The document describes the process for a pre-employment medical assessment, which includes a written questionnaire and physical exam. The written questionnaire asks broad medical history questions about prescription medications, surgeries, family health conditions, addictions, and smoking. The physical exam assesses physical ability and safety standards. It includes standard tests like hearing, lung function, blood pressure, body mass index, and urine analysis. Physically demanding jobs may include additional fitness tests. The exam also evaluates vision and may involve treadmill, bike, or step tests.