HomeMy WebLinkAbout2014_01 Annual Medical Examination Policy2014.01 Annual Medical Examination (AME) Policy
Implemented: October 2018 Revised: AUG 2019/DEC 24 Next Review: December 2027
This procedure is for internal use only and does not enlarge an employee’s civil liability in any way. The procedure should not be construed as creating a higher duty of care, in an evidentiary sense, with respect to third party civil claims
against employees. A violation of this procedure, if proven, can only form the basis of a complaint by this department for non-judicial administrative action in accordance with the laws governing employee discipline.
Related Policies: Chief’s Memo. 2015-056, PUC Examination Packet, 2016-078, Tuberculosis Testing Program and
Annual Physical Evaluation, 2018-031, HFD Annual Medical Examination, 2019-041, Annual Physical Examination
Compensation.
Applicable HI Statutes:
I. PURPOSE
To establish guidelines for the annual medical examination of Hawaii Fire Department (HFD)
personnel in compliance with NFPA 1582 (2018) standards, ensuring the health, safety, and operational readiness of all employees in safety-sensitive positions. II. APPLICABILITY
This SOP applies to all personnel within the following HFD classifications:
• Fire Fighter Recruit
• Fire Fighter
• Fire Rescue Specialist
• Fire/Hazardous Materials Specialist
• Fire Equipment Operator
• Fire Prevention Inspector I & II
• Fire Captain
• Battalion Chief
• Fire/EMS Specialist I, II, III
• Assistant Fire Chief
• Deputy Fire Chief
• Fire Chief
III. POLICY A. Medical Examination Transition: 1. Effective as of October 1, 2018, the Department of Transportation (DOT) Medical
Examination (PUC) were suspended.
2. The Annual Medical Examination Guide, aligned with NFPA 1582 (2018), shall be implemented. B. Required Documentation:
1. HFD Medical History Questionnaire (Completed by the employee prior to
examination.) 2. Medical Examination Form (DHR-RE-570): a. Part I prefilled by the employee, b. Part II completed by the County Physician.
2014.01 Annual Medical Examination (AME) Policy
Implemented: October 2018 Revised: AUG 2019/DEC 24 Next Review: December 2027
3. HFD Medical Certification: Issued upon successful completion of the examination, valid for one year. 4. HFD TB Screening Sheet Form and OSHA Respirator Questionnaire (Completed and reviewed by the County Physician.)
C. Examination Standards: 1. Evaluations shall be conducted per NFPA 1582 (2018) standards and with reference to the "Annual Medical Examination Guide. 2. The County Physician shall use the Height-Weight-Age Charts (Appendices A & B) as
a guideline. Deviations may occur if the physician determines the individual's height
or weight may impair their ability to perform essential duties or pose a safety risk. D. Reasonable Accommodation: 1. If an individual fails the medical examination, they may provide additional medical
information from their attending physician.
2. The Fire Chief and County Physician will evaluate such submissions and determine appropriate accommodations in compliance with the Americans with Disabilities Act Amendments Act of 2008 (ADAAA).
E. Confidentiality and Recordkeeping:
1. All medical forms must be securely handled and not saved on shared Battalion drives due to HIPAA regulations. IV. PROCEDURE
A. Annual Medical Examination Process:
1. Employees shall complete and submit the HFD Medical History Questionnaire to the County Physician. 2. The County Physician will perform the examination, completing the Medical Examination Form (DHR-RE-570) and issuing the HFD Medical Certification if
passed.
3. All forms and results are to be securely stored, ensuring compliance with privacy regulations. B. Specific Evaluations:
1. The County Physician will evaluate each employee based on NFPA 1582 (2018)
Chapter 9, focusing on essential job tasks. 2. Where necessary, discretion may be used to deviate from the guide, provided sound medical reasoning is documented.
C. Responsibilities:
1. Fire Chief: Ensures implementation of the SOP and addresses any issues arising from medical evaluations.
2014.01 Annual Medical Examination (AME) Policy
Implemented: October 2018 Revised: AUG 2019/DEC 24 Next Review: December 2027
2.County Physician: Conducts examinations, determines fitness for duty, and provides necessary documentation.3.Employees: Complete required forms and participate in the annual examination.
D.Follow-Up Procedures:
1. If an employee does not pass the examination, they will be provided an opportunity tosubmit additional medical evaluations for review.2. Decisions on accommodations will involve consultation between the Fire Chief,County Physician, and Human Resources.
E.Compensation:1. The employer shall attempt to schedule such examinations and any requiredsubsequent examinations during the Employee's normal work hours. In the event thatthe examination is scheduled outside of the Employee's work hours, the Employer
shall adjust the Employee's work hours.
2. With the termination of Compensatory Time accumulation, crediting the Employeewith compensatory time on a straight basis no longer applies. In accordance withsection 40, the Employer may adjust the Employee's work hours. In good faith, thedepartment has been compensating employees with overtime pay for the time spent in
the examination instead of adjusting your work hours.
Attachments: 1.Annual Medical Examination Guide2.Height-Weight-Age Charts (Appendices A & B)
--End--
COUNTY OF HAWAIʻI
HAWAI’I FIRE DEPARTMENT
ANNUAL MEDICAL EXAMINATION GUIDE
Prepared By:
Hawai‘i Fire Department
Effective Date:
October 1, 2018
25 Aupuni Street, Suite 2501
Hilo, Hawai‘i 96720-4224
Phone (808) 932-2900
TABLE OF CONTENTS
PAGE NO.
Introduction…...................................................................................................................... 1
1. Physical Effort Grouping .................................................... ……………………… 2
2. Height and Weight …………………………………………………………………… 2
3. Specific Evaluation of Medical Conditions in Members ……………………….. 3
4. Height-Weight-Age Chart A (Males)…………………………………….. Appendix A
5. Height-Weight-Age Chart B (Females) ………………………………… Appendix B
6. Fire Fighter Positions Requiring An Annual Medical Examination … Appendix C
Enclosures
National Fire Protection Association (NFPA) 1582, Standard on Comprehensive
Occupational Medical Program for Fire Departments (2018)
Hawai‘i Fire Department Medical History Questionnaire
DHR-RE-570, Medical Examination Form
Hawai‘i Fire Department Medical Certification
11
ANNUAL MEDICAL EXAMINATION GUIDE
INTRODUCTION
The County Physician shall interpret the medical and physical requirements specified in
the “Annual Medical Examination Guide” for fire fighter positions listed on the safety
sensitive listing in Appendix C. The annual medical examination shall be conducted in
accordance with and reference to the National Fire Protection Association
(NFPA)1582, the Standard on Comprehensive Occupational Medical Program for Fire
Departments (2018).
The County Physician shall determine whether an individual has the ability to safely
perform the essential duties of the fire fighter position which he/she is in. The fire fighter
shall complete the Hawai‘i Fire Department Medical History Questionnaire for the
County Physician to review.
The County Physician shall interpret the “Annual Medical Examination Guide” in relation
to the essential job duties outlined on the position description provided by the Hawai‘i
Fire Department and findings of the administered medical examination. The County
Physician may use discretion, where there is sound medical reasoning, to deviate from
the Guide in determining whether or not an individual may safely perform the essential
duties of the fire fighter position, with or without reasonable accommodation, and
without posing a direct threat to the health and safety of the individual and others.
The County Physician shall notify the Fire Chief of the examination results by
documenting the results on the Medical Examination Form, Form DHR-RE-570. In the
event an individual does not pass the annual medical examination, the Fire Chief shall
afford the individual the opportunity to present additional medical information from the
individual’s attending physician and/or physician specialist to attest that the individual
can safely perform the essential functions of the job held, with or without reasonable
accommodation, and without posing any direct threat to the health and safety of the
individual or others. Upon receipt of the additional medical information from the
individual, the Fire Chief shall discuss the information with the County Physician and/or
the Department of Human Resources giving appropriate consideration to reasonable
accomodation for the fire fighter.
This guide is not intended to supercede any requirements imposed by the Americans
With Disabilities Act Amendments Act of 2008 (ADAAA).
22
1. PHYSICAL EFFORT GROUPING
The medical and physical requirements shall be based on the essential job
duties listed on the Hawai‘i Fire Department’s position description for the safety
sensitive fire fighter position.
All fire uniformed positions are assigned to the Special physical effort group by
the Department of Human Resources and the physical effort group is listed on
the position description.
The work activities require the highest degree of physical capacities and include
the following classes for the annual medical examination:
Fire Fighter Recruit
Fire Fighter
Fire Rescue Specialist
Fire/Hazardous Materials Specialist
Fire Equipment Operator
Fire Prevention Inspector I
Fire Prevention Inspector II
Fire Captain
Battalion Chief
Fire/EMS Specialist I
Fire/EMS Specialist II
Fire/EMS Specialist III
Assistant Fire Chief
Deputy Fire Chief
Fire Chief
2. HEIGHT AND WEIGHT
The County Physician shall use the height-weight-age charts (Chart A listed on
Appendix A; Chart B listed on Appendix B) as guides to determine whether
further evaluation is required of the individual in performing the essential job
duties or whether the individual would create a direct threat to the health or
safety of himself/herself.
Unless the County Physician believes that an individual's height and/or weight
may prevent the individual from performing the essential job duties or would
create a direct threat to the health or safety of the individual or others, height
and/or weight shall not serve as a basis for an individual's failure to meet the
“Annual Medical Examination” criteria. Should the County Physician have a
concern regarding the individual's height and/or weight, the County Physician
shall make the appropriate notation on the Medical Examination Form, Form
DHR-RE-570.
33
3. SPECIFIC EVALUATION OF MEDICAL CONDITIONS IN MEMBERS
The County Physician shall refer to NFPA 1582 (2018) Chapter 9, Essential Job
Tasks – Specific Evaluation of Medical Conditions in Members, for the conduct
of the annual medical examination.
The County Physician shall also refer to NFPA 1582 (2018) Annex A, Explanatory
Material, for more detailed information and explanation . Annex A is
numbered to correspond with the applicable text paragraphs in Chapter 9,
Essential Job Tasks – Specific Evaluation of Medical Conditions in Members.
The County Physician’s findings shall be documented on Form DHR-RE-570,
Medical Examination Form, as to whether the fire fighter meets or does not
meet the medical standards.
If the findings are that the fire fighter can perform the essential duties of the
position he/she is in, the County Physician shall certify such findings by
completing the Hawai‘i Fire Department’s Medical Certification for the fire
fighter. The Medical Certification is valid for one year from the date of the
annual medical examination.
-20% +25% +30% +40% -20% +25% +30% +40% -20% +25% +30% +40% -20% +25% +30% +40% -20% +25% +30% +40%108 86 135 140 151 118 94 148 153 165 5 ' 0" 125 100 156 163 175 130 104 163 169 182 135 108 169 176 189111 89 139 144 155 120 96 150 156 168 1" 127 102 159 165 178 132 106 165 172 185 137 110 171 178 192114 91 143 148 160 123 98 154 160 172 2" 129 103 161 168 181 134 107 168 174 188 139 111 174 181 195118 94 148 153 165 127 102 159 165 178 3" 132 106 165 172 185 137 110 171 178 192 142 114 178 185 199122 98 153 159 171 131 105 164 170 183 5 ' 4" 135 108 169 176 189 141 113 176 183 197 145 116 184 189 203126 101 158 164 176 135 108 169 176 189 5" 139 111 174 181 195 145 116 183 189 203 149 119 186 194 209130 104 163 169 182 139 111 174 181 195 6" 143 115 179 186 200 149 119 186 194 209 153 122 191 199 214134 107 168 174 188 142 114 178 185 199 7" 147 118 184 191 206 153 122 191 199 214 157 126 196 204 220138 110 173 179 193 146 117 183 190 204 5 ' 8" 152 122 190 198 213 158 126 198 205 221 162 130 203 211 227142 114 178 185 199 150 120 188 195 210 9" 156 125 195 203 218 163 130 204 212 228 167 134 209 217 234146 117 183 190 204 154 123 193 200 216 10" 160 127 200 208 224 168 134 210 218 235 172 138 215 224 241151 121 189 196 211 158 126 198 205 221 11" 165 132 205 215 231 173 138 216 225 242 178 142 223 231 249156 125 195 203 218 163 130 204 212 228 6 ' 0" 171 137 214 222 239 179 143 224 233 251 184 147 230 239 258161 129 201 209 225 168 134 210 218 235 1" 177 142 221 230 248 185 148 231 241 259 191 153 239 248 267166 133 208 216 232 174 139 218 226 244 2" 183 146 229 238 256 192 154 240 250 269 198 158 248 257 277171 137 214 222 239 179 143 224 233 251 3" 189 151 236 243 265 199 159 249 259 279 205 164 256 267 287176 141 220 229 246 184 147 230 239 258 4" 195 156 244 254 273 205 164 256 267 287 212 170 265 276 29716. HEIGHT - WEIGHT - AGE CHART "A"MALES 17 - 19Ages Ages20 - 24 Ages25 - 34Appendix AAges35 - 44 Ages45 and Over
-20% +25% +30% +40% -20% +25% +30% +40% -20% +25% +30% +40% -20% +25% +30% +40% -20% +25% +30% +40%102 82 127 133 143 111 89 139 144 155 4 ' 10" 115 92 144 150 161 122 98 153 159 171 129 103 151 168 181105 84 131 137 147 113 90 141 147 158 11" 117 94 146 152 164 124 99 155 161 174 131 105 164 170 183107 86 134 139 150 115 92 144 150 161 5 ' 0" 119 95 149 155 167 126 101 158 164 176 133 106 166 173 186110 88 138 143 154 117 94 146 152 164 1" 121 97 151 157 169 128 102 160 166 179 135 108 169 176 189113 90 141 147 158 120 96 150 156 168 5 ' 2" 123 98 154 160 172 131 105 164 170 183 138 110 173 179 193116 93 145 151 162 123 98 154 160 172 3" 126 101 158 164 176 134 107 168 174 188 141 113 176 183 197119 95 149 155 167 126 101 158 164 176 4" 130 104 163 169 182 137 110 171 178 192 144 115 180 187 202123 98 154 160 172 129 103 161 168 181 5" 134 107 168 174 188 141 113 176 183 197 148 118 185 192 207127 102 159 165 178 133 106 166 173 186 5 ' 6" 138 110 173 179 193 145 116 181 189 203 152 122 190 198 213131 105 164 170 183 137 110 171 178 192 7" 142 114 178 185 199 149 119 186 194 209 157 126 196 204 220135 108 169 176 189 141 113 176 183 197 8" 146 117 183 190 204 153 122 191 199 214 162 130 203 211 227139 111 174 181 195 145 116 181 189 203 9" 150 120 188 195 210 157 126 196 204 220 166 133 208 216 232143 114 179 186 200 149 119 186 194 209 5 ' 10" 153 122 191 199 214 161 129 201 209 225 170 136 213 221 238147 118 184 191 206 152 122 190 198 213 11" 156 125 195 203 218 164 131 205 213 230 174 139 218 226 244Appendix B16. HEIGHT - WEIGHT - AGE CHART "B"FEMALESAges Ages Ages Ages Ages17 - 19 20 - 24 25 - 34 35 - 44 45 and Over