Andy Minor

I'm highly motivated and a fast learner. I have many skills I feel that'll work great with this position. I'm reliable and very punctual.

I've gone through CPS training and received my Greenbelt certification.

• The Genetic Information Nondiscrimination Act of 2008 (GINA) prohibits employers and other entities covered by GINA Title II from requesting or requiring genetic information of employees or their family members. To comply with this law, we ask that you not provide any genetic information when responding to this request for medical information. “Genetic information”, as defined by GINA, includes an individual’s family medical history, the results of an individual’s or family member’s genetic tests, and the fact that an individual or an individual’s family member sought or received genetic services, and genetic information of a fetus carried by an individual or an individual’s family member or an embryo lawfully held by an individual or family member receiving assistive reproductive services.
• As part of our continuous efforts to maintain a safe working environment, Caterpillar Inc. is focused on supporting the safety and well being of the people we employ. In order to provide safe and proper placement within your position at Caterpillar Inc., it is very important for you to honestly complete the following medical questionnaire. Be sure to include all past and current injuries and/or medical conditions.
• Failure to provide honest disclosure of any present or past medical conditions will be considered as a falsification of the medical questionnaire, and can result in the withdrawal of your employment offer, or disciplinary action up to and including termination of employment.
• If you have any questions regarding the medical questionnaire, please ask for further clarification.
• When filling out the Post Offer Questionnaire:
• Print your full name on each page
• List your phone number with area code. This should be a number where we will be able to contact you if we have any questions
• Answer all questions with a circle of yes or no
• If you answer “yes” to a question, list:
• - Approximate date
• - Body location
• - Brief description of event
• By signing this form, you acknowledge that you have read these instructions and understand the importance of providing complete and honest answers to the information requested on the attached medical questionnaire.

• Please answer ALL of the following questions. Provide as much detailed information as possible to facilitate your placement. (please print clearly)
• 1. Do you have any allergies? (medications, foods, skin contact, environmental or workplace – ex. bee stings, chemicals, soaps, metals, or oils)
• 2. Do you take any prescription or over-the-counter medications?
• 3. Are you currently under a doctor’s care? Physician name:
• 4. Do you have or have you ever had any of the following medical conditions:
• High blood pressure?
• Heart disease (heart attack, angina/chest pain, heart failure, irregular heart rhythm, or any other heart condition?)
• Do you have a pacemaker or internal defibrillator?
• Asthma/lung disease?
• Hepatitis/liver disease?
• Diabetes/sugar problems?
• Have you had a hypoglycemic/low blood sugar episode? If yes, when?
• Epilepsy/seizure disorder?
• Bleeding disorder?
• Skin rash?
• Sleep apnea, sleep disorder, or daytime sleepiness?
• Migraine or severe headaches?
• Groin pain, lump in groin, or rupture/hernia?
• ANY other medical condition?
• 5. Have you ever had any surgeries or operations?
• Operation on hernia/rupture?
• Operation on a muscle or tendon?
• Operation on a bone or joint?
• Operation on back or neck?
• ANY other type of operation?
• 6. Are you currently smoking or using any type of tobacco product?
• 7. Have you ever smoked or used tobacco products?
• 8. Have you ever been treated by a psychiatrist or psychologist?
• 9. Do you have or have you ever had: Depression, panic attacks, anxiety, fear of heights, or confined spaces?
• 10. Have you ever blacked out, fainted, or become dizzy or light headed?
• 11. Do you have or have you ever had ANY back pain or injury?
• 12. Do you have or have you ever had ANY neck pain/injury or a head injury?
• 13. Do you have or have you ever fractured (broken) a bone?
• 14. Do you have or have you ever had ANY weakness or numbness and tingling in your hands, arms, legs, or feet?
• 15. Do you have or have you ever had carpal tunnel syndrome?
• 16. Do you have or have you ever had ANY pain or injury in your shoulder (rotator cuff, impingement, dislocation, or separation)?
• 17. Do you have or have you ever had ANY pain or injury in your elbow, wrist, or hands (Tennis elbow, wrist sprain, ganglion, cubital tunnel, tendon injury, tendonitis, finger or nail injury, or arthritis)?
• 18. Do you have or have you ever had ANY pain, injury or other problems in your hip, knee, or ankle. (Torn ligament or cartilage, ankle sprain, arthritis, degenerative joint disease, etc.)?
• 19. Do you have or have you ever had any type of foot problem (heel pain, plantar fasciitis, bunions)?
• 20. Do you have or have you ever been diagnosed with any type of arthritis? (Osteoarthritis, rheumatoid, etc.)
• 21. Have you ever consulted with an orthopedic surgeon, neurosurgeon or chiropractor?
• 22. Please answer the following about your previous work experience:
• Worn a respirator to do a job?
• Worked with or near asbestos?
• Worked with air tools or vibratory tools?
• 23. Please answer the following about your eyesight:
• Do you have clear vision in both eyes?
• Do you wear glasses or contact lenses?
• Do you have to wear glasses or contacts to drive?
• Are you colorblind?
• 24. Please answer the following about your hearing:
• Do you have any type of hearing loss?
• Do you wear a hearing aid?
• Have you worked in a high noise job?
• Have you ever worn or do you currently wear hearing protection in noisy environments?
• 25. Do you have any other health conditions that have not been covered in this questionnaire?
• 26. Do you feel that you need any work accommodations or restrictions based upon a medical condition to perform job tasks?
• 27. What exercise or activities (hobbies) do you do outside of work?
• 28. Are you currently pregnant?
• I certify the above information is true and correctly recorded. I understand that any false, misleading, or incorrect statements will be cause for immediate dismissal. I understand that placement may require additional time if further medical information is required.