Physical Examinations

1. 19-A Physicals are New York State-required physicals for bus drivers. These are similar to the DOT exam, but 19-As are reserved for those drivers who are not crossing state lines.
2. Included in 19-A Physical and Certification:
   • Vital Signs (height, weight, blood pressure)
   • 19-A State Forms
   • Vision Screening – Stop Light (Color)
   • Visual Acuity Screening – Snellen (Distance)
   • Urinalysis Screen for Kidney and Liver Disease, Diabetes, Infections
   • Hearing Test – Whisper Test

DOT Physicals are federally mandated medical exams to determine if an individual meets the health standards required to operate a commercial vehicle. Please refer to our DOT Tips & Tricks for more information on the medical requirements

Included in DOT Physical:

• Vitals Signs (height, weight, blood pressure)
• DOT Medical Examiners’ Certificate
• Urine Dip
• Visual Acuity Screening – Snellen (Distance)
• Vision Screening – Stop Light (Color)
• Hearing Test – Whisper Test

In accordance with OSHA 1910.1001, employees that may have exposure to asbestos are required to have medical surveillance. This is common in maintenance, demolition, or any scenario where employees have direct contact with waste or dust containing asbestos.

Included in an Asbestos Physical:

• Vitals (height, weight, blood pressure)
• Visual Acuity Screening – Snellen Vision
• Asbestos Clearance
• Pulmonary Function Test
• Additional Requirements:
  • Asbestos Questionnaire
  • Chest X-Ray B-Read

Firefighters are required to have annual screenings. At WorkFit Medical, we differentiate these into two categories: Interior Firefighter Exam and Exterior Firefighter Exam. With either physical, you will receive a qualified statement indicating if the person is qualified to perform either Interior or Exterior duties. If you are with a volunteer organization, please refer to our on-site services menu to inquire about our team coming to your facility to perform these exams.

Included in Interior Firefighter Physical

• Vital Signs (height, weight, blood pressure)
• Pulmonary Function Test
• Urine Dip
• Visual Acuity Screening – Snellen
• Vision – Fields (Peripheral)

Included in Exterior Firefighter Physical

• Vital Signs (height, weight, blood pressure)
• Urine Dip
• Visual Acuity Screening – Snellen
• Vision – Fields (Peripheral)

Common Additional Services For Firefighters

• Audiogram
• EKG
• TB Testing – PPD or T-Spot Blood Draw
• PSA – Lab draw for Prostate Antibodies (For Males over 40+ year of age)
• Chest X-Ray
• Respirator Mask Fit Testing

These exams are designed to create a safe work environment. If an employer is concerned with an employee’s physical or mental ability to safely perform their job duties, they can send them in for a Fitness for Duty examination. The employer may be observing situations such as decreased productivity or increases in on-the-job injuries. This exam is designed to evaluate an employee’s ability to perform their essential job functions safely. We often recommend that these be coupled with our Human Performance Evaluations (HPE).

HazMat Physicals are required by OSHA for employees that are exposed to hazardous chemicals. These are medical surveillance exams that are required annually for monitoring to indicate exposure to hazardous materials. The following services are available and vary slightly depending on the OSHA requirement for the setting:

These exams are OSHA’s respirator protection regulation (CFR 1910.134) and must be performed before an employee is fitted with a respirator. These exams determine if an employee is medically qualified to wear a respirator.

Included in Respirator Physical:

• Respirator Clearance
• Vitals (height, weight, blood pressure)
• Pulmonary Function Test
• Visual Acuity Screening – Snellen Test

Additional Services:

• Respirator Questionnaire
• Qualitative Respirator Mask Fit
• Quantitative Respirator Mask Fit

These exams are designed to help employers make informed decisions on hiring potential employees. In this exam, providers review past and current medical history, medications, past surgeries and injuries, and any current symptoms.

Included in Pre-Employment Physicals

• Vitals (height, weight, blood pressure)
• Vision Acuity Screening – Snellen
• Other Additional Pre-Employment Services:
  • Human Performance Evaluations
  • Tuberculosis screenings, PPD placements/reads, T-spot Blood draw
  • Vaccinations – Hep B, MMR
  • Titers – Hep B, MMR
  • Audiograms
  • Drug and Alcohol Testing
  • EKGs
  • Respirator Mask Fit Testing

These exams are designed to assess an employee’s health after injury or illness. This exam will help determine if the employee is healthy enough to return to work after they have been cleared by their own physician. The employee should bring all clearance paperwork with them. From there, the medical professionals here at WorkFit will collaborate with the employer to determine if the employee can return full duty, or if they will need accommodations and restrictions.

Silica Exams are a new standard from OSHA starting in 2017 – it now includes the construction industry, general industry, and maritime industry. OSHA reduced the Permissible Exposure Limit (PEL) significantly – to 50 micrograms per cubic meter. Silica physicals are required for employees that wear a respirator more than 30 days per year; specifically respirators that are required to protect them from silica dust exposure. Employees must have a silica exam if their exposure meets or exceeds the action level. The action level is half of the PEL; so that would be 25 micrograms per cubic meter. (For reference, if an employee made just one standard paver cut a day over 15 years, they would reach action level)

Included in a Silica Exam

• Silica Clearance Forms
• Silica Questionnaire
• Vitals (height, weight, blood pressure)
• Pulmonary Function Test
• Visual Acuity Screening – Snellen (distance)
• Whisper Hearing Test

Additional Silica Requirements (not included in exam)

• Tuberculosis Testing (PPD placement and read, T-Spot, or Quantiferon Gold)
• Chest X-Ray B-Read

Per New York State requirements, students must have physical examinations before entering Kindergarten and Grades 2, 4, 7 and 10, and prior to attending a College or University. Students also looking to be cleared to work will need a school physical.

Sports physicals are required before a student athlete can begin their sports season. Both School and Sports exams are typically not covered by insurance.