Waist to Shoulder. Full abilities Up to 5 kilograms 5 - 10 kilograms Other (please specify): Stair Climbing: Full abilities Up to 5 steps 6 - 12 steps Other (please specify): Use of hand(s):Left Hand Right Hand Gripping Gripping Pinching Pinching Other (please specify): Other (please specify): APPENDIX B – ABILITIES FORM Bending/twisting repetitive movement of (please specify): Work at or above shoulder activity: Chemical exposure to: Travel to Work: Ability to use public transit Ability to drive car Yes Yes No No
Waist to Shoulder. Full abilities Up to 5 kilograms 5 - 10 kilograms Other (please specify) Stair Climbing: Full abilities Up to 5 steps 5 - 10 steps Other (please specify) _ Bending/twisting repetitive movement of (please specify): Work at or above shoulder activity: _ Limited pushing / pulling with: Left Arm Right Arm Other (please specify) Limited use of hand(s): Left Right Gripping Pinching Other Operating motorized Equipment Environmental Exposure to: (heat, cold, noise) Chemical exposure to: Exposure to Vibration:Whole body Hand/arm Other (Please describe) Prognosis - From the date of this assessment, the above will apply for approximately: 1-2 weeks 3-5 weeks 6-8 weeks 2-3 months 4-6 months 6+ months Unknown Recommendations for work hours and start date: Regular full time hours Modified hours Graduated hours Start Date: (dd/mm/yyyy) Next appointment date to review Limitations and/or Restrictions: (dd/mm/yyyy) Please provide any additional information/comments/findings/limitations (ex. Physical, Cognitive) which you feel would assist our employee in a safe and timely return to work.
Waist to Shoulder. Full abilities Up to 5 kilograms 5 - 10 kilograms Other (please specify) Stair Climbing: Full abilities Up to 5 steps 5 - 10 steps Other (please specify) Bending/twisting repetitive movement of (please specify): Work at or above shoulder activity: Limited pushing / pulling with: Left Arm Right Arm Other (please specify)_ Limited use of hand(s): Left Right Gripping Pinching Other Operating motorized Equipment Environmental Exposure to: (heat, cold, noise) Chemical exposure to: Exposure to Vibration: Whole body Hand/arm Other (Please describe) Prognosis - From the date of this assessment, the above will apply for approximately: 1-2 weeks 3-5 weeks 6-8 weeks 2-3 months 4-6 months 6+ months Unknown Recommendations for work hours and start date: Regular full time hours Modified hours Graduated hours Start Date: (dd/mm/yyyy) Next appointment date to review Limitations and/or Restrictions: (dd/mm/yyyy) Please provide any additional information/comments/findings/limitations (ex. Physical, Cognitive) which you feel would assist our employee in a safe and timely return to work. PART B: LOCAL TERMS ARTICLE 1 - RECOGNITION 51 ARTICLE 2 – MANAGEMENT RIGHTS 51 ARTICLE 3 – DEFINITIONS 52 A. TEACHER IN CHARGE/DESIGNATED TEACHER 52 B. CONSULTANT 53 C. ACTING ADMINISTRATORS 53 D. TEACHER 53 E. FULL -TIME FOR SALARY PURPOSES 53 F. PART-TIME FOR SALARY PURPOSES 53 G. Q.E.C.O. H. EXPERIENCE ALLOWANCE 53 ARTICLE 4 – NO STRIKES OR LOCKOUTS 53 ARTICLE 5 – UNION REPRESENTATION 54 5:01 ELECTION OF ASSOCIATION REPRESENTATIVES 54 5:02 ASSOCIATION REPRESENTATIVES 54 5:03 NEGOTIATING COMMITTEE 54 5:04 LIAISON COMMITTEE 54 5:05 JOINT PROFESSIONAL DEVELOPMENT (PD) COMMITTEE 55 5:06 MEMBERSHIP IN THE UNION 56 ARTICLE 6 – DISPUTE RESOLUTION PROCESS 56 6:02 INFORMAL STAGE 56 6:03 FORMAL STAGE STEP ONE 56 6:04 STEP TWO 56 6:07 MEDIATON 57 6:08 ARBITRATION 57 ARTICLE 7 – PERSONNEL FILES 58 ARTICLE 8 – SENIORITY 58
Waist to Shoulder. Full abilities Up to 5 kilograms 5 - 10 kilograms Other (please specify) Stair Climbing: Full abilities Up to 5 steps 5 - 10 steps Other (please specify) _ Bending/twisting repetitive movement of (please specify): Work at or above shoulder activity: _ Limited pushing / pulling with: Left Arm Right Arm Other (please specify) Limited use of hand(s): Left Right Gripping Pinching Other Operating motorized Equipment Environmental Exposure to: (heat, cold, noise) Chemical exposure to: Exposure to Vibration: Whole body Hand/arm Other (Please describe) Prognosis - From the date of this assessment, the above will apply for approximately: 1-2 weeks 3-5 weeks 6-8 weeks 2-3 months 4-6 months 6+ months Unknown Recommendations for work hours and start date: Regular full time hours Modified hours Graduated hours Start Date: (dd/mm/yyyy) Next appointment date to review Limitations and/or Restrictions: (dd/mm/yyyy) Please provide any additional information/comments/findings/limitations (ex. Physical, Cognitive) which you feel would assist our employee in a safe and timely return to work. _ PART B Consists of provisions with respect to Local Issues and certain Central issues TABLE OF CONTENTS PREAMBLE 1 DEFINITIONS 2 ARTICLE I 3 DEFINITION OF BARGAINING UNIT 3
Waist to Shoulder. Full abilities Up to 5 kilograms 5 - 10 kilograms Other (please specify) Stair Climbing: Full abilities Up to 5 steps 5 - 10 steps Other (please specify) _ Bending/twisting repetitive movement of (please specify): Work at or above shoulder activity: _ Limited pushing / pulling with: Left Arm Right Arm Other (please specify)_ Limited use of hand(s): Left Right Gripping Pinching Other Operating motorized Equipment Environmental Exposure to: (heat, cold, noise) Chemical exposure to: Exposure to Vibration:Whole body Hand/arm Other (Please describe) Prognosis - From the date of this assessment, the above will apply for approximately: 1-2 weeks 3-5 weeks 6-8 weeks 2-3 months 4-6 months 6+ months Unknown Recommendations for work hours and start date: Regular full time hours Modified hours Graduated hours Start Date: (dd/mm/yyyy) Next appointment date to review Limitations and/or Restrictions: (dd/mm/yyyy) Please provide any additional information/comments/findings/limitations (ex. Physical, Cognitive) which you feel would assist our employee in a safe and timely return to work. _ PART B – LOCAL TERMS PREAMBLE/INTRODUCTION The Peterborough Victoria Northumberland and Clarington Catholic District School Board and the OECTA-PVNC Unit Bargaining Unit are committed to improve student achievement, reduce gaps in student outcomes and increase confidence in publicly funded education.
Waist to Shoulder. Full abilities Up to 5 kilograms 5 - 10 kilograms Other (please specify): Stair Climbing: Full abilities Up to 5 steps 6 - 12 steps Other (please specify): Use of hand(s):Left Hand Right Hand Gripping Gripping Pinching Pinching Other (please specify): Other (please specify):
Waist to Shoulder. Full abilities Up to 5 kilograms 5 - 10 kilograms Other (please specify): Stair Climbing: Full abilities Up to 5 steps 6 - 12 steps Other (please specify): Use of hand(s):Left Hand Right Hand Gripping Gripping Pinching Pinching Other (please specify): Other (please specify): MEDICAL CERTIFICATE CONFIDENTIAL APPENDIX B – ABILITIES FORM Bending/twisting repetitive movement of (please specify): Work at or above shoulder activity: Chemical exposure to: Travel to Work: Ability to use public transit Ability to drive car Yes Yes No No
Waist to Shoulder. Full abilities Up to 5 kilograms 5 - 10 kilograms Other (please specify): Stair Climbing: Full abilities Up to 5 steps 6 - 12 steps Other (please specify): Use of hand(s):Left Hand Right Hand Gripping Gripping Pinching Pinching Other (please specify): Other (please specify): Employee’s Consent: I authorize the Health Professional involved with my treatment to provide to my employer this form when complete. This form contains information about any medical limitations/restrictions affecting my ability to return to work or perform my assigned duties. Bending/twisting repetitive movement of (please specify): Work at or above shoulder activity: Chemical exposure to: Travel to Work: Ability to use public transit Ability to drive car Yes N Yes N
Waist to Shoulder. Full abilities Up to 5 kilograms 5 - 10 kilograms Other (please specify): Stair Climbing: Full abilities Up to 5 steps 6 - 12 steps Other (please specify): Use of Hand(s): Left Hand Gripping Pinching Other (please specify): Right Hand: Gripping Pinching Other (please specify): Completing Health Care Professional Name: (Please Print) Date: Telephone Number: Fax Number: Signature: XXX #1 – Remote Work LETTER OF UNDERSTANDING BETWEEN: OSSTF (“The Union”) and Algoma University (“The Employer”) (Collectively referred to as “the Parties”) RE: Remote Work
