(C) Standing
(C) Walking
(N) Sitting
(O) Kneeling
(N) Running
(O) Lifting Max Weight: 50 lbs
(O) Pushing Max Weight: 50 lbs
(O) Pulling Max Weight: 50 lbs
(O) Carrying Max Weight: 50 lbs
(O) Bending
(O) Stooping
(O) Climbing Stairs
(N) Climbing Ladders Max Height: N/A
(N) Working at a Height Level Above The Floor Max Height: N/A
(C) Finger Dexterity
(C) Full Use of Both Hands
(N) Crawling
(F) Balancing
(N) Throwing
(F) Twisting
(F) Reaching Max Height: 7 ft
(N) Driving
(O) Working On or With Moving Machinery
(O) Working at Rapid Work Speed
(O) Working in Isolation
(C) Working Around People
(C) Hearing Conversation
(C) Hearing High Acuity
(C) Speaking Clearly
(C) Seeing Near
(C) Seeing Far
(C) Seeing – Depth Perception
(C) Seeing - Color Vision
Other-Describe:
ESSENTIAL MENTAL FUNCTIONS
(C) Writing English
(C) Reading English
(C) Speaking English
(C) Working under Pressure/Stress
(C) Speaking With Guests/Customers
(C) Speaking With Employees
(C) Working with Basic Math Skills
(C) Making Decisions Based On Facts
(C) Making Decisions Based On Data
(F) Making Decisions Based On Personal Judgment
(C) Making Accurate Measurements According To Set Standards
(O) Planning and/or Supervising the Activities Others
ESSENTIAL INTERACTIVE FUNCTIONS
(O) Working under Close Supervision
(O) Working under Minimal Supervision
(C) Working and Interacting With Management in a Professional and Courteous Manner
(C) Working and Interacting With Co-Workers in a Professional and Courteous Manner
(C) Working and Interacting With Guests in a Professional and Courteous Manner
ESSENTIAL ENVIRONMENT FUNCTIONS
(C) Working Inside
(O) Working Outside
(C) Working in a Fast-Paced Environment
(F) Exposed To Chemicals Describe:
(O) Exposed To Dust, Fumes, Gases, Describe:
(O) Exposed To Smoke
(F) Exposed To Excessive Noise
(O) Working in Dimly Lit Areas
(O) Working in Sudden Marked Changes of Temperature and Humidity
Other Describe:
Key
Not Applicable (N)
Occasional (O) Under 2 hours
Frequent (F) 2 hours to 5 hours
Constant (C) more than 5 hours