N/A Rarely (1- 12%) Occasionally (13 – 33%) Frequently (34% – 66%) Regulary (67% - 100%) Standing X Walking X Climbing X Sitting X Stooping/Kneeling X Lift/Carry up to 15 lbs. X Lift/Carry up to 30 lbs. X Lift/Carry up to 50 lbs. X Push/Pull up to 25 lbs. of exertion X Push/Pull up to 50 lbs. of exertion X Work below waist level X Work at waist to shoulder level X Work above shoulder level X Reach further then arm’s length X Fingering X Grasping / Holding X Speaking (in English) X Hearing (understanding English) X Seeing X Work in confined spaces X Exposure to extreme temperatures X Operate tools and/or machinery X Operate office equipment X Operate motorized vehicles X Work at heights balancing X Use/exposure to hazardous substances X Work with knives and/or sharp objects X Labeling & Packaging Products X
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