when there is a legitimate business need such as ensuring workplace safety or meeting DOT, OSHA, or ADA compliance requirements. These exams help confirm an employee's readiness to work safely in their assigned role.