QUESTION IMAGE
Question
if someone checks the box labeled \lifting objects greater than 25 lbs\ what does this mean?
a) the employee cannot lift objects greater than 25 lbs at work
b) the employee cannot lift objects of any weight
c) the employee can lift objects greater than 25 lbs at home
d) the employee refuses to lift objects greater than 25 lbs at work
medical exemption form
employee name: aurora ramirez
title/role: shipping and transport
start date of employment: 4/15/2017
name of physician: dr. ted sanchez
i certify that aurora ramirez is able to work, with restrictions. these restrictions are (please check all that apply):
standing for more than 8 hours at a time
sitting for more than 8 hours at a time
lifting objects greater than 25 lbs
climbing stairs/ladders
kneeling/squatting
i certify that the statements above are true and accurate.
physician signature: dr ted sanchez
This is a medical exemption form. Checking a box on such a form indicates a restriction. Option A aligns with the meaning of a restriction (cannot do a certain task at work). Option B is too extreme (not just any weight but specifically over 25 lbs). Option C is about home (form is about work restrictions). Option D is about refusal (form is about medical - inability, not refusal).
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A. the employee cannot lift objects greater than 25 lbs at work