DBQ 3
HAZARD ZONE JOBS CHECKLIST |
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For each "caution zone job" find any physical risk factors that apply. If a hazard exists, it must be reduced below the hazard level or to the degree technologically and economically feasible. Not all items on the checklist need to be noted only those you recognize. |
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Movements or postures that are a regular and foreseeable part of the job, occurring more than one day per week, and more frequently than one week per year. |
Hazard Exists
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Job Position evaluated: Office Assistant
Date 11/11/17 |
No. of employees in these jobs?
60 employees |
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Awkward Posture |
Comments/Observations |
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1. Working with the hand(s) above the head, or the elbows above the shoulders |
More than 4 hours total per day |
□ |
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2. Repeatedly raising the hand(s) above the head, or the elbow(s) above the shoulder(s) more than once per minute |
More than 4 hours total per day |
□ |
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3. Working with the neck bent more than 45° (without support or the ability to vary posture) |
More than 4 hours total per day |
□ |
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4. Working with the back bent forward more than 30° (without support or the ability to vary posture) |
More than 4 hours total per day |
□ |
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5. Working with the back bent forward more than 45° (without support or the ability to vary posture) |
More than 2 hours total per day |
□ |
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6. Squatting |
More than 4 hours total per day |
□ |
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7. Kneeling |
More than 4 hours total per day |
□ |
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Highly Repetitive Motion |
Hazard Exists
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Comments/ Observations |
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Using the same motion with little or no variation every few seconds (excluding keying activities) |
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14.
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+
+ High, forceful exertions with the hand(s) |
+ More than 2 hours total per day |
□ |
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15.
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No other risk factors |
+ More than 6 hours total per day |
□ |
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Intensive keying |
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16.
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+
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+ More than 4 hours total per day |
□ |
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17.
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No other risk factors |
+ More than 7 hours total per day |
□ |
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Repeated Impact |
Comments/ Observations |
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18.
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Using the hand (heel/base of palm) as a hammer more than once per minute |
+ More than 2 hours total per day |
□ |
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19.
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Using the knee as a hammer more than once per minute |
+ More than 2 hours total per day |
□ |
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Exposures |
Comments/ Observations |
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20. Indoor Air Issue Questions · Is the temperature in the workplace extremely hot or cold? · Have you noticed any breathing issues? · Have you noticed any mold? · Have you noticed any drafts? · Does a vent blow directly on you? |
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21. Process chemicals · What chemicals are used on this site? · Is there a MSDS for these chemicals |
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22. Physical Issues · What is the dB level? · Light level in lumens?
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23. PPE Available · Is there PPE available? · If so, Is the PPE utilized? |
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Psychosocial Strain (Interview a worker and ask these questions, answers can be strongly agree, agree, disagree, strongly disagree) |
Comments/ Observations |
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24. Demand:
· My job requires working very fast.
· My job requires working very hard.
· I am not asked to do an excessive amount of work.
· I have enough time to get the job done.
· I am free from conflicting demands that others make.
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25. Decision Authority:
· My job allows me to make a lot of decisions on my own.
· On my job, I have very little freedom to decide how to do my work.
· I have a lot of say about what happens on my job. |
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26. Skill Discretion:
· My job requires that I learn new things.
· My job involves a lot of repetitive work.
· My job requires me to be creative.
· My job requires a high level of skill.
· I get to do a variety of different things on my job.
· I have an opportunity to develop my own special ability.
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Calculator for Hand-Arm Vibration |
1. Find the vibration value for the tool. (Get it from the manufacturer look it up at this website http://wwwn.cdc.gov/niosh-sound-vibration/Results.aspx?tt=6 On the graph below mark the point on the left side shown as Vibration value.
Not Applicable
Vibration
m/s2
Not Applicable
Duration
Hrs.
2. Find out how many total hours per day the employee is using the tool and mark that point on the bottom of the chart below.
3. Trace a line into the graph from each of these two points until they cross. No vibration tool used
4. Interpretation
a. If that point lies in the crosshatched “Hazard” area above the upper curve, then the vibration hazard must be reduced below the hazard level or to the degree technologically and economically feasible.
b. If the point lies between the two curves in the “Caution” area, then the job remains as a “Caution Zone Job.”
c. If the point falls in the “OK” area below the bottom curve, then no further steps are required.
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Note: The caution limit curve (bottom) is based on an 8-hour energy-equivalent frequency- weighted acceleration value of 2.5 m/s2. The hazard limit curve (top) is based on an 8-hour energy-equivalent frequency- weighted acceleration value of 5 m/s2.
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