What Reasons Would You Fail a Pre-Employment Physical?

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Are you applying for a role that requires a health evaluation? Like many job seekers, you may be wondering, “What reasons would you fail a pre-employment physical?” This is a common question – especially for individuals looking for jobs in roles like transportation, healthcare, or construction. Thankfully, knowing the answer ahead of time can help you avoid surprises and attend your pre-employment physical with confidence.

At Steel City Health and Safety, we provide quality pre-employment physicals and help job seekers in Pennsylvania navigate the pre-employment screening process. Here, we’ll answer the question “What reasons would you fail a pre-employment physical?” by outlining key reasons people don’t pass. We’ll also share what failure would mean for your job prospects and how to prepare for success.

What Is a Pre-Employment Physical?

A pre-employment physical is a medical exam that some employers require to ensure candidates are physically able to perform a certain job. For example, a job that involves heavy lifting would require you to safely and efficiently lift a certain amount of weight.

Pre-employment physicals also help employers identify health issues that may require an accommodation (such as a hearing aid) or pose a risk to the individual or others in the workplace (like untreated epilepsy).

These types of exams are common in industries like transportation, manufacturing, construction, healthcare, and public safety.

What’s Included in a Pre-Employment Physical?

Your physical assessment will likely include:

  • A general review of your medical history
  • Height and weight measurements
  • Vital signs, like temperature, blood pressure, and pulse
  • Assessment of your cardiovascular and respiratory health
  • Hearing and vision tests
  • Range of motion, physical ability, and stamina tests
  • A pre-employment drug test

 

The exact exam will depend on the job you’re applying for and the employer’s requirements. 

Be sure to take your ID, insurance card (if applicable), and your pre-employment physical form. It may be helpful to bring a summary of your medical history and a list of your current medications and dosages as well.

What Reasons Would You Fail a Pre-Employment Physical?

Here’s the big question on every anxious job seeker’s mind: what reasons would you fail a pre-employment physical? It’s important to know that certain health conditions can present as red flags to your medical examiner – especially if they could impact your ability to safely perform your job duties.

Here are a few of the most common reasons candidates fail their pre-employment physical exam:

Uncontrolled Medical Conditions

Some pre-existing health conditions could hinder your ability to do your job safely. These include high blood pressure, heart disease, diabetes, or respiratory issues. If these conditions are currently being managed under a doctor’s care, be sure to provide documentation of your treatment and medications.

Vision or Hearing Issues

Some safety-sensitive roles require sharp vision or hearing for safety, like driving or operating machinery. Severe or uncorrected vision or hearing loss can lead to pre-employment physical failure. However, corrective lenses or hearing aids are typically accepted.

Infectious Diseases

Some industries – like healthcare or food service – may require you to be screened for contagious or communicable diseases, like tuberculosis or hepatitis. A diagnosis may require you to seek treatment prior to starting your new job. In some cases, it may disqualify you from the job entirely.

Inability to Perform the Required Physical Tasks

Some jobs require you to pass a physical capacity test. For example, you may need to prove that you can perform repetitive motions, repeatedly lift heavy weights, sit, or stand for a long period of time. If you can’t safely perform the essential functions of the job, then you’re unlikely to pass your pre-employment physical.

Failed Pre-Employment Drug Test or Alcohol Test

Many work-related physicals require a pre-employment drug test or alcohol test. The test may use your urine, hair, saliva, or breath to detect whether you have recently used drugs or alcohol.

A pre-employment drug test typically identifies whether there is marijuana, cocaine, amphetamines, opiates, or PCP in your system. It may also test for prescription drugs like benzodiazepines and barbiturates.

What Happens if You Fail a Drug Test or Alcohol Test?

So, what happens if you test positive for drugs or alcohol? The lab will send your results to your employer’s Medical Review Officer (MRO). This person may contact you to confirm any medical conditions or prescriptions that may explain the results. If there is no valid reason for the positive drug or alcohol test, your job offer will most likely be withdrawn.

Depending on the company, you may be allowed to reapply for the job after a certain period of time, or after you’ve completed a drug treatment program.

You can book drug and alcohol testing with New Brighton, PA’s Steel City Health and Safety. We offer both DOT and non-DOT-qualified testing services.

Dishonesty

Always be truthful when sharing your medical history, including past injuries, conditions, and medication use. You may be disqualified if your pre-employment physical exam shows that you lied about your medical history.

How to Prepare for Your Pre-Employment Physical

“What reasons would you fail a pre-employment physical?” has been answered. Now it’s time to prepare for the assessment.

Here are our best tips for passing your exam so you can get straight to work:

  • Bring All Required Documents: Don’t forget your pre-employment physical form, valid photo ID, insurance card (if applicable), your medical history, and a list of any medications and dosages you’re taking.
  • Prioritize a Good Night’s Sleep: Being well-rested can keep your blood pressure and heart rate within normal range.
  • Stay Hydrated: Drink water and eat a light, balanced meal before your exam (unless instructed otherwise).
  • Avoid Caffeine, Drugs, and Alcohol: These can affect your vital signs or cause you to fail your drug or alcohol test, which would likely disqualify you from the position.
  • Be Honest: Be transparent so your medical examiner can give you the most accurate evaluation. This will help ensure your safety and the safety of everyone around you.

Where Can I Get a Physical for Work?

Your potential employer may provide you with a list of certified, nearby locations where you can schedule your pre-employment physical exam. Or you can do a Google search for terms like “pre-employment physical near me.”

Occupational health clinics like Steel City Health and Safety are certified and equipped to handle these types of assessments. If you’re located in Western Pennsylvania near New Brighton, schedule an appointment to see our certified medical examiner. We offer pre-employment physicals and drug screening to ensure you’re ready to start work.

Why Book a Pre-Employment Physical with Steel City Health and Safety?

We offer friendly, fast, and professional pre-employment screenings in Pennsylvania.

  • In & Out Today: Snag a same-day appointment so you can get your pre-employment physical quickly.
  • Trusted Experience: Dr. Smith has over 12 years of occupational healthcare experience you can trust. She’s also part of the National Registry of Certified Medical Examiners with the U.S. Department of Transportation (DOT).
  • Convenient Hours: We’re open late Monday – Wednesday to accommodate your busy schedule.

 

Don’t let uncertainty hold up your job offer. Schedule your pre-employment physical and drug screen with Steel City Health and Safety today. We’ll take care of the rest.

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