Active situations in The Engine

Patient portal · #25 Occupational Medicine

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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.

Source depth: Level D

Perspective

Same case · facts preserved

The person the process is supposed to serve.

One action, every portal updates

Carry the accepted restriction into floor operations — held by Shift supervisor / operations scheduling. Set the modified-duty flag on the assignment sheet and align tasks to the 7 kg restriction for the remaining period.

Obligation open — all six portals reflect the departure.

Patientviewing
Modified duty not yet confirmed on the floor.
Physician
Restriction accepted but not yet carried into operations.
Employer
Avoidable exposure active; loss pattern continues.
Administrator
Obligation open: modified-duty flag not set.
Benefits Adviser
Delay exposure is still accruing.
Fiduciary / Legal
Execution not yet evidenced; departure stands on the record.

The $17,500 demonstrable avoidable cost is already incurred and does not change when the action completes. What changes is forward status: the avoidable exposure stops accruing.

Patient asks

What happens next?

Your lifting restriction was set by your clinician and your employer agreed to it. It was not put into practice on the floor. The next step is for your employer to actually assign you only to work within your 7 kg limit — and to show that it happened.

5. Current status

Accepted restriction NOT carried into floor operations. Obligation open and overdue on the floor.

6. Timing / delay

Delay elapsed: from Day 4 (first non-compliant assignment) through Day 39 (incident). Exposure accrued across the window.

3. What matters now

The restriction protecting you exists on paper and was accepted, but it was not followed in your day-to-day assignments.

4. Responsible party or process

Your employer’s scheduling / floor operations — not you, and not your clinician.

7. Economic consequence

Demonstrable avoidable cost: $17,500 (fixed, already incurred). Forward avoidable exposure continues while the obligation stays open.

No dollar figure is surfaced for this question at this perspective.

8. Next action

You do not need to fix this yourself. You can ask your HR contact to confirm your modified-duty assignment in writing.

11. Relevant beneficiary

You — the restriction exists to protect you.

9. Evidence (3)

E1 · Work-restriction note

verified

Day 0, 10:42

Signed restriction: no lifting over 7 kg, 6 weeks, copy to employer HR.

E3 · Email reply from HR

verified

Day 0, 14:19

HR email acknowledging receipt and stating intent to accommodate.

E5 · Shift task-assignment sheet

verified

Day 4, 06:00 (recurring)

Shift assignment sheet — palletizing 20–25 kg, no modified-duty flag.

Inspect the full evidence record →

10. Boundary

This explains what the record shows about your restriction. It is not medical advice about your recovery.

The dollar result — seven categories, never collapsed

Knowledge as of Close of the six-week restriction window and immediate follow-up.

Demonstrable avoidable cost

$30,000 − $3,500 − $9,000 = $17,500

Employer-paid − supported necessary cost − excluded uncertainty. This $17,500 is a demonstrable avoidable cost already incurred — not a post-Engine cost, and not a claimed saving.

What the employer paid (4 lines)

Medical claim paid$14,200
Wage replacement paid$9,800
Operational backfill$4,600
Administrative handling$1,400

1.Necessary supported cost

$3,500

What correct execution (the accepted modified-duty accommodation) would have cost.

Benchmark — supported reference

2.Cost already incurred

$30,000

What the employer plan and payroll actually paid for this episode.

Stored — recorded payment

3.Current avoidable exposure

$17,500

The avoidable portion of the incurred cost — exposure created by the departure, before recovery.

Derived — calculated

4.Demonstrable avoidable cost

$17,500

Employer-paid − supported alternative − excluded uncertainty. The defensible figure.

Derived — calculated

5.Excluded uncertainty

$9,000

Causation the record does not establish — deliberately NOT claimed.

Derived — calculated

6.Realized savings

Not yet realized

No savings are claimed as realized on this illustrative episode. Realized savings are shown only where recovery is evidenced.

Boundary — not claimed

7.Remaining dollars at risk

$17,500

The demonstrable avoidable cost not yet recovered, and the pattern that recurs while the corrective obligation stays open.

Derived — calculated

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