Fill and Sign the Info and Forms My Attny and I Used Very Long Ssdfacts

Sample Job Requirements Worksheet Physical Demand % of Work Code  Strength _________ _____  Standing _________ _____  Walking _________ _____  Sitting _________ _____  Lifting _________ _____  Carrying _________ _____  Pushing _________ _____ Reaching  Handling _________ _____  Fingering _________ _____  Feeling _________ _____  Throwing _________ _____  Eye-Hand Coordination _________ _____  Foot-Hand-Eye Coordination _________ _____ Climbing  Stairs _________ _____  Ladders _________ _____  Other Balancing _________ _____ Communicating  Ordinary _________ _____  Other ___________________ _________ _____ Hearing  Ordinary _________ _____  Other __________________ Stooping  Kneeling _________ _____  Crouching _________ _____  Crawling _________ _____  Turning/Twisting _________ _____  Bending at Waist _________ _____  Other ________________ _________ _____ Seeing  Acuity – Near _________ _____  Acuity – Far _________ _____  Depth Perception _________ _____  Accommodation _________ _____  Color Vision _________ _____  Field of Vision _________ _____ Physical Condition % of Work Code Working Area Inside _________ _____  Outside _________ _____ Temperature  Constant cold _________ _____  Constant heat _________ _____  Changing temperatures _________ _____ Atmospheric Conditions  Fumes _________ _____  Odors _________ _____  Mists _________ _____  Dusts _________ _____ Humidify or Damp  Dirt _________ _____  Oil/Grease _________ _____  Gases _________ _____  Ventilation _________ _____  Lighting _________ _____  Other __________________ _________ _____ Noise  Noise level (dE) _________ _____  Exposure (hours/day) _________ _____ Unavoidable Hazards  Mechanical _________ _____  Electrical _________ _____  Burns _________ _____ Protective Clothing or Personal Devices  Cramped quarters _________ _____  Moving objects _________ _____  Heights _________ _____  Other _________________ _________ _____ Mental Requirements  Understand and carry out oral instructions _________ _____  Read and carry out simple written instructions _________ _____  Read work orders, scrap tickets, job lot tickets, graphs, logs, schedules _________ _____ % of Work Code  Read and verify car numbers, alloy identities, etc. _________ ____ Read and carry out complicated instructions _________ _____  Observe and read instruments, gauges, dials, etc., to determine operating conditions _________ _____  Read and interpret detailed prints, sketches, layouts, specifications, etc. _________ _____  Identify and list production data such as quantities, pressures, alloys, operating conditions. _________ _____  Prepare detailed records or repos such as inventory records, receiving reports, operating logs, lab analyses, quantities, etc. _________ _____  Estimate size, form, quality or quantity of objects. _________ _____  Estimate speed of moving objects. _________ _____  Inspect, examine and observe for obvious product or equipment defects. _________ _____  Count, make simple arithmetic additions and subtractions. _________ _____  Compute and calculate amounts of additions, results of tests, etc. _________ _____  Use measuring devices such as tapes, gauges, rules, weight scales where reading is direct and obvious. _________ _____  Use measuring devices such as micrometers, calibrated steel tapes, calipers where precision and interpretation are required. _________ _____  Make routine lab tests, such titrations, specify gravity, etc. _________ _____  Plan and schedule movement or flow materials or products. _________ _____  Operate overhead cranes and hoists. _________ _____  Use hand power tools. _________ _____  Use non-power head tools such as hammers, wrenches, etc. _________ _____  Set up and operate machine tools such as lathes, milling machines, saws. _________ _____  Assemble or disassemble objects. _________ _____  Determine malfunctioning of units by observing. _________ _____  Determine nature and location of malfunction. _________ _____  Perform repair and maintenance of equipment. _________ _____  Perform a journeyman craft activity. _________ _____  Make adjustments to obtain specified operating conditions such as turning valves; switches; moving and selling controls; adjusting furnaces, pumps. _________ _____  Control activities of a single processing unit. _________ _____  Control activities of several processing units. _________ _____  Operate equipment requiring specialized knowledge of process. _________ _____ Misc. Requirements% of Work Code  Plan own work activities. _________ _____  Plan work activities of others. _________ _____  Direct work activities of others. _________ _____  Coordinate work activities of others. _________ _____  Train other workers. _________ _____  Work alone.  Operate equipment requiring specialized knowledge of process. _________ _____  Plan own work activities. _________ _____  Plan work activities of others. _________ _____  Direct work activities of others. _________ _____  Coordinate work catties of others. _________ _____  Train other workers. _________ _____  Work alone. _________ _____  Work as a member of a team. _________ _____  Work without supervision.  Work with minimum amount of supervision. _________ _____  Work under pressure. _________ _____  Work rapidly for long periods. _________ _____  Work on several tasks at the same time. _________ _____