Specific Exertional/Physical Requirements

E/P/N: The activity, factor, task, skill is ESSENTIAL to the performance of the job (absolutely needed to perform job); or it is PREFERRED, but not essential; or NOT REQUIRED

O/F/C: A job task or activity will be demonstrated or performed:

OCCASIONALLY (1/3 of the time or less);

FREQUENTLY (1/3 to 2/3 of the time);

CONSTANTLY (2/3 or more of the time).

FUNCTION

E/P/N

O/F/C

Sedentary (10# or less)

E

C

Light (up to 10-20#)

E

C

Medium (up to 50#)

Heavy (up to 100#)

Very Heavy (over 100# )

1. Standing

E

C

2. Walking

E

F

3. Sitting

N

N

4. Reclining

N

N

5. Lifting

E

F

6. Carrying

E

O

7. Pushing

E

O

8. Pulling

E

O

9. Climbing stairs

N

N

10. Climbing ladders

N

N

11. Balancing

N

N

12. Bending/Stooping

E

O

13. Body Rotating

E

O

14. Combined twist/bend

E

O

15. Kneeling

E

O

16. Crouching/squatting

E

O

17. Crawling

N

O

18. Sustained overhead work

O

19. Reaching

E

O

20. Handling (grasping)

E

C

21. Fingering

E

O

22. Feeling (sense of touch)

E

O

23. Repetitive motions

E

C

24. Communication skills (receptive and expressive)

E

F

25. Hearing (speech ranges)

E

O

26. Hearing (all ranges)

E

O

27. Smelling

28. Vision (all ranges)

E

C

29. Depth Perception

30. Color Vision

E

C

31. Eye/Hand Coordination

E

O

32. Manual Dexterity

E

C

33. Forceful Repetitive Palm-Down Lifting

Environmental Factors

Social Environmental Factors

1. Job Rotation

E

F

2. Working in team environment

E

F

3. Working independently

E

F

4. Maintaining quality standards

E

C

5. Maintaining production quota

E

C

6. Learn & follow multi-step instructions/procedures

E

F

7. Work hours in excess of 40 hour workweek

E

O

Physical Environmental Factors

1. Exposure to weather

N

N

2. Extreme Cold (below 32 degrees F)

N

N

3. Extreme Heat (above 100 degrees F)

N

N

4. Wet and/or Humid (above 90%)

N

N

5. Noise - over 85 decibels

P

O

6. Vibration

N

N

7. Atmospheric Conditions

N

N

8. Dangerous Machinery & forklift traffic

E

F

9. Elevated Heights

N

N

10. Confined spaces/tight locations

N

N

11. Airborne contaminants (Sparks, welding slag, dust, smoke)

N

N

12. Chemicals (Cleaning fluids)

E

F

13. High Risk Environment

N

N

(Involving toxic chemicals and sources of high energy,

E.g. high voltage, hydraulics, steam, etc.)

14. Repetitive Use of Vibratory Power Hand Tools

E

O

Protective Equipment

Respirator/breathing apparatus

N

N

Special eye protection

E

C

Hearing protection

N

N

Arms, hands, fingers

E

C

Legs, feet, toes

N

N

Body protection

N

N

Head protection

N

N