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Caution Zone Checklist Use one sheet for each position
evaluated.Movements or postures that are a regular andforeseeable
part of the job, occurring morethan one day per week, and more
frequentlythan one week per year.
If done in thisjob position
the box
Job Positionevaluated:
Date:
No. of employeesin these jobs?
Awkward Posture Comments/Observations
1.Working with the hand(s)above the head, or the elbow(s)
above the shoulders more than2 hours total per day. !
2. Working with the neck orback bent more than 30degrees
(without support andwithout the ability to varyposture) more than 2
hours
total per day.!
3. Squatting more than 2hours total per day. !
4. Kneeling more than 2 hourstotal per day. !
High Hand Force Comments/Observations
5. Pinching an unsupportedobject(s) weighing 2 or morepounds per
hand, or pinchingwith a force of 4 or morepounds per hand, more
than 2hours total per day (comparableto pinching half a ream
ofpaper).
!
6. Gripping an unsupportedobjects(s) weighing 10 or morepounds
per hand, or grippingwith a force of 10 or morepounds per hand,
more than 2hours total per day (comparableto clamping light
dutyautomotive jumper cables ontoa battery).
!
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Highly Repetitive Motion Comments/Observations
7. Repeating the same motionwith the neck, shoulders,elbows,
wrists, or hands(excluding keying activities)with little or no
variation everyfew seconds, more than 2
hours total per day.!
8. Performing intensive keyingmore than 4 hours total perday.
!
Repeated Impact Comments/Observations
9. Using the hand (heel/baseof palm) or knee as a hammermore
than 10 times per hour,more than 2 hours total perday.
!
Heavy, Frequent or Awkward Lifting (A simple scalecan be used to
determine the weight of materials) Comments/Observations
10. Lifting object weighingmore than 75 pounds once perday or
more than 55 poundsmore than 10 times per day.
!
11. Lifting objects weighingmore than 10 pounds if donemore than
twice per minute,more than 2 hours total per
day.
!
12. Lifting objects weighingmore than 25 pounds above
theshoulders, below the knees orat arms length more than 25times
per day.
!
Moderate to High Hand- Arm Vibration(Closely estimate or obtain
the vibration value of the tool in use)
Comments/Observations
13. Using impact wrenches,carpet strippers, chain
saws,percussive tools (jack
hammers, scalers, riveting orchipping hammers) or othertools
that typically have highvibration levels, more than 30minutes total
per day.
!
14. Using grinders, sanders,jigsaws or other hand tools
thattypically have moderatevibration levels more than 2hours total
per day.
!
