GM 904

Question 1

START
Officers who are temporarily unable to perform their regular assigned duties due to an occupational injury, disease or condition are eligible for limited duty assignments as assigned by——

Answer 1

Office of the chief

Question 2

If a physician indicates that an officer be placed on limited duty after normal business hours, who will assign the officer with temporary sedentary activities?

Answer 2

Immediate supervisor

Question 3

Who is required to document all cases where the officer is required to seek medical attention?

Answer 3

Supervisor

Question 4

Once assigned to a limited duty position, duty hours and relief days are assigned by the——or—–
There is no guarantee that an officer will assume his regularly assigned shift or hours while on limited duty status

Answer 4

Unit director or detail supervisor

Question 5

Officers on limited duty status are prohibited from wearing ——–or from operating——

Answer 5

Regulation police uniform
or
riding or operating as a passenger in a marked police vehicle

Question 6

A limited duty assignment is for a maximum of ——from the date of the occupational injury, disease, condition, or the date the first manifestation occurred.

Answer 6

12 months

Question 7

Who may extend a limited duty assignment if recovery appears imminent?

Answer 7

Chief of police

Question 8

An officer with a non-occupational injury/condition will need to submit a medical examination by physician to the chief of police if they have been absent for a total of ——which need not be consecutive.

Answer 8

Eighteen work weeks

Question 9

When a physician releases an officer to return to his regular duty, the office of the chief shall process the form and have the officer return to his regular assigned duties without loss of——or——-

Answer 9

Relief days or seniority

Question 10

After an officer on limited duty assignment has recovered from his occupational injury, disease, or condition, he should present
form # 172 or DWC form-73C to the office of the chief by what methods?

Answer 10

Electronically, by fax, or by hand delivery. Officers shall not bin mail originals

Question 11

Officers who are medically cleared for limited duty by treating physician or Doctor should immediately call ——-for instructions for placement on limited duty assignment

Answer 11

Office of the chief

Question 12

.03 LIMITED DUTY ASSIGNMENTS
C. Officers who are medically cleared for limited duty by a treating physician or a designated doctor shall immediately call the Office of the Chief for instructions for placement on limited duty assignments. In the event the officer is medically cleared for limited duty after normal business hours, 0745 – 1630 hours (Monday – Friday), the officer shall immediately call the ______, the ______.

Answer 12

Office of the Chief

next business day

Question 13

.03 LIMITED DUTY ASSIGNMENTS
F. Limited duty assignments are made as available, subject to the following requirements:
1. SAPD Form _____or DWC Form____is required. It is the responsibility of the _____to inform a physician that
the completion of this form is necessary, and that the form be submitted within the required time frame. If the
officer’s personal physician is unwilling to complete SAPD Form #172 or DWC Form-73, a supervisor may
order the officer to be evaluated by the ________or other qualified healthcare practitioner to determine the officer’s duty status. The form must indicate that the disabled officer is unable to perform his regularly assigned duties, but is able to perform in a limited duty assignment.

Answer 13

172

-73
officer
City’s Occupational Health office

Question 14

.03 LIMITED DUTY ASSIGNMENTS
F. Limited duty assignments are made as available, subject to the following requirements:
9. Officers on a limited duty assignment are subject to attendance requirements of the detail, unit, or section they are assigned to during their light duty assignment. There is no guarantee that_________will be honored, but will be considered by the detail, unit, or section commander.

Answer 14

previously scheduled leave

Question 15

.04 PREFERENCES FOR LIMITED DUTY ASSIGNMENTS
C. If a limited duty position is open and not needed for an officer who has an occupational injury or disease, the
position may be filled by an officer with a_________.

D. Should a limited duty position be filled by an officer who has a non-occupational condition, such officer will be displaced by an officer who has an ______and who qualifies for limited duty assignment.

Answer 15

C) non-occupational condition

D) occupational injury or disease