Write % next to description
Ability to stand _________ |
Ability to crawl ________ |
Ability to walk _________ |
Ability to reach ________ |
Ability to sit __________ |
Ability to handle _______ |
Ability to stoop ________ |
Ability to finger _______ |
Ability to kneel ________ |
Ability to feel _________ |
Ability to crouch _______ |
Ability to speak ________ |
Ability to hear _________ |
Ability to lift (X) lbs. _________ |
Ability to carry (X) pounds _______
Ability to push (X) lbs. _________
Ability to pull (X) pounds _______
Ability to ascend (X) ft. ________
Repetitive motion ________________
Eye/Hand coordination ____________
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