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 O
Walking O
Sitting C
Lifting R
Carrying R
Pushing R
Pulling R
Climbing R
Balancing R
Stooping R
Kneeling O
Crouching O
Crawling R
Reaching R
Physical Strength
Handling R
Little Physical Effort – 10lbs or less O
Grasping R
Light Work – up to 20lbs O
Feeling R
Medium Work – up to 50lbs R
Talking F
Heavy Work – up to 100lbs R
Hearing C
Very Heavy Work– above 100lbs R
Repetitive Motions O
Eye/Hand/Foot Coordination R
Environmental Conditions
Extreme Cold R
Extreme Heat R
Temperature Changes F
Wet R
Humid R
Noise O
Vibration R
Hazards O
Atmospheric Conditions R
WORK ENVIRONMENT
Personal Protective Equipment Required:
___C___Steel Toe Work Boots, when in shop
___C___Hearing Protection, when in shop
___C___Safety Eyeglasses, when in shop
___R___Welding Coat
___R___Respirator
___R___Other PPE’s (explain) Gloves