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WORKER:     

CLAIM #

JOB TITLE:   Battalion Chief

PAGE

                Using:__O___ arm/hand     __O__ leg/foot     __O__ whole body     __O__right/left/both

Objects pushed include:  doors, file drawers, securing equipment on vehicle

PULL:   To draw towards oneself, in a particular direction, or into a particular position.

             No. of lbs. varies

                                force)

                (N)ever   (R)arely   (O)ccasionally   (F)requently   (C)onstantly

            Using:__O___ arm/hand    __O__ leg/foot     __O__ whole body     __O__right/left/both

Objects pulled include: pulling open doors, file drawers, possibly helping to rescue victims, if participating in training exercises (such as high-angle rescue)

LIFTING:  Sample of objects lifted include: protective gear-boots, pants, coat, helmet (28#); self-contained breathing apparatus (25#); radio + flashlight (5#); thermal imager (8#), office supplies, manuals, folders (separately under 10#).

1 -10 lbs.

Occasionally  

11 - 20 lbs.

Occasionally  

21 - 30 lbs.

Occasionally  

31 - 50 lbs.

Occasionally

51 - 75 lbs.

Intermittent *

76 - 100 lbs.

Intermittent *

100 + lbs.

Intermittent *

Most items are lifted from ground/floor to waist level, occasionally throughout a workday.

Heaviest amount of weight lifted alone is protective gear weighting 28 lbs. and lifted 4-5  times per workday. In addition, self-contained breathing apparatus weighing 25 lbs. is lifted twice per workday.

* Note: Heaviest amount of weight lifted jointly is a victim (adult or child); lifted on an intermittent basis, if the needs arises. Weight will vary, but an adult will generally weigh a minimum of 100 lbs.

CARRYING: Sample of objects carried include:  protective gear-boots, pants, coat, helmet (28#); self-contained breathing apparatus (25#); radio + flashlight (5#); thermal imager (8#).  

1 -10 lbs.

Occasionally  

11 - 20 lbs.

Occasionally

21 - 30 lbs.

Occasionally

31 - 50 lbs.

Occasionally

51 - 75 lbs.

Intermittent *

76 - 100 lbs.

Intermittent *

100+ lbs.

Intermittent *

* Note:  Heaviest amount of weight carried jointly is a victim (adult or child); carried on an intermittent basis, if the needs arises. Weight will vary, but an adult will generally weigh a minimum of 100 lbs.

The distance a victim is carried will also vary, but may include descending a ladder or a staircase.

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