Belte r r a Cor p or at ion S afety M an ual D oc I D C H S M BE L 2 0 1 7 Pa g e 4 67 of 53 8 OF FER L ETT ER OF S UITA BLE EMPLO YME N T Doc u m e n t Identif icat ion F R M 019 P age Nu m b e r 1 of 2 Doc u m e n t C r e ation Dat e J a nua r y 1 2013 Im p le m e n tat ion Dat e J a nua r y 1 2013 Da te Attention De a r E mpl o y e e W e a t B e lt e r ra C orpor a ti on in par tner ship wi th all j urisdictional he a lt h a nd sa fe t y boa rds h a ve d e ve l ope d a n I njur y M a na ge ment a nd R e turn to W ork Prog ra m whose purp ose is t o ha ve inj ure d e mpl o y e e s r e tur n to t he wor ksit e in t he shorte st pos sibl e ti me w it hout com promisi ng fur the r the e m plo y e e s he a lt h a nd sa f e ty Althoug h y ou ma y not be a ble to wor k a t y our re gular duti e s with t he C ompan y we a re c omm it ted t o off e rin g y o u va lu a ble a lt e rn a ti ve wor k tasks that will e na b le y ou to continue to wo r k a t B e lt e rr a C orpo ra ti on while y ou a re r e ha bil it a ti ng fr om an inj ur y r e maining a t t he s a me r a te o f pa y At thi s ti me B e lt e rr a C or pora ti on would li ke to off e r y ou mod ifie d duti e s u nti l such ti me a s y ou ha v e be e n m e d ically cle ar e d to r e turn to re g ular wor k duti e s Duti e s ma y b e a va il a bl e a nd a ssi g ne d in consid e ra ti on of y o ur s e niorit y re striction s a nd li mi tations a s follo wing L i g ht dut y b e lt wor k e g lac ing putt i n g c le a ts on be lt s or la gg in g a pull e y P rovide g uidan c e a ndo r pra c ti c a l t r a ini ng to j unio r e mpl o y e e s o r ne w hir e s Th is l ig ht dut y will be a va il a ble to se nior a nd c o mpete nt emplo y e e s onl y Upda te Ma t e ria l S a f e t y Da ta Shee ts MS DS on li ne a nd pr e pa r e binde rs for a ll truc ks L i g ht sanit a ti on cle a nin g up the shop f loor a nd du sti ng Or g a niz ing inventor y inc ludi ng inventor y c ounti n g Tr a ini ng a ndor r e tra ini n g on sa fe t y mate ri a ls An y othe r lig ht dut ies tha t m a y be a ssi g n e d b y the supe rvisor or ma n a g e r w i thi n the ph y sicia ns re strictions a nd li mi tations S hould t he e mpl o y e e not wish t o pa rtic ipate in t he I MR TW P rog r a m it ma y im pa c t whe ther o r not the e mpl o y e e s W C B c laim will be a c c e pted I h ave agr e e d to part icip ate in t he i njur y man a g e ment a nd re turn to wor k progr a m that is in pl a c e a t B e lt e rr a C orp a nd will e nsure that I will follow the modi fie d tasks g iv e n to m e so a s to not fur ther c ompromi s e m y h e a lt h a nd sa fe t y a n dor the he a lt h a nd sa fe t y of othe rs w hil e on modi f i e d duti e s Empl o y e e s Si g na tu re Da te B e lt e r ra Ma n a g e rs o r de s ig na tes S i g na tur e Da te Dur ing y ou r modifie d w ork plac e ment y ou will b e supe rvise d b y