Physical Requirements E = Essential NE = Non-Essential |
Item is not a requirement of the job
NE |
Occasional - up to 33% of time
NE
|
Occasional - up to 33% of time, absolutely essential to the job E |
Frequent - between 34%-66% of time E |
Continuous - over 66% of time
E
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Stamina |
1. Sitting |
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X |
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2. Walking |
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X |
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3. Standing |
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X |
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4. Sprinting/Running |
X |
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Flexibility |
5. Bending or twisting at the neck more than the average person |
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X |
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6. Bending or twisting at the trunk more than the average person |
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X |
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7. Squatting/Stooping/Kneeling |
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X |
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8. Reaching above the head |
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X |
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9. Reaching forward |
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X |
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10. Repeating the same hand, arm or finger motion many times (For example: typing, data entry, etc.) |
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X |
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Activities |
11. Climbing (on ladders, into large trucks/vehicles, etc.) |
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X |
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12. Hand/grip strength |
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X |
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13. Driving on the job |
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X |
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14. Typing non-stop |
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X |
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Use of Arms and Hands |
15. Manual dexterity (screwing a lid on a jar) |
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X |
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16. Finger dexterity (typing) |
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X |
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Lifting Requirements |
17. Lifting up to 10 pounds (Mark all that apply) |
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Floor to waist |
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X |
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Waist to shoulder |
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X |
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Shoulder to overhead |
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X |
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18. Lifting 11 to 25 pounds (Mark all that apply) |
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Floor to waist |
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X |
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Waist to shoulder |
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X |
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Shoulder to overhead |
X |
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19. Lifting 26 to 50 pounds (Mark all that apply) |
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Floor to waist |
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X |
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Waist to shoulder |
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X |
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Shoulder to overhead |
X |
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20. Lifting 51 to 75 pounds (Mark all that apply) |
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Floor to waist |
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X |
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Waist to shoulder |
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X |
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Shoulder to overhead |
X |
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21. Lifting 76 plus pounds (Mark all that apply) |
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Floor to waist |
X |
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Waist to shoulder |
X |
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Shoulder to overhead |
X |
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22. Can load/items weighing over 50 pounds that are lifted or carried be shared, or reduced into smaller loads? |
X |
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Pushing/Pulling |
23. 25 to 50 pounds |
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X |
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24. 51 to 75 pounds |
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X |
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25. 76 to 90 pounds |
X |
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26. Over 90 pounds |
X |
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Carrying |
27. 10 to 25 pounds |
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X |
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28. 26 to 50 pounds |
X |
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29. 51 to 75 pounds |
X |
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30. 76 to 90 pounds |
X |
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31. Over 90 pounds |
X |
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