The majority of the time when an injured employee is sent for a Functional Capacity Exam (FCE), the provided job description is either two paragraphs long or is a multipage document generated by a state civil service commission. Often, neither of these descriptions provide any guidance on the actual postural and physical demands of the position. FCE teams are left to look for more information in the Dictionary of Occupational Titles or if they are lucky, they may get a job description request form returned that has been completed by the employee’s supervisor.
Unfortunately, the returned job description request forms can cause additional confusion about the demands. The individual completing the form may not have a solid understanding of the definition of certain postural tasks and how they are looked at by ergonomists, physical therapists, or physicians. A recent case in point was a job description that I reviewed that included only occasional sitting (marked as less than 33% of the work day) but included constant driving of delivery vehicles (67% to 100% of the work day). After a discussion with the employer, they had a better understanding of the disconnect in the job description that they had created.
In the case of barbers and hair stylists, we have seen forms that had been completed where walking was marked as seldom or occasional. Never marked as frequent or constant. On those forms, standing is normally denoted as a constant demand which is easy to understand. But, much of the day in a barbershop or hair salon is comprised of short walks of maybe 30 feet or less – walking to get supplies, walking a customer to the cash register, etc. But an even bigger part of the day is made up of even shorter walks in the 2 foot to 6 foot range. Barbers work their way around the chair from side to side as they cut hair and when they take that 6 foot walk from the back of the chair to the counter to grab scissors, change a guard on the clippers, or to grab the razor and hot shaving cream – if you are lucky enough to be in an old school barber shop. Those steps and those short walks add up over the course of a day, a week, a year, or many years. The evidence of these steps can be seen in the ring around the base of this barber chair.
When job description request forms need to be completed, there needs to be some basic education for the person assigned to complete the form in terms of definitions of postural and physical demands. In addition, there needs to be a review of the form and a dialogue between the evaluation team and the employer when these forms bring additional questions. Ideally, an ergonomics professional is available to evaluate and document the job demands to build a customized job description but this may not always be the case due to sensitivity of time constraints. However, we are available to help make this process as quick and painless as possible.