Physical Requirements Lifting: Up to 50 lbs. Occasionally Carrying: Up to 50 lbs. Crawling: Rarely Pushing/Pulling: Climbing: Up to 50 lbs. Occasionally Use of Equipment: Reaching above head: Occasionally telephone, copier, vehicle, fax, Grasping: One hand: computer Frequently Sitting: Frequently Both hands: Frequently Standing: Fine Manipulating: Frequently Walking: Frequently One hand: Frequently Bending: Both hands: Frequently Occasionally Environmental Requirements Exposed to marked changes in temperature: Rarely Outside work: Rarely Exposure to dust, fumes, odors, water, etc.: Occasionally Exposure to biological, mechanical, electrical and/or chemical hazards: Not at all Normal (inside) environment: Continually Noise: Occasionally Sensory Requirements Eyesight: Normal/corrected: Necessary Close eye work: Necessary Other: _____________ Hearing: Normal tones: Necessary Soft tones: Necessary Other: _____________ Distinguish Smells: Necessary Distinguish Temperatures: Touch: Necessary Proximity: Necessary
Physical Requirements Lifting: Up to 50 lbs. Carrying: Up to 50 lbs. Pushing/Pulling: Up to 50 lbs. Use of Equipment: telephone, copier, vehicle, fax, computer Sitting: Frequently Standing: Frequently Walking: Frequently Bending: Occasionally Occasionally Crawling: Rarely Climbing: Occasionally Reaching above head: Occasionally Grasping: One hand: Frequently Both hands: Frequently Fine Manipulating: One hand: Frequently Both hands: Frequently Environmental Requirements Exposed to marked changes in temperature: Rarely Outside work: Rarely Exposure to dust, fumes, odors, water, etc.: Occasionally Exposure to biological, mechanical, electrical and/or chemical hazards: Not at all Normal (inside) environment: Continually Noise: Occasionally Sensory Requirements Eyesight: Normal/corrected: Necessary Close eye work: Necessary Other: _____________ Hearing: Normal tones: Necessary Soft tones: Necessary Other: _____________ Distinguish Smells: Necessary Distinguish Temperatures: Touch: Necessary Proximity: Necessary
DS-CASEWORK-ADMINISTRATIVE-ASSISTANT-Developmental-Services.docx