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<br /> - <br /> LI FTlNG Fr~ l.Ieight Ccmnents <br /> Above Shoulder S :>10# <br /> ~aist to Shoulder S :>10# <br />, -. Knee to \Jaist S :>10# Copy paper <br />. Floor to Knee S :>10# <br /> Carrying S :>10# <br /> PHYSICAL SENSES (check) Conments <br /> y Vision <br /> N Color Vision <br /> y Hearing <br /> y Talking <br /> N Smell i ng <br /> y Feel ing <br /> ENVIRONMENTAL CONDITIONS/JOB HAZARDS <br /> . Hazardous Sl.bstances <br /> Frequency to Exposure Describe <br /> N Gases <br /> y Chemical \Jhite out <br /> N Funes <br /> N Dust <br />~ . Infection Diseases Describe <br />N Infectious Disease I <br /> . Phys i ca l Agents Describe Describe <br /> . <br /> N Heat/cold/frequent N Unprotected heights <br /> temp. changes ~. <br /> N Lighting: bright/dim <br /> N \Jet/dry <br /> N Electrical Hazards <br /> N Noise <br /> N Hl.IIIidity 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 Time Spent in Vehicle 1 x week driving in metro <br /> area <br /> Additional Requirements: (i.e. driving, reading) <br /> Data Source: Validated by: <br />e,~valuated by: Beckv Weber Date: 4-93 <br />