Physical Requirements
Job # 517 Job Title Diet Aide Clerk
1. Physical Activities – General description. Show average time (0 – 8 hours) per workday.
a. Sitting: None/minimal (0-1) Occasional (1-2) Frequent (3-4) Continuous (5+ Hrs)
b. Walking: None/minimal (0-1) Occasional (1-2) Frequent (3-4) Continuous (5+ Hrs)
c. Standing: None/minimal (0-1) Occasional (1-2) Frequent (3-4) Continuous (5+ Hrs)
d. Bending: None/minimal (0-1) Occasional (1-2) Frequent (3-4) Continuous (5+ Hrs)
e. Squat, kneel, None/minimal (0-1) Occasional (1-2) Frequent (3-4) Continuous (5+ Hrs) crawl:
2. Weight lifted / force exerted. Show average time (0 – 8 hours) per workday:
a. 0 -25 lbs. (light): None/minimal (0-1) Occasional (1-2) Frequent (3-4) Continuous (5+ Hrs)
b. 26 - 50 lbs. (med): None/minimal (0-1) Occasional (1-2) Frequent (3-4) Continuous (5+ Hrs)
c. 51 + lbs. (heavy): None/minimal (0-1) Occasional (1-2) Frequent (3-4) Continuous (5+ Hrs)
d. Describe type of activity: Pushing/Pulling Reaching above shoulder level Lifting Carrying.
e. Details of heaviest item/activity: Lifting and carrying menu blanks; no weight lifted above 25 pounds.
3. Repetitive use of hands. Show average (0 – 8 hours) / workday:
a. Both hands: None/minimal (0-1) Occasional (1-2) Frequent (3-4) Continuous (5+ Hrs)
b. Dominant only: None/minimal (0-1) Occasional (1-2) Frequent (3-4) Continuous (5+ Hrs))
c. Dexterity: Simple grasping Power grasping Fine manipulation.
Describe any special activity:
4. Repetitive use of feet (other than walking/standing), i.e. foot control. Show average time (0 – 8 hours) workday:
a. Right Left Both None/minimal (0-1) Occasional (1-2) Frequent (3-4) Continuous (5+ Hrs)
Describe any special activity:
5. Vision requirements: Basic Vision Requirements; including Close Vision (clear vision at 20 inches or less) and Distance Vision (clear at 20 feet or more).
Specific Vision Requirements:
a. Color Vision (ability to identify and distinguish colors)
b. Peripheral Vision (ability to observe up/down or left/right while eyes are fixed on a given point)
c. Depth Perception (three-dimensional vision; ability to judge distances and spatial relationships)
Describe any special vision requirement:
6. Hearing requirements: Basic Hearing Requirements; including ability to hear alarms and pages, ability to hear communications, requests or instructions from patients, staff or public.
Describe any special hearing requirement:
7. Work Environment - This job requires exposure to the following environmental conditions:
a. Blood or body fluids e. Toxic or caustic chemicals i. Electrical shock risk.
b. Wet, humid conditions (non-weather) f. Outdoor weather conditions j. Risk of radiation
c. Work near moving mechanical parts g. Extreme cold (non-weather) k. Vibration
d. Fumes or airborne particles h. Extreme heat (non-weather)
l. Noise level for work environment is: Very Quiet Quiet Moderate Loud Very Loud
8. Other (if applicable):