StrainAnalysis Worksheet




Date_____________________     Analyst________________________

Department___________________________________________________

Job__________________________________________________________

Task_________________________________________________________

Efforts per Minute____________________

Percent Duration of Effort____________

Hours per Day at this task____________

Intensity of Effort (circle one):
Light Somewhat Hard Hard Very Hard Near Maximal

Hand/Wrist Postures (circle one):
Very Good Good Fair Bad Very Bad

Speed of Work (circle one):
Very Slow Slow Fair Fast Very Fast

Strain Index (from program):__________________

________________________________ __________________
Signature of Analyst Date