Position: | Housekeeping Assistant | Department: | Housekeeping |
Reports to: | Director of Housekeeping | FLSA: |
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Task | Requirement | Frequency (Place X in approp. box) | |||
Constantly | Frequently | Occasionally | Rarely | ||
Seeing | Yes | X |
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Hearing | Yes | X |
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Tactile Sense |
| X |
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Talking | Must convey detailed and important spoken instructions to others accurately | X |
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Climbing |
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| X |
Balancing |
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|
| X |
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Stooping |
|
|
| X |
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Kneeling |
|
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| X |
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Crouching |
|
|
| X |
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Pulling |
|
| 30 lbs. | 50 lbs. |
|
Pushing |
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| 30 lbs. | 50 lbs. |
|
Standing |
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| X |
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Walking |
|
| X |
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Reaching |
|
| X |
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Fine Motor |
| X |
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Grasping |
| X |
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Twisting |
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| X |
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Repetitive Motions |
| X |
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Lifting |
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| 30 lbs. | 50 lbs. |
|
Crawling |
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|
| X |
Static Position |
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|
| X |
Carrying |
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| 30 lbs. | 50 lbs. |
Other |
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Equipment and Tools
List equipment and tools operated and the frequency of use:
(Those that cannot be delegated to a co-worker.)
Facility Vehicles: Equipment: Communication devices
Tools: Housekeeping equipment and supplies Other:
Working Conditions
Check which working conditions the employee is subject to:
Physical Conditions:
Extreme temperatures Noise Wet and/or humid Vibration
Workplace Hazards:
X Blood, body fluids and/or infectious disease Hot Water Mechanical Electrical
Chemical Gasses Other___________
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