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Physical Demands Analysis - PacifiCare

Physical Demands Analysis - PacifiCare 2025

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The document is a Physical Demands Analysis form used by CNA Group Life Assurance Company and Continental Casualty Company to assess the physical requirements of a job. It includes sections for job details, physical demands such as lifting, carrying, pushing, pulling, and work conditions. The form is intended to be filled out by the immediate supervisor and aims to evaluate how the job can be modified for employees with different physical capabilities.

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Click ‘Get Form’ to open the Physical Demands Analysis - PacifiCare in the editor.
Begin by entering the Claimant's name and Claim number at the top of the form. This information is essential for tracking purposes.
Fill in the Company, Job Title, Location, and Supervisor/Phone fields. Ensure accuracy as this data helps identify job-specific requirements.
Have the immediate supervisor complete sections regarding education/training and license/trade requirements. This ensures that all qualifications are documented.
Detail the primary functions of the job, including machines/tools used and work schedule. Use checkboxes for clarity on work conditions and physical demands.
For standing, walking, and sitting requirements, circle appropriate hours based on typical workdays. This provides a clear picture of physical expectations.
Complete sections on pushing/pulling and lifting/carrying by describing tasks and required forces. Be specific to ensure accurate analysis.

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How to perform a physical demand analysis?

The following is a general step-by-step discussion of the five components of the PDA Process. STEP 1 DETERMINE JOB FUNCTION: STEP 2 - VERIFICATION OF JOB FUNCTION: STEP 3 - IDENTIFY JOB FUNCTION: STEP 4 - QUANTIFY PHYSICAL DEMANDS OF EACH JOB FUNCTION. STEP 5 - RECORD ALL PROCESSES.

What is a physical demands assessment?

A Physical Demands Description (PDD), sometimes referred to as a Physical Demands Analysis (PDA), is a detailed, objective description of the physical demands required to complete the essential and non-essential tasks of a job.

What is a physical demand test?

A physical job demand analysis is a structured assessment designed to evaluate an employees ability to perform the physical aspects of their job.