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Job Type: Per-Diem
Shift: Day; 7a-7p
Demonstrates Competency in the Following Areas:
The following job responsibilities will need to be completed by 11:15 a.m. each day.
The following job responsibility will need to be completed by 11:50 a.m. each day.
The following Job responsibilities will need to be completed by end of shift.
Professional Requirements:
Education/Regulatory Requirements & Experience:
Language Skills:
Skills:
Dietary Aide-N720 2
Physical Demands:
I have received, read and understand the Position Description for Dietary Aide.
___________________________________________________________ _______________________________
Name/Signature Date Signed
Dietary Aide-N720 3
PHYSICAL JOB REQUIREMENTS
Position: Dietary Aide Status:
Department: Tamarack Type: Heavy
Completed By: Long Term Care Administrator Date: 2/2/07
Please check one column for each activity listed below indicating the average percent of time per shift spent in each activity and attach
to the appropriate job description.
FREQUENTLY USUALLY OCCASIONALLY INFREQUENTLY N/A
(at least 50%) (25 – 49%) (10 – 24%) (10%)
1 Standing/Walking.......................................... X
2 Sitting ............................................................ X
3 Twisting......................................................... X
4 Lifting/Carrying............................................. X
5 Pushing/Pulling.............................................. X
6 Climbing (ascending/descending
ladders/stairs) ................................................ X
7 Bending/Stooping.......................................... X
8 Using arm muscles frequently or for
extended periods............................................ X
9 Using leg muscles frequently or for
extended periods............................................ X
10 Using back muscles frequently or for
extended periods............................................ X
11 Potential for wound care or invasive
procedures..................................................... X
HOW OFTEN ARE THESE WEIGHTS LIFTED OR CARRIED?
2 – 10 Pounds .............................................. X
11 – 20 Pounds ............................................. X
21 – 30 Pounds ............................................. X
31 – 40 Pounds ............................................. X
41 – 50 Pounds ............................................. X
50 Pounds or more ........................................ X
DOES THE JOB REQUIRE?
Working in hot, cold or wet surroundings..... X
Working outdoors......................................... X
Working with or near chemicals ................... X
Working near radiation sources .................... X
Working near fumes...................................... X
Working with hazardous waste materials...... X
Operating vehicles or machinery................... X
Using hand tools or power tools ................... X
Wearing protective clothing and
equipment...................................................... X
Comments _______________________________________________________________________________________
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