LDA Flashcards
What form is the limited duty assignment agreement?
Form 384.
When an employee reports to a limited duty assignment, what must they limited duty assignment supervisor report?
The limited duty assignment supervisor must report or notify the return to work section immediately.
An injured or ill employee may not begin a limited duty assignment until what?
They return to work section staff and the employers battalion limited deputy chief has approved the assignment.
When an employee works in a limited duty assignment, what must they not do?
They must not perform duties which would violate the work restrictions established for them by an appropriate approved medical provider. I E overtime.
Well working an Limited duty assignment, which days cannot be used for a day off?
SP, S, V, H, or F
S days.
All limited duty assignments are temporary and should last no more than how many days?
No more than 90 calendar days.
Who can approve a limited duty assignment more than 90 calendar days? 120 calendar days?
More than 90 cal days, Deputy chief.
More than 120 cal days, chief deputy or fire chief and deputy chief approval required.
What is the approval process after the 120 days extension approval during a limited duty assignment?
Must be reapproved by a chief deputy or the fire chief prior to the end of each additional 30 day period.
Who must approve classes and activities while in a limited duty assignment?
Approval of his or her deputy chief.
When in a light-duty assignment, what are the restrictions with exercise?
Must be approved by the appropriate medical provider.
When taking IF time during a limited duty assignment, what are the hours specified to take for medical appointments etc.
Two hours for one medical appointment.
Three hours for two medical visits per day.
Must work a minimum of four hours per day when taking IF days.
Max I F days per week is five days.
What are the procedures in a limited duty assignment when a medical provider releases that individual?
Notify return to work section via telephone immediately.
Fill out and mail form 385 and 386 within 24 hours of the doctor visit to the return to work office.
A photo copy goes to the immediate supervisor.
Complete and sign the limited duty assignment agreement form 384 and submit it to the limited duty assignment supervisor.
Questions regarding any employees limited duty assignments Shall be directed to?
The departments return to work section staff.
