Analyst Name:

Plant Location:

Job Station:

Task Description:

Object Weight:

Vertical Hand Location at Origin:

Vertical Hand Location at Destination:

Assymetric Angle:

Horizontal Location:

Frequency Rate (Lifts/Min):

Less than .2 .5 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 More Than 15

Duration:

Short (1 hour or less) Moderate (More than 1 hour, less than 2 hours) Long (Between 2 and 8 hours)

Coupling:

Good (Optimal handles or cut-outs) Fair(Less than optimal handles or cut-outs) Poor(Loose parts, bulky objects, sharp edges, irregular shapes)

Comments:

Generate Report Clear Inputs