Study Guide

Lesson
Five
Introduction to Vocational Analysis
In this lesson we'll
introduce you to the vocational analysis process. This process is used in
conjunction with the claimant's medical evidence to determine if a claimant is capable of
performing work despite his impairments.
What is Vocational Analysis?
Vocational analysis is simply a process used to identify the demands of
work. This process allows an advocate to determine the (physical or
mental) demands of the claimant's past and/or other work that he may be
capable of performing. Every job in the national economy has some
minimal level of physical and/or mental demands that a person must possess in order to perform the
job. Vocational analysis enables you to determine if the claimant is
reasonably capable of performing that job with consideration of limitations
caused by his impairment.
When to Perform
VA:
As mentioned
several times in previous lessons, a representative always begins a claim
with the assessment process. Once the case has been assessed and developed, the advocate will begin the process of case evaluation. During
the case evaluation process, the advocate will review the medical evidence
and identify claimant’s physical and/or mental limitations.
These limitations are then used to determine the claimant's Residual Functional
Capacity (RFC).
As
part of this process, an advocate will
also review the claimant's past work history to determine the physical and
mental demands of his past work. Vocational analysis cannot
be performed until you know what the claimant's limitations are and the
demands of his past work. With this data, you can formulate both an RFC and
an argument based on the limitations supported by the evidence.
A claimant’s
physical limitations are then compared to the demands of his past work.
If the claimant’s physical or mental limitations are such that he can no
longer perform his past work, (step 5 of the Sequential Analysis), then he is said to be unable
to perform past work. You must now move to step six in Sequential
Analysis (SA) process which ask,
"Can the claimant do other less demanding work?"
With additional
consideration of the claimant’s age, education and remaining capabilities,
we then determine if there is less demanding work available that the
claimant can perform. If there is less demanding work within the
claimant’s capabilities, he will be denied benefits based on his ability to
perform other work (step six in SA).
To beat step six
in SA, you must always argue for a claimant RFC level that reflects his
inability to perform other similar or less demanding work. If you can
argue that there is no way that the claimant can adjust to other less
demanding work given his condition, he will most likely be found disabled
based on medical vocational factors. This is your objective!
The Vocational Analysis Process:
Vocational
analysis is a complex process that occurs during the case evaluation stage
of case processing. It involves the following steps:
1.
Review
claimant’s medical evidence and identify physical or mental restrictions and limitations. With this information, formulate an RFC
that you feel will result in an allowance determination.
2.
Evaluate the demands of claimant’s past work.
3. Compare
claimant’s remaining capabilities (RFC) with the demands of his past work. If he
can still perform the duties of his past work, he will be denied benefits. If he cannot,
then the next step is to compare his remaining capabilities with the demands
of other similar
or less demanding work.
4. If
the claimant is unable to adjust to less demanding work, (which is the
objective of your argument), he will have the best chance of being found
disabled by Social Security.
5. Always create your argument based on
an RFC that would result in an allowance determination. Use the
vocational rules table to determine what RFC is needed for an allowance
determination given the client's age, education and so on.
Our Approach to
VA:
Our experience in
the field of disability advocacy has shown that doing formal vocational
analysis is not always necessary. You can usually perform an abbreviated
voc analysis that will work just as well.
An Important Skill:
Vocational Analysis or (VA), is an important
skill that will help you to succeed as a professional representative. If
you are skilled in vocational analysis, you are far more likely to enjoy
success at winning disability cases because good voc analysis is the
foundation of any effective argument presented to SSA.
Fundamental components and
Vocational Analysis:
As stated earlier, vocational analysis is a
process by which a person's ability to perform work is determined by
evaluating the limitations caused by his impairments with the fundamental
components required to perform work VA requires that you break down a
job into its fundamental components. A job's fundamental components
are its demands and requirements. What it takes, both physically and
mentally, to perform the work.
An advocate must compare the
claimant's physical and or mental restrictions with the demands of his past or other
less demanding work. You are making
this comparison to determine if the
claimant can realistically perform the work. If the claimant is limited as a result of his impairments, he will be excluded
by SSA from performing work that he is unable to do. Therefore, the
more limited the claimant appears in comparison to work, the better his
chances of winning benefits. An allowance decision based on physical
or mental limitations is called a medical vocational allowance.
How Vocational Analysis is Used:
As a disability advocate, you use vocational
analysis to establish that the
claimant cannot perform the duties of his past work or other less demanding
work as a result of his impairment. Vocational analysis
is used to demonstrate that a particular job has physical or mental requirements that
cannot be performed by the claimant. Since SSA must exclude all work that the claimant
is incapable of performing, vocational analysis is the most effective method
used in arguing for a favorable decision.
Common Sense VA:
Although vocational analysis may appear
complex, it is in reality simple once you recognize its underlying purpose. In earlier versions of our
program, we consumed volumes of paper trying to explain the technical aspects
of vocational analysis. This approach did little more than confuse the
advocate. We now use an approach we
call common sense vocational analysis. In common sense VA, we focus on
the fundamental components of work.
Fundamental Components of Work:
A fundamental component refers to those
physical and or mental abilities needed by an individual in order that he/she
may perform work. An example of a fundamental component of work would
be how much standing, walking, bending or stooping is required in order to
perform the work. The claimant's RFC is nothing more than his
remaining ability to perform standing, walking, bending, stooping, etc, with
consideration of his impairment. Therefore, in common sense VA, one
simply compares the claimant's RFC with the fundamental component of his
past and other less demanding work.
Here is an example of how fundamental
components are compared:
A truck driver has injured his eyes and can
no longer see to pass his licensing examination required to operate his
vehicle. His injury and its symptoms (limitations) have been medically
documented. Now we must determine if the truck driver is a good
candidate for disability. To be a good candidate, the claimant's
limitations must significantly restrict his ability to perform his past work
and other less demanding work.
In this example, it would make good sense to
argue that the truck driver is no longer capable of performing his past work
due to the restrictions imposed by his visual impairment. Social
Security will
probably agree! The truck
driver's visual impairment has caused a loss in a fundamental component
required in his past job. That fundamental component lost is his vision
which is required to operate his vehicle. We have easily shown that
the claimant is no longer capable of performing his past work. But,
what about other less demanding work? And, what if the claimant is
only thirty years of age?
| Note:
For any claimant under age forty-nine, always argue for a less than
sedentary Residual Functional Capacity (RFC). Even if your are arguing for a less than sedentary RFC, you
must still compare the claimant's RFC to other less demanding work.
This action is part of the steps in formulating your argument.
You argue for less than sedentary by pointing out the affects of
all impairments combined. The primary dx in our
example is vision. However, if the claimant can still read normally
with corrective lenses, vision alone will not rise to the level of ruling
out sedentary work. |
There must be secondary limitations that
when combined with his vision, will further reduce the claimant's ability to perform
sedentary work. A good example of secondary limitations would be a
verifiable back disorder that significantly restricts sitting, standing,
walking, etc,. When the back disorder is combined with poor vision, a reasonable argument
can be made that the claimant is incapable of performing sedentary work.
Even at such a young age!
Identifying physical and mental requirements of a Job:
No matter what type of job an individual
performs, that job has certain physical and mental requirements. For
example: To function properly as a bank teller, you must have a number
of both physical and mental capabilities. You must be of average
intelligence with the ability to read, write and count. You must also have
the ability to see, hear and speak and or communicate with others. A
loss of any two of the above fundamental components would make performing as
a bank teller all but impossible.
Comparing Claimant's Restrictions to Job Demands:
A disability advocate can use the medical
evidence to show and support the loss of a claimant's ability to perform
work. This is done by pointing out that there has been a loss
of a specific capability or fundamental component of work that prevents the claimant from
doing the job.
Disabled individuals do not always lose the
same fundamental components even when they suffer from the same disorder.
Some may lose a large number of capabilities and others just a few.
For this reason, when it comes to limitations, treat each case as if it were
absolutely unique.
Remember, in vocational analysis, you are simply
comparing claimant's physical and or mental restrictions identified by the
medical evidence, to the requirements of a particular job or job category. T
he work might be the claimant's past work or work cited by SSA as being
within the claimant's functional capabilities (RFC). SSA refers to
jobs that they feel the claimant is still capable of performing as other
work or less demanding work.
Rules of Practice:
There are three elementary rules that must
be followed when performing common sense vocational analysis. These rules
are:
1. Attempt to identify as many of the
claimant's impairment related limitations as possible. Remember, the
limitation must be as a direct result of a medically
documented impairment.
2. Identify the functional requirements of
his past work. Then compare his RFC to other less demanding work. Other
work is simply work performed by the claimant in the past that is similar to
work within the claimant's industry.
3. In your argument, compare the claimant's
remaining functional capacities (the RFC you create) to the demands of his past and or other
work. If claimant cannot reasonably be expected to perform the other less
demanding work, an
allowance decision is warranted.
| Note: In
lesson four, we learned how to evaluate medical evidence for the purpose of
identifying functional limitations suffered by the claimant. |
By reviewing the medical evidence, we are in
fact hunting for evidence that will support the claimant's alleged physical
limitations. We then compare those limitations with the physical and or
mental demands of work, pointing out why the work is now impossible.
If the claimant does not have the fundamental components needed to perform
the work, Social Security must find him disabled. In a nutshell, the above
procedure represents the fundamental process called vocational analysis.
Types of Restrictions:
There are two basic types of restrictions or
limitations. Please note that these two terms are used
interchangeably. The first type is physical or exertion restrictions
and the second is mental or non-exertional restrictions.
Until now, we have logically referred to
physical and mental limitations as restrictions. However, SSA likes to
take a possible stance on technical language and has decided to call
restrictions, capabilities. So for the record, an exertional
capability is in fact a physical restriction and a non-exertional capability
is a mental restriction.
Exertion Capabilities:
In evaluating an individual's ability to
perform a specific type of work, there are two categories of requirements
that must be analyzed. The first is the claimant's physical
capabilities which are referred to as exertional. The other is the
claimant's mental capabilities which are referred to non-exertional.
The following is a list of exertional capacities and their definitions.
|
Basic Strength Factors: |
Physical RFCs below |
|
Lift and carry |
Heavy |
Medium |
Light |
Sedentary |
|
100 lb. or more |
+ |
|
|
|
|
25lb. to 50lb max |
|
+ |
|
|
|
10lb. to 20 lb. max |
|
|
+ |
|
|
10 lb. or less max |
|
|
|
+ |
The above chart shows an individual's
ability to lift and carry objects of a given weight. If a person can
lift 100 lb. despite his impairment, he is said to have an exertional
Residual Functional Capacity (RFC) for heavy work. If claimant can
lift 50 lb. maximum and 25 lb. frequently, he is said to have an RFC for
medium work. If he can lift only twenty pounds maximum, he has a light
RFC. Lifting of no more than ten pounds gives a sedentary RFC.
| Note: Although
lifting is just one of many exertional components, lifting is used most
often to define
a claimant's exertional capacity. Therefore, a person who can do heavy
work is defined as being able to lift 100 pounds. His RFC is for heavy work. |
There are several exertional components that
are of importance to SSA in the determination of disability. If SSA
feels that certain components have a greater negative effect on work, we as
consultants must also focus our attention on these same components.
The final RFC (residual functional capacity) for the claimant will be
determined by you and should include all appropriate restrictions.
Whether SSA accepts your RFC depends upon the strength of the supporting
medical evidence.
Other Exertional Components
Standing and Walking:
The following is an exertional chart showing
a claimant's RFC or residual functional capacity to stand and walk.
Common sense tells us that if a claimant is restricted in his ability to
stand and walk, there are jobs he simply cannot perform. The table
below provides Social Security's guidelines for assessing the claimant's level of standing
and walking restriction.
If a claimant can stand and walk for:
About 6 hours of an 8 hour day ----- Normal
Less than 6 hrs " " " ----- Limited
Less than 2 hrs " " " ----- Markedly Limited.
The above standing and walking restrictions
are straight forward. If a claimant is unable to stand and walk for 6
hrs of an 8 hr day, that person is restricted to performing work that would
not require him to stand and walk more than six hours of an eight hour day.
If the claimant can only stand and walk for
two hours of an eight hr day, that person is restricted to sedentary work or
jobs that would not require that he stand and walk for more than two hours
of an eight hour day. If the claimant can only stand and walk for less
than two hours of an eight hour day, his RFC falls to less than sedentary
work. If the medical evidence supports this level of restriction, you win
the case!
| Note: If
the claimant requires an assistive device to ambulate (walk), that claimant
is also restricted to less than sedentary work, which would constitute a
medical vocational allowance. |
A claimant will also be limited to less than
sedentary work if he or she is unable to sit for extended periods (more than
one hour), bend at the waist, use fine hand movements or has a visual
disorder that causes an inability to read standard print. Remember, all
restrictions alleged must be supported by the medical evidence.
| Note: A
clever disability consultant will combine as many restrictions of the
fundamental components as possible as a means of reducing the claimant's
perceived ability to perform work. The more medically supportable
restrictions you can present to SSA, the better are your chances of winning. |
Sitting:
Another important restriction to SSA is a
person's ability to sit for certain periods of time. Common sense tells us
that if a person is unable to sit, that person could be restricted from
performing even sedentary work. If a person cannot do sedentary work, that
person is said to have an RFC for less than sedentary. If this RFC is
supported by the evidence, you win the case!
Please notice that where restrictions are
concerned, SSA puts most of its decisional weight on how much or how often a
particular action can be performed. Here are SSA's guidelines for
sitting restrictions:
If the claimant can sit a total of:
6 hrs of an 8 hr day ------------ normal
Less than about 6 hrs of an 8 hr day ---- limited
Less than 2 hours a day without frequent breaks or changes in posture or
position is considered disabling
Sitting restrictions are most often seen in
serious back disorders or circulatory problems of the legs. If the
medical evidence supports the fact that a claimant cannot sit for 2 hours of
an 8 hour day without causing additional damage or pain, this would be a
good case to argue for a less than sedentary RFC. This RFC is valid even for
a person under age forty nine.
Pushing and pulling:
The ability to push or pull is either
limited or not, there is no in between. This situation most often
affects claimants whose past work was labor oriented as in construction,
warehousing and other occupations that require gross movement or heavy
physical labor.
More exertional components:
|
|
Frequently |
Occasionally |
Never |
|
Climbing |
|
|
|
|
Balancing |
|
|
|
|
Stooping |
|
+ |
|
|
Kneeling |
|
|
|
|
Crouching |
|
+ |
|
|
Crawling |
|
|
|
The above scale shows an example of a
claimant who is only able to stoop and crouch occasionally. If the
above restrictions were on a carpenter or construction worker, these
limitations would eliminate the claimant's ability to perform the work.
See how this works? You can use this same approach with literally
hundreds of possible physical restrictions.
If the above stooping and crouching
limitations were on an accountant, common sense tells us that these
restrictions would not apply because an accountant does not have to stoop or
crouch to perform his usual job duties. However, limitations such as fine
hand movement or poor vision might eliminate an accountant's ability to do
his past work.
All physical restrictions that are important
to SSA in the disability decision process are listed in the RFC form.
See sample RFC form in your instructional syllabus. These are the same
restrictions that you will use to argue your case on behalf of your client.
| Note: The
information on the physical RFC sheet is important and self explanatory.
The greater the physical restriction, the less likely the claimant can do
any kind of work. Read over the RFC pages. You will begin to
understand how these fundamental components of work can be used to win
cases. Always keep in mind that you must use only those restrictions
that are reasonable for a given impairment and are supported by the medical
evidence. |
Turn to RFC form in your instructional
syllabus. On page five of the RFC form, there is a space for
environmental restrictions. This refers to special restrictions caused
by lung disease and other disorders that would restrict the type of
environment a claimant would be capable of working in. Don't shy away
from using this environmental category if it is appropriate to the
claimant's condition.
An example of an environmental restriction
is when a claimant is suffering from a serious lung disorder such as asthma
or emphysema. His past work might have been in a chemical factory.
Common sense tells us that the claimant is no longer capable of working in
this type of environment or any other environment that would aggravate his
proven lung disease.
Residual Functional Capacity:
This term RFC has been used several times in
this lesson. As mentioned earlier, your best friend in determining a
claimant's RFC is your common sense. If your RFC takes into
consideration more restrictions than SSA's RFC, and the additional
restrictions can be supported by the medical evidence, you have a good
chance of convincing SSA that their previous RFC was in error.
Remember that SSA must take into
consideration any and all restrictions that are verifiable via the
claimant's medical evidence. This gives you an enormous advantage over
SSA. All you need do is point out the additional restrictions along
with the medical evidence used to support it. The key to winning any case
based on physical restrictions is to always pick out those restrictions that
are supported by the evidence. And, always use the physical
limitations that most reduce your client's RFC.
The winning concept of less than sedentary work:
If the claimant is under age 49, you'll quickly
discover that a case is easiest to argue if you lower the claimant's RFC to less than sedentary. This rule-of-thumb is well worth
repeating because it saves so much time. If the claimant is forty-nine years
of age or less with at least twelve
years of education, always argue for a less than sedentary RFC.
What is less than sedentary work?
Work that is less than sedentary really
doesn't exist. This term is simply a category of work that by
definition implies that the claimant cannot lift ten pounds and has
other restrictions that make work impossible. Anyone with a less than
sedentary RFC, if accepted by SSA, will be awarded a medical vocational allowance.
Requirements for less than sedentary RFC:
In most cases involving younger individuals,
you will have to reduce their RFC to less than sedentary work in order to
successfully argue for an allowance determination.
Less than sedentary work defined
Less than sedentary work is defined as the
inability to lift more than ten pounds maximum and at least one of the
following:
1. The claimant requires a cane, walker or
other assistive device in order to do minimal ambulating (walking).
2. The claimant cannot bend at the waist.
This restriction may be as a result of an anatomical defect of the hips or
spine or may be as a result of pain.
3. The claimant cannot do prolonged sitting
without experiencing pain that requires frequent posture or position changes
to relieve discomfort.
4. A claimant must have full use of his
upper extremities. An RFC is less than sedentary if claimant is unable to
lift 10 lbs. and has significant limitations in handling, fingering or
feeling in the upper extremities.
5. Poor close vision. Inability or
significant problems reading normal sized type due to poor vision that is
not correctable with glasses.
6. Significant hearing loss. Most sedentary
jobs do require that claimant be able to hear at least at normal
conversational voice levels.
| Note: Even if a person were capable of
lifting 50 lbs., he might still be assigned a less than sedentary RFC if any
two of the above six restrictions exist. |
Non-exertional capabilities:
Non-exertional capabilities, components or
restrictions are fundamental components of work that are nonphysical in
nature. Examples of non-exertional components are a person's ability
to understand, remember, concentrate, communicate, work appropriately with
others and adapt to changes in a working environment. It should be
obvious that non-exertional components are cognitive or emotional in nature
and are most often seen when evaluating mental disorders.
Evaluating a mental disorder is no different
than evaluating a physical impairment. You must first review the medical
evidence and pick out the key findings that support restrictions in the
claimant's ability to function. Compare the claimant's restrictions to the
demands of work and structure this information into an argument on behalf of
your client.
In many of your cases, you will find that the
claimant is suffering from both a physical and mental disorder. To evaluate
these types of cases, analyze the exertional and non-exertional limitations
separately, noting both types. Once you have identified all of the
claimant's restrictions, you can then combine them and create the most restrictive RFC possible.
To get a better idea of the number and types
of possible non-exertional restrictions there are, turn to the sample mental
RFC form in your instructional syllabus. It contains what SSA
considers to be the most important
types of mental restrictions related to a person's ability to work. These
same restrictions can be used by you to argue the case in favor of the
claimant if the restrictions are supported by the medical evidence.
The mental RFC form should be used as a
restrictions reference guide as is also true for the physical RFC form. Look
for the same types of restrictions shown on the RFC forms when evaluating
the medical evidence.
| Note: On
the mental RFC form provided (see syllabus), there are a number of non-exertional
components listed. The most restrictive (according to SSA) of these components are
numbers A-1,2. B-4,6,7,8,10, 11. C-12,14,15,16. D-18,19. The more of
these components you can show to be moderately to markedly limited in your
client, the more likely you are to win the case based on the claimant's mental
incapability to perform work. |
Use these same non-exertional restrictions
as a guide to structuring your argument for claimants with mental
impairments. According to SSA's internal policy, a claimant who is moderately restricted in A-1, B-4 and
moderately to markedly restricted in any two of the remaining components
listed on the mental RFC form, would not be realistically capable of performing work.
Always use the
medical evidence and your common sense to determine what restrictions best
fit a particular case.
Other vocational components:
There are at least three other vocational
components that can affect a claimant's ability to perform work. These
are age, education and the skill level of the claimant's past work.
Chronological age:
Once you have shown that the claimant is not
physically or mentally capable of performing his past work, you must then
prove that the claimant cannot do other work in order to win the case. The
claimant's age can help you achieve this goal. SSA believes that as a person
gets older, he is less capable of adjusting to new or different types of
work. This essentially means that SSA has an easier standard for disability
for those over age fifty. This unspoken policy is hidden in the vocational
rules. We will discuss vocational rules and how they are used later in this
lesson.
Education:
Education is another vocational component
that SSA feels can reduce a person's ability to adjust to other types of
work. The less education a claimant has, the less capable he/she is to
adjust to new or different types of work. The lower a claimant's educational
level, the better is his chance for a medical vocational allowance. It is up
to you as the claimant's representative to bring forth these types of
considerations in your argument. (See vocational rule educational table in
your instructional syllabus).
Skill level or SVP:
The amount of time required to achieve
average job performance is called the Skill Level or Specific Vocational
Preparation (SVP) level. If a person's past work was as a medical doctor for
example, that person would have taken many years of preparation in order to
be able to perform his duties. This would indicate a high skill level or SVP.
The higher the SVP, the more complicated or skilled is the job.
SVP:
1 = lowest skill level jobs.
9 = highest skill level jobs.
Rule: SSA cannot deny a claimant on the
basis that he is capable of work that has a higher SVP or skill level than
his past work. SSA will often deny a claim citing a claimant's ability to do
jobs that are of a higher skill level. If you catch this common SSA error,
this could reverse a previous denial decision.
Example: Your client worked for 15 years as
a janitor, SVP of 3, RFC of medium. His current RFC with consideration of
his impairment is reduced by you to light work based on some additional
restrictions discovered in the evidence. With an RFC of light, he clearly
can no longer do janitorial work.
The occupation of a doctor has a physical
RFC for light also and an SVP of 8. SSA cannot ask the janitor (SVP of 3),
to perform the duties of a doctor (SVP of 8) because of the difference in
skill level or SVP. This is an extreme example used to make a point.
Make sure that when SSA says that the claimant is capable of other work,
that other work is within the claimant's usual SVP level.
Despite the fact that the janitor job may
have an RFC for light work which is the same RFC of a doctor, the janitor
cannot be expected to perform work of which he is not trained. SVP
takes precedence over physical RFC. SVP refers to the skill level of a job
and should always be no higher than that of the claimant's past work.
Job Transferability:
In the previous paragraphs, we mentioned a
claimant being denied to or transferred to other types of work. This
transfer process takes place during the process of vocational analysis.
By using a job characteristics text like the DOT
or the O-Net Consortium (http://www.onetcenter.org/usingOnet.html), you and
SSA can determine what jobs
might be within a disabled claimant's RFC. If SSA can cite three jobs to
transfer the claimant to, the case will be denied. The act of
finding other jobs within the claimant's remaining capacity is called job transferability.
During the process of job transfer, the
claimant's past work experience for the past fifteen years is used to
determine if he can perform other similar work that requires less physical
or mental exertion. The other work must be similar in nature and of
the same or less SVP. The new job cannot contain any of the physical
or mental requirements that claimant is restricted from performing as a result of
his impairment.
Do not overly concern yourself with transferability
of skills except where it is obvious that SSA is trying to deny a claimant
to a job that he cannot perform. You can argue against this action by
pointing out how the claimant's restrictions prevent his transferability to
other less demanding work. You can also argue against transferability
if the other work has a higher SVP level than any of the claimant's past
work.
Medical Vocational Rules:
The medical vocational rule, also known as
the Grid, is a chart used by SSA to compare certain vocational components to
determine disability. This chart can determine at what age and
education a claimant must be in order to receive an allowance. The
only information you need from the vocational rules table is the
claimant's age and educational level. You decide on what RFC to argue
for based on what will result in an allowance. Using the voc rules table,
you can determine in advance exactly how much to restrict a claimant in
order to achieve a medical vocational allowance.
Vocational rules are only used with
exertional impairments and you need not cite a rule in your argument unless
it clearly supports your position. Don't get hung up on using the
vocational rules table. It is there solely as a guide in determining
an appropriate RFC for your argument.
Trick-of-the-trade:
Concentrate your efforts on disclosing physical or mental restrictions under
emphasized or ignored by SSA. Use these restrictions to argue for a
reduced RFC when the primary limitations are not quit strong enough to result in an allowance.
Remember, the vocational rules
table will give you an idea of how low you must set the claimant's RFC in
order that the outcome is an
allowance determination.
Identifying requirements of work:
SSA once used a form called the Vocational
Report form or 3369. Much of the information from this form is now asked on
the Client Application form, also known as the 3368 or F16. In order to
evaluate the functional requirements of a claimant's past work, you must
have access to the claimant's work history. This is accomplished by
using the old 3369 form or at least some of the questions from this form, at
the time you first take the case. If the claimant has already applied, this
information will probably already be in his SSA file.
To make the vocational process
easier, Disability Associates has created a software program called the Voc
RFC Analyzer. If you're an Executive member, you can access our
Vocational RFC Analyzer software inside the Office Suite. You may also
purchase the Voc RFC Analyzer separately from the link below or upgrade your
program to the Executive level course and receive the Voc Analyzer at a
significant savings.
|
Vocational Analysis Software
Click link below to purchase
product
|
Voc Analyzer Only |
|
Upgrade to Executive |
|
Vocational information is usually provided
by the claimant at the time of the initial application. Vocational
information should be requested along with the medical evidence and the PDN
at the beginning of the case. If vocational information is found to be
lacking in specifics, you should call the claimant for more details.
The old vocational form itself is structured to answer those questions that
are most relevant to vocational analysis. It is much easier to argue that a
claimant cannot do past work, when you know what the requirements of his
past work were. See pdf sample of
vocational form SSA -3369:
The first page of the old 3369 contains a
series of numbered spaces for listing of jobs performed by the claimant in
the last fifteen years. On page two of the form, there is space
provided to describe one job per page. The actual 3369 will have about four
to five identical page two's (middle page above).
The
process of vocational analysis
Acquire a work history:
One of the earliest steps in the vocational
analysis process is the gathering of information about the client's past
work history. This claimant's past work history gives us a window into
how he or she performed the work. This information along with an idea
of the claimant's capabilities, will provide you with a framework to
creating your argument.
The following is a general list of information about claimant's
past work that you'll need in order to start the formal vocational
analysis process. The information below should be acquired on all jobs
performed by the claimant for more than three months at SGA over the last fifteen
years.
1. Claimant's length of time on the job, his age and educational level.
2. Types and title of jobs performed by
claimant in the last fifteen years.
3. Each job performed by the claimant in the
last fifteen years must be described in detail. This description should
include job duties, physical demands, responsibilities, tools used, level of
training, etc.
Here is a short list of the most relevant
data to be collected about a claimant's past work:
a. How long was job performed?
b. Did claimant earn at least $SGA a month? If not, don't use
the job in your past work profile.
c. Did claimant manage or supervise?
d. What were claimant's primary duties?
e. Describe the tools, machinery, etc., used by claimant on job.
f. Did the job involve lifting, climbing, balancing, stooping, kneeling,
etc. If so, how much? Were these named actions done frequently,
occasionally, or never?
g. Did jobs require physical movement now restricted by claimant's
impairment? Example: Bending. Was this movement done frequently or occasionally,
or never?
h. Determine if the working environment was in any way harmful to the
claimant health. Example: Breathing toxic fumes.
| Note: In reviewing
a claimant's vocational history, you are looking for evidence of job
requirements (frequent bending for example) that are no longer within the
capability of your claimant. The objective is to compare
claimant's remaining abilities (RFC), to the demands of his past work to
determine if he is physically or mentally capable of returning to his past
work. |
Example: In our hypothetical case on Mr. Katts from lesson four, his past work was as a carpenter. This job is
described by the claimant as being medium work (lifting 50 lbs. maximum).
The DOT and the O-Net describe this job as being heavy work (lifting 100 lbs. maximum).
SSA felt Mr. Katts was only capable of light
work, (lifting of 20 lbs. maximum). Therefore, SSA would not deny him back
to past work. However, they may deny him to other less demanding work
because of his remaining capacity to perform light work. SSA has conceded
the RFC for light work because it would still result in a denial of the
case. SSA denied the case on the basis
that the claimant is capable of doing other less physically demanding types
of work within his current RFC (light).
To counter SSA's argument, you would argue that the
claimant's RFC should be further reduced to less than sedentary (<49) making any type of
work impossible. You would base this argument on physical or mental
limitations that were either ignored or undervalued by SSA. These
ignored or undervalued limitations are used by the astute advocate as the
basis for a further reduction of the claimant's RFC.
How SSA reaches a vocational conclusions
about work requirements?
There are two answers to this question.
The first is the voc rules table. Yes, Social Security looks at the same voc rules table
that you
do to determine what RFC will result in a particular decision. The
difference is that while you look at the table to determine what RFC it
takes for an allowance a case, Social Security looks at what RFC it would take to deny
the case.
Social Security will always create an RFC that supports
their
argument for a denial decision. This is OK because their RFC has no
more merit than your RFC. An RFC is nothing more than opinion. You both have an equal right to your
opinion about what the claimant's RFC should be. The victor in this
battle will always be the side that presents a well documented argument that
makes good common sense!
Social Security also uses
employment industry text like the Dictionary of Occupational Titles or the
O-Net Consortium to
acquire a
formal description of a jobs fundamental components. Social Security does this
because a formal description of a job 's fundamental requirements can be
more or less demanding than the reality of the job. Social Security will use the less demanding
formal job description as a means of justifying a denial decision.
Example: If a job is described by the
claimant as being heavy, SSA can dispute this description by using the less
demanding formal description from the DOT or O-Net. If the DOT or
O-Net say's that the
job is of a light exertional nature, SSA will use this quote in their
argument for a denial. This is easy to counter. An astute
advocate would not argue the jobs description in the DOT or O-Net at all. The
advocate's focus should be on the level of the RFC. Why? Because if
the advocate wins the RFC argument, he'll also win the case. It really
doesn't matter what the claimant's past work exertional RFC level was.
What really matters is the RFC level accepted by SSA at the time the case
decision is made. If the RFC accepted by SSA is low enough to result
in an allowance, the RFC of the claimant's past work becomes irrelevant.
Using the DOT:
The O-Net, DOT (Dictionary of Occupational Titles) and the SCO
(Selected Characteristics of Occupations) manuals are simply text that
describe the fundamental components of most jobs in the national economy.
These
vocational sources are used by both advocates and SSA as a guide to identifying the requirements of an
occupation. For example, if SSA wants to know the maximum lifting
requirements of a rough carpenter job, the O-Net or DOT would provide this data. SSA can
then determine if it's appropriate to deny a claimant to that job.
Identifying Other Work:
Previously, we discussed how to argue that a
claimant is not capable of performing his past work, step five of the
sequential analysis process. However, in order to acquire an allowance, we
must also argue that the claimant is not capable of any type of work.
There are two categories of work that must be considered when arguing that a
claimant cannot adjust to any type of work. These categories are other
work or similar work.
Other work refers to work actually performed
by the claimant, giving him specific experience in doing that type of work.
Similar work refers to jobs that the claimant might be able to perform
because it is similar or require similar skills as his past work. To identify similar work you
must again use an occupational text like the O-Net manual.
Instructions for using the occupational guide can be found within the
text or at the O-Net website at
http://online.onetcenter.org/ .
Summation of Vocational Analysis:
VA is simply a process where you determine the physical and or mental
requirements of the claimant's past work. You do this by first
identifying the claimant's physical and or mental limitations via his
medical evidence. You then review the claimant's job description to
determine how his past work was performed and what it required. Once
you have established the claimant's physical and or mental limitations you
can formulate an RFC. You then compare the claimant's remaining
capabilities to the requirements of his past work. This is step five
in the vocational analysis process.
Once you have shown that the claimant cannot do his past work, you then
compare his RFC or remaining capabilities with other less demanding work.
Other less demanding work is simply other less demanding work or similar work to that performed by the
claimant.
If the claimant is forty-nine years old or less, he will be denied
to less demanding work not related to his past work. Therefore to
counter this, you would want to show how his condition
restricts him from performing even sedentary work. Remember, any
claimant under age forty-nine will only be allowed benefits if he meets or
equals the listings or he is incapable of performing sedentary work.
If you can create a reasonable argument that supports the claimant's
inability to perform sedentary work, you will have a good chance of
winning the case based on medical vocational factors.
Preview of Lesson Six:
Lesson Six will focus on the Case Evaluation process. This process is used
in the actual evaluation of a claimant's evidence of record.
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