ࡱ> ?A>7 bjbjUU "7|7|l(xxxx('r$ - P'''''''$F) f+='Q} S @ } } =' {' } R' } '  $"' Q|(Px L%''0'%\+ +' ((Mental/Cognitive Requirements Checklist Position Being Analyzed Name (not applicable if vacant):  FORMTEXT       Title:  FORMTEXT       Position No. (not applicable if vacant):  FORMTEXT       Dates Checklist completed:  FORMTEXT       Checklist reviewed with employee (not applicable if vacant):  FORMTEXT       Person Completing Form Name:  FORMTEXT       Title:  FORMTEXT        Communication  FORMCHECKBOX  Comprehend and use basic language, either written or spoken, to communicate information and ideas  FORMCHECKBOX  Comprehend and use technical or professional language, either written or spoken, to communicate complex ideas  FORMCHECKBOX  Other:  FORMTEXT       Calculation  FORMCHECKBOX  Perform numerical operations using basic counting, adding, subtracting, multiplying or dividing  FORMCHECKBOX  Perform complex quantitative calculations or reasoning using algebra, geometry, statistics, or abstract symbols  FORMCHECKBOX  Other:  FORMTEXT       Problem Solving  FORMCHECKBOX  Formulate and apply appropriate course of action for routine or familiar situations  FORMCHECKBOX  Use logic to define problem, collect information, establish facts, draw valid conclusions, interpret information and deal with abstract variables for unique or unfamiliar situations  FORMCHECKBOX  Other:  FORMTEXT       Note: Mental/Cognitive requirements include but are not limited to the above list. Instructions: Identify essential functions before completing this checklist. Taken as a whole, indicate with an ( which of the following mental/cognitive abilities are required (check all that apply). Save document electronically and/or print and file manually for your records. &(*z~ $&:<>HjUj\UjUj\UjUjtUjUmHnHujU jU OJQJ^J$jCJOJQJU^JmHnHu>RTV*LPRTVXtv^`` h^h`$a$ & F & F & FHJLNVXtvx`b~b d ` a o p q tjOJQJU^JjOJQJU^JjOJQJU^JjUmHnHujUj,OJQJU^JjOJQJU^JjDOJQJU^JjOJQJU^J OJQJ^JjCJUmHnHu jU-` b _ `   0 2  h^h`   0 2 4 P R T   " ?@B*OJQJ^Jph jTCJOJQJ^J6CJOJQJ]^Jj@UjOJQJU^JjXOJQJU^JjOJQJU^JjOJQJU^JjUmHnHujpU jU OJQJ^J' 1h/ =!"#$ %tDText7tDText1tDText2DText3M/d/yyDText4M/d/yytDText5tDText6tDeCheck1tDeCheck2tDeCheck3tDText8tDeCheck4tDeCheck5tDeCheck6tDText9tDeCheck7tDeCheck8tDeCheck9vDText10 i8@8 NormalCJ_HaJmH sH tH H@H Heading 1$$@&a$5CJOJQJ\^J>> Heading 2$@&5OJQJ\^JB@B Heading 3$@&5CJOJQJ\^J<A@< Default Paragraph Font.>@. Title$a$ 5CJ\)*+CyWXo/0_`"#RS0000 0 0 000 0 000 0 00000000000000(00000000(0000000000000H  `   eqwBNTv0@`p #3ScmyF4F4F4F4F4F4F4G G G F4G G G F4G G G F48@2(  B    N  3  B S  ?.)Gt-$tText7Text1Text2Text3Text4Text5Text6Check1Check2Check3Text8Check4Check5Check6Text9Check7Check8Check9Text10fCw1a$Tn xUAq4dbe?BFP33333 Lisa KernW:\hr\misc\EOO\MentChk.doc Lisa KernW:\hr\misc\EOO\MentChk.doc Lisa KernW:\hr\misc\EOO\MentChk.doc Lisa KernW:\hr\misc\EOO\MentChk.doc Lisa KernW:\hr\misc\EOO\MentChk.doc Lisa KernW:\hr\misc\EOO\MentChk.doc Lisa KernW:\hr\misc\EOO\MentChk.doc Lisa KernW:\hr\misc\EOO\MentChk.dot Lisa KernW:\hr\misc\EOO\MentChk.dot Lisa KernW:\hr\misc\EOO\MentChk.dot )/|gY\8"TG;(~@,7^Èy$hc|7!eh&D?jNJ[ryh ^`OJQJo(h ^`OJQJo(oh pp^p`OJQJo(h @ @ ^@ `OJQJo(h ^`OJQJo(oh ^`OJQJo(h ^`OJQJo(h ^`OJQJo(oh PP^P`OJQJo(h ^`OJQJo(h ^`OJQJo(oh pp^p`OJQJo(h @ @ ^@ `OJQJo(h ^`OJQJo(oh ^`OJQJo(h ^`OJQJo(h ^`OJQJo(oh PP^P`OJQJo(h ^`OJQJo(h ^`OJQJo(oh pp^p`OJQJo(h @ @ ^@ `OJQJo(h ^`OJQJo(oh ^`OJQJo(h ^`OJQJo(h ^`OJQJo(oh PP^P`OJQJo(h ^`OJQJo(h ^`OJQJo(oh pp^p`OJQJo(h @ @ ^@ `OJQJo(h ^`OJQJo(oh ^`OJQJo(h ^`OJQJo(h ^`OJQJo(oh PP^P`OJQJo(h ^`OJQJo(h ^`OJQJo(oh pp^p`OJQJo(h @ @ ^@ `OJQJo(h ^`OJQJo(oh ^`OJQJo(h ^`OJQJo(h ^`OJQJo(oh PP^P`OJQJo(h^`.h ^`OJQJo(oh pp^p`OJQJo(h @ @ ^@ `OJQJo(h ^`OJQJo(oh ^`OJQJo(h ^`OJQJo(h ^`OJQJo(oh PP^P`OJQJo(h ^`OJQJo(h ^`OJQJo(oh pp^p`OJQJo(h @ @ ^@ `OJQJo(h ^`OJQJo(oh ^`OJQJo(h ^`OJQJo(h ^`OJQJo(oh PP^P`OJQJo(h ^`OJQJo(h ^`OJQJo(oh pp^p`OJQJo(h @ @ ^@ `OJQJo(h ^`OJQJo(oh ^`OJQJo(h ^`OJQJo(h ^`OJQJo(oh PP^P`OJQJo(h ^`OJQJo(h ^`OJQJo(oh pp^p`OJQJo(h @ @ ^@ `OJQJo(h ^`OJQJo(oh ^`OJQJo(h ^`OJQJo(h ^`OJQJo(oh PP^P`OJQJo( gY\8~@)/$hc[ry7^G;7!eD?j                                                                                  @SdH SSL   ppp@p pp @UnknownG: Times New Roman5Symbol3& : Arial?Wingdings 2?5 : Courier New;Wingdings"hzV)\& /g!20d 2QPhysical Requirements Checklist Lisa Kern Lisa KernOh+'0  , H T `lt| Physical Requirements Checklisthys Lisa Kerneqisaisa MentChk.dot Lisa Kernt4saMicrosoft Word 9.0t@@{@m|՜.+,0 hp  KU Medical Centeri   Physical Requirements Checklist Title  !"#$%&'()*+,-/012345789:;<=@Root Entry F Ġ|BData 1Table+WordDocument"SummaryInformation(.DocumentSummaryInformation86CompObjjObjectPool Ġ| Ġ|  FMicrosoft Word Document MSWordDocWord.Document.89q