Environmental Engineering Reference
In-Depth Information
PrIncIPAl Person dAtA
3 of 4
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Trouble.with.Supervisor.or.Co-worker
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Change.in.Work.Hours.or.Conditions,.Including.Shift.Change
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Change.in.Residence
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Change.in.Church.Activities
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Change.in.Social.Activities
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Change.in.Eating.Habits
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Vacation.Just.Completed.or.Imminent
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Minor.Violations.of.the.Law
Medical.Data:
Physical.Measurements:
. 1.. Height._________.in.
. 2.. Eve.Height,.Standing._________.in.
. 3.. Shoulder.Height._________.in.
. 4.. Knee.Height._________.in.
. 5.. Crotch.Height._________.in.
. 6.. Functional.Reach._________.in.
. 7.. Shoulder.Width._________.in.
Right.Handed._________.
Left.Handed._________.
Weight:._________.lb
Medical.Examiner:..____________________________________________________________________
Medical.Data:
Physical.Measurements:
