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PHYSICAL DEMANDS ANALYSIS WORKSHEET MOS OF PAGE For use of this form AR 611-1 the proponent agency is DCSPER CMF DATE COMPLETED YYMMDD SECTION I - DUTIES SECTION II - TASK SUMMARY SECTION III - CRITICAL TASK ELEMENT FACTOR WEIGHT/ LOAD HORIZDISTANCE a b c SECTION V - ANALYSIS VERTICAL WORK RATE/PERFORMANCE DISTANCE STANDARD d e MOS FREQ f NP O F C LIFT/LOWER CARRY PUSH PULL LOAD BEAR WALK/MARCH CLIMB/DESCEND RUN/RUSH SWIM/DIVE DIG CRAWL THROW DA FORM 5643-R JUN 1987 APD LC v2. 00 HANDLE...
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How to fill out physical demand analysis form

01
Start by gathering relevant information about the job or task for which you are conducting the physical demands analysis. This may include details about the physical requirements, tasks performed, equipment used, and any hazards or risks involved.
02
Evaluate the physical demands of the job by breaking it down into specific tasks or activities. This can be done through direct observation, interviews with employees or subject matter experts, or by reviewing existing job descriptions or manuals.
03
Use a standardized physical demands analysis template to record and document the information gathered. This template typically includes sections to capture key details such as physical exertion levels, postures, forces, repetitive motions, environmental factors, and any necessary personal protective equipment.
04
For each task or activity, assess the physical exertion level required. This may involve using recognized tools such as the Revised NIOSH Lifting Equation or the Borg Rating of Perceived Exertion Scale.
05
Document any postures or body positions that are required for the job, such as standing, sitting, bending, lifting, or reaching. Include details about the duration and frequency of each posture.
06
Identify any forces or loads involved in the job, such as pushing, pulling, carrying, or lifting objects. Note the weight, size, and shape of the objects if applicable.
07
Take into account any repetitive motions or actions that are part of the job, such as typing, hammering, or operating machinery. Specify the duration and frequency of each repetitive task.
08
Consider environmental factors that may impact the physical demands of the job, such as temperature extremes, noise levels, vibration, or exposure to chemicals or hazardous substances. Record any necessary precautions or controls to mitigate these factors.
09
Indicate any required personal protective equipment (PPE) that is necessary for performing the job safely. This may include items such as safety glasses, gloves, hard hats, or hearing protection.
10
In conclusion, a physical demands analysis template is valuable for organizations, employers, and individuals who need to assess and understand the physical requirements of a job or task. It is particularly useful for job design, ergonomic evaluations, injury prevention, workers' compensation claims, and accommodating individuals with disabilities. By accurately filling out the template, organizations can ensure the safety, health, and well-being of their employees while also promoting efficiency and productivity.
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What is physical demands analysis template?
A physical demands analysis template is a standardized form used to evaluate and document the physical requirements of a specific job or task, outlining the necessary physical abilities and limitations involved.
Who is required to file physical demands analysis template?
Employers, HR professionals, or occupational health specialists are typically required to file a physical demands analysis template as part of workplace safety and compliance procedures.
How to fill out physical demands analysis template?
To fill out a physical demands analysis template, evaluate the job tasks, identify the physical requirements such as lifting, walking, or sitting, and document the frequency and duration of each physical demand on the form.
What is the purpose of physical demands analysis template?
The purpose of a physical demands analysis template is to ensure that job descriptions accurately reflect the physical requirements of a position, aiding in employee selection, safety assessments, and accommodation processes.
What information must be reported on physical demands analysis template?
The information reported on a physical demands analysis template typically includes job title, physical tasks, frequency of tasks, duration, and any necessary physical capabilities or limitations pertaining to the job.
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