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4. Has the information obtained by the HR concerning the medical condition or history <br />of job applicants been collected and maintained on separate forms and accorded <br />confidentiality as medical records? X Yes No <br />No — Modification or corrective action: <br />IMPORTANT INFORMATION <br />Supervisors and managers may be informed of restrictions on the work or duties of <br />individuals with disabilities and informed of necessary accommodations; first aid and <br />safety personnel may be informed if the medical condition might require emergency <br />treatment; and Section 504 compliance officers can have access to relevant medical <br />information upon request. <br />SECTION 5. PHYSICAL ACCESSIBILITY OF BUILDINGS AND <br />FACILITIES <br />For each question in this section, circle either Yes or No. If a question does not apply to <br />your HR, then write "N /A" next to the question and explain below. If your response to a <br />question is No, then identify what modification to policies and practices will be <br />undertaken or what corrective action will be taken to remedy any discrimination found. <br />In some cases, a Yes answer will also require that additional information be supplied to <br />complete the evaluation process. <br />REASONABLE ACCOMMODATION <br />1. Has the HR made a reasonable accommodation (any accommodation which does not <br />place an undue financial and administrative burden on the HR) to the known physical <br />and mental limitations of qualified persons with disabilities to allow access to <br />facilities, programs, and services? X Yes No <br />No — Modification or corrective action: <br />2. In determining whether an accommodation imposed an undue financial or <br />administrative burden on the operation of the HR program, were the following factors <br />considered: <br />a) The overall size of the HR's program with respect to the number of <br />employees, number and type of facilities, and the size of budget? X Yes <br />No <br />9 <br />Attachment number 5 <br />F -2 Page 54 <br />