Physical/Environmental/Mental Demands Form (PEM)
sitting walking standing bending neck twisting neck bending waist (forward or sideways) twisting waist squatting (crouch or sit on one’s heels) climbing _____ kneeling crawling repetitive* movement: Hand ( simple grasping 1 hand___ both___ ( power grasping 1 hand___ both___ ( fine manipulation 1 hand___ both___ ( pushing/pulling 1 hand ... ................
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