Laurie Macchello headshot
Laurie Macchello
Physical Therapist,
Beacon OHSS
The Associated General Contractors of Alaska logo
Occupational Health
Don’t Hire Your Next Injury
I

n today’s competitive labor market, employers are navigating an increasingly complex landscape when it comes to hiring the right people. With the workforce aging—an estimated 69.4 percent of US employees will be over age 65 by 2030—and fitness levels declining amidst a growing obesity crisis, with 40 percent of adults classified as obese, according to the CDC, the stakes are higher than ever. These factors converge to create a potential tipping point for workplace safety and productivity, making the need for effective hiring practices crucial.

The US Department of Labor underscores the financial implications of hiring missteps, estimating that a bad hire can cost a company 30 percent of that employee’s annual salary. Moreover, the staggering costs associated with workplace injuries—more than $20 billion annually in direct costs for musculoskeletal disorders alone—serve as a wake-up call for organizations. With average workers’ compensation claims ranging from $29,000 to $32,000 per injury, and nearly half of all injuries occurring in an employee’s first year, it’s clear that mismatching employee capabilities with job demands can have devastating consequences.

The Solution: Fitness for Duty Testing
The good news? Employers have a powerful tool at their disposal: Fitness for Duty, or FFD, testing. When properly executed, an FFD program can drastically reduce first-year injuries and provide valuable baseline data to counter fraudulent post-injury claims. Additionally, return-to-work FFD tests can ensure appropriate accommodations for employees recovering from injuries and help identify behaviors that may indicate malingering issues.

Gone are the days of a “one-size-fits-all” pre-employment exam. Such outdated practices not only lack compliance with the Americans with Disabilities Act, or ADA, but also fail to assess the specific demands of the job. A legally compliant FFD program begins with thorough job observations and validations to pinpoint essential job functions.

A Comprehensive Validation Process
This validation process involves in-depth employee interviews, work shadowing, and precise measurements of physical capabilities—like material handling, grip strength, postural flexibility, balance, coordination, and cardiovascular fitness—conducted by ergonomic specialists. The data gathered not only informs testing criteria but also strengthens your hiring framework.

Employers should prioritize understanding the specific physical demands of each position. For instance, a warehouse worker may require different capabilities than an office worker, highlighting the need for tailored assessments. By recognizing the unique requirements of each job, employers can ensure a more effective match between the employee’s abilities and the job’s demands.

The Multifaceted Benefits of FFD Testing
Implementing FFD exams provides a plethora of advantages:

  • Identification of Pre-Existing Conditions: A musculoskeletal exam helps spot potential issues before they lead to injuries, enabling informed job placements and necessary accommodations. By detecting physical limitations early, employers can mitigate risks that could lead to future claims.
  • Clear Ability Ratings: Employers receive straightforward assessments of a candidate’s capacity to perform job functions safely. This clarity reduces the chances of hiring someone who may be ill-equipped for the role.
  • Healthier Workforces: By promoting physical well-being, organizations can cultivate a more resilient employee base. Healthy employees are generally more productive, reducing absenteeism and increasing morale.
  • Versatility for Returning Employees: The same assessments can be used for employees returning from medical leave, ensuring ongoing capability. This approach aids recovery and boosts confidence in the workplace.
  • Reduced Workplace Injuries: By confirming that employees can handle their job tasks, FFD testing significantly decreases the likelihood of accidents, positively impacting Occupational Safety and Health Administration recordables and workers’ compensation premiums. A proactive approach to safety pays dividends.
  • Significant Return on Investment: With typical workers’ compensation claims averaging $40,000, the return on investment for FFD testing ranges from 8:1 to 13:1, making it a financially sound strategy. Investing in FFD testing not only saves money but also promotes a culture of safety and accountability.
A Forward-Thinking Approach
Conducting FFD exams at the post-offer, pre-placement stage is essential for managing workplace injuries, reducing lost time, and boosting productivity. Failure to demonstrate the necessary job capabilities may lead to job offer withdrawals or trigger accommodation reviews, which can complicate the hiring process.

The benefits of FFD exams extend far beyond compliance; they enhance workplace safety, foster a healthier workforce, and ultimately drive productivity. In a world where the cost of negligence can be astronomical, investing in FFD testing isn’t just a smart choice—it’s a necessity for any business looking to thrive in the modern landscape.

As the labor market evolves, employers must adapt their hiring strategies to prioritize not just qualifications but also the physical capability of potential employees. By doing so, companies can protect their bottom line and ensure a safer, more efficient workplace. Don’t hire your next injury; invest in the future of your workforce with proactive FFD testing.

Laurie Macchello is a skilled physical therapist based in Anchorage, dedicated to helping patients regain mobility and improve quality of life. With more than thirty-three years of experience in the field, she specializes in rehabilitation for neurological injuries, orthopedic injuries, and post-surgical recovery. Macchello earned her physical therapy degree from University of California, San Francisco and has completed advanced training in ergonomics, job analyses, employment testing, and neurological rehabilitation. She has overseen Beacon’s Fitness for Duty program for more than seventeen years. Outside of her professional practice, Macchello is passionate about community health and often hosts workshops to promote injury prevention and wellness.