| Labor Tasks-Score (between 0 - 6) | Not applicable | 1/3 day | 2/3 day | All day | |
| Manual mobilization of loads | MML ≤ 5 kg | 0 | 1 | 2 | 3 |
| MML 5 - 10 kg | 0 | 2 | 3 | 4 | |
| MML 10 - 25 kg | 0 | 3 | 4 | 5 | |
| MML > 25 kg | 0 | 4 | 5 | 6 | |
| Manual mobilization of loads Score: ___________ (max. 9 points) | |||||
| Repetitive movements | MR Shoulder elevation > 90˚ | 0 | 2 | 4 | 6 |
| MR flexion and extension or prono-supination of the wrist | 0 | 2 | 4 | 6 | |
| Flexion and extension. Trunk or lower limbs | 0 | 2 | 4 | 6 | |
| Repetitive movements Score:__________ (max. 18 points) | |||||
| Prolonged postures | Prolonged ambulation | 0 | 2 | 4 | 6 |
| Standing or continued sitting | 0 | 2 | 4 | 6 | |
| Other fixed positions and without alternation of positions in your work | 0 | 2 | 4 | 6 | |
| Prolonged postures Score:___________ (max. 6 points) | |||||
| Work organization | Continuous work, with repetitive/monotonous tasks and without the alternating of tasks | 0 | 2 | 4 | 6 |