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PHYSICAL ACTIVITIES | Amount of Time (x) – check only one box per row | |||
None | Under 1/3 | 1/3 to 2/3 | Over 2/3 | |
Stand | ? | ? | ? | ? |
Walk | ? | ? | ? | ? |
Sit | ? | ? | ? | ? |
Use hands to finger, handle, or feel | ? | ? | ? | ? |
Reach with hands and arms | ? | ? | ? | ? |
Climb or balance | ? | ? | ? | ? |
Stoop, kneel, crouch, or crawl | ? | ? | ? | ? |
Talk | ? | ? | ? | ? |
Hear | ? | ? | ? | ? |
Taste | ? | ? | ? | ? |
Smell | ? | ? | ? | ? |
WEIGHT & FORCE DEMANDS | Amount of Time (x) – check only one box per row | |||
None | Under 1/3 | 1/3 to 2/3 | Over 2/3 | |
Up to 10 pounds | ? | ? | ? | ? |
Up to 25 pounds | ? | ? | ? | ? |
Up to 50 pounds | ? | ? | ? | ? |
Up to 100 pounds | ? | ? | ? | ? |
WEIGHT & FORCE DEMANDS | Amount of Time (x) – check only one box per row | |||
None | Under 1/3 | 1/3 to 2/3 | Over 2/3 | |
More than 100 pounds | ? | ? | ? | ? |
MENTAL FUNCTIONS | Amount of Time (x) – check only one box per row | |||
None | Under 1/3 | 1/3 to 2/3 | Over 2/3 | |
Compare | ? | ? | ? | ? |
Analyze | ? | ? | ? | ? |
Communicate | ? | ? | ? | ? |
Copy | ? | ? | ? | ? |
Coordinate | ? | ? | ? | ? |
Instruct | ? | ? | ? | ? |
Compute | ? | ? | ? | ? |
Synthesize | ? | ? | ? | ? |
Evaluate | ? | ? | ? | ? |
Use Interpersonal Skills | ? | ? | ? | ? |
Compile | ? | ? | ? | ? |
Negotiate | ? | ? | ? | ? |
WORK ENVIRONMENT | Amount of Time (x) – check only one box per row | |||
None | Under 1/3 | 1/3 to 2/3 | Over 2/3 | |
Wet or humid conditions (non-weather) | ? | ? | ? | ? |
Work near moving mechanical parts | ? | ? | ? | ? |
Work in high, precarious places | ? | ? | ? | ? |
Fumes or airborne particles | ? | ? | ? | ? |
Toxic or caustic chemicals | ? | ? | ? | ? |
Outdoor weather conditions | ? | ? | ? | ? |
Extreme cold (non-weather) | ? | ? | ? | ? |
Extreme heat (non-weather) | ? | ? | ? | ? |
Risk of electrical shock | ? | ? | ? | ? |
Work with explosives | ? | ? | ? | ? |
Risk of radiation | ? | ? | ? | ? |
Vibration | ? | ? | ? | ? |
VISION DEMANDS | Required to perform essential functions of the job (x) |
No special vision requirements | ? |
Close vision (clear vision at 20 inches or less) | ? |
Distance vision (clear vision at 20 feet or more) | ? |
Color vision (ability to identify and distinguish colors) | ? |
Peripheral vision | ? |
Depth perception | ? |
Ability to adjust focus | ? |
NOISE LEVEL | Level of noise typical in the work environment for this job (x) |
Very quiet | ? |
Quiet | ? |
Moderate | ? |
NOISE LEVEL | Level of noise typical in the work environment for this job (x) |
Loud | ? |
Very loud | ? |
Full Time
$34k-44k (estimate)
05/25/2023
05/13/2024