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Get SSA-3369-BK 2009

) Sit? Crawl? (Move on hands & knees.) Climb? Handle, grab, or grasp big objects? Stoop? (Bend down & forward at waist.) Reach? Write, type or handle small objects? Lifting and Carrying (Explain what you lifted, how far you carried it, and how often you did this.) Check the heaviest weight you lifted: u Less than 10 lbs u 10 lbs u 20 lbs u 50 lbs u 100 lbs or more u Other Check weight you frequently lifted: (By frequently, we mean from 1/3 to 2/3 of the workday.) u Less than 10 lbs u 10 lbs .

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