In an effort to ensure the wellbeing of their employees, your hiring company has been contracted Active Energy LLC to instituted Post-Offer, Pre-Placement Testing (PPT) for all new hires. The applicant must complete a medical history and must partake in a pre-test physical screening. The PPT portion of this process will reflect the physical demands of the job and may require lifting, pulling, pushing, gripping, climbing, and repetitive tasks. If the evaluator finds reason to stop testing based upon medical findings the offer of employment will be withdrawn. The applicant then has 30 days to obtain a release from [his/her] physician stating that it is safe to proceed testing. Should the evaluation process reveal medical information indicating that the applicant may be at risk to [himself/herself] or co-workers that information will be reported to the hiring company. This information will not be used to deny employment, but will be maintained in the employee’s medical file, which will remain separate from their employment file, to ensure the employee’s safety in the future. Your employer has taken every step to ensure compliance with the Americans with Disabilities Act and our own stringent standard of equal opportunity employment. As such, the company has engaged the services of an outside firm specializing in industrial injury prevention to administer the PPT. Active Energy LLC, will forward a letter indicating that you have met or not met the safety and physical demands reflected in the test to your hiring entity and pertinent findings from that test; as noted above, all other information gathered during the screening and testing process will be retained in the files of the Active Energy LLC. Your employer will not use the results of this test to discriminate against anyone on the basis of disability, gender, age, race, religion, veteran status, marital status or sexual orientation. All job offers will be contingent on the applicant meeting the requirements of the PPT. Anyone who is denied employment will be denied as a result of not meeting those requirements that are job-related and consistent with business necessity. BENEFITS OF TESTING: Ensure applicant’s ability to safely perform the essential functions of the job which [he/she] is applying. RISKS OF TESTING: The test requires the applicant exert effort to perform the critical physical demands of the job for which [he/she] is applying. Those demands may include repetitive lifting to [his/her] maximum safe level, working in awkward postures, performing whole-body movements that may stress the cardiorespiratory system and other physical demands as required. The applicant must understand that there is a risk of injury while participating in this type of testing and assumes all responsibility. SAFETY SCREENING; Prior to beginning the physical screening and testing portion of this process, the applicant will be asked to complete an up-to-date medical history. To ensure safety during testing it is essential that the applicant complete the medical history completely and accurately. Failing to do so may jeopardize the applicant’s safety and employability. I have read and understand the above policy regarding PPT. I understand the benefits, risks, and responsibilities of participating the PPT. I understand that I have been offered a job knowing my employment is contingent upon successful completion of the PPT. I also understand the hiring entity will pay the fee for the test. I agree to provide the staff of the Active Energy LLC with my complete medical history and participate at a safe level in testing in order to ensure my safety. I accept the risk involved in this type of test, I take full responsibility of myself and any resulting injury and wish to participate.
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