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NSW SIRA — Modified Duties
You can work — with restrictions
Up to 4 hours per day, seated tasks only. No lifting over 5 kg. Right arm below shoulder height.
Issued 23 Mar 2026Expires 14 Apr 2026 — 22 days remaining
Book your next review before 14 Apr to avoid a gap in payments
Certificate of Capacity — William Wordsmith
Issued 23 Mar 2026
Expires 14 Apr 2026
NSW SIRA
Dr J. Field — DOCTO FastCare
Functional Capacity Check-In 1
Recovery movement check — due today · results shared with your DOCTO doctor
This check-in measures how your capacity is progressing toward your pre-injury level. You are currently certified for light duties — these tasks help your doctor understand how your recovery is tracking between appointments.
This week
Lift — carry a laundry basket
Half-full, floor to bench — approx. 4–5 kg — back and shoulder
Pull — open the fridge door
Single-arm pulling resistance — rotator cuff and shoulder
Push — open a door
Standard interior door — shoulder, chest and neck
Anything to add?
Check-in saved
Your responses have been recorded and will be shared with your DOCTO doctor before your next appointment.
Today's summary
Note for your doctor
What this certificate means for you
Plain English breakdown of your restrictions and recovery tasks
What you can do
Work up to 4 hours/day, seated tasks
Computer work, calls, reading and writing
Walk short distances on flat ground
Attend physio and medical appointments
What you cannot do
Lift over 5 kg — roughly a bag of potatoes
Raise right arm above shoulder height
Operate heavy machinery
Work more than 4 hours in a day
Recovery tasks
Physio exercises twice daily
Ice pack 15 min after any physical activity
Book next review before 14 Apr
Notify your employer of restrictions today
Questions & Jargon Buster
Ask about your certificate or look up a clinical term
Ask a question
Jargon Buster
Common concerns
Hi William. I have read your certificate. Ask me anything about your restrictions, recovery or payments.
Type any clinical term from your certificate to get a plain-English explanation.
total incapacitysedentary dutiesfunctional restrictionsprovisional diagnosispsychosocial factorsMMI
Select a concern for a plain-English answer.
Talk to your employer
A ready-to-send message explaining your restrictions
Hi [Manager's name],
I wanted to let you know I have seen a doctor through DOCTO FastCare about my work injury.
My doctor has cleared me for suitable duties. This means I can attend for up to 4 hours per day but I need desk-based work and cannot lift anything over 5 kg or raise my right arm above shoulder height.
My certificate is valid until 14 April 2026. I am happy to discuss what tasks would be suitable.
Thank you for your support.
Recovery Progress
Complete 5 stages to stay on track with your recovery
Recovery progress
0 of 14 tasks complete
Start with Stage 1 below
1. Understand your certificate
0 of 3 done
▼
Read the plain English summary above
Note your expiry date: 14 Apr 2026
Clarify any restrictions you were unsure about
2. Notify your employer
0 of 3 done
▼
Send or show your employer the certificate
Use the employer script to explain restrictions
Confirm suitable duties in writing
3. Submit to your insurer
0 of 2 done
▼
Submit certificate to your workers comp insurer
Confirm weekly payment arrangements
4. Start your recovery
0 of 3 done
▼
Book your first physiotherapy session
Begin prescribed exercises twice daily
Track any changes in pain or function
5. Book your review
0 of 3 done
▼
Book a DOCTO review before 14 Apr 2026
Note questions for your doctor
Get your new certificate at the review
All stages complete
Well done. Your DOCTO team will be in touch at your next review.