Position: | Staff Development Coordinator | Department: | Nursing |
Reports to: | Director of Nursing |
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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 |
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| X |
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Kneeling |
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| X |
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Crouching |
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| X |
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Pulling |
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| 30 lbs. | 50 lbs. |
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Pushing |
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| 30 lbs. | 50 lbs. |
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Standing |
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| X |
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Walking |
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| X |
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Reaching |
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| X |
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Fine Motor | Proficient typing skills (efficient and accurate) | X |
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Grasping |
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| X |
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Twisting |
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| X |
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Repetitive Motions | Typing | X |
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Lifting |
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| 30 lbs. | 50 lbs. |
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Crawling |
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| X |
Static Position |
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| X |
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Carrying |
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| 30 lbs. | 50 lbs. |
Other |
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List equipment and tools operated and the frequency of use:
Facility Vehicles: Equipment: Computer and personal communication devices, office equipment
Tools: Other:
Check which working conditions the employee is subject to:
Physical Conditions:
☐ Extreme temperatures ☐ Noise ☐ Wet and/or humid ☐ Vibration
Workplace Hazards:
☒ Blood, body fluids and/or infectious disease ☐ Hot Water ☐ Mechanical ☐ Electrical
☐ Chemical ☐ Gasses ☐ Other:
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