Substitute Custodian To comply with the American Disabilities Act of 1990 (ADA), which prohibits discrimination against qualified individuals on the basis of disability, it is necessary to specify the physical and mental conditions of the essential job functions. Use these codes to complete this questionnaire: F - Frequently O - Occasionally N - Not at all PHYSICAL REQUIREMENTS: F,O,N PHYSICAL REQUIREMENT DESCRIPTION Balancing: Maintaining body equilibrium to prevent falling when walking, standing, or O crouching on narrow, slippery, or erratically moving surfaces Bending and Stooping: Bending body downward and forward by bending at the waist. (1 O hours per day) Climbing: Ascending or descending ladders, scaffolding, ramps, poles, and other devises using F feet and legs and/or hands and arms. Body agility is emphasized Climbing Stairs: Ascending or descending stairs to gain access to a building or to move from O one floor to another O Crawling: Moving about on hands and knees or hands and feet (__1/4_ hours per day) Light Carrying: Physically transporting items weighing less than 15 pounds from one location F to another F Moderate Carrying: Items weighing 15 to 44 pounds O Carrying: Items weighing 45 pounds and over Fingering: Picking, pinching, typing, or otherwise working primarily with fingers rather than O with the hand or arm F Grasping: Applying pressure to an object with fingers (including thumb) and palm F Kneeling: Bending legs at knees to come to rest on one or both knees (1 hours per day) Light Lifting: Raising objects under 15 pounds from a lower to a higher position or moving O objects horizontally from one position to another O Moderate Lifting: Objects 15 44 pounds – O Heavy Lifting: Objects 45 pounds and over F Mobility Requirement: Enough to perform building cleaning and maintenance Pulling Hand over Hand: Using upper extremities to exert force to draw, drag, haul, or tug O objects in a sustained motion (___1-4__ hours per day) Pushing: Using upper extremities to press against something with steady force to thrust O forward, downward, or upward (1-4 hours per day)
Substitute Custodian To comply with the American Disabilities Act of 1990 (ADA), which prohibits discrimination against qualified individuals on the basis of disability, it is necessary to specify the physical and mental conditions of the essential job functions. Use these codes to complete this questionnaire: F - Frequently O - Occasionally N - Not at all PHYSICAL REQUIREMENTS: F,O,N PHYSICAL REQUIREMENT DESCRIPTION O Balancing: Maintaining body equilibrium to prevent falling when walking, standing, or crouching on narrow, slippery, or erratically moving surfaces O Bending and Stooping: Bending body downward and forward by bending at the waist. (1 hours per day) F Climbing: Ascending or descending ladders, scaffolding, ramps, poles, and other devises using feet and legs and/or hands and arms. Body agility is emphasized O Climbing Stairs: Ascending or descending stairs to gain access to a building or to move from one floor to another O Crawling: Moving about on hands and knees or hands and feet (__1/4_ hours per day) F Light Carrying: Physically transporting items weighing less than 15 pounds from one location to another F Moderate Carrying: Items weighing 15 to 44 pounds O Carrying: Items weighing 45 pounds and over O Fingering: Picking, pinching, typing, or otherwise working primarily with fingers rather than with the hand or arm F Grasping: Applying pressure to an object with fingers (including thumb) and palm F Kneeling: Bending legs at knees to come to rest on one or both knees (1 hours per day) O Light Lifting: Raising objects under 15 pounds from a lower to a higher position or moving objects horizontally from one position to another O Moderate Lifting: Objects 15 – 44 pounds O Heavy Lifting: Objects 45 pounds and over F Mobility Requirement: Enough to perform building cleaning and maintenance O Pulling Hand over Hand: Using upper extremities to exert force to draw, drag, haul, or tug objects in a sustained motion (___1-4__ hours per day) O Pushing: Using upper extremities to press against something with steady force to thrust forward, downward, or upward (1-4 hours per day)
COG-CCS-CSS-Substitute-Handbook-Revised-2-16-18.docx