Physical Demands, Working Conditions and Work Environment:
Indicate how often the following physical demands are required to perform the Essential job Responsibilities.
Physical Demands, Working Conditions and Work Environment:
Indicate how often the following physical demands are required to perform the Essential job Responsibilities.
C=Constantly F=Frequently O=Occasionally R=Rarely
Physical Demands
Standing C
Walking C
Sitting O
Lifting O
Carrying O
Pushing O
Pulling O
Climbing F
Balancing F
Stooping O
Kneeling O
Crouching O
Crawling O
Reaching O
Physical Strength
Handling O
Little Physical Effort – 10lbs or less C
Grasping F
Light Work – up to 20lbs F
Feeling O
Medium Work – up to 50lbs O
Talking F
Heavy Work – up to 100lbs O
Hearing F
Very Heavy Work– above 100lbs R
Repetitive Motions R
Eye/Hand/Foot Coordination O
Environmental Conditions
Extreme Cold F
Extreme Heat F
Temperature Changes F
Wet O
Humid O
Noise F
Vibration R
Hazards C
Atmospheric Conditions R
WORK ENVIRONMENT
Personal Protective Equipment Required:
___C___Steel Toe Work Boots
___C___Hearing Protection
___C___Safety Eyeglasses
___R___Welding Coat
___R___Respirator
___C___Other PPE’s (explain) Gloves