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Toll Free: 1 (866) 944-4473
24 Hours: 1 (866) 944-4473

Fitness-to-Work Evaluation

Fitness-to-Work Evaluation

Fitness-to-Work testing involves a series of medical and musculoskeletal assessments and critical strength and mobility stations. Fitness-to-Work testing matches the candidate’s abilities to the job being applied for and provides employers with the necessary information to safely place candidates in the workforce.

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SureHire provides a recommendation to hire by providing employers with an accurate picture of the candidate’s medical, musculoskeletal, and critical strength and mobility status. SureHire has assisted multiple organizations improve workplace safety and reduce lost-time incidents by helping employers effectively place the right person in the right job.

A Standardized National Protocol

SureHire’s Fitness-to-Work program is available across Canada via our Exclusive National Testing network. SureHire ensures standardization through training, testing equipment, and protocols to maintain consistent national testing. An employer may book anywhere in Canada by calling a live booking agent or by utilizing our online booking service.

Various type of Fitness-to-Work assessments can be completed, based on the physical demands of the job. The table below outlines each assessment and its components.

Comprehensive FTW Standard HA #1 Standard HA #2 Standard HA #3
Past Medical History Paperwork – completed by candidate prior to FTW testing x x x x
Cardiovascular Risk Assessment (Q-Risk) x x x x
Health Check x x x x
Full Body Musculoskeletal Exam x x x
Full Critical Strength & Mobility Testing x
Modified Critical Strength & Mobility Testing x
Medical Professional Review x x x Blood Pressure Only
Level 1-5 Fitness to Work Recommendation to Hire x x x

Past Medical History Paperwork

  • Candidates complete the following prior to Fitness-to-Work testing:
  • Self-disclosure of pre-existing injuries and medical conditions
  • Physical Activity Readiness Questionnaire (PAR Q)
  • QRISK2 Cardiovascular Risk Assessment
  • Full consent and release form

Cardiovascular Risk Assessment (QRisk2)

SureHire utilizes the QRISK2 Cardiovascular Risk Assessment to help determine the risk of developing cardiovascular disease over the next 10 years. This tools asks various questions about the candidate’s personal and family medical history. The information is entered into an algorithm by a SureHire Fitness-to-Work Reviewer and the 10 year cardiovascular disease risk percentage is calculated.

Health Check

A health check is administered, which consists of height, weight, waist circumference, and blood pressure measurements, which helps determine if there are any contraindications to performing the SureHire Critical Strength & Mobility of testing.
Upon successful completion of the health check, candidates then undergo a full body musculoskeletal examination by a licensed physical therapist, chiropractor, or certified athletic therapist.

Full Body Musculoskeletal Exam

A full body musculoskeletal assessment is a head-to-toe objective evaluation that determines whether a candidate’s medical and musculoskeletal state safely matches the physical demands of the job being applied for. The assessment is based on standardized testing protocols which are established on evidence-based research.

Unlike other occupational testing companies, SureHire uses certified physiotherapists, chiropractors, and athletic therapists to perform the musculoskeletal assessment, as these medical professionals are movement specialists that specialize in understanding the integrity of a candidate’s muscles, bones, ligaments, tendons, and past/current soft tissue injuries.

The candidate’s injury and past medical history self-disclosure is used as a guide, but the assessor thoroughly examines the individual to discover any undiagnosed or omitted conditions and injuries using their specialized skill-set.

Critical Strength & Mobility Testing

Critical Strength & Mobility testing is the final step in SureHire’s Fitness-to-Work program. Candidate’s participate in a series of stations, which match the physical demands of the job, and these stations analyze the candidate’s strength and conditioning.

Click Here to learn more about the Critical Strength & Mobility Testing.

Medical Professional Review

Fitness-to-Work testing results are reviewed by a team of medical professionals which consists of physical therapists, chiropractors, certified athletic therapists, and physicians. The results from the Fitness-to-Work testing are used to give employers a recommendation to hire using the level 1-5 assessment scale. Employers have the ability to contact the SureHire Medical Review department at 1-866-944-4473 for assistance in interpreting the recommendations and in making a hiring decision.

Level 1-5 Fitness to Work Recommendation to Hire

Based on the information gathered from these assessments SureHire is able to make an informed recommendation to hire.

Click Here to learn more about the Recommendation to Hire level scale.

You will be required to present photo identification at the time of your appointment. Once your ID is verified, you will receive paperwork to fill out. This paperwork includes an authorization allowing SureHire to perform applicable testing, as well as provide testing results to your employer/potential employer.

How to Prepare

  • Dress appropriately: shorts, t-shirt, and closed toed shoes. You will not be allowed to testing bare feet or sandals. It is also recommended that women come prepared wearing a tank top or sports bra.
  • Try to get 8 hours of rest the night before your scheduled appointment.
  • Stay hydrated with water before, during, and after the testing. However, if you are booked in for a drug test, please follow drug testing hydration recommendations. Water is provided at the testing facility, however, you may bring your own water bottle.
  • Eat a light, healthy meal no sooner than one hour prior to your scheduled test, or a larger healthier meal three hours prior to your scheduled test.
  • It is recommended that if you have a long commute to the testing facility, the commute is done the day prior to testing.
  • Do not consume alcohol the evening prior to your test.
  • Expect to participate in a full body musculoskeletal assessment followed by a series of lifting stations and positional and mobility activities. Weights range from 15 to 100 pounds (dependent upon the physical demands of your occupation). The level of Critical Strength and Mobility testing is determined by your potential employer, prior to scheduling testing.
  • If you have been diagnosed with hypertension, please ensure that you take your medications as prescribed your physician, as an in-office blood pressure reading is included in Fitness-to-Work testing.

SureHire Medical Testing – What to Expect:

  • An occupational health technician will record your height, weight, waist circumference, and blood pressure.
  • You will then be taken into a private assessment room, where you will be asked to change into your shorts and T-shirt.
  • A licensed rehabilitation practitioner will review your medical and musculoskeletal history and then perform a full body musculoskeletal assessment. The musculoskeletal assessment assesses the stability, strength, range of motion, and integrity of your muscles, joints, ligaments, tendons, and bones.
  • Grip strength testing will be completed during the musculoskeletal examination.
  • If the assessor identifies any safety concerns during the medical/musculoskeletal examination, you will not be allowed to proceed to the Critical Strength & Mobility portion of testing. You will be issued a referral which you will identify what is required or recommended for you to be able to complete your testing (i.e. medical clearance note, copy of MRI report etc.)

Schedule of Acceptable Identification


  • Valid permanent driver’s licence issued in Canada or the United States of America, as permitted to be used for identification purposes under provincial law.
  • Valid passport issued by the government of residing country.
  • Certificate of Indian Status issued by the Government of Canada.
  • A document or card, bearing the individual’s photograph and signature, issued by any of the following authorities:
    -Insurance Corporation of British Columbia
    -Alberta Registries
    -Saskatchewan Government Insurance
    -Department of Service Nova Scotia, Department of Transportation, Province of Prince Edward Island
    -Service New Brunswick, Department of Government Service, Province of Newfoundland and Labrador
    -Department of Transportation of the Northwest Territories, Department of Community Government and Transportation of the Territory of Nunavut
  • Firearms licence or military ID
  • Homeless Aid Centre photo identification
  • Correctional Centre photo identification

Please note: photos or photocopies of ID will NOT be accepted.


    -Employee photo identity card, issued by an employer that is well-known in the community.
    -Certificate of Canadian Citizenship or a Certification of Naturalization, in the form of a paper document or card, but not a commemorative issue.
    -A provincial health insurance card, as permitted to be used for identification purposes under provincial law.
    -Social Insurance Number card issued by the Government of Canada (note: printable SIN cards will not be accepted).
    -Birth certificate issued in Canada.
    -Interim Driver’s License.
    -Employee ID card – from a reputable company within the community
    -Oil Sands ID card
    -Student ID card – from a reputable educational institution within the community
    -Gym membership
    -Costco ID card


  • If no ID is available, the tester will call your employer and speak to their DER. If the manager gives the tester a satisfactory physical description of the client or confirmation of personal information, the testing can proceed.
  • Management ID: 3 contact attempts within 30 minutes. If the tester cannot obtain management ID, online bookings will be advised that the client does not have sufficient ID to continue with testing. You will need to contact your company to re-book the appointment.


  • If no ID is available, the client must get a notarized letter with a photo attached to the actual letter. Any lawyer, doctor, pastor or other notary can provide this.

Testimonials & Case Studies

This industrial construction company implemented pre-hire Fitness-to-Work testing with SureHire in April 2012. From April 2012 to December 2015, *4322* candidates were tested.

Read the full case study

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