Shared case record · perspective-neutral
Accepted work restriction, not carried into floor operations
A lifting restriction (max 7 kg) was issued, delivered to the employer, and acknowledged — but it was not carried into floor operations, and the associate was assigned tasks that exceeded it.
Occupational health (first implementation domain) · A regional distribution center. Manual palletizing and order picking. · A six-week window from the date of the restriction.
Enter this case from any perspective
Parties
Employee
Associate, Distribution Center B
Clinician
Occupational physician
Employer contact
Human Resources coordinator
Floor lead
Shift supervisor
Current status
Accepted restriction NOT carried into floor operations. Obligation open and overdue on the floor.
Timing / delay
Delay elapsed: from Day 4 (first non-compliant assignment) through Day 39 (incident).
Immutable governance chain
IssuedRestriction issued — no lifting over 7 kg for 6 weeks.
Day 0, 10:42Occupational physician · evidence E1
DeliveredRestriction delivered to employer HR (transmission confirmed).
Day 0, 11:05Clinic fax system · evidence E2
AcknowledgedHR acknowledged receipt and stated intent to accommodate.
Day 0, 14:19HR coordinator · evidence E3
AcceptedAccommodation opened and accepted — obligation now owned by the employer.
Day 0, 14:26Employer accommodation register · evidence E4
DepartedAccepted restriction not carried into operations — assignment exceeds 7 kg, no modified-duty flag. Accountability begins here.
Day 4, 06:00Shift supervisor / scheduling · evidence E5, E6
HarmIncident reported — acute back pain during a ~22 kg lift.
Day 39, 15:52Shift supervisor · evidence E7
Obligations (1)
OBL-1
Carry the accepted 7 kg lifting restriction into floor operations for the remainder of the restriction period.
- Holder
- Shift supervisor / operations scheduling
- Accepted at
- Day 0, 14:26
- Deadline
- Each shift while the restriction is in force (6-week period).
- Baseline state
- accepted
Required evidence: Modified-duty flag on the assignment sheet and assignments within 7 kg, corroborated by the handheld scan log.
Escalation: Shift supervisor → operations manager → HR accommodation owner. Not a clinical escalation.
Accountability
Where it began: The earliest demonstrated departure is the Day 4 shift assignment (E5), corroborated by the handheld scan log (E6).
Responsible process: A non-clinical process: shift assignment / operations scheduling. The clinical instruction was correct and was accepted.
Clinical vs. accountable: Clinical judgment (the restriction) is distinct from accountable execution (carrying it onto the floor). The clinician did their part; execution did not follow.
Corroboration: The assignment sheet (E5) and the independent machine-generated scan log (E6) corroborate each other on the same fact.
As of the close of the 6-week window and its immediate follow-up.
Evidence (7)
E1 · Work-restriction note
verifiedDay 0, 10:42
Signed restriction: no lifting over 7 kg, 6 weeks, copy to employer HR.
E2 · Fax transmission confirmation
verifiedDay 0, 11:05
Fax confirmation — restriction transmitted to employer HR (delivered).
E3 · Email reply from HR
verifiedDay 0, 14:19
HR email acknowledging receipt and stating intent to accommodate.
E4 · Accommodation-log entry
verifiedDay 0, 14:26
Accommodation register row opened: max lift 7 kg, status active.
E5 · Shift task-assignment sheet
verifiedDay 4, 06:00 (recurring)
Shift assignment sheet — palletizing 20–25 kg, no modified-duty flag.
E6 · Handheld scan log
verifiedDay 4 through Day 39
Handheld scan log — items over 7 kg lifted across Days 4–39 (machine log).
E7 · Incident report
verifiedDay 39, 15:52
Incident report — acute back pain during a ~22 kg lift; removed from duty.