Fitness-for-duty evaluations
Physician-supported determinations of whether a worker can safely perform assigned duties.
On Site Medical & Safety provides physician-led corporate medical direction and workforce readiness support — fitness-for-duty, return-to-work, medication review, medical surveillance, and clearance workflows that hold up operationally and legally.

Workforce readiness in high-risk industries depends on defensible medical decisions. Employers must determine whether workers are fit for duty, safe to return after injury or illness, and cleared for safety-sensitive roles — while managing medication risk, regulatory requirements, and legal exposure.
On Site provides physician-led corporate medical direction and workforce readiness support that connects clinical judgment to operational reality, so decisions are consistent, documented, and defensible.
Physician leadership across the full workforce readiness lifecycle — from pre-deployment to return-to-work and reporting.
Physician-supported determinations of whether a worker can safely perform assigned duties.
Structured programs for safe return after injury or illness, including restricted and modified duty.
Review of prescription, OTC, and supplemental medications for compatibility with safety-sensitive work.
Guidance on recordability and work-relatedness for defensible documentation.
Senior physician consultation on complex, high-risk, or contested medical cases.
Readiness screening and clearance before deployment to remote and offshore assignments.
Offshore fitness examinations supported through qualified examiner resources.
DOT and non-DOT testing program support across the testing lifecycle.
Medical Review Officer oversight for result interpretation and defensible decisions.
OSHA-mandated and hazard-specific surveillance on a defensible schedule.
Clearance status tracking with expiration alerts tied to deployment and rotation planning.
Coordinated case management with reporting on readiness, clearance, and outcomes.