Task | Requirement | Frequency (Place an X in approximate box) | |||
Constantly | Frequently | Occasionally | Rarely | ||
Seeing |
| X |
|
|
|
Hearing |
| X |
|
|
|
Tactile Sense |
| X |
|
|
|
Talking | Must convey detailed and important spoken instructions to other accurately | X |
|
|
|
Climbing |
|
|
|
| X |
Balancing |
|
|
| X |
|
Stooping |
|
|
| X |
|
Kneeling |
|
|
| X |
|
Crouching |
|
| X |
|
|
Pulling |
|
| 30 lbs. | 50 lbs. |
|
Pushing |
|
| 30 lbs. | 50 lbs. |
|
Standing |
|
| X |
|
|
Walking |
|
| X |
|
|
Reaching |
|
| X |
|
|
Fine Motor |
|
| X |
|
|
Grasping |
|
| X |
|
|
Twisting |
|
|
| X |
|
Repetitive Motions |
|
|
| X |
|
Lifting |
|
| 30 lbs. | 50 lbs. | 75 lbs. |
Crawling |
|
|
|
| X |
Static Position |
|
|
| X |
|
Carrying |
|
| 30 lbs. | 50 lbs. | 75 lbs. |
Other |
|
|
|
|
|
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