Home › Companies › 21e69c09 F44d 402b B350 5ac63a74c851 19000101 000001 › Modular Converting Operator
Modular Converting Operator
21e69c09 F44d 402b B350 5ac63a74c851 19000101 000001 · Web Industries Hartford Inc., Dayville, CT, US, Dayville, CT · Active · $27–$36 / year · ADP Workforce Now Recruiting
Job facts
| Field | Value |
|---|---|
| Company | 21e69c09 F44d 402b B350 5ac63a74c851 19000101 000001 |
| Title | Modular Converting Operator |
| Normalized title | - |
| Department / team | - |
| Location | Web Industries Hartford Inc., CT, United States |
| Work model | - |
| Employment type | Full Time |
| Salary | $27–$36 / year |
| Status | active |
| ATS provider | ADP Workforce Now Recruiting |
| Posted / first seen | 2026-06-02 / 2026-06-03 |
| Changed / last seen | 2026-06-06 / 2026-06-06 |
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| Company jobs | Active postings from 21e69c09 F44d 402b B350 5ac63a74c851 19000101 000001. | Open |
| Company breakdowns | Role, location, ATS, and work model facets for this company. | Open |
| ATS provider jobs | Active postings observed through ADP Workforce Now Recruiting. | Open |
| Provider filtered search | The same provider as a filtered job collection. | Open |
| City jobs | Active postings in Web Industries Hartford Inc.. | Open |
| Lifecycle events | Open, update, close, and reopen events for this posting. | Open |
| Original posting | Canonical source or apply URL captured from the ATS. | Open |
Linked records
| Company | 21e69c09 F44d 402b B350 5ac63a74c851 19000101 000001 |
| Source | 873e82d4-a3f3-4616-8add-827d3f220207 |
| ATS provider | ADP Workforce Now Recruiting |
Description
Job Title: Modular Converting Operator
Date Prepared: 1/13/2026
Department: Operations
Reports To (Title): Shift Supervisor
TO BE COMPLETED BY HUMAN RESOURCES:
FLSA Status: Non-Exempt Exempt
Job Code: Salary Grade:
POSITION SUMMARY
Please provide a brief, high-level description stating the essential responsibilities of the position. The summary should be no longer than 3 to 4 sentences and should provide a general synopsis of the job in as few words as possible.
The Modular Converting Operator is responsible for independently setting up, operating, optimizing, and troubleshooting a modular converting press to manufacture high-quality, multi-layer products involving die-cutting, lamination, and printing processes. This role requires advanced technical expertise to ensure product quality, throughput, yield optimization, and on-time delivery while maintaining compliance with ISO and regulatory standards. The Operator serves as a key technical resource, supporting Engineering, Quality, and Manufacturing through customer trials, new product introductions, and continuous process improvement initiatives.
PRINCIPAL DUTIES AND ESSENTIAL FUNCTIONS:
This section should list up to 10 principal tasks and functions that are considered to be fundamental to the position, establishing expectations for the job to which the individual will be held accountable and are critical to the successful performance of the job. Duties that the employee must be able to perform with or without reasonable accommodation must be included in this section.
Check if this is an essential function of the job
Advanced Machinery Operation & Process Control
Independently set up, configure, and operate a modular converting line in accordance with standard work, engineering specifications, and customer requirements. Assemble, configure, and optimize nip stations, winders, spindles, web guides, slitter stations, die stations, and flexographic printing units. Load, verify, and adjust HMI recipes and controller parameters to ensure accurate machine configuration and repeatable performance. Web up materials following defined order-of-operations to minimize waste, maximize yield, and protect product integrity. Establish, maintain, and optimize web tensions, registration, and alignment throughout the production run. Perform real-time (“on-the-fly”) adjustments to gear ratios, spindle tensions, nip pressures, die pressures, and registration to maintain process stability and product specifications. Utilize vision systems, test data, and process metrics to proactively identify trends and make data-driven adjustments.
Quality, Documentation and Compliance
Execute standard quality control tests and inspections to verify finished product conformance to specifications. Ensure strict adherence to ISO requirements, standard work, and batch documentation practices during product and/or lot changes. Accurately complete and maintain all production, quality, and lot traceability documentation. Support root cause analysis and corrective actions related to quality, yield loss, or process deviations.
Production Performance and Systems Use
Achieve or exceed defined production targets for throughput, yield, scrap reduction, and uptime. Accurately navigate and update ERP systems throughout the production run to ensure real-time production visibility. Follow standardized setup, run, and teardown procedures across multiple product types with minimal supervision.
Demonstrate a strong understanding of how tension zones, materials, and tooling interactions affect process capability and product quality.
Troubleshooting & Equipment Optimization
Independently troubleshoot mechanical, process, and control-related issues on the modular converting line. Identify emerging issues before failures occur and take corrective action or escalate appropriately. Partner with Engineering and Maintenance to diagnose complex problems and implement sustainable solutions.
Safety & Environmental Compliance
Consistently comply with all safety rules, policies, and safe work practices. Actively identify, report, and address unsafe conditions, near misses, and incidents. Demonstrate ownership of environmental compliance by promptly reporting potential environmental concerns. Serve as a role model for safe behavior and adherence to manufacturing and regulatory standards.
Process Improvement & Maintenance
Maintain tooling, spare parts, and point-of-use equipment in a production-ready condition. Actively contributes to continuous improvement initiatives focused on reducing downtime, improving yields, and increasing throughput. Apply lean manufacturing principles to identify inefficiencies and recommend process improvements. Communicate maintenance needs clearly and accurately, support maintenance activities including PMs, module inspections, cleaning, and minor adjustments. Support structured problem-solving efforts (e.g., Kaizen, root cause analysis, SMED initiatives).
Training & Technical Leadership
Maintain accurate and current training records and obtain required competency signoffs. Provide high-quality, hands-on training and mentoring for other operators. Serve as a technical resource and subject matter expert on the modular converting line. Support the continuous improvement of training materials, standard work, and onboarding processes.
Visual Factory & 5S
Maintain a “customer-ready” production environment at all times. Ensure point-of-use storage systems and Kanban inventories are accurately stocked and organized. Actively support and sustain 5S and visual management standards.
Employee Ownership Behaviors
Dependability: Demonstrates accountability, reliability, and consistency in performance and decision-making. Judgment: Applies sound technical and safety judgment using structured problem-solving tools and data-driven analysis. Can-Do Mentality: Proactively mentors others, embraces challenges, and applies Lean tools to drive results.
Communication & Collaboration
Communicates clearly and professionally across verbal, written, and electronic formats. Works effectively with cross-functional teams including Quality, Engineering, Maintenance, and Production. Demonstrates the ability to work independently with minimal direction while knowing when to escalate issues. Acts as a team-oriented leader who supports production goals and company culture .
Performs any other function or responsibility as assigned
Additional REQUIRED Qualifications/Skills : Please write clearly and concisely any additional qualifications/skills that are required to perform the job competently. Note: If a certain qualification/skill is required for the job, candidates who do not meet that requirement will not be considered for the position.
High School diploma or GED
Minimum 1-3 years’ hands-on experience operating complex equipment in a manufacturing environment
Demonstrated understanding of standard measurements, tolerances, and ISO-controlled processes
Proficient in the use of measuring devices including rulers, calipers, and inspection tools.
Ability to read, interpret, and execute complex work instructions, process documentation, and technical drawings.
Basic computer proficiency including ERP systems and Microsoft Office applications.
Strong mechanical aptitude and troubleshooting skills.
Self-motivated, detail-oriented, and capable of maintaining focus in a fast-paced production environment.
Ability to lift up to 50 lbs and safely handle materials in a manufacturing setting.
U.S. Citizen or Permanent Resident.
Additional PREFERRED Qualifications/Skills : Please write clearly and concisely any additional qualifications/skills that are preferred to perform the job.
Delta ModTech Advanced Training or equivalent modular converting system experience.
Lean Six Sigma Green Belt or formal Lean Manufacturing training.
Hands-on experience applying Lean tools such as SMED, Kanban, Poka-Yoke, and value stream mapping.
Experience manufacturing within regulated environments (e.g., ISO 13485, AS9100).
Associate degree in Engineering, Manufacturing Technology, or related field.
Demonstrated track record of strong performance, technical leadership, and effective communication.
Experience with vision systems, automation controls, and data-driven process optimization.
Background in industrial and/or consumer product manufacturing.
Page Break
Please complete the sections below by placing an X in the appropriate column based on the following definitions:
Rare=
Rarely (1 time/week)
Cont=
Continually (5-8 hrs/shift)
Occ=
Occasionally (Up to 2 hrs/shift)
NA=
Not applicable (activity not performed)
Freq=
Frequently (2-5 hrs/shift)
PHYSICAL ACTIVITIES
Essential
Activity?
Rare
Occ
Freq
Cont
NA
Describe any job duty
which requires repetition
or a unique application
of the activity .
Sitting
Stationary standing
Walking
Ability to be mobile
Bending
Twisting (knees/waist/neck)
Squatting
Kneeling/crawling
Turning/Pivoting
Climbing
Balancing
Reaching
Overhead/above shoulder
Extending (across desk)
Hand Movement
Handling/fingering/keying
Precision Work
Typing
Writing
Grasping
Pinching
Fine Manipulating
Pushing/Pulling
Pulling up and/or repositioning rolls and materials weighing up to 100 lbs without assistance
Pulling up and/or repositioning rolls and materials weighing up to 450 lbs without assistance
Pushing a rolls and materials weighing up to 250 lbs without assistance
Typical weight (check appropriate weight in lbs):
1-10 11-20 21-30 31-40 41-60 61-80 81-100 >100
Maximum weight (check appropriate weight in lbs):
1-10 11-20 21-30 31-40 41-60 61-80 81-100 >100
Lifting/Carrying
Typical weight (check appropriate weight in lbs):
1-10 11-20 21-30 31-40 41-60 61-80 81-100 >100
Maximum weight (check appropriate weight in lbs):
1-10 11-20 21-30 31-40 41-60 61-80 81-100 >100
Other physical activities not listed:
Please complete the sections below by placing an X in the appropriate column based on the following definitions:
Essential Function : Check this box if this activity is necessary to perform the primary duties of the job Marginal Function : Check this box if the activity is performed on the job but is not essential to the job Not Applicable: Check this box if this activity does not occur on the job
SENSORY ACTIVITIES
Essential Function
Marginal Function
Not Applicable
Visual acuity
Close work (paperwork, visual examination)
Color discrimination
Visual monotony
Visual clarity > 20 feet
Visual clarity
Sensory Discrimination
Hot/Cold
Sharp/Dull
Smell
Auditory
Hearing in person
Monitoring Equipment
Hearing on telephone
Background Noise
Speaking
Talking in person
Talking on telephone
MENTAL ACTIVITIES
Essential Function
Marginal Function
Not Applicable
Reasoning/Understanding
Ability to follow directions
Ability to adhere to assigned work schedule
Ability to multitask
Ability to maintain consistent workflow and/or attention to detail
Other mental activities not listed:
ENVIRONMENTAL FACTORS
There is no substantial exposure to adverse environmental conditions
There is potential exposure to adverse environmental conditions.
If this box is checked, please complete section below .
Please complete the sections below by placing an X in the appropriate column based on the following definitions:
Rare=
Rarely (1 time/week)
Cont=
Continually (5-8 hrs/shift)
Occ=
Occasionally (Up to 2 hrs/shift)
NA=
Not applicable (activity not performed)
Freq=
Frequently (2-5 hrs/shift)
Work Environment
Essential
Activity?
Rare
Occ
Freq
Cont
NA
Describe any job duty
which requires repetition
or a unique application
of the activity.
Working Alone
Working with Customer/public contact
Working in confined spaces
Working on slippery or uneven surfaces
Working at heights (such as scaffolding/ladders)
Operates equipment, vehicles or tools
Exposures
Specify Source
Example: Cleaning materials
Exposure to dust, gas, fumes, steam, chemicals
Exposure to infectious disease and/or airborne pathogens
Other environmental factors not listed
DISCLAIMER
The above information provided in this job description has been designed to indicate the general nature and level of work performed by employees within this job classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications of employees assigned to this job.
APPROVALS
Approval by Manager
Date
Full job record
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| Board ID | 873e82d4-a3f3-4616-8add-827d3f220207 |
| Provider | adp_workforcenow |
| Provider Job Key | 562991 |
| Title | Modular Converting Operator |
| Normalized Title | — |
| Status | active |
| Active | yes |
| Location Text | Web Industries Hartford Inc., Dayville, CT, US, Dayville, CT |
| Department | — |
| Team | — |
| Employment Type | full_time |
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| Country | United States |
| Region | CT |
| City | Web Industries Hartford Inc. |
| Salary Raw | 27.13 To 36.13 (USD) Annually |
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| Salary Max | 36.13 |
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| Apply URL | https://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=21e69c09-f44d-402b-b350-5ac63a74c851&ccId=19000101_000001&lang=en_US&type=JS&jobId=562991&jwId=9201587716152_1 |
| First Seen At | 2026-06-03 10:03:21Z |
| Last Seen At | 2026-06-06 13:26:53Z |
| Last Checked At | 2026-06-06 13:26:53Z |
| Last Changed At | 2026-06-06 13:26:53Z |
| Inactive At | — |
| Source Posted At | 2026-06-02 11:11:00Z |
| Source Updated At | — |
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"requisitionDescription": "<div><table border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"679\" data-pasted=\"true\"><tbody><tr><td style=\"width: 55.8174%;\"><p style=\"margin-left:0in;\">Job Title: Modular Converting Operator </p></td><td style=\"width: 44.1826%;\"><p style=\"margin-left:0in;\">Date Prepared: 1/13/2026</p></td></tr><tr><td style=\"width: 55.8174%;\"><p style=\"margin-left:0in;\">Department: Operations</p></td><td style=\"width: 44.1826%;\"><p style=\"margin-left:0in;\">Reports To (Title): Shift Supervisor </p></td></tr></tbody></table><p style=\"margin-left:0in;\"><br></p><table border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"680\" style=\"margin-left:-.35pt;\"><tbody><tr><td style=\"width: 0px;\"><p style=\"margin-left:0in;\"><br></p></td><td colspan=\"2\" style=\"width: 379px;\"><p style=\"margin-left:0in;\"><strong>TO BE COMPLETED BY HUMAN RESOURCES:</strong></p></td><td colspan=\"4\" style=\"width: 300px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td style=\"width: 0px;\"><p style=\"margin-left:0in;\"><br></p></td><td colspan=\"2\" style=\"width: 379px;\"><p style=\"margin-left:0in;\">FLSA Status: <input type=\"checkbox\"> Non-Exempt <input type=\"checkbox\"> Exempt</p></td><td colspan=\"4\" style=\"width: 300px;\"><p style=\"margin-left:0in;\">Job Code: Salary Grade: </p></td></tr><tr><td colspan=\"6\" valign=\"top\" style=\"width: 678px;\"><p style=\"margin-left:0in;\"><strong>POSITION SUMMARY</strong></p><p style=\"margin-left:0in;\"><em>Please provide a brief, high-level description stating the essential responsibilities of the position. The summary should be no longer than 3 to 4 sentences and should provide a general synopsis of the job in as few words as possible. </em></p></td><td style=\"width: 2px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td colspan=\"6\" valign=\"top\" style=\"width: 678px;\"><p style=\"margin-left:0in;\">The Modular Converting Operator is responsible for independently setting up, operating, optimizing, and troubleshooting a modular converting press to manufacture high-quality, multi-layer products involving die-cutting, lamination, and printing processes. This role requires advanced technical expertise to ensure product quality, throughput, yield optimization, and on-time delivery while maintaining compliance with ISO and regulatory standards. The Operator serves as a key technical resource, supporting Engineering, Quality, and Manufacturing through customer trials, new product introductions, and continuous process improvement initiatives.</p><p style=\"margin-left:0in;\"><br></p></td><td style=\"width: 2px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td colspan=\"4\" valign=\"top\" style=\"width: 596px;\"><p style=\"margin-left:0in;\"><strong>PRINCIPAL DUTIES AND ESSENTIAL FUNCTIONS: </strong></p><p style=\"margin-left:0in;\">This section should list up to 10 principal tasks and functions that are considered to be fundamental to the position, establishing expectations for the job to which the individual will be held accountable and are critical to the successful performance of the job. Duties that the employee must be able to perform with or without reasonable accommodation must be included in this section. </p></td><td colspan=\"2\" style=\"width: 82px;\"><p style=\"margin-left:0in;\">Check if this is an essential function of the job</p></td><td style=\"width: 2px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td colspan=\"4\" valign=\"top\" style=\"width: 596px;\" class=\"fr-cell-fixed \"><p style=\"margin-left:0in;\"><strong>Advanced Machinery Operation & Process Control</strong></p><ul style=\"list-style-type: disc;margin-left: -0.25in;\"><li>Independently set up, configure, and operate a modular converting line in accordance with standard work, engineering specifications, and customer requirements. </li><li>Assemble, configure, and optimize nip stations, winders, spindles, web guides, slitter stations, die stations, and flexographic printing units. </li><li>Load, verify, and adjust HMI recipes and controller parameters to ensure accurate machine configuration and repeatable performance. </li><li>Web up materials following defined order-of-operations to minimize waste, maximize yield, and protect product integrity. </li><li>Establish, maintain, and optimize web tensions, registration, and alignment throughout the production run. </li><li>Perform real-time (“on-the-fly”) adjustments to gear ratios, spindle tensions, nip pressures, die pressures, and registration to maintain process stability and product specifications. </li><li>Utilize vision systems, test data, and process metrics to proactively identify trends and make data-driven adjustments.</li></ul><p style=\"margin-left:1.25in;\"><br></p></td><td colspan=\"2\" style=\"width: 82px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 2px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td colspan=\"4\" valign=\"top\" style=\"width: 596px;\" class=\"fr-cell-handler \"><p style=\"margin-left:0in;\"><strong>Quality, Documentation and Compliance</strong></p><ul type=\"disc\"><li>Execute standard quality control tests and inspections to verify finished product conformance to specifications. </li><li>Ensure strict adherence to ISO requirements, standard work, and batch documentation practices during product and/or lot changes. </li><li>Accurately complete and maintain all production, quality, and lot traceability documentation. </li><li>Support root cause analysis and corrective actions related to quality, yield loss, or process deviations.</li></ul><p style=\"margin-left:.5in;\"><br></p></td><td colspan=\"2\" style=\"width: 82px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 2px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td colspan=\"4\" valign=\"top\" style=\"width: 596px;\"><p style=\"margin-left:0in;\"><strong>Production Performance and Systems Use</strong></p><ul style=\"list-style-type: disc;margin-left: 0in;\"><li>Achieve or exceed defined production targets for throughput, yield, scrap reduction, and uptime. </li><li>Accurately navigate and update ERP systems throughout the production run to ensure real-time production visibility. </li></ul><p style=\"margin-left:.5in;\"> Follow standardized setup, run, and teardown procedures across multiple product types with minimal supervision. </p><ul style=\"list-style-type: disc;margin-left: 0in;\"><li>Demonstrate a strong understanding of how tension zones, materials, and tooling interactions affect process capability and product quality.</li></ul><p style=\"margin-left:.25in;\"><br></p></td><td colspan=\"2\" style=\"width: 82px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 2px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td colspan=\"4\" valign=\"top\" style=\"width: 596px;\"><p style=\"margin-left:0in;\"><strong>Troubleshooting & Equipment Optimization</strong></p><ul type=\"disc\"><li>Independently troubleshoot mechanical, process, and control-related issues on the modular converting line.</li><li>Identify emerging issues before failures occur and take corrective action or escalate appropriately.</li><li>Partner with Engineering and Maintenance to diagnose complex problems and implement sustainable solutions.</li></ul><p style=\"margin-left:0in;\"><strong> </strong></p></td><td colspan=\"2\" style=\"width: 82px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 2px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td colspan=\"4\" valign=\"top\" style=\"width: 596px;\"><p style=\"margin-left:0in;\"><strong>Safety & Environmental Compliance</strong></p><ul type=\"disc\"><li>Consistently comply with all safety rules, policies, and safe work practices.</li><li>Actively identify, report, and address unsafe conditions, near misses, and incidents.</li><li>Demonstrate ownership of environmental compliance by promptly reporting potential environmental concerns.</li><li>Serve as a role model for safe behavior and adherence to manufacturing and regulatory standards.</li></ul><p style=\"margin-left:0in;\"><strong> </strong></p></td><td colspan=\"2\" valign=\"top\" style=\"width: 82px;\"><p style=\"margin-left:0in;\"><br></p><p style=\"margin-left:0in;\"><br></p><p style=\"margin-left:0in;\"><br></p><p style=\"margin-left:0in;\"><br></p><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 2px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td colspan=\"4\" valign=\"top\" style=\"width: 596px;\"><p style=\"margin-left:0in;\"><strong>Process Improvement & Maintenance</strong></p><ul type=\"disc\"><li>Maintain tooling, spare parts, and point-of-use equipment in a production-ready condition.</li><li>Actively contributes to continuous improvement initiatives focused on reducing downtime, improving yields, and increasing throughput.</li><li>Apply lean manufacturing principles to identify inefficiencies and recommend process improvements.</li><li>Communicate maintenance needs clearly and accurately, support maintenance activities including PMs, module inspections, cleaning, and minor adjustments.</li><li>Support structured problem-solving efforts (e.g., Kaizen, root cause analysis, SMED initiatives).</li></ul><p style=\"margin-left:0in;\"><strong> </strong></p></td><td colspan=\"2\" valign=\"top\" style=\"width: 82px;\"><p style=\"margin-left:0in;\"><br></p><p style=\"margin-left:0in;\"><br></p><p style=\"margin-left:0in;\"><br></p><p style=\"margin-left:0in;\"><br></p><p style=\"margin-left:0in;\"><br></p><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 2px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td colspan=\"4\" valign=\"top\" style=\"width: 596px;\"><p style=\"margin-left:0in;\"><strong>Training & Technical Leadership</strong></p><ul type=\"disc\"><li>Maintain accurate and current training records and obtain required competency signoffs.</li><li>Provide high-quality, hands-on training and mentoring for other operators.</li><li>Serve as a technical resource and subject matter expert on the modular converting line.</li><li>Support the continuous improvement of training materials, standard work, and onboarding processes.</li></ul><p style=\"margin-left:0in;\"><strong> </strong></p></td><td colspan=\"2\" valign=\"top\" style=\"width: 82px;\"><p style=\"margin-left:0in;\"><br></p><p style=\"margin-left:0in;\"><br></p><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 2px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td colspan=\"4\" valign=\"top\" style=\"width: 596px;\"><p style=\"margin-left:0in;\"><strong>Visual Factory & 5S</strong></p><ul type=\"disc\"><li>Maintain a “customer-ready” production environment at all times.</li><li>Ensure point-of-use storage systems and Kanban inventories are accurately stocked and organized.</li><li>Actively support and sustain 5S and visual management standards.</li></ul><p style=\"margin-left:0in;\"><strong> </strong></p><p style=\"margin-left:0in;\"><strong> </strong></p><p style=\"margin-left:0in;\"><strong> </strong></p></td><td colspan=\"2\" valign=\"top\" style=\"width: 82px;\"><p style=\"margin-left:0in;\"><br></p><p style=\"margin-left:0in;\"><br></p><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 2px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td colspan=\"4\" valign=\"top\" style=\"width: 596px;\"><p style=\"margin-left:0in;\"><strong>Employee Ownership Behaviors</strong></p><ul type=\"disc\"><li>Dependability: Demonstrates accountability, reliability, and consistency in performance and decision-making.</li><li>Judgment: Applies sound technical and safety judgment using structured problem-solving tools and data-driven analysis.</li><li>Can-Do Mentality: Proactively mentors others, embraces challenges, and applies Lean tools to drive results.</li></ul><p style=\"margin-left:0in;\"><strong> </strong></p></td><td colspan=\"2\" valign=\"top\" style=\"width: 82px;\"><p style=\"margin-left:0in;\"><br></p><p style=\"margin-left:0in;\"><br></p><p style=\"margin-left:0in;\"><br></p><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 2px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td colspan=\"4\" valign=\"top\" style=\"width: 596px;\"><p style=\"margin-left:0in;\"><strong>Communication & Collaboration</strong></p><ul type=\"disc\"><li>Communicates clearly and professionally across verbal, written, and electronic formats.</li><li>Works effectively with cross-functional teams including Quality, Engineering, Maintenance, and Production.</li><li>Demonstrates the ability to work independently with minimal direction while knowing when to escalate issues.</li><li>Acts as a team-oriented leader who supports production goals and company culture<strong>.</strong></li></ul><p style=\"margin-left:0in;\"><strong> </strong></p></td><td colspan=\"2\" valign=\"top\" style=\"width: 82px;\"><p style=\"margin-left:0in;\"><br></p><p style=\"margin-left:0in;\"><br></p><p style=\"margin-left:0in;\"><br></p><p style=\"margin-left:0in;\"><br></p><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 2px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td colspan=\"4\" valign=\"top\" style=\"width: 596px;\"><p style=\"margin-left:0in;\">Performs any other function or responsibility as assigned </p><p style=\"margin-left:0in;\"><br></p></td><td colspan=\"2\" style=\"width: 82px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 2px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td colspan=\"2\" style=\"width: 2px;\"><p style=\"margin-left:0in;\"><br></p></td><td colspan=\"3\" valign=\"top\" style=\"width: 675px;\"><p style=\"margin-left:0in;\"><strong>Additional REQUIRED Qualifications/Skills<em>:</em></strong> <em>Please write clearly and concisely any additional qualifications/skills that are required to perform the job competently. <u>Note:</u> If a certain qualification/skill is required for the job, candidates who do not meet that requirement will not be considered for the position.</em></p><p style=\"margin-left:0in;\"><br></p></td><td colspan=\"2\" style=\"width: 3px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td colspan=\"2\" style=\"width: 2px;\"><p style=\"margin-left:0in;\"><br></p></td><td colspan=\"3\" valign=\"top\" style=\"width: 675px;\"><p style=\"margin-left:0in;\">High School diploma or GED</p></td><td colspan=\"2\" style=\"width: 3px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td colspan=\"2\" style=\"width: 2px;\"><p style=\"margin-left:0in;\"><br></p></td><td colspan=\"3\" valign=\"top\" style=\"width: 675px;\"><p style=\"margin-left:0in;\">Minimum 1-3 years’ hands-on experience operating complex equipment in a manufacturing environment</p></td><td colspan=\"2\" style=\"width: 3px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td colspan=\"2\" style=\"width: 2px;\"><p style=\"margin-left:0in;\"><br></p></td><td colspan=\"3\" valign=\"top\" style=\"width: 675px;\"><p style=\"margin-left:0in;\">Demonstrated understanding of standard measurements, tolerances, and ISO-controlled processes</p></td><td colspan=\"2\" style=\"width: 3px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td colspan=\"2\" style=\"width: 2px;\"><p style=\"margin-left:0in;\"><br></p></td><td colspan=\"3\" valign=\"top\" style=\"width: 675px;\"><p style=\"margin-left:0in;\">Proficient in the use of measuring devices including rulers, calipers, and inspection tools.</p></td><td colspan=\"2\" style=\"width: 3px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td colspan=\"2\" style=\"width: 2px;\"><p style=\"margin-left:0in;\"><br></p></td><td colspan=\"3\" valign=\"top\" style=\"width: 675px;\"><p style=\"margin-left:0in;\">Ability to read, interpret, and execute complex work instructions, process documentation, and technical drawings.</p></td><td colspan=\"2\" style=\"width: 3px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td colspan=\"2\" style=\"width: 2px;\"><p style=\"margin-left:0in;\"><br></p></td><td colspan=\"3\" valign=\"top\" style=\"width: 675px;\"><p style=\"margin-left:0in;\">Basic computer proficiency including ERP systems and Microsoft Office applications.</p></td><td colspan=\"2\" style=\"width: 3px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td colspan=\"2\" style=\"width: 2px;\"><p style=\"margin-left:0in;\"><br></p></td><td colspan=\"3\" valign=\"top\" style=\"width: 675px;\"><p style=\"margin-left:0in;\">Strong mechanical aptitude and troubleshooting skills.</p></td><td colspan=\"2\" style=\"width: 3px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td colspan=\"2\" style=\"width: 2px;\"><p style=\"margin-left:0in;\"><br></p></td><td colspan=\"3\" valign=\"top\" style=\"width: 675px;\"><p style=\"margin-left:0in;\">Self-motivated, detail-oriented, and capable of maintaining focus in a fast-paced production environment.</p></td><td colspan=\"2\" style=\"width: 3px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td colspan=\"2\" style=\"width: 2px;\"><p style=\"margin-left:0in;\"><br></p></td><td colspan=\"3\" valign=\"top\" style=\"width: 675px;\"><p style=\"margin-left:0in;\">Ability to lift up to 50 lbs and safely handle materials in a manufacturing setting.</p></td><td colspan=\"2\" style=\"width: 3px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td colspan=\"2\" style=\"width: 2px;\"><p style=\"margin-left:0in;\"><br></p></td><td colspan=\"3\" valign=\"top\" style=\"width: 675px;\"><p style=\"margin-left:0in;\">U.S. Citizen or Permanent Resident.</p><p style=\"margin-left:0in;\"><br></p></td><td colspan=\"2\" style=\"width: 3px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td colspan=\"2\" style=\"width: 2px;\"><p style=\"margin-left:0in;\"><br></p></td><td colspan=\"3\" valign=\"top\" style=\"width: 675px;\"><p style=\"margin-left:0in;\"><strong>Additional PREFERRED Qualifications/Skills<em>:</em></strong> <em>Please write clearly and concisely any additional qualifications/skills that are preferred to perform the job.</em></p><p style=\"margin-left:0in;\"><br></p></td><td colspan=\"2\" style=\"width: 3px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td colspan=\"2\" style=\"width: 2px;\"><p style=\"margin-left:0in;\"><br></p></td><td colspan=\"3\" valign=\"top\" style=\"width: 675px;\"><p style=\"margin-left:0in;\">Delta ModTech Advanced Training or equivalent modular converting system experience.</p></td><td colspan=\"2\" style=\"width: 3px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td colspan=\"2\" style=\"width: 2px;\"><p style=\"margin-left:0in;\"><br></p></td><td colspan=\"3\" valign=\"top\" style=\"width: 675px;\"><p style=\"margin-left:0in;\">Lean Six Sigma Green Belt or formal Lean Manufacturing training.</p></td><td colspan=\"2\" style=\"width: 3px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td colspan=\"2\" style=\"width: 2px;\"><p style=\"margin-left:0in;\"><br></p></td><td colspan=\"3\" valign=\"top\" style=\"width: 675px;\"><p style=\"margin-left:0in;\">Hands-on experience applying Lean tools such as SMED, Kanban, Poka-Yoke, and value stream mapping.</p></td><td colspan=\"2\" style=\"width: 3px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td colspan=\"2\" style=\"width: 2px;\"><p style=\"margin-left:0in;\"><br></p></td><td colspan=\"3\" valign=\"top\" style=\"width: 675px;\"><p style=\"margin-left:0in;\">Experience manufacturing within regulated environments (e.g., ISO 13485, AS9100).</p></td><td colspan=\"2\" style=\"width: 3px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td colspan=\"2\" style=\"width: 2px;\"><p style=\"margin-left:0in;\"><br></p></td><td colspan=\"3\" valign=\"top\" style=\"width: 675px;\"><p style=\"margin-left:0in;\">Associate degree in Engineering, Manufacturing Technology, or related field.</p></td><td colspan=\"2\" style=\"width: 3px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td colspan=\"2\" style=\"width: 2px;\"><p style=\"margin-left:0in;\"><br></p></td><td colspan=\"3\" valign=\"top\" style=\"width: 675px;\"><p style=\"margin-left:0in;\">Demonstrated track record of strong performance, technical leadership, and effective communication.</p></td><td colspan=\"2\" style=\"width: 3px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td colspan=\"2\" style=\"width: 2px;\"><p style=\"margin-left:0in;\"><br></p></td><td colspan=\"3\" valign=\"top\" style=\"width: 675px;\"><p style=\"margin-left:0in;\">Experience with vision systems, automation controls, and data-driven process optimization.</p></td><td colspan=\"2\" style=\"width: 3px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td colspan=\"2\" style=\"width: 2px;\"><p style=\"margin-left:0in;\"><br></p></td><td colspan=\"3\" valign=\"top\" style=\"width: 675px;\"><p style=\"margin-left:0in;\">Background in industrial and/or consumer product manufacturing.</p></td><td colspan=\"2\" style=\"width: 3px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td colspan=\"2\" style=\"width: 2px;\"><p style=\"margin-left:0in;\"><br></p></td><td colspan=\"3\" valign=\"top\" style=\"width: 675px;\"><p style=\"margin-left:0in;\"><br></p></td><td colspan=\"2\" style=\"width: 3px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td style=\"width: 0px;\"><br></td><td style=\"width: 1px;\"><br></td><td style=\"width: 378px;\"><br></td><td style=\"width: 216px;\"><br></td><td style=\"width: 81px;\"><br></td><td style=\"width: 1px;\"><br></td><td style=\"width: 2px;\"><br></td></tr></tbody></table><p> </p><div class=\"fr-page-break\" contenteditable=\"false\" style=\"break-after: always;\" data-title=\"PageBreak\"><div class=\"fr-page-break-line\"><span class=\"fr-page-break-label\">Page Break</span></div></div><p> </p><p style=\"margin-left:0in;\"><br></p><table border=\"0\" cellspacing=\"0\" cellpadding=\"0\" width=\"679\"><tbody><tr><td style=\"width: 679px;\"><br></td></tr></tbody></table><p style=\"margin-left:0in;\"><em> </em></p><p style=\"margin-left:0in;\"><em>Please complete the sections below by placing an X in the appropriate column based on the following definitions:</em></p><p style=\"margin-left:0in;\"><em> </em></p><div align=\"center\"><table border=\"0\" cellspacing=\"0\" cellpadding=\"0\" width=\"0\"><tbody><tr><td valign=\"top\" style=\"width: 65px;\"><p style=\"margin-left:0in;\"><strong>Rare=</strong></p></td><td valign=\"top\" style=\"width: 182px;\"><p style=\"margin-left:0in;\">Rarely (1 time/week)</p></td><td valign=\"top\" style=\"width: 51px;\"><p style=\"margin-left:0in;\"><strong>Cont=</strong></p></td><td valign=\"top\" style=\"width: 222px;\"><p style=\"margin-left:0in;\">Continually (5-8 hrs/shift)</p></td></tr><tr><td valign=\"top\" style=\"width: 65px;\"><p style=\"margin-left:0in;\"><strong>Occ=</strong></p></td><td valign=\"top\" style=\"width: 182px;\"><p style=\"margin-left:0in;\">Occasionally (Up to 2 hrs/shift)</p></td><td valign=\"top\" style=\"width: 51px;\"><p style=\"margin-left:0in;\"><strong>NA=</strong></p></td><td valign=\"top\" style=\"width: 222px;\"><p style=\"margin-left:0in;\">Not applicable (activity not performed)</p></td></tr><tr><td valign=\"top\" style=\"width: 65px;\"><p style=\"margin-left:0in;\"><strong>Freq=</strong></p></td><td valign=\"top\" style=\"width: 182px;\"><p style=\"margin-left:0in;\">Frequently (2-5 hrs/shift)</p></td><td valign=\"top\" style=\"width: 51px;\"><p style=\"margin-left:0in;\"><br></p></td><td valign=\"top\" style=\"width: 222px;\"><p style=\"margin-left:0in;\"><br></p></td></tr></tbody></table></div><p style=\"margin-left:0in;\"><strong> </strong></p><p style=\"margin-left:0in;\"><strong>PHYSICAL ACTIVITIES</strong></p><p style=\"margin-left:0in;\"><strong> </strong></p><table border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"679\" style=\"margin-left:-1.1pt;\"><tbody><tr><td style=\"width: 1px;\"><p style=\"margin-left:0in;\"><br></p></td><td style=\"width: 188px;\"><p style=\"margin-left:0in;\"><strong> </strong></p></td><td style=\"width: 77px;\"><p style=\"margin-left:0in;\"><strong>Essential</strong></p><p style=\"margin-left:0in;\"><strong>Activity?</strong></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><strong>Rare</strong></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><strong>Occ</strong></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><strong>Freq</strong></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><strong>Cont</strong></p></td><td style=\"width: 48px;\"><p style=\"margin-left:0in;\"><strong>NA</strong></p></td><td style=\"width: 176px;\"><p style=\"margin-left:0in;\">Describe any job duty<br> which requires repetition<br> or a unique application<br> of the activity<strong>.</strong></p></td></tr><tr><td style=\"width: 1px;\"><p style=\"margin-left:0in;\"><br></p></td><td style=\"width: 188px;\"><p style=\"margin-left:9.9pt;\">Sitting</p></td><td style=\"width: 77px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 48px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 176px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td style=\"width: 1px;\"><p style=\"margin-left:0in;\"><br></p></td><td style=\"width: 188px;\"><p style=\"margin-left:9.9pt;\">Stationary standing</p></td><td style=\"width: 77px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 48px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 176px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td style=\"width: 1px;\"><p style=\"margin-left:0in;\"><br></p></td><td style=\"width: 188px;\"><p style=\"margin-left:9.9pt;\">Walking</p></td><td style=\"width: 77px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 48px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 176px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td style=\"width: 1px;\"><p style=\"margin-left:0in;\"><br></p></td><td style=\"width: 188px;\"><p style=\"margin-left:9.9pt;\">Ability to be mobile</p></td><td style=\"width: 77px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 48px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 176px;\"><p style=\"margin-left:0in;\"> </p></td></tr><tr><td style=\"width: 1px;\"><p style=\"margin-left:0in;\"><br></p></td><td style=\"width: 188px;\"><p style=\"margin-left:9.9pt;\">Bending </p></td><td style=\"width: 77px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 48px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 176px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td style=\"width: 1px;\"><p style=\"margin-left:0in;\"><br></p></td><td style=\"width: 188px;\"><p style=\"margin-left:9.9pt;\">Twisting (knees/waist/neck)</p></td><td style=\"width: 77px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 48px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 176px;\"><p style=\"margin-left:0in;\"> </p></td></tr><tr><td style=\"width: 1px;\"><p style=\"margin-left:0in;\"><br></p></td><td style=\"width: 188px;\"><p style=\"margin-left:9.9pt;\">Squatting</p></td><td style=\"width: 77px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 48px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 176px;\"><p style=\"margin-left:0in;\"> </p></td></tr><tr><td style=\"width: 1px;\"><p style=\"margin-left:0in;\"><br></p></td><td style=\"width: 188px;\"><p style=\"margin-left:9.9pt;\">Kneeling/crawling</p></td><td style=\"width: 77px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 48px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 176px;\"><p style=\"margin-left:0in;\"> </p></td></tr><tr><td style=\"width: 1px;\"><p style=\"margin-left:0in;\"><br></p></td><td style=\"width: 188px;\"><p style=\"margin-left:9.9pt;\">Turning/Pivoting</p></td><td style=\"width: 77px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 48px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 176px;\"><p style=\"margin-left:0in;\"> </p></td></tr><tr><td style=\"width: 1px;\"><p style=\"margin-left:0in;\"><br></p></td><td style=\"width: 188px;\"><p style=\"margin-left:9.9pt;\">Climbing</p></td><td style=\"width: 77px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 48px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 176px;\"><p style=\"margin-left:0in;\"> </p></td></tr><tr><td style=\"width: 1px;\"><p style=\"margin-left:0in;\"><br></p></td><td style=\"width: 188px;\"><p style=\"margin-left:9.9pt;\">Balancing</p></td><td style=\"width: 77px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 48px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 176px;\"><p style=\"margin-left:0in;\"> </p></td></tr><tr><td style=\"width: 1px;\"><p style=\"margin-left:0in;\"><br></p></td><td colspan=\"8\" style=\"width: 678px;\"><p style=\"margin-left:0in;\"><strong>Reaching</strong></p></td></tr><tr><td style=\"width: 1px;\"><p style=\"margin-left:0in;\"><br></p></td><td style=\"width: 188px;\"><p style=\"margin-left:9.9pt;\">Overhead/above shoulder</p></td><td style=\"width: 77px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 48px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 176px;\"><p style=\"margin-left:0in;\"> </p></td></tr><tr><td style=\"width: 1px;\"><p style=\"margin-left:0in;\"><br></p></td><td style=\"width: 188px;\"><p style=\"margin-left:9.9pt;\">Extending (across desk)</p></td><td style=\"width: 77px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 48px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 176px;\"><p style=\"margin-left:0in;\"> </p></td></tr><tr><td style=\"width: 1px;\"><p style=\"margin-left:0in;\"><br></p></td><td colspan=\"8\" style=\"width: 678px;\"><p style=\"margin-left:0in;\"><strong>Hand Movement</strong></p></td></tr><tr><td style=\"width: 1px;\"><p style=\"margin-left:0in;\"><br></p></td><td style=\"width: 188px;\"><p style=\"margin-left:11.0pt;\">Handling/fingering/keying</p></td><td style=\"width: 77px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 48px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 176px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td style=\"width: 1px;\"><p style=\"margin-left:0in;\"><br></p></td><td style=\"width: 188px;\"><p style=\"margin-left:11.0pt;\">Precision Work</p></td><td style=\"width: 77px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 48px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 176px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td style=\"width: 1px;\"><p style=\"margin-left:0in;\"><br></p></td><td style=\"width: 188px;\"><p style=\"margin-left:11.0pt;\">Typing</p></td><td style=\"width: 77px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 48px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 176px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td style=\"width: 1px;\"><p style=\"margin-left:0in;\"><br></p></td><td style=\"width: 188px;\"><p style=\"margin-left:11.0pt;\">Writing</p></td><td style=\"width: 77px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 48px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 176px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td style=\"width: 1px;\"><p style=\"margin-left:0in;\"><br></p></td><td style=\"width: 188px;\"><p style=\"margin-left:11.0pt;\">Grasping</p></td><td style=\"width: 77px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 48px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 176px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td style=\"width: 1px;\"><p style=\"margin-left:0in;\"><br></p></td><td style=\"width: 188px;\"><p style=\"margin-left:11.0pt;\">Pinching</p></td><td style=\"width: 77px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 48px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 176px;\"><p style=\"margin-left:0in;\"> </p></td></tr><tr><td style=\"width: 1px;\"><p style=\"margin-left:0in;\"><br></p></td><td style=\"width: 188px;\"><p style=\"margin-left:11.0pt;\">Fine Manipulating</p></td><td style=\"width: 77px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 48px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 176px;\"><p style=\"margin-left:0in;\"><br></p></td></tr><tr><td colspan=\"9\" style=\"width: 679px;\"><p style=\"margin-left:0in;\"><strong>Pushing/Pulling </strong></p></td></tr><tr><td colspan=\"2\" style=\"width: 190px;\"><p style=\"margin-left:11.0pt;\">Pulling up and/or repositioning rolls and materials weighing up to 100 lbs without assistance</p></td><td style=\"width: 77px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 48px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 176px;\"><p style=\"margin-left:0in;\"> </p></td></tr><tr><td colspan=\"2\" style=\"width: 190px;\"><p style=\"margin-left:11.0pt;\">Pulling up and/or repositioning rolls and materials weighing up to 450 lbs without assistance</p></td><td style=\"width: 77px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 48px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 176px;\"><p style=\"margin-left:0in;\"> </p></td></tr><tr><td colspan=\"2\" style=\"width: 190px;\"><p style=\"margin-left:11.0pt;\">Pushing a rolls and materials weighing up to 250 lbs without assistance</p></td><td style=\"width: 77px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 48px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 176px;\"><p style=\"margin-left:0in;\"> </p></td></tr><tr><td colspan=\"9\" valign=\"top\" style=\"width: 679px;\"><p style=\"margin-left:0in;\"><strong>Typical</strong> weight (check appropriate weight in lbs):</p><p style=\"margin-left:0in;\"><input type=\"checkbox\"> 1-10 <input type=\"checkbox\"> 11-20 <input type=\"checkbox\"> 21-30 <input type=\"checkbox\"> 31-40 <input type=\"checkbox\"> 41-60 <input type=\"checkbox\"> 61-80 <input type=\"checkbox\"> 81-100 <input type=\"checkbox\"> >100</p></td></tr><tr><td colspan=\"9\" valign=\"top\" style=\"width: 679px;\"><p style=\"margin-left:0in;\"><strong>Maximum</strong> weight (check appropriate weight in lbs):</p><p style=\"margin-left:0in;\"><input type=\"checkbox\"> 1-10 <input type=\"checkbox\"> 11-20 <input type=\"checkbox\"> 21-30 <input type=\"checkbox\"> 31-40 <input type=\"checkbox\"> 41-60 <input type=\"checkbox\"> 61-80 <input type=\"checkbox\"> 81-100 <input type=\"checkbox\"> >100</p></td></tr><tr><td colspan=\"9\" style=\"width: 679px;\"><p style=\"margin-left:0in;\"><strong>Lifting/Carrying</strong></p></td></tr><tr><td colspan=\"9\" valign=\"top\" style=\"width: 679px;\"><p style=\"margin-left:0in;\"><strong>Typical</strong> weight (check appropriate weight in lbs):</p><p style=\"margin-left:0in;\"><input type=\"checkbox\"> 1-10 <input type=\"checkbox\"> 11-20 <input type=\"checkbox\"> 21-30 <input type=\"checkbox\"> 31-40 <input type=\"checkbox\"> 41-60 <input type=\"checkbox\"> 61-80 <input type=\"checkbox\"> 81-100 <input type=\"checkbox\"> >100</p></td></tr><tr><td colspan=\"9\" valign=\"top\" style=\"width: 679px;\"><p style=\"margin-left:0in;\"><strong>Maximum</strong> weight (check appropriate weight in lbs):</p><p style=\"margin-left:0in;\"><input type=\"checkbox\"> 1-10 <input type=\"checkbox\"> 11-20 <input type=\"checkbox\"> 21-30 <input type=\"checkbox\"> 31-40 <input type=\"checkbox\"> 41-60 <input type=\"checkbox\"> 61-80 <input type=\"checkbox\"> 81-100 <input type=\"checkbox\"> >100</p></td></tr><tr><td colspan=\"9\" valign=\"top\" style=\"width: 679px;\"><p style=\"margin-left:0in;\"><br></p><p style=\"margin-left:0in;\">Other physical activities not listed: </p></td></tr><tr><td style=\"width: 1px;\"><br></td><td style=\"width: 188px;\"><br></td><td style=\"width: 77px;\"><br></td><td style=\"width: 47px;\"><br></td><td style=\"width: 47px;\"><br></td><td style=\"width: 47px;\"><br></td><td style=\"width: 47px;\"><br></td><td style=\"width: 48px;\"><br></td><td style=\"width: 176px;\"><br></td></tr></tbody></table><p style=\"margin-left:0in;\"><strong> </strong></p><table border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"0\"><tbody><tr><td style=\"width: 679px;\"><p style=\"margin-left:0in;\"><strong>Please complete the sections below </strong><em>by placing an X in the appropriate column based on the following definitions:</em></p><ul style=\"list-style-type: disc;margin-left: -0.25in;\"><li><em><u>Essential Function</u>: Check this box if this activity is necessary to perform the primary duties of the job </em></li><li><em><u>Marginal Function</u>: Check this box if the activity is performed on the job but is not essential to the job</em></li><li><em><u>Not Applicable:</u> Check this box if this activity does not occur on the job</em></li></ul></td></tr><tr><td valign=\"top\" style=\"width: 679px;\"><p style=\"margin-left:0in;\"><br></p></td></tr></tbody></table><p style=\"margin-left:0in;\"><strong> </strong></p><p style=\"margin-left:0in;\"><strong>SENSORY ACTIVITIES</strong></p><p style=\"margin-left:0in;\"><strong> </strong></p><table border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"679\"><tbody><tr><td style=\"width: 169px;\"><p style=\"margin-left:0in;\"><strong> </strong></p></td><td style=\"width: 162px;\"><p style=\"margin-left:0in;\"><strong>Essential Function</strong></p></td><td style=\"width: 168px;\"><p style=\"margin-left:0in;\"><strong>Marginal Function</strong></p></td><td style=\"width: 180px;\"><p style=\"margin-left:0in;\"><strong>Not Applicable</strong></p></td></tr><tr><td colspan=\"4\" valign=\"top\" style=\"width: 679px;\"><p style=\"margin-left:0in;\"><strong>Visual acuity</strong></p></td></tr><tr><td valign=\"top\" style=\"width: 169px;\"><p style=\"margin-left:0in;\">Close work (paperwork, visual examination)</p></td><td style=\"width: 162px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 168px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 180px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td></tr><tr><td valign=\"top\" style=\"width: 169px;\"><p style=\"margin-left:0in;\">Color discrimination</p></td><td style=\"width: 162px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 168px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 180px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td></tr><tr><td valign=\"top\" style=\"width: 169px;\"><p style=\"margin-left:0in;\">Visual monotony</p></td><td style=\"width: 162px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 168px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 180px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td></tr><tr><td valign=\"top\" style=\"width: 169px;\"><p style=\"margin-left:0in;\">Visual clarity > 20 feet</p></td><td style=\"width: 162px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 168px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 180px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td></tr><tr><td valign=\"top\" style=\"width: 169px;\"><p style=\"margin-left:0in;\">Visual clarity <3 feet</p></td><td style=\"width: 162px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 168px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 180px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td></tr><tr><td colspan=\"4\" valign=\"top\" style=\"width: 679px;\"><p style=\"margin-left:0in;\"><strong>Sensory Discrimination</strong></p></td></tr><tr><td valign=\"top\" style=\"width: 169px;\"><p style=\"margin-left:0in;\">Hot/Cold</p></td><td style=\"width: 162px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 168px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 180px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td></tr><tr><td valign=\"top\" style=\"width: 169px;\"><p style=\"margin-left:0in;\">Sharp/Dull</p></td><td style=\"width: 162px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 168px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 180px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td></tr><tr><td valign=\"top\" style=\"width: 169px;\"><p style=\"margin-left:0in;\">Smell</p></td><td style=\"width: 162px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 168px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 180px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td></tr><tr><td colspan=\"4\" valign=\"top\" style=\"width: 679px;\"><p style=\"margin-left:0in;\"><strong>Auditory</strong></p></td></tr><tr><td valign=\"top\" style=\"width: 169px;\"><p style=\"margin-left:0in;\">Hearing in person</p></td><td style=\"width: 162px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 168px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 180px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td></tr><tr><td valign=\"top\" style=\"width: 169px;\"><p style=\"margin-left:0in;\">Monitoring Equipment</p></td><td style=\"width: 162px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 168px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 180px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td></tr><tr><td valign=\"top\" style=\"width: 169px;\"><p style=\"margin-left:0in;\">Hearing on telephone</p></td><td style=\"width: 162px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 168px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 180px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td></tr><tr><td valign=\"top\" style=\"width: 169px;\"><p style=\"margin-left:0in;\">Background Noise</p></td><td style=\"width: 162px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 168px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 180px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td></tr><tr><td colspan=\"4\" valign=\"top\" style=\"width: 679px;\"><p style=\"margin-left:0in;\"><strong>Speaking</strong></p></td></tr><tr><td valign=\"top\" style=\"width: 169px;\"><p style=\"margin-left:0in;\">Talking in person</p></td><td style=\"width: 162px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 168px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 180px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td></tr><tr><td valign=\"top\" style=\"width: 169px;\"><p style=\"margin-left:0in;\">Talking on telephone</p></td><td style=\"width: 162px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 168px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 180px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td></tr></tbody></table><p style=\"margin-left:0in;\"><br></p><p style=\"margin-left:0in;\"><br></p><table border=\"0\" cellspacing=\"0\" cellpadding=\"0\" width=\"0\"><tbody><tr><td style=\"width: 679px;\"><p style=\"margin-left:0in;\"><strong>MENTAL ACTIVITIES</strong></p></td></tr></tbody></table><p style=\"margin-left:0in;\"><br></p><table border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"679\"><tbody><tr><td valign=\"top\" style=\"width: 169px;\"><p style=\"margin-left:0in;\"><strong> </strong></p></td><td valign=\"top\" style=\"width: 162px;\"><p style=\"margin-left:0in;\"><strong>Essential Function</strong></p></td><td valign=\"top\" style=\"width: 168px;\"><p style=\"margin-left:0in;\"><strong>Marginal Function</strong></p></td><td valign=\"top\" style=\"width: 180px;\"><p style=\"margin-left:0in;\"><strong>Not Applicable</strong></p></td></tr><tr><td valign=\"top\" style=\"width: 169px;\"><p style=\"margin-left:0in;\">Reasoning/Understanding</p></td><td style=\"width: 162px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 168px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 180px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td></tr><tr><td valign=\"top\" style=\"width: 169px;\"><p style=\"margin-left:0in;\">Ability to follow directions</p></td><td style=\"width: 162px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 168px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 180px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td></tr><tr><td valign=\"top\" style=\"width: 169px;\"><p style=\"margin-left:0in;\">Ability to adhere to assigned work schedule</p></td><td style=\"width: 162px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 168px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 180px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td></tr><tr><td valign=\"top\" style=\"width: 169px;\"><p style=\"margin-left:0in;\">Ability to multitask</p></td><td style=\"width: 162px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 168px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 180px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td></tr><tr><td valign=\"top\" style=\"width: 169px;\"><p style=\"margin-left:0in;\">Ability to maintain consistent workflow and/or attention to detail</p></td><td style=\"width: 162px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 168px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 180px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td></tr><tr><td valign=\"top\" style=\"width: 169px;\"><p style=\"margin-left:0in;\">Other mental activities not listed:</p></td><td style=\"width: 162px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 168px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 180px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td></tr></tbody></table><p style=\"margin-left:0in;\"><br></p><p style=\"margin-left:0in;\"><br></p><p style=\"margin-left:0in;\"><br></p><p style=\"margin-left:0in;\"><br></p><p style=\"margin-left:0in;\"><br></p><p style=\"margin-left:0in;\"><br></p><table border=\"0\" cellspacing=\"0\" cellpadding=\"0\" width=\"0\"><tbody><tr><td style=\"width: 679px;\"><p style=\"margin-left:0in;\"><strong>ENVIRONMENTAL FACTORS</strong></p></td></tr></tbody></table><p style=\"margin-left:0in;\"><strong> </strong></p><p style=\"margin-left:0in;\"><input type=\"checkbox\"><strong> </strong>There is no substantial exposure to adverse environmental conditions</p><p style=\"margin-left:0in;\"><br></p><p style=\"margin-left:0in;\"><input type=\"checkbox\"> There is potential exposure to adverse environmental conditions. </p><p style=\"margin-left:0in;\"> <em>If this box is checked, please complete section below</em><em>. </em></p><p style=\"margin-left:0in;\"><br></p><p style=\"margin-left:0in;\"><br></p><p style=\"margin-left:0in;\"><em>Please complete the sections below by placing an X in the appropriate column based on the following definitions:</em></p><p style=\"margin-left:0in;\"><em> </em></p><div align=\"center\"><table border=\"0\" cellspacing=\"0\" cellpadding=\"0\" width=\"0\"><tbody><tr><td valign=\"top\" style=\"width: 65px;\"><p style=\"margin-left:0in;\"><strong>Rare=</strong></p></td><td valign=\"top\" style=\"width: 182px;\"><p style=\"margin-left:0in;\">Rarely (1 time/week)</p></td><td valign=\"top\" style=\"width: 51px;\"><p style=\"margin-left:0in;\"><strong>Cont=</strong></p></td><td valign=\"top\" style=\"width: 222px;\"><p style=\"margin-left:0in;\">Continually (5-8 hrs/shift)</p></td></tr><tr><td valign=\"top\" style=\"width: 65px;\"><p style=\"margin-left:0in;\"><strong>Occ=</strong></p></td><td valign=\"top\" style=\"width: 182px;\"><p style=\"margin-left:0in;\">Occasionally (Up to 2 hrs/shift)</p></td><td valign=\"top\" style=\"width: 51px;\"><p style=\"margin-left:0in;\"><strong>NA=</strong></p></td><td valign=\"top\" style=\"width: 222px;\"><p style=\"margin-left:0in;\">Not applicable (activity not performed)</p></td></tr><tr><td valign=\"top\" style=\"width: 65px;\"><p style=\"margin-left:0in;\"><strong>Freq=</strong></p></td><td valign=\"top\" style=\"width: 182px;\"><p style=\"margin-left:0in;\">Frequently (2-5 hrs/shift)</p></td><td valign=\"top\" style=\"width: 51px;\"><p style=\"margin-left:0in;\"><br></p></td><td valign=\"top\" style=\"width: 222px;\"><p style=\"margin-left:0in;\"><br></p></td></tr></tbody></table></div><p style=\"margin-left:0in;\"><strong> </strong></p><table border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"679\"><tbody><tr><td style=\"width: 189px;\"><p style=\"margin-left:0in;\"><strong>Work Environment</strong></p></td><td style=\"width: 77px;\"><p style=\"margin-left:0in;\"><strong>Essential</strong></p><p style=\"margin-left:0in;\"><strong>Activity?</strong></p></td><td style=\"width: 47px;\"><p style=\"margin-left:0in;\"><strong>Rare</strong></p></td><td colspan=\"2\" style=\"width: 53px;\"><p style=\"margin-left:0in;\"><strong>Occ</strong></p></td><td colspan=\"2\" style=\"width: 51px;\"><p style=\"margin-left:0in;\"><strong>Freq</strong></p></td><td colspan=\"2\" style=\"width: 44px;\"><p style=\"margin-left:0in;\"><strong>Cont</strong></p></td><td colspan=\"2\" style=\"width: 41px;\"><p style=\"margin-left:0in;\"><strong>NA</strong></p></td><td colspan=\"2\" style=\"width: 177px;\"><p style=\"margin-left:0in;\"><strong>Describe any job duty<br> which requires repetition<br> or a unique application<br> of the activity.</strong></p></td></tr><tr><td style=\"width: 189px;\"><p style=\"margin-left:9.9pt;\">Working Alone</p></td><td style=\"width: 77px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 48px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 53px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 51px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 44px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 41px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 177px;\"><p style=\"margin-left:0in;\"> </p></td></tr><tr><td style=\"width: 189px;\"><p style=\"margin-left:9.9pt;\">Working with Customer/public contact</p></td><td style=\"width: 77px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 48px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 53px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 51px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 44px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 41px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 177px;\"><p style=\"margin-left:0in;\"> </p></td></tr><tr><td style=\"width: 189px;\"><p style=\"margin-left:9.9pt;\">Working in confined spaces</p></td><td style=\"width: 77px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 48px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 53px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 51px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 44px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 41px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 177px;\"><p style=\"margin-left:0in;\"> </p></td></tr><tr><td style=\"width: 189px;\"><p style=\"margin-left:9.9pt;\">Working on slippery or uneven surfaces</p></td><td style=\"width: 77px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 48px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 53px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 51px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 44px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 41px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 177px;\"><p style=\"margin-left:0in;\"> </p></td></tr><tr><td style=\"width: 189px;\"><p style=\"margin-left:9.9pt;\">Working at heights (such as scaffolding/ladders)</p></td><td style=\"width: 77px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 48px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 53px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 51px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 44px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 41px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 177px;\"><p style=\"margin-left:0in;\"> </p></td></tr><tr><td style=\"width: 189px;\"><p style=\"margin-left:9.9pt;\">Operates equipment, vehicles or tools</p></td><td style=\"width: 77px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 48px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 53px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 51px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 44px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 41px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 177px;\"><p style=\"margin-left:0in;\"> </p></td></tr><tr><td style=\"width: 189px;\"><p style=\"margin-left:9.9pt;\"><strong>Exposures</strong></p></td><td style=\"width: 77px;\"><p style=\"margin-left:0in;\"><strong> </strong></p></td><td colspan=\"2\" style=\"width: 48px;\"><p style=\"margin-left:0in;\"><strong> </strong></p></td><td colspan=\"2\" style=\"width: 53px;\"><p style=\"margin-left:0in;\"><strong> </strong></p></td><td colspan=\"2\" style=\"width: 51px;\"><p style=\"margin-left:0in;\"><strong> </strong></p></td><td colspan=\"2\" style=\"width: 44px;\"><p style=\"margin-left:0in;\"><strong> </strong></p></td><td style=\"width: 41px;\"><p style=\"margin-left:0in;\"><strong> </strong></p></td><td colspan=\"2\" style=\"width: 177px;\"><p style=\"margin-left:0in;\"><strong>Specify Source</strong></p><p style=\"margin-left:0in;\">Example: Cleaning materials</p></td></tr><tr><td style=\"width: 189px;\"><p style=\"margin-left:9.9pt;\">Exposure to dust, gas, fumes, steam, chemicals</p></td><td style=\"width: 77px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 48px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 53px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 51px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 44px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 41px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 176px;\"><p style=\"margin-left:0in;\"> </p></td></tr><tr><td style=\"width: 189px;\"><p style=\"margin-left:9.9pt;\">Exposure to infectious disease and/or airborne pathogens</p></td><td style=\"width: 77px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 48px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 53px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 51px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 44px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td colspan=\"2\" style=\"width: 41px;\"><p style=\"margin-left:0in;\"><input type=\"checkbox\"></p></td><td style=\"width: 176px;\"><p style=\"margin-left:0in;\"> </p></td></tr><tr><td style=\"width: 189px;\"><p style=\"margin-left:0in;\"><br></p></td><td colspan=\"12\" style=\"width: 491px;\"><p style=\"margin-left:0in;\"><strong> </strong></p></td></tr><tr><td style=\"width: 189px;\"><p style=\"margin-left:0in;\">Other environmental factors not listed</p><p style=\"margin-left:0in;\"><br></p></td><td colspan=\"12\" style=\"width: 491px;\"><p style=\"margin-left:0in;\"> </p></td></tr><tr><td style=\"width: 189px;\"><br></td><td style=\"width: 77px;\"><br></td><td style=\"width: 47px;\"><br></td><td style=\"width: 1px;\"><br></td><td style=\"width: 52px;\"><br></td><td style=\"width: 1px;\"><br></td><td style=\"width: 51px;\"><br></td><td style=\"width: 1px;\"><br></td><td style=\"width: 44px;\"><br></td><td style=\"width: 0px;\"><br></td><td style=\"width: 41px;\"><br></td><td style=\"width: 0px;\"><br></td><td style=\"width: 176px;\"><br></td></tr></tbody></table><p style=\"margin-left:0in;\"><br></p><p style=\"margin-left:0in;\"> </p><p style=\"margin-left:0in;\"><strong>DISCLAIMER</strong></p><p style=\"margin-left:0in;\">The above information provided in this job description has been designed to indicate the general nature and level of work performed by employees within this job classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications of employees assigned to this job.</p><p style=\"margin-left:0in;\"><br></p><p style=\"margin-left:0in;\"><br></p><p style=\"margin-left:0in;\"><strong>APPROVALS</strong></p><p style=\"margin-left:0in;\"><br></p><table border=\"1\" cellspacing=\"0\" cellpadding=\"0\"><tbody><tr><td valign=\"top\" style=\"width: 505px;\"><p style=\"margin-left:0in;\"> </p></td><td valign=\"top\" style=\"width: 181px;\"><p style=\"margin-left:0in;\"> </p></td></tr><tr><td valign=\"top\" style=\"width: 505px;\"><p style=\"margin-left:0in;\">Approval by Manager</p><p style=\"margin-left:0in;\"><br></p></td><td valign=\"top\" style=\"width: 181px;\"><p style=\"margin-left:0in;\">Date</p></td></tr><tr><td valign=\"top\" style=\"width: 505px;\"><p style=\"margin-left:0in;\"> </p></td><td valign=\"top\" style=\"width: 181px;\"><p style=\"margin-left:0in;\"> </p></td></tr></tbody></table><p style=\"margin-left:0in;\"><br></p><p style=\"margin-left:0in;\"><br></p><p style=\"margin-left:0in;\"><br></p><p style=\"margin-left:0in;\"><br></p></div>\n",
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