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 80 of 53 8 I N JU R Y M A N A GE M EN T R ET U R N T O W OR K PH YS I C A L D E M A N D A N A L Y SI S PD A Doc u m e n t Identif icat ion F R M 024 P age Nu m b e r 1 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 P hy s ical Deman d Analy s is to b e co m p leted b y th e s u p er v i s o r o r B r an ch Sa f et y R ep r esen ta tiv e I n j u r ed E m p lo y ee J HS C m e m b er P osit ion Ta sk De pt Divis ion Hour s of w ork p e r w e e k Da te c ompl e ted C ompl e ted b y Titl e C ompl e ted b y Titl e C ompl e ted b y Titl e 1 In an 8 h ou r d ay th e E m p loye e m u st in te r m itt e n tly or c on sta n tly m ar k on e f or e ac h ac ti vity 0 1 2 3 4 5 6 7 8 S it hours S tand hours W a lk hours Dr ive hours 2 Job Re q u ire m e n ts S qua tt ing B e ndin g Kne e li n g R e a c hin g Tw ist ing C ra wlin g L a dd e r W ork S tair Cli mbi ng W a lki ng on ro u g h g rou nd Ex posure to cha nge of temp or humi dit y Ex posure to dus t fume sg a se s B e in g ne a r movin g e qu ipm e nt W orking fr om hei g ht 3 T h e Job r e q u ire s li ft in g Ne ve r Oc c a sional F r e que nt C onti nuous Up to 10 lbs 45 k g 11 to 24 l bs 5 to 11 kg 25 to 34 l bs 12 to 15 kg 35 to 50 l bs 16 to 23 kg 51 to 74 l bs 24 to 32 kg 4 T h e Job r e q u ire s c ar r yin g Ne ve r Oc c a sional F r e que nt C onti nuous Up to 10 lbs 45 k g 11 to 24 l bs 5 to 11 kg 25 to 34 l bs 12 to 15 kg 35 to 50 l bs 16 to 23 kg 51 to 74 l bs 24 to 32 kg