PAINTER (MODIFIED)
PHYSICAL REQUIREMENTS/WORK CONDITIONS
Overall Job Strength Rating
(L) Light: Exerting up to 20 pounds of force occasionally, or up to 10 pounds of force
frequently, or a negligible amount of force continually to lift, carry, push, pull or move
objects. Job is largely sitting, but more than sedentary walking or standing may be
required. Work is light if job tasks are done sitting, but considerable upper body or arm
movement or use of leg controls is involved.
PERCENTGE OF A WORK SHIFT
Never
0%
Rare
<1%
1. Standing:
Type of surface:
Length of time:
2. Sitting:
Type of surface:
How many hours:
3. Walking:
Type of surface:
Distance:
4. Carrying:
Weight:
Type of object:
Distance:
5. Lifting/Lowering:
Weight:
Note:
6. Pushing/Pulling:
Weight:
Type of object:
Distance:
7. Bending:
From what body part:
Reason:
Occasionally
1 – 33%
Frequently
34 - 66%
Continuous
67 – 100%
Frequently 34-66%
____________________
Various Indoor/Outdoor Surfaces
________________________________________
Up to 5 hrs. per day
________________________________________
Occasionally 1-33%
____________________
Driving and Office Chair
________________________________________
1 - 3 hrs.
________________________________________
Occasionally 1-33%
____________________
Various Indoor/Outdoor Surfaces
________________________________________
Short distances up to 3 hrs. per day
________________________________________
Occasionally 1-33%
____________________
Up to 20 lbs. *Worksite Modifications Implemented
________________________________________
Parts/Material/Misc Items
________________________________________
Short distances
________________________________________
Occasionally 1-33%
____________________
Up to 20 lbs. *Worksite Modifications Implemented
________________________________________
Paint/Material/Misc Items
________________________________________
Occasionally 1-33%
____________________
Up to 20 lbs.
________________________________________
Using Rolling Dolly
________________________________________
Short distances
________________________________________
Occasionally 1-33%
____________________
Waist and knee
________________________________________
Painting in lower areas
________________________________________
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PAINTER (MODIFIED)
8. Twisting:
From what body part:
9. Climbing:
Type of surface:
Height:
Slope:
Number of steps:
10. Crawling:
Type of surface:
11. Stairs:
Occasionally 1-33%
____________________
Waist-to repair or paint in small or tight areas
________________________________________
Occasionally 1-33%
____________________
Step Ladder/Step Stool/Extension Ladder
________________________________________
________________________________________
4' - 6' Ladders
________________________________________
________________________________________
Rare <1%
____________________
Various Interior/Exterior Surfaces
________________________________________
Occasionally 1-33%
____________________
Frequently 34-66%
12. Reaching/handling/grasping: ____________________
Overhead reaching:
Shoulder level reaching:
Handling:
Grasping:
Various heights while painting and while doing prep work
________________________________________
Various heights while painting and while doing prep work
________________________________________
Various painting and prep tools
________________________________________
________________________________________
Various painting and prep tools
Frequently 34-66%
13. Can worker change positions? ________________________________________
14. Kneeling/Crouching:
Reason:
15. Wrist Motion:
Reason:
16. Sensory:
Frequently 34-66%
____________________
________________________________________
To reach lower areas while painting and doing prep work
Frequently 34-66%
____________________
Painting and doing prep work
________________________________________
Occasionally 1-33%
____________________
Speaking/Hearing:
Duties:
Office phone/personal contact with office staff/public
________________________________________
________________________________________
Communicate with others/Driving
Writing:
Duties:
Occasionally 1-33%
____________________
Completing Forms
________________________________________
Seeing:
Continuous 67-100%
____________________
Color Vision:
Continuous 67-100%
____________________
Painting
________________________________________
Duties:
Depth Perception:
Reason:
Continuous 67-100%
____________________
Driving/Painting/Repairing/Ladder Work
________________________________________
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PAINTER (MODIFIED)
WORKING CONDITIONS
CONTINUOUSLY FREQUENTLY
OCCASIONALLY
RARE
Dust
Outdoors
Fumes/Odors
Indoors
Slippery Surfaces Cramped Workspace
Extended Work Hours
Glove use
NEVER
Vibration - Extremities Vibration - Whole Body
Low background noise Varied Temperatures High Background Noise
Travel to other Worksites Moderate Background Noise
Exposure to Hazardous Materials
Personal Protective Equipment
MATERIALS AND EQUIPMENT USED
CONTINUOUSLY FREQUENTLY
Agency Auto
Hand Tools
Power Tools
OCCASIONALLY
Telephone
RARE
NEVER
Personal Auto
Computer
Ten Key
Fax Machine
E-Mail
Copier
*To eliminate heaving lifting from Painter position, worksite modifications include paint
tipper, panel hoist system etc.
01/16/2013
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PAINTER (MODIFIED)