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16. Use of leg muscles over extended <br />periods <br />17. Overhead work (over shoulder height) <br />18. Stationary desk or bench work <br />with neck bent forward X <br />X <br />Are the following weights lifted? If yes, describe. <br />0 - 10 pounds <br />11 - 24 pounds X <br />25 - 34 pounds <br />35 - 50 pounds <br />51- 74 pounds <br />75 - 100 pounds <br />What object(s) are lifted: <br />Lift and transfer boxes of files. <br />Cartons of printer paper <br />From what height to what height? <br />0 - 3 feeL <br />Are the following weights carried? If yes, describe. <br />How far are these weights carried? <br />0 - 10 pounds <br />11 -24 pounds X <br />25 - 34 pounds <br />35 - 50 pounds <br />51- 74 pounds <br />75 -100 pounds <br />Job requires: <br />Working outdoors? <br />Working indoors? <br />Operating forklifts, dangerous <br />machinery or vehicles? <br />Supervising other employees? <br />Worldng with chemicals? <br />Working near fumes/vapors? <br />3 feet to 40 feet. <br />Yes _X_ No <br />_X Yes <br />No <br />Yes <br />X No <br />Yes <br />X No <br />Yes <br />X No <br />Yes <br />X No <br />X <br />