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<br /> -- <br />. -. <br /> LI FTING Frequency Yeight Conments <br /> Above Shoulder S ~10# <br /> Waist to Shoulder S ~10# <br />. Knee to Waist S ~10# Copy paper <br />Floor to Knee S ~10# <br /> Carrying S ~10# <br /> PHYSICAL SENSES (check) Calments <br /> Y Vision <br /> N Color Vision <br /> Y Hearing <br /> y Talking <br /> N Smell ing <br /> y Feel ing <br /> ENVIRONMENTAL CONDITIONS/JOB HAZARDS <br /> . Hazardous Sltlstances <br /> Frequency to Exposure Describe <br /> N Gases <br /> y Chemical White out <br /> N Funes <br /> N Dust <br /> . Infection Diseases Describe <br /> N Infectious Disease I <br /> . Physical Agents Describe Describe <br /> N Heat/cold/frequent N Unprotected heights <br /> teB1'. changes ~ <br /> N Lighting: bright/dim <br /> N Wet/dry <br /> N Electrical Hazards <br /> N Noise <br /> N Humidity N Mechanical Hazards <br /> (ie, equipment, moving parts) <br /> N Ionizing/Non-ionizing <br /> radiation N Time Spent Outside <br /> N Vibrations y Time Spent Inside 100% <br /> y Ii me Spent in Vehicle 1 x week driving in metro <br /> area <br /> Additional Requirements: (i.e. driving, reading) <br /> Data Source: Validated by: <br />.valuated by: Beckv Weber Date: 4-93 <br />