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Section
3 - Information About Your Work
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General
Information About Section 3 |
A.
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List all
the jobs that you had in the 15 years before you became unable to work because of your illnesses, injuries or conditions. |
B.
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Which
job did you do the longest? |
C. |
Describe
this job. What did you do all day? |
D. |
In
this job (the one you described in 3.C), did you use machines, tools,
or equipment? Use technical knowledge or skills? Do any writing,
complete reports, or perform any duties like this? |
E. |
In this job (the one you described in 3.C) , how many total hours
each day did you: walk, stand, sit, climb, stoop, kneel, crouch,
crawl, handle, grab, or grasp big objects, write, type, or handle
small objects? |
F.
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Lifting
and Carrying (Explain what you lifted, how far you carried it, and
how often you did this) |
G. |
Check
heaviest weight lifted. |
H. |
Check
weight frequently lifted (By frequently, we mean from 1/3 to 2/3
of the workday). |
I.
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Did
you supervise other people in this job? |
J. |
Were
you a lead worker? |
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