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Are the following weights lifted? <br /> <br /> 0- 10 pounds <br /> 1 t- 24 pounds X <br /> 25 - 34 pounds <br /> 35:- 50 pounds <br /> 51: - 74 pounds <br /> 75 - 100 pounds <br /> <br />Are <br /> <br />the following weights carried? <br /> <br /> 0- t0pounds ____ <br /> <br /> 11 - 24 pounds X <br /> 25 - 34 pounds <br /> 35- 50 pounds <br /> 51 - 74 pounds <br /> 75 - 100 pounds <br /> <br />Job requires: <br /> <br /> WorkLng outdoors? <br /> <br /> Working indoors? <br /> <br /> Operating forklifts, dangerous <br /> , machinery or vehicles? <br /> <br /> :!Supervising other employees? <br /> Working with chemicals? <br /> Working near fumes/vapors? <br /> <br />If yes, describe. <br /> What object(s) are lifted: <br /> <br />File boxes. <br /> <br />From what height to what height? <br />1 to 8 feet. <br /> <br />If yes, describe. <br /> How far are these weights carried? <br /> <br />1 foot to 60 feet, <br /> <br />Yes X No <br />Yes No <br /> <br /> Yes .__X__ No <br />.. . Yes No <br /> Yes X No <br /> Yes X No <br /> <br />Police Department Records Manager <br /> Page 4 of 5 <br /> <br />I <br />i <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />i <br />I <br />I <br /> <br /> <br />