Bort ‘a. OCCUPATIONAL FITNESS ASSESSMENT (OFA) CONFIDENTIAL INFORMATION (To be completed by attending physician) Guideway Serviceperson Employee Name: Employee #: Mark Holand E21987 Job Title: Date of Birth: X]Safety Critical Safety Sensitive Please refer to Canadian Railway Medical Rules Handbook for Positions Critical to Safe Railway Operations, https://www.railcan.ca/publication/canadian-railway-medical-rules-handbook/ Give that the employee did not sustain a physical injury, please provide additional information regarding the rationale and need for lifting and walking limitations. Can the employee perform office-based, administrative work without restrictions as part of a gradual return to work? If so, please provide an anticipated start date. If no, please provide rationale: Page 4 of