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manual, or speaking skills (except where those skills are the factors that the test is <br />designed to measure)? Yes No X N/A <br />No — Modification or corrective action: <br />PRE- EMPLOYMENT INQUIRIES <br />1. Is the HR aware that it cannot make a pre - employment inquiry or conduct a medical <br />examination of an applicant to determine whether the individual is a person with <br />disability unless the HR is undertaking affirmative action efforts or conditioning an <br />offer of employment on the results of a medical examination given to all prospective <br />employees in the same job category? X Yes No <br />No — Modification or corrective action: <br />IMPORTANT INFORMATION <br />HR may make a pre - employment inquiry into an applicant's ability to perform job- related <br />functions. <br />2. When the HR is undertaking affirmative action efforts, voluntary or otherwise, and <br />inviting applicants for employment to indicate whether and to what extent they are <br />disabled, does the HR meet the following conditions: <br />a) State clearly either orally or in writing that the requested information is <br />intended for the HR's affirmative action efforts? X Yes No <br />b) State clearly that the information is being requested on a voluntary basis, that <br />it will be kept confidential and that refusal to give the information will not <br />subject the applicant or employee to any adverse treatment? X Yes No <br />No to either question above - Modification or corrective action: <br />3. Has the HR informed job applicants that an employment offer maybe conditioned on <br />the results of a medical examination if all entering employees in a job category must <br />take an examination regardless of disability, and the examination accurately reflects <br />the employee's job skills? X Yes No <br />If applicable <br />No — Modification or corrective action: <br />Attach Rent number 5 <br />F -2 Page 53 <br />