Fill and Sign the Jobs Requirements Form

ADA Job Requirements Checklist Physical Requirements Sitting Is the employee required to sit for extended periods without leaving the work area? Standing Is the employee required to remain upright for extended periods without leaving the work area? Climbing Is the employee required to climb ladders or scaffolding? To climb and work in overhead areas? Walking Is the employee required to walk considerable distances? (excludes walking to and from work area, cafeteria, etc.) Lifting Is the employee required to raise or lower objects from one level to another regularly during the shift? Pulling/Pushing Is the employee required to regularly exert force to move an object toward or away from him/her? Carrying Is the employee regularly required to carry objects in his or her arms or shoulders? Grasping Is the employee regularly required to pick up objects with his/her fingers? Reaching Is the employee regularly required to use hands and arms to reach for objects? Stooping/Crouching Is the employee regularly required to bend forward at the waist or by bending the legs and spine? Crawling Is the employee required to work in a confined space or crawl and move about on hands and knees? Color Determination Is the employee required to determine colors (no color blindness)? Near Acuity Does the job require clarity of vision at 20 feet or more, with or without corrective lenses? Speaking Is the employee required to express ideas by the spoken word? Listening Does the job require perception of speech or of specific sounds? Tasting or Smelling Does the job require the ability to distinguish differences of flavors/odors, using tongue/nose? Mental Requirements General Intelligence Does the position require the ability to learn and comprehend basic instructions? Motor Coordination Skills Does the position require employee to coordinate eyes, hands, and fingers rapidly, accurately, and precisely? Coordination of Eyes, Hands, and Feet Does the employee have the ability to coordinate the eyes, hands, and feet in response to visual stimuli? Verbal Intelligence Does the employee have the ability to understand the meanings of words and respond effectively? Numerical Intelligence Does the employee have the ability to perform basic arithmetic accurately and quickly?