THD - Physical Jobs Demands Analysis

• Job Department:

• Job Description:

• Store:

• Location

• Conducted on

  Date

• Prepared by

• Total Hours Worked Per Day:

• Hours Worked Per Week:

1. Lift and Carry

• Frequency of 0 - 10 pounds

• Lift

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

• Carry

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

• Frequency of 11 - 25 pounds

• Lift

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

• Carry

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

• Frequency of 26 - 50 pounds

• Lift

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

• Carry

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

• Frequency of 51 - 75 pounds

• Lift

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

• Carry

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

• Frequency of 76 - 100 pounds

• Lift

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

• Carry

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

• Frequency of 100+ pounds

• Lift

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

• Carry

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

2. Push and Pull

• Frequency of 0 - 10 pounds

• Push

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

• Pull

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

• Frequency of 11 - 25 pounds

• Push

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

• Pull

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

• Frequency of 26 - 50 pounds

• Push

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

• Pull

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

• Frequency of 51 - 75 pounds

• Push

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

• Pull

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

• Frequency of 76 - 100 pounds

• Push

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

• Pull

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

• Frequency of 100+ pounds

• Push

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

• Pull

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

3. Hand and Arm Force

• A. Using hands or hook to bring product towards work station.

  Yes

  No

  N/A

• B. Holding or pulling with hands (bilateral use).

  Yes

  No

  N/A

• C. Constant grasping of knife (NO use of knife) needed for job

  Yes

  No

  N/A

• Repetitive use of hand

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

• Hand grip (fingers opposing base of hand)

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

• Pinch Grip (fingers opposing thumb)

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

• Push or Pull (using 1 arm)

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

4. Posture

• A. Standing all day.

  Yes

  No

  N/A

• B. Employee climbs stairs on occasion during the work shift to access the work area and break time.

  Yes

  No

  N/A

• C. Frequent walking to and from workstation to other areas to complete job task.

  Yes

  No

  N/A

• D. Slight forward bending with the neck.

  Yes

  No

  N/A

• Whole Body Posture

• Sitting

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

• Walking

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

• Standing

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

• Squatting

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

• Climbing

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

• Kneeling

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

• Neck Posture

• Bending Neck (look up or down)

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

• Turn Neck (turn neck to right or left)

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

• Shoulder Posture

• Forward Reaching

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

• Reach over Shoulder Level

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

• Back Posture

• Forward Bending at Waist

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

• Twisting at Waist

  Never (0 hours)

  Infrequent (< 1 hour)

  Occasional (1 - 3 hours)

  Frequent (3 - 6 hours)

  Constant (6 - 8 hours)

5. Necessary job functions.

• Behaviors necessary to perform the job safely.