PHYSICAL HANDICAP CODE INSTRUCTIONS If the person examined has or has had a handicap which is listed on the back of these instructions Enter the code number in Item 19 on the Health Qualification Placement Record. • If more than one handicap applies, enter the one you consider the most limiting. • If none of the handicaps apply, enter the code "00." (B) PHYSICAL DEMANDS OF THE POSITION TO BE COMPLETED BY APPOINTING OFFICER: Sections 16 and 17 (A) BRIEF OUTLINE OF WHAT WORKER DOES For the physician's use, eet down in brief and simple terms what the employee does on this job, including environmental details such as stairs to climb, distance to rest-room facilities, cafeteria, work-shift, etc. (Use Section 16 below.) In Section 17 below encircle the number of those factors which are co the duties of the position for which this applicant is being considered. The spaces may be used for special factors not listed. 16. TITLE OF POSITION AND OUTLINE OF WHAT WORKER DOES IN THIS POSITION (Adrise use of dictionary of occupational túles as guide, as applicables |