Belte r r a Cor p or at ion S afety M an ual D oc I D C H S M BE L 2 0 1 7 Pa g e 4 78 of 53 8 Doc u m e n t Identif icat ion F R M 022 P age Nu m b e r 2 of 2 Doc u m e n t C r e ation Dat e J une 30 2014 Im p le m e n tat ion Dat e S e ptembe r 1 2 014 Add i t i ona l Act ivit ie s Cond i t io ns a nd De m an d s En vir o n m e n tal Co n d i ti o n s Restr ic t ion s Limit at i on s En vir o n m e n tal Co n d i ti o n s Restr ic t ion s Limit at i on s H o t C ol d C on gest e d Ar ea D r y H umid M o vi ng O bj e ct s N oi se V i bra t i on Exp osu re t o c h emicals Ele c t ro mag n et ic Fu mes V a p or s Gases Ot h er s p lea se s p ecif y D EFIN ITIONS R e st r i ct i on s L i m i tati o n s T h is p at ie n t is a d v is e d n o t to p e rf o rm t h i s act iv ity in a n y ca p acity T h is p at ie n t is a b l e t o p e rf o rm t h e act iv ity in a r e d u ce d ca p acity For e xa m p le t h e p at ie n t is n o t ab le t o p e rf o rm th e j o b with t h e u s u al s p e e d s tren gth o r n u m b e r o f re p e tit ion s o r f o r th e u s u al d u ra tio n Psy chol og ica l M enta l Dema nds Co n d i ti o n s Restr ic t ion s Limit at i on s NA Th in k in g Reas on in g Pe rf o rm c om p lex or vari ed t ask s Pe rf o rm sim p le a n d re p e t it ive t ask s Wor k in g u n d e r p re ssu re or d e ad li n es Wor k in g alo n e Aler t n ess C rit ic al d ecisio n mak in g In t er p er so n al c o n t act Wor k in g at h e igh t s Wor k in g u n d e r gro u n d Ot h er s p lea se s p ecif y Ple ase p ro vid e n ecessary d e t ails a b out a n y re s t ric t ion s or li mit a t ion s you h ave id e n t i f ie d It is n o t n ecessary t o p ro vid e a d iagn osis or t r ea t me n t in f or ma t ion Ph ys ic ian s Na me Sign at u re