the American Disabilities Act (ADA),
pre-employment physical examinations may not be
conducted until after a conditional offer of
employment has been extended to the applicant.
Consequently, only applicants who are otherwise
qualified for employment may be subject to a
pre-employment physical examination.
Every applicant for a particular
position must be subject to the same
pre-employment physical examination. The
examining physician provides input in
determining the essential functions of the job.
This may involve witnessing existing employees
perform the job through simulations. For each
position, the examining physician should be
given a written statement as to the essential
mental and physical functions of the job. The
physician then will conduct an examination of
the applicant to determine whether he or she can
perform those functions.
The ADA defines a qualified
person with disabilities as someone who can
perform the essential functions of the job, with
or without reasonable accommodations.
Examples that might constitute
reasonable accommodations include (a) job
restructuring; (b) part-time and/or modified
work schedules; (c) reassignment to a vacant
position; (d) acquisition or modification of
equipment, devices; (e) appropriate adjustment
or modification of examinations, training,
materials or policies; and (f) the provision of
qualified readers or interpreters.
Although the employer should
elicit and consider input from the examining
physician, ultimately the determination as to
whether an accommodation is reasonable must be
made by the employer. In making this
determination, suggestions offered by the
applicant should be considered as well.
Employment physical examinations
may include health inquiries and physical
examinations, including psychological tests, and
physical or mental health assessments. Drug
testing and physical ability tests may also be
required as a condition of employment.
There are several types of drugs
tests that candidates for employment may be asked
to take. The types of drug tests which show the
presence of drugs or alcohol include urine drug
screen, hair drug or alcohol testing, saliva drug
screen, and sweat drug screen.
employment physicals are of outmost importance
for the employer as it will pinpoint conditions
that predispose the applicant to injury. This
information aids the employer in Managing future
risks, Setting a foundation for prevention
procedures, Limiting future liability by
establishing the employee’s pre existing medical
condition when hired, and Identifying employee’s
lack of ability to correctly perform job
functions (can pose a risk to themselves and
others) thus promoting workplace safety. We
currently perform Pre Employment Physicals on a
Walk-In basis for Residents of Maryland (MD),
Washington DC, and Northern Virginia