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Hiring new employees can be a long, stressful chore. You get tons of applications and people interested in being hired, but there’s not enough space for all of them to join the team. You have to consider who will be the best fit for your workforce, and this can be achieved through pre-employment testing.
When you hold pre-employment testing, you examine potential employees to see whether they’re a good fit for your workforce or not. This helps you to hire workers who are fit for duty and you eliminate applicants who may be a threat to workplace safety. In this article, we’ll discuss the importance of pre-employment testing for both you and your employees.

What Are Pre-Employment Tests?

Pre-employment testing is when companies provide a set of different tests and assessments to gather more information about the applicant. This can involve assessing the physical, mental, and emotional well-being of the potential employee to ensure they’re fit for duty. This testing is done before the candidate is even offered the job.
What Is Tested?
The employer has to set a variety of tests for the candidate to ensure that they’re getting an overall depiction of their skills and capabilities. This means that pre-employment often consists of different tests that help them learn more about their potential employees. The following are a few things you can expect to be tested during a pre-employment assessment:
● Physical capabilities. If the job requires physical labor, it’s imperative that physical tests are done. It’s important to determine whether a candidate is physically capable of fulfilling the daily tasks that their job requires of them. If these tests aren’t done, it can lead to future injuries in the workplace.
● Job knowledge. Another important thing to test is the knowledge of the applicants. You want to discover how much they know about the field that they’re applying for. This includes technical and theoretical expertise that they’ll need to perform their job every day. You want to employ someone with at least some general knowledge about your field.
● Personality characteristics. Pre-employment tests don’t only assess the skills and capabilities of candidates, but they can also be used to gauge a better understanding of their personality traits. An employee's personality makes a big impact on the work environment, as it can disrupt the balance amongst the staff.
● Cognitive aptitude. Aptitude tests are done to determine the critical thinking skills of the applicant. Having this skill is extremely important for employees since things don't always run smoothly. You need to know how this potential employee will react under stressful circumstances.
● Emotional intelligence. It may not seem like a relative test to have for the work environment, but one’s emotional intelligence has a major impact on how one behaves around others. You want to hire people with good emotional intelligence, so you can limit conflict in the workplace.
The Benefits of Pre-Employment Testing
There are many ways you and your company can benefit from doing pre-employment testing. If anything, you may find that not using pre-employment testing poses a disadvantage to your company. Practicing pre-employment testing should become a part of your selection and onboarding process for new employees, as it’ll benefit you in the following ways.
Improving The Recruitment Process
Recruiting new employees can be a long and tedious process for employers. There are so many different things you need to consider when you are hiring new staff. Adding pre-employment testing to your recruitment process helps you to streamline it. This gives you a standard routine that drastically improves your recruitment in the following ways:
● Being more time-efficient. Having this streamlined process will help make recruiting new people more efficient. You don’t waste time on the recruitment process, as you just have to ensure the potential employees meet your requirements through these tests.
● Unbiased hiring process. When you have a streamlined recruitment process, it helps you to avoid bias. You may not think you’re a biased person, but you may do this subconsciously. A streamlined recruitment process will help you to make a hiring decision based on their test results.
● More cost-efficient. The recruitment process can be quite costly when you spend money on outsourcing recruitment specialties. When you use pre-employment testing, you’ll find it simpler and more cost-efficient. This helps you to have a standard budget for recruiting that doesn’t break the bank.
Finding People Fit for Duty
Although a resume, CV, and cover letter can tell you a lot about a candidate, this may not be a true depiction of their capabilities. Some people exaggerate their resumes, and in reality, their work ethic doesn’t live up to their standards, whereas other people downplay their skills; this can make you overlook really good workers.
Performing pre-employment assessment testing can act as a trial run for your applicants. You get to see how these individuals will fit into your workforce, as well as gain a better understanding of their true capabilities. This helps you to hire the right employees that will fit into your team.
Not only does it help you to see if they can fulfill the job properly, it also helps them to determine if they actually see themselves doing the job. They may find the job title and description appealing, but once they actually get a taste of their responsibilities, they may feel disinterested in the job and decide it’s not the right fit for them.
Having High-Quality Staff
As stated earlier, pre-employment testing helps you to hire people who are the best fit for your company. Having high-quality staff is beneficial for a number of reasons, and it will make drastic improvements in your business, such as the following:
● Decreased employee turnover. As a business, you want to have a low employee turnover. Keeping a steady, loyal set of staff members will help your business to run smoothly, as everyone knows what they’re doing. When you hire people who want to do the job after they excel at the pre-employment testing, it’ll drastically decrease your employee turnover.
● Fewer injuries happen on-site. If your employees are required to participate in hard labor, it’s crucial to ensure that they’re physically capable of doing so. These tests will ensure that you hire people physically fit enough to work on-site without endangering their own safety or the people around them.
● Decrease in errors and delays. When you have high-quality staff, it’ll minimize the number of mistakes they make. You’ll find that things run smoothly and efficiently, and your staff is mentally, physically, and emotionally equipped to fulfill their job tasks.
Best Practices of Pre-Employment Testing
There are many different ways you can perform pre-employment testing. You want to ensure that you use a process that is suitable for your business and potential employees. Here are some practices that will help you to perform the best pre-employment testing.
Find A Suitable Vendor
When you’re getting into pre-employment testing, you’re probably going to want to find a vendor that helps you meet all your needs. In this case, a vendor is an organization that provides pre-employment testing services in various forms. You need to determine which vendor is right for you, and this can be determined by considering the following:
● What type of tests do they provide? We’ve discussed most types of tests you can expect from a pre-employment test, but some vendors don’t have all options. They may just specialize in a certain type of testing, so it’s important to look for a vendor who provides the tests you want for your applicants.
● Are the tests customizable? Another important thing you should consider is whether the tests the vendor provides are customizable. You may want to add your own questions or assessments that help you to get more accurate results, so it’s best to work with a vendor that allows you to make adjustments.
● Does the vendor have good customer support? You want to have a vendor that’s hands-on, especially when you’re getting started with pre-employment testing. To check if they are good with customer support, you should look at reviews from past customers.
Ensure Results Are Accurate
You need to ensure that the results of your test are accurate, as these results determine the future of you and your employees. You want to have accurate results that you can use to make a fair decision. These are some things you should consider to ensure validity through your pre-employment screen testing:
● Do you have sufficient data? You need to use tests that provide you with sufficient information about your applicants. To help you narrow down the competition or make a calculated decision, you have to have enough valuable data to review. It’s important to ask enough questions (the right questions) throughout this assessment.
● Are the questions relative to your field? The questions you ask throughout the different tests should be related to the job requirements. For example, if the job role requires someone to understand a lot of technical terms and practices, you should ask them questions that will make them aware of their job knowledge.
● Are the physical tests valid? You can get your applicants to participate in any ordinary physical assessment; for example, they can do jogging on a treadmill, or lift heavy things. These may be good tests, but you have to assess physical capabilities that are specific to the job they’re applying for.
If you consider all of these things when you are implementing pre-employment assessment testing, you’ll be able to get results you can rely on. This is also something you should consider when you’re looking for a vendor, as you must use tests that will provide valid test data.
Set Tests At The Right Time
Timing is really important when it comes to pre-employment assessment testing, as you want to accelerate our hiring process. The recruitment and selection process can be a long and tedious process, especially when you have a long list of applicants, so it’s important to consider when throughout this process you’ll implement pre-employment screening.
You want pre-employment testing to make this process more manageable and stress-free, instead of making more work for yourself and your recruitment team. If you have a lot of applicants, you should first narrow down the list by doing interviews and resume checks. This helps you to lighten the load of applicants.
Once you’ve shortlisted the candidates that you think are the best pick, you can start doing pre-employment testing. This way you have fewer test results to consider and review when you have to make your hiring decision.
Utilize Test Results As Guidance
Lastly, it’s important to remember that the results from these tests shouldn’t be the only factor that helps you make the hiring decision. There are other parts of the recruitment process that are important to consider, such as the interview, the application, and whatever else your onboarding process consists of.
You need to give your applicants a fair chance by adding all of these factors together, instead of just judging them on their test results. With that being said, the test results do make up the majority of the recruitment decisions, as it’s physical evidence of the applicants' capabilities.
Advantages of Pre-Employment Testing for Employees and Employers

Pre-employment screening tests are beneficial for both employers and employees. It makes the recruitment, selection, and onboarding process more manageable for all members involved. Implementing this testing system will only provide positive impacts for everyone.
Benefits for Employers
We’ve discussed most of the ways employers can benefit from performing pre-employment testing, but there are even more reasons why you should strongly consider implementing these tests into your recruitment or selection process.
One of the biggest ways pre-employment screening tests are valuable is that they give employers a deeper understanding of the candidates' potential. Reading a resume can only give you so much information, but having the applicants engage in various tests can help you see who has a good future with your organization.
This helps you to hire people who are a good fit for your company, which can improve your efficiency. Many companies notice drastic improvements in their performance, as their efficient employees make them leading competitors in their field.
Benefits Employees
Not only do pre-employment tests benefit employers, they also have a big positive influence on potential employees. When you look after the overall well-being of your employees, you create a safe and efficient workspace for your staff. Pre-employment testing can benefit your employees in the following ways:
● Understanding their potential job role. As much as pre-employment testing is important for employers to see if they see a future for applicants, it’s also valuable for potential employees. These tests help applicants and potential employees find comfort, familiarity, a better understanding, and a vision for the future in the company.
● Ensuring workplace safety. Performing a pre-employment physical ability test helps you to choose candidates who are fit for duty and you eliminate the options that could pose a threat to themselves and the work environment. This is beneficial to the potential employees, as they avoid doing a risky job for themselves.
● Benefitting your current employees. Not only do these tests benefit your potential employees, but they are also important for your current employees. All the different elements of a pre-employment assessment test whether the applicant is physically, emotionally, and mentally stable, which has a big impact on the rest of your staff.
How Reliable Are Pre-Employment Screening Tests?
If you’re still not convinced to implement pre-employment tests because you’re scared it’s unreliable, it’s important to take a look at the facts. Many successful companies are using pre-employment testing for their benefit, as it adds an element of fairness and reliability to their recruitment system.
If you feel as though pre-employment screening is not reliable or valid enough, you can do a trial run during your next hiring phase. To determine whether it’s reliable or not, you can ask a volunteer to take a test multiple times, and if it’s reliable, they should get the same results each time.
Frequently Asked Questions
After reading the article to this point, you probably have a better understanding of what pre-employment testing is and why you should implement it into your recruitment system. There are countless reasons why it’ll be beneficial for you and your employees. If you have more questions and curiosities, they may be answered through the following frequently asked questions.
What Should Applicants Expect From Pre-Employment Testing?
Before you implement pre-employment testing for your applicants, you should inform them of what they can expect. It can be nerve-wracking for them knowing they have to do some tests, while not knowing what you’ll expect from them. It’s helpful to let the candidates you’ve shortlisted know what they can expect from this procedure.
Let them know what type of clothing they should wear if they are going to participate in a physical test. You can inform them how long they can expect to be there and what time they should arrive.
How Long Does The Test Last?
The length of a pre-employment test varies for each test. It can range from 15 minutes to 45 minutes. It depends on the tests that are being implemented and what job role that the applicants are applying for. For example, if it’s an entry-level job, it’ll be shorter. If physical tests are included, it may take longer.
What Do You Do With The Results?
The results of a pre-employment test are crucial, as they will help you to determine whether a candidate is a good fit or not. You can decide how you mark the tests, and you don’t have to necessarily pass or fail your candidates. You can use their results to compare them together, so you can determine who’s the best fit out of the competition.
What Type of Physical Tests Can You Expect?
If the job people are applying for entails them doing hard labor and physical activity frequently, it’s important to add physical assessments to your pre-employment screening. This will ensure that the workers are in good enough physical shape to fulfill the daily tasks.
It’s important to let shortlisted candidates know what to expect from their physical examination, as they can arrive properly prepared. The tests should have assessments that are relative to the work they’ll be required to do. For example, if they do heavy lifting throughout the day, you can test their strengths and resilience.
Where Can I Find The Best Employment Testing?
When it comes to finding pre-employment testing, you want to find a vendor that offers you the help you need. You want to work with an organization that’s flexible and provides you with maximum results and feedback. One vendor you should consider using is PCP works. PCP works can test employees after hire but before your new employees begin working on-site.
They will help you to test the physical capabilities of your candidates and provide you with reliable results. PCP also offers post-employment testing that helps you to maintain the safety and efficiency of your employees.
Conclusion
As a company, it’s important to find ways to make your practices more efficient and professional. The recruitment and selection process can be a stressful time for any company, as it can lead to bad hiring decisions that aren’t good for the business. You never know who’s the right fit for your company once you see their true skills and capabilities.
Using pre-employment testing will help you to implement a streamlined hiring system that not only accelerates the recruitment process, but also improves employee retention and efficiency in getting tasks completed, as well as it makes a happy, safe, and stable work environment.

Understanding Shy Bladder Syndrome in the Workplace
Understanding Shy Bladder Syndrome in the Workplace
Guidance from Integrated Care, LLC
Intergrated Care provides DOT drug screens and rapid drug screens for employers for many purposes included pre employment, post accident, random, and reasonable suspicion. Sometimes the "donors" are unable to provide a sample due to shy bladder.
What Is Shy Bladder Syndrome?
Shy bladder syndrome, medically known as paruresis, is a real and often misunderstood condition. It occurs when someone is unable to urinate in the presence of others, especially in public or stressful situations like employment-related drug testing. It’s a form of social anxiety, and it affects more people than you might expect.
This condition can range from mild hesitation to a complete inability to provide a urine sample—even when the individual desperately wants to comply.
Why It Matters in Workplace and DOT Settings
In everyday life, shy bladder may go unnoticed. But in a workplace setting—particularly those requiring DOT drug testing or pre-employment screenings—it can become a barrier to completing necessary health and safety steps.
At Integrated Care, LLC, we’ve seen firsthand how this condition can cause confusion, delay, or even unnecessary concern if it isn’t handled properly. That’s why we believe education and compassion are key.
How It’s Handled: DOT Shy Bladder Protocol
The U.S. Department of Transportation (DOT) has clear steps for handling situations where someone cannot provide a urine sample:
- Initial Attempt: The individual is asked to urinate under standard conditions.
- Observation Period: If unsuccessful, they remain at the collection site for up to 3 hours and may consume up to 40 ounces of fluids.
- Next Steps: If no sample is provided within that time, the matter is referred to a Medical Review Officer (MRO).
- Medical Evaluation: The MRO may then initiate a medical evaluation to determine if a condition like paruresis is the cause.
This protects both the individual and the employer while ensuring regulatory compliance.
What HR and Supervisors Should Know
It’s important to understand that shy bladder is not a refusal or an attempt to avoid testing—it’s a psychological barrier, and the person likely wants to cooperate fully. Here’s how you can help:
- Show empathy: Recognize this is a stressful moment.
- Don’t rush or pressure the individual.
- Follow proper protocol and refer any concerns to Integrated Care or the MRO.
- Ensure your staff is trained to recognize and handle shy bladder cases respectfully.
Integrated Care Is Here to Help
As your partner in occupational health and compliance, Integrated Care, LLC ensures that all our collection staff, providers, and client-facing materials are prepared to handle shy bladder situations professionally and empathetically.
If your team needs additional training or guidance on this topic, we’re happy to assist.
Integrated Care, LLC
Your Trusted Partner in Occupational Health & DOT Compliance
📍 14450 Meadows Blvd, Omaha, NE 68138
📞 402-502-1819
🌐 www.integratedcarellc.com
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Understanding the First Report of Occupational Injury or Illness (NWCC Form 1)
Workplace injuries, while unfortunate, must be managed with precision and regulatory compliance. One of the most critical tools in this process is the First Report of Alleged Occupational Injury or Illness, commonly referred to as the First Report of Injury (FROI). In Nebraska, this is formalized through NWCC Form 1 (Revised 03-02), issued by the Nebraska Workers’ Compensation Court (NWCC).
This article explains the purpose, structure, and proper use of the form, providing insight into how it supports both legal compliance and effective claims management.
Purpose of the First Report Form
The NWCC Form 1 is more than just paperwork—it initiates and documents the legal and administrative process following a work-related injury or illness. Specifically, it serves to:
- Satisfy Nebraska workers' compensation reporting requirements
- Initiate the claims process for employee benefits
- Assist in OSHA compliance and injury tracking
- Facilitate coordination between employers, insurance carriers, and third-party administrators (TPAs)
Timely and accurate completion of this form is mandatory to ensure smooth claims processing and avoid legal or financial penalties.
Core Sections and Their Functions
1. Employer and Insurance Information
This section collects details about the employer and their workers' compensation coverage. Key fields include:
- Employer FEIN and SIC Code: Used to identify and classify the employer.
- Report Purpose Code: Indicates if the form is an original, correction, or other type of report.
- Insurance Carrier Information: Includes the carrier's name, FEIN, contact details, policy number, and coverage period.
- Claim Administrator: Identifies the party managing the claim, which may differ from the insurer (e.g., a TPA or risk pool).
2. Employee Information
Accurate employee data is critical for proper benefit calculation and claim identification:
- Personal Information: Name, address, phone number, date of birth, Social Security number, and hire date.
- Job and Compensation Details: Job title, employment status (full-time, part-time), scheduled workdays per week, and wage structure (hourly, weekly, etc.).
- Dependent and Marital Status: Used to help determine certain benefit calculations.
3. Incident Details
The heart of the report lies in this section, which captures:
- Date and Time of Injury: When the employee began work and when the injury occurred.
- Location of Incident: Including whether it occurred on the employer's premises.
- Injury Description:
- Type of Injury/Illness (e.g., "sprained ankle")
- Part of Body Affected (e.g., "left ankle")
- Cause and Mechanism: Narrative describing how the injury occurred, including any equipment or activity involved.
- Standardized Codes: Nature, body part, and cause of injury codes for data consistency.
4. Medical Treatment and Reporting
This section outlines how the injury was treated and includes:
- Initial Treatment Level: Options range from no medical treatment to emergency care or hospitalization over 24 hours.
- Healthcare Provider Info: The name of the treating provider or facility.
- Disability and Return to Work Dates: When applicable, includes date of disability onset and date the employee returned to work.
- Fatal Injuries: If applicable, the date of death must be recorded.
5. Administrative Details
The form concludes with metadata such as:
- Date Employer Notified
- Date Claim Administrator Notified
- Form Preparer’s Name, Title, Phone Number
- Date Prepared
Instructions and Coding Reference
The second page of NWCC Form 1 provides detailed instructions and definitions for every field on the form. This includes:
- Mandatory Fields: Marked in bold—if missing, the form will be rejected.
- Code Definitions: For occupational codes, injury type, and report purpose.
- Clarification on jurisdiction claims, OSHA case numbers, and policy details.
This structured guidance ensures consistency across all employers and claims administrators when reporting injuries.
Compliance Tips and Best Practices
- Complete All Mandatory Fields: To avoid rejection or delay.
- Submit Promptly: File immediately after the incident or as soon as the employer becomes aware of it.
- Use Standard Codes: These aid in regulatory reporting and internal analytics.
- Keep Copies: Retain for employer records and share with insurers and administrators.
- Review for Accuracy: Errors in time, dates, or treatment levels can complicate claims.
Conclusion
The First Report of Injury (NWCC Form 1) is a cornerstone of compliant occupational health and safety administration. Employers and administrators should treat its completion with care and urgency. Proper use of this form protects employees' rights, limits employer liability, and ensures streamlined coordination with insurers and regulatory bodies.
If your organization needs a PDF copy or help completing, call 402-502-1819 or email eric@integratedcarellc.com.

Desk Posture, Daily Health: How to Protect Your Spine and Boost Productivity
Modern work life often means long hours seated at a desk, staring at a screen. While convenient for productivity, this sedentary lifestyle poses significant risks to our musculoskeletal health. Fortunately, with proper posture practices and supportive care like chiropractic treatment, you can mitigate these risks and maintain long-term physical wellness.
The Hidden Toll of Poor Desk Posture
When we sit for extended periods, particularly with poor posture, the spine absorbs much of the strain. Slouched shoulders, forward head posture, and unsupported lower backs can gradually lead to:
- Neck and back pain
- Muscle fatigue and stiffness
- Headaches and migraines
- Reduced circulation
- Increased risk of repetitive strain injuries (RSIs)
Over time, poor posture can even cause structural imbalances in the spine and contribute to chronic musculoskeletal disorders.
Ergonomic Best Practices for Desk Workers
Investing in proper ergonomics and being mindful of your posture can greatly reduce physical strain. Here are key adjustments and habits to promote spine health:
1. Chair Setup
- Choose an adjustable chair with lumbar support.
- Hips and knees should be at 90-degree angles.
- Feet flat on the floor or on a footrest.
2. Monitor Position
- Top of the monitor should be at or slightly below eye level.
- Keep the screen about an arm’s length away to avoid leaning forward.
3. Desk and Keyboard
- Forearms parallel to the ground, with elbows close to your sides.
- Wrists should remain neutral — not bent upwards or downwards.
4. Movement Breaks
- Stand or stretch at least once every 30–60 minutes.
- Consider using a sit-stand desk to alternate positions throughout the day.
- Incorporate light walking or stretching exercises into your day.
How Chiropractic Care Supports Desk Workers
Chiropractors specialize in diagnosing and treating disorders of the spine, muscles, and joints. For individuals sitting at a desk all day, chiropractic care offers several key benefits:
Spinal Alignment and Pain Relief
Chiropractic adjustments realign the vertebrae, relieving pressure on nerves and reducing pain, particularly in the neck, shoulders, and lower back.
Postural Assessment and Education
Chiropractors often conduct postural screenings and provide personalized advice on correcting poor habits and setting up an ergonomic workspace.
Injury Prevention
By restoring normal spinal function and addressing muscle imbalances, chiropractic care helps prevent repetitive strain injuries and chronic musculoskeletal conditions.
Improved Flexibility and Circulation
Manual therapy techniques used in chiropractic care improve joint mobility and enhance blood flow — both of which are critical for sedentary individuals.
Final Thoughts: Proactive Care Pays Off
Desk jobs aren’t going anywhere — but neither should your health. A proactive approach combining proper posture, ergonomic adjustments, and chiropractic care can help you feel better, move better, and work better. If you’re experiencing discomfort, don’t wait for it to become a chronic issue. Consulting with a chiropractor can be a smart step toward long-term wellness.