Preschool Teacher
Position: | Teacher | Department: | Learning Center |
Reports to: | Executive Director |
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Task | Requirement | Frequency (Place X in approp. box) | ||||
Constantly | Frequently | Occasionally | Rarely | Never | ||
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 |
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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 | To a distance of 5 feet |
| 30 lbs. | 50 lbs. |
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Pushing | To a distance of 5 feet |
| 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 | Typing | 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 | To a height of 3 feet |
| 30 lbs. | 50 lbs. |
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Crawling |
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| X |
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Static Position |
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| X |
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Carrying | To a distance of 5 feet |
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| 30 lbs. | 50 lbs. |
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Other | Travel |
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| X |
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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: Computer and personal communication devices
Business office equipment
Tools: 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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