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PHYSICAL DEMANDS DESCRIPTION | Insert Job Title HereDate: DATE \@ "MMMM d, yyyy" November 15, 2016 Completed by:Name of ObserverDepartment: Department NameVerified by:Worker RepresentativeWork Hours: e.g., 8:00AM – 5:00PMManagement RepresentativeSchedule: e.g., Monday – FridayShift:e.g., ‘Nights’, ‘A’PPE:Personal Protective Equipment used-3048013589000Description of the Job: Describe the overall purpose of the job hereSummary of Essential TasksTask NameFrequencyTotal Duration% of Work TimeSummary of Non-Essential TasksTask NameFrequencyTotal Duration% of Work TimeEnvironmental Factors (Check all that apply)Indoor? Hot? Dark? Biological Agents?Outdoor?Cold?Bright? Chemicals?Flat Surface?Dry?Noise? Gas/Fumes?Rugged Terrain?Wet? Vibration? Magnetic Fields?Weather?Slippery? Traffic? Congested Area?Other: Summary of Tools & EquipmentTool/EquipmentMakeModelWeightDimensions1.2.3.Photographs of Tools & EquipmentPhysical Demand Task Details87227245110Insert Photo of TaskInsert Photo of Task1. Task NameTask DurationDescription & Comments:Description of the task and environmental factors (what, where, how, etc.)TimeTask FrequencyFrequencyTask ElementsMeasure 1Measure 2Measure 3Measure 4Measure 5Measure 6Measure 7Element 1Measure 2Measure 2Measure 3Measure 4Measure 5Measure 6Measure 7Element 2Measure 2Measure 2Measure 3Measure 4Measure 5Measure 6Measure 7Element 3Measure 2Measure 2Measure 3Measure 4Measure 5Measure 6Measure 7Element n87227245110Insert Photo of TaskInsert Photo of Task2. Task NameTask DurationDescription & Comments:Description of the task and environmental factors (what, where, how, etc.)TimeTask FrequencyFrequencyTask ElementsMeasure 1Measure 2Measure 3Measure 4Measure 5Measure 6Measure 7Element 1Measure 2Measure 2Measure 3Measure 4Measure 5Measure 6Measure 7Element 2Measure 2Measure 2Measure 3Measure 4Measure 5Measure 6Measure 7Element 3Measure 2Measure 2Measure 3Measure 4Measure 5Measure 6Measure 7Element nMeasures for Physical Demand ElementsThe following table lists the measures required to be documented for each Physical Demand Element within a Physical Demands Description. Please review the OHCOW Physical Demands Description Handbook for an elaboration of each Physical Demand Element and measurement techniques.Physical Demand ElementMeasures to Document in the PDDLift/LowerFrequencyWeightStart HeightEnd HeightHand(s) UsedReachGrip TypeCarryFrequencyWeightHeightDistanceHand(s) UsedReachGrip TypePushFrequencyAverage ForceMax ForceHeightDistanceHand(s) UsedGrip TypePullFrequencyAverage ForceMax ForceHeightDistanceHand(s) UsedGrip TypeReachFrequencyHeightDistanceHand(s) UsedGripFrequencyForceHeightDirectionHand(s) UsedReachGrip TypePinchFrequencyForceHeightPinch TypeHand(s) UsedReachWriteFrequencyDurationHeightSurfaceTool TypeFine Finger MovementFrequencyDurationHeightFinger(s) UsedHand(s) UsedPrecision LevelSitDurationSeat HeightDimensionsSurfaceStandDurationSurfaceFootwearWalkDurationDistanceSurfaceFootwearKneelFrequencyDurationKnee(s) UsedSurfaceCrouch/SquatFrequencyDurationBalanceDurationLeg(s) UsedSurfaceCrawlFrequencyDurationDistanceSurfaceClimbFrequencyDurationDistanceSurfaceTasteFrequencyFood(s)Precision LevelSmellFrequencyOdour Type(s)Precision LevelSpeechFrequencyInformationLevel of DetailHearFrequencyDurationSound(s)Sound LevelFeel/TactileFrequencyDurationMaterial(s)Precision LevelVision/ReadFrequencyInformationLevel of DetailData EntryFrequencyInformationTechnologyHand(s)DrivingDurationHand HeightVehicleSurfaceSurroundingsFoot ActionFrequencyForceHeightObjectFoot/FeetHandling of Odd ObjectsFrequencyDurationWeightHeightObject ................
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