NEVER OCCASIONALLY FREQUENTLY ACTIVITY 0 UP TO 4 HOURS 4-8 HOURS (HOURS PER DAY) Sitting x Walking x Standing x Bending (neck) x Bending x Squatting X Climbing x Kneeling X Crawling x Twisting (neck) x Twisting Waist x Is repetitive use of hand required? x Simple Grasping (right hand) x Simple Grasping (left hand) x Power Grasping (right hand) X Grasping (left hand) X Fine Manipulation (right hand) x Fine Manipulation (left hand) x Pushing & Pulling (right hand) x Pushing &Pulling (left hand) x Reaching (above shoulder level) x Reaching (below shoulder level) x LIFTING CARRYING never occasionally frequently never occasionally FREQUENTLY 0 hours up to 4 4-8 hours 0 up to 4 hours 4-8 hours 0-10 lbs x x 11-25 lbs x x 26-50 lbs x x 51-75lbs x x 76-100lb x x 100lbs+ x
ACTIVITY (HOURS PER DAY) NEVER 0 HOURS OCCASIONALLY UP TO 4 HOURS FREQUENTLY 4-8 Sitting x Walking x Standing x Bending (neck) x Bending x Squatting X Climbing x Kneeling X Crawling x Twisting (neck) x Twisting Waist x Is repetitive use of hand required? x Simple Grasping (right hand) x Simple Grasping (left hand) x Power Grasping (right hand) X Grasping (left hand) X Fine Manipulation (right hand) x Fine Manipulation (left hand) x Pushing & Pulling (right hand) x Pushing &Pulling (left hand) x Reaching (above shoulder level) x Reaching (below shoulder level) x LIFTING CARRYING never 0 hours occasionally up to 4 frequently 4-8 hours never 0 occasionally up to 4 hours FREQUENTLY 4-8 hours 0-10 lbs x x 11-25 lbs x x 26-50 lbs x x 51-75lbs x x 76-100lb x x 100lbs+ x
Associate-Teacher-Floater-4-20-16-Final.docx