Date:
Patient ID number:
Body System: CARDIOVASCULAR SYSTEM.
Medical Condition: Coronary artery disease, stable, mild or compensated (Functional Class II)
ICD: 414.00-7.1.3

Job Title: Splicer (High Pressure Cable)
Job Code:

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Recommended Status: The medical condition is UNACCEPTABLE for this job
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The UNACCEPTABLE tasks are:
DYNAMIC FLEXIBILITY                  Taping cables
DYNAMIC FLEXIBILITY                  Pulling fiber optic cable
DYNAMIC STRENGTH                      Taping cables
DYNAMIC STRENGTH                      Dismantling a joint
DYNAMIC STRENGTH                      Racking cables
EXPLOSIVE STRENGTH                   Pulling manhole cover
EXPLOSIVE STRENGTH                   Cutting cable with hand “chop”
STAMINA                                           Carrying equipment over stairs
STAMINA                                           Pulling fiber optic cable
STATIC STRENGTH                           Push/pull 4 RAM press
STATIC STRENGTH                           Lift/carry 20-40 kg bags
STATIC STRENGTH                           Sliding sleeves
TRUNK STRENGTH                           Racking cables
TRUNK STRENGTH                           Sealing/soldering
TRUNK STRENGHT                           Taping cables (buried joint)

The BORDERLINE tasks are:
DYNAMIC FLEXIBILITY                  Shoveling
EXPLOSIVE STRENGTH                   Trimming lead
STAMINA                                           Carrying 5 gallon oil

The UNACCEPTABLE working conditions are:
HIGH TEMPERATURE                       Hard manual labor above 27°C
LOW TEMPERATURE                        Work in temperature below -10°C
RESPIRATOR                                                 NIOSH/OSHA regulated (negative pressure)

There are no BORDERLINE working conditions.