ࡱ>  @ xbjbj00 RbRb) DDDcZV%%%%(| f26Lubwbwbwbwbwbwb$dRXfb9-;(@(-;-;b%%bSLSLSL-;<%`8%ubSL-;ubSLSLq]`|a% lE3;`\a|b0c-ag>gaDDgaLF9>9,SL9$9YF9F9F9bbDDEDDCollege of William and Mary POSITION PHYSICAL REQUIREMENTS WORKSHEET Position Title:  FORMTEXT        Position Number:  FORMTEXT       Date:  FORMTEXT        Supervisor's Title:  FORMTEXT        Supervisor's Number:  FORMTEXT          Instructions: Click in the applicable form for type of physical demands, degree of physical demands, visual demands, and physical surroundings and hazards. INDICATE how often it is done (occasionally (O), frequently (F), or constantly (C) by clicking in appropriate box. TYPES OF PHYSICAL ACTIVITY (CLICK in the box's for all that apply and INDICATE how often it is done)  FORMCHECKBOX  A. Climbing: Going up or down ladders, stairs, scaffolding, ramps, poles and the like, using feet and legs and/or hands and arms. Body agility is emphasized. (O  FORMCHECKBOX  ), (F  FORMCHECKBOX ), (C  FORMCHECKBOX )  FORMCHECKBOX  B. Balancing: Maintaining body equilibrium to prevent falling when walking, standing, or crouching on narrow, slippery, or erratically moving surfaces. (O  FORMCHECKBOX ), (F  FORMCHECKBOX ), (C  FORMCHECKBOX )  FORMCHECKBOX  C. Stooping: Bending body downward and forward by bending at the waist. This factor is important if it occurs in a considerable degree and requires full use of the lower extremities and back muscles. (O  FORMCHECKBOX ), (F  FORMCHECKBOX ), (C  FORMCHECKBOX )  FORMCHECKBOX  D. Kneeling: Bending legs at knee to come to a rest on knee or knees. (O  FORMCHECKBOX ), (F  FORMCHECKBOX ), (C  FORMCHECKBOX )  FORMCHECKBOX  E. Crouching: Bending the body downward and forward by bending leg and spine. (O  FORMCHECKBOX ), (F  FORMCHECKBOX ), (C  FORMCHECKBOX )  FORMCHECKBOX  F. Crawling: Moving about on hands and knees or hands and feet. (O  FORMCHECKBOX ), (F  FORMCHECKBOX ), (C  FORMCHECKBOX )  FORMCHECKBOX  G. Reaching: Extending hand(s) and arm(s) in any direction. (O  FORMCHECKBOX ), (F  FORMCHECKBOX ), (C  FORMCHECKBOX )  FORMCHECKBOX  H. Standing: Particularly for sustained periods of time. (O  FORMCHECKBOX ), (F  FORMCHECKBOX ), (C  FORMCHECKBOX )  FORMCHECKBOX  I. Walking: Moving about on foot to accomplish tasks. (O  FORMCHECKBOX ), (F  FORMCHECKBOX ), (C  FORMCHECKBOX )  FORMCHECKBOX  J. Pushing: Using upper arms and shoulders to press against something with steady force in order to thrust forward, downward, or outward. (O  FORMCHECKBOX ), (F  FORMCHECKBOX ), (C  FORMCHECKBOX )  FORMCHECKBOX  K. Pulling: Using upper arms and shoulders to exert force in order to draw, drag, haul, or tug objects in a sustained motion. (O  FORMCHECKBOX ), (F  FORMCHECKBOX ), (C  FORMCHECKBOX )  FORMCHECKBOX  L. Lifting: Raising objects from a lower to a higher position or moving objects horizontally from position to position. This factor is important if it occurs to a considerable degree and requires the substantial use of the upper arms, shoulders, and back muscles. (O  FORMCHECKBOX ), (F  FORMCHECKBOX ), (C  FORMCHECKBOX )  FORMCHECKBOX  M. Fingering: Picking, pinching, typing, keyboarding, or otherwise working, primarily with fingers rather than whole hand or arm as in handling. (O  FORMCHECKBOX ), (F  FORMCHECKBOX ), (C  FORMCHECKBOX )  FORMCHECKBOX  N. Grasping: Applying pressure to an object with the fingers and palm. (O  FORMCHECKBOX ), (F  FORMCHECKBOX ), (C  FORMCHECKBOX )  FORMCHECKBOX  O. Feeling: Perceiving attributes of objects, such as size, shape, temperature, or texture by touching with skin, particularly that of fingertips. (O  FORMCHECKBOX ), (F  FORMCHECKBOX ), (C  FORMCHECKBOX )  FORMCHECKBOX  P. Talking: Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly, or quickly. (O  FORMCHECKBOX ), (F  FORMCHECKBOX ), (C  FORMCHECKBOX )  FORMCHECKBOX  Q. Hearing: Ability to receive detailed information through oral communication, and to make fine discriminations in sounds, such as when making fine adjustments on machined parts. (O  FORMCHECKBOX ), (F  FORMCHECKBOX ), (C  FORMCHECKBOX )  FORMCHECKBOX  R. Repetitive motions: Substantial movements (motions) of the wrists, hand, and/or fingers. (O  FORMCHECKBOX ), (F  FORMCHECKBOX ), (C  FORMCHECKBOX ) DEGREE OF PHYSICAL ACTIVITY (CLICK in the box's for all that apply and INDICATE how often it is done  FORMCHECKBOX  A. Sedentary Work: Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. (O  FORMCHECKBOX ), (F  FORMCHECKBOX ), (C  FORMCHECKBOX )  FORMCHECKBOX  B. Light Work: Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently and/or a negligible amount of force constantly to move objects. If the use of arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most of the time, the job is rated for Light Work. (O  FORMCHECKBOX ), (F  FORMCHECKBOX ), (C  FORMCHECKBOX )  FORMCHECKBOX  C. Medium Work: Exerting up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects. (O  FORMCHECKBOX ), (F  FORMCHECKBOX ), (C  FORMCHECKBOX )  FORMCHECKBOX  D. Heavy Work: Exerting up to 100 pounds of force occasionally, and/or up to 50 pounds of force frequently, and/or up to 20 pounds. (O  FORMCHECKBOX ), (F  FORMCHECKBOX ), (C  FORMCHECKBOX )  FORMCHECKBOX  E. Very heavy work: Exerting in excess of 100 pounds of force occasionally, and/or in excess of 50 pounds of force frequently, and/or in excess of 20 pounds of force constantly to move objects. (O  FORMCHECKBOX ), (F  FORMCHECKBOX ), (C  FORMCHECKBOX ) VISUAL DEMANDS (CLICK in the box's for all that apply and INDICATE how often it is done  FORMCHECKBOX  A. CLERICAL, ADMINISTRATIVE, MACHINE OPERATORS (including inspection), INSPECTION, CLOSE ASSEMBLY. This a minimum standard for use with those whose work deals largely with preparing and analyzing data and figures, accounting, transcription, computer terminal, extensive reading, visual inspection involving small defects, small parts, operation of machines (including inspection), using measurement devices, assembly, or fabrication of parts at distances close to the eyes. (O  FORMCHECKBOX ), (F  FORMCHECKBOX ), (C  FORMCHECKBOX )  FORMCHECKBOX  B. MECHANICS, SKILLED TRADESPEOPLE MACHINE OPERATORS (without inspection): This is a minimum standard for use with those whose work deals with machines such as lathes, drill presses, power saws, and mills, where the seeing job is at or within arm's reach. (If the machine operator also inspects, use the "A" standard.) Also, mechanics and skilled tradespeople and those who do work of a nonrepetitive nature such as carpenters, technicians, service people, plumbers, painters, mechanics, etc. (O  FORMCHECKBOX ), (F  FORMCHECKBOX ), (C  FORMCHECKBOX )  FORMCHECKBOX  C. MOBILE EQUIPMENT OPERATORS: This is a minimum standard for use with those who operate cars, trucks, forklifts, cranes, and high lift equipment. (O  FORMCHECKBOX ), (F  FORMCHECKBOX ), (C  FORMCHECKBOX )  FORMCHECKBOX  D. OTHER: This is a minimum standard based on the criteria of accuracy and neatness of work for housekeepers and dining services staff. (O  FORMCHECKBOX ), (F  FORMCHECKBOX ), (C  FORMCHECKBOX ) PHYSICAL CONDITIONS OF WORK (CLICK in the box's for all that apply and INDICATE how often it is done  FORMCHECKBOX  A. The worker is subject to inside environmental conditions: Protection from weather condition but not necessarily from temperature changes. (O  FORMCHECKBOX ), (F  FORMCHECKBOX ), (C  FORMCHECKBOX )  FORMCHECKBOX  B. The worker is subject to outside environmental conditions: Activities occur inside and outside. (O  FORMCHECKBOX ), (F  FORMCHECKBOX ), (C  FORMCHECKBOX )  FORMCHECKBOX  C. The worker is subject to both environmental conditions: Activities occur inside and outside. (O  FORMCHECKBOX ), (F  FORMCHECKBOX ), (C  FORMCHECKBOX )  FORMCHECKBOX  D. The worker is subject to extreme cold: Temperatures below 32 degrees for periods of more than one hour. (O  FORMCHECKBOX ), (F  FORMCHECKBOX ), (C  FORMCHECKBOX )  FORMCHECKBOX  E. The worker is subject to noise: There is sufficient noise to cause the worker to shout in order to be heard above the ambient noise level. (O  FORMCHECKBOX ), (F  FORMCHECKBOX ), (C  FORMCHECKBOX )  FORMCHECKBOX  F. The worker is subject to vibration: Exposure to oscillating movements of the extremities or whole body. (O  FORMCHECKBOX ), (F  FORMCHECKBOX ), (C  FORMCHECKBOX )  FORMCHECKBOX  G. The worker is subject to hazards: Includes a variety of physical conditions, such as proximity to moving mechanical parts, electrical current, working on scaffolding and high places, exposure to high heat, or exposure to chemicals. (O  FORMCHECKBOX ), (F  FORMCHECKBOX ), (C  FORMCHECKBOX )  FORMCHECKBOX  H. The worker is subject to atmosphere conditions: One or more of the following conditions that affect the respiratory system or the skin. Fumes, odors, dusts, mists, gases, or poor ventilation. (O  FORMCHECKBOX ), (F  FORMCHECKBOX ), (C  FORMCHECKBOX )  FORMCHECKBOX  I. The worker is subject to oils: There is air and/or skin exposure to oils and other cutting fluids. (O  FORMCHECKBOX ), (F  FORMCHECKBOX ), (C  FORMCHECKBOX )  FORMCHECKBOX  J. The worker is required to wear a respirator. (O  FORMCHECKBOX ), (F  FORMCHECKBOX ), (C  FORMCHECKBOX )  FORMCHECKBOX  K. None: The worker is not substantially exposed to adverse environmental conditions (such as in typical office or administrative work). NOTE: The physical and visual demands outlined in this checklist are worded in a traditional manner to facilitate communication with supervisors and employees. The University will take into consideration non-traditional means of accomplishing work tasks when assessing potential accommodation. 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