Injured Workers

The following tests are designed for employees who have been injured on the job.


A Fit-for-Duty evaluation is administered to a current employee post-injury through an injury management program. A Fit-for-Duty Evaluation is a functional capacity test that focuses only on the injured part of the body used in a job specific task, rather than a comprehensive exam. In compliance with EEOC mandates, a medical examination of a current employee may be given only when it is “job related and consistent with business necessity”.


The FCE is a full body comprehensive medical test used to measure an employee’s functional capacity and assist in injury management, whether the injury was sustained while at work or existed previously. The FCE test may be used alone to document existing impairments or may be used in combination with the Post-Offer Comprehensive test as a comparison against original, baseline data.

One FCE should be given at the time of injury to determine severity and legitimacy for optimum injury management. Another FCE should be administered during rehabilitation to determine progress, and one functional capacity evaluation should be conducted post-rehabilitation to determine the employee’s ability to return to his or her job.

At the time of injury, when compared against data previously collected, the FCE may be used to prove consistency and validity of performance and create realistic, objective rehabilitation goals, return to work recommendations, or work conditioning programs to capitalize on injury management procedures. This information is invaluable to objectively move the patient through the system in a fair and timely manner.


The X-RTS Hand Strength Assessment is a method of objectively assessing validity of effort during a hand strength test that maintains the gold standard: unprecedented accuracy in identifying invalid effort—while also correctly classifying effort for the compliant patient. In the largest controlled study of its kind, the X-RTS methodology and analysis correctly classified validity of effort in 199 of 200 functional capacity tests.

Frequently Asked Questions

What is the importance of a Fit-for-Duty evaluation?

A Fit-for-Duty evaluation is given to injured employees as they recover to determine if they are ready—physically and mentally—to return to work. This evaluation is important for the safety of your employees and your company. You do not want an employee returning to a job before they fully recover because that can lead to a worsened or permanent condition. This deterioration would be devastating to their health and wellbeing and would cost your company more money. If the employee was initially injured on the job, they are most likely already receiving some sort of compensation. If returning to work too soon prolongs the injury, it will only mean more money that you have to pay. To learn more about the Fit-for-Duty evaluation, contact WorkSTEPs today.

What is the importance of a sincerity of effort assessment?

To identify whether an injured employee is giving a valid effort, our team administers X-RTS Hand Strength Assessments. This assessment is important because it gives you information and shows character that you would not otherwise see. If you find that an employee is not putting forward sincere effort, you now know that they may not be injured or hurting to the extent you initially thought. Additionally, it will show the character of an employee. You do not want a dishonest employee who tries to get out of working and is not willing to put forth all of their effort. If you suspect that an employee may not be showing their true ability, administering a sincerity of effort examination might be a good idea for your company. Contact WorkSTEPs to learn more about this service.

When are you allowed to assess and evaluate injured employees?

The Equal Employment Opportunity Commission (EEOC) is an agency of the United States federal government that enforces laws prohibiting discrimination in the workplace. Under the EEOC, employees with pre-existing disabilities and job-acquired disabilities are protected from certain discrimination when it comes to mental and physical abilities. However, our company is very familiar with EEOC laws and fit our assessments to comply with all restrictions. According to the EEOC, a medical examination of a current employee may be given if the exam is job-related and consistent with business necessity. When your company or job positions require certain physical labor, a test of physical ability would be perfectly acceptable. To learn more about our services in relation to EEOC laws, contact our team at WorkSTEPs today by calling (512) 617-4100.