Physical Disability Evaluation System (Pdes) - Commander'S Performance And Functional Statement Page 3
ADVERTISEMENT
1
2
3
4
5
6SECTION lll B (Continued)
Use Section III D if additional space required and to provide additional discussion.
Describe/list
discrete, specific
duties/tasks Soldier can complete to standard (time and quality).
1
A
No difficulties.
B
Not observed.
C
Soldier does not complete to standard (time and quality).
Describe
types of duties
2
A
No difficulties.
B
C
Not observed.
Indicate whether performance issues are due to (choose all that apply):
3
A
Soldier needs more time for each task;
Soldier performs duties/tasks with errors or incompletely.
B
Soldier does not complete the duties/tasks.
C
Soldier unable to complete 8 hour duty day.
D
No difficulties.
E
Not observed.
F
Considering 1-3 above, and Soldier's work performance during the time you have observed Soldier, choose most accurate description of Soldier's
4
performance:
Periods of diminished attention or performance only when significantly stressed. If known, indicate type of stress eliciting performance
A
Occasional decrease in work efficiency (performs more slowly and/or with more errors).
B
Intermittent periods where Soldier unable to perform occupational tasks.
C
Occasional difficulties with reduced reliability and productivity.
D
Not observed.
E
Effective work relationships with supervisors and/or co-workers.
5
A
Has effective work relationships with both supervisors and co-workers.
Difficulty establishing and/or maintaining effective work relationships with supervisors and/or co-workers. Discuss.
B
Does not establish and/or does not maintain effective relationships with supervisors and/or co-workers. Discuss.
C
Not observed.
D
SECTION III C. If Soldier has a diagnosis of Traumatic Brain Injury (TBI), assess Soldier's performance.
Use Section III D to provide additional discussion.
1. Task/duty completion (functional capacity).
Completing tasks/duties to standard.
A
Performs tasks/duties to standards.
B
Mild difficulties completing tasks/duties to standards. Discuss.
C
Moderate difficulties completing tasks/duties to standards. Discuss.
D
Severe difficulties completing tasks/duties to standards. Discuss.
E
Not observed.
Page 3 of 5
DA FORM 7652, DEC 2008
APD LF v2.03ES
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business