FUNCTIONAL REQUIREMENTS AND ENVIRONMENTAL FACTORS

This document, along with the Position Description and Qualification Standards, if any, describe
the function and characteristics of the job offered.
Applicant Name:
Clerk

Position Offered: SSA Sales & Service Associate

SSN (Last Four Digits): XXX-XX-

Installation:

The circled items describe requirements and characteristics of the position.

FUNCTIONAL REQUIREMENTS
Heavy lifting, up to 70 pounds
Moderate lifting, 15 44 pounds
Light lifting, under 15 pounds
Heavy carrying, 45 pounds and over
Moderate carrying, 14 44 pounds
Light carrying, under 15 pounds
Straight pulling
Pulling hand over hand
Reaching above shoulder
Use of fingers
Both hands are required or compensated by the use of
acceptable prosthesis
Walking
Standing - 4 hours
Crawling
Kneeling
Repeated Bending 4 hours
Climbing, legs only
Climbing, use of legs and arms
Both legs required
Operation of crane, truck, tractor or motor vehicle
Ability of rapid mental muscular coordination
simultaneously
Ability to use firearms
Near vision correctable at 13 to 16 to Jaeger 1 4
(Snellen results)
Far vision correctable in one eye to 20/20 and to 20/40 in
the other eye (Snellen results)
Far vision correctable in one eye to 20/40 and to 20/100 in
the other
Specific visual requirement: Specify 20/40 Snellen one eye
Both eyes required
Depth perception
Ability to distinguish basic colors
Ability to distinguish shades of colors
Hearing (aid permitted) hear conversational voice 15 feet
one ear
Hearing without aid
Specific hearing requirements: Specify
Other: Specify Pushing - 2 hours

ENVIRONMENTAL FACTORS
Outside
Outside and inside
Excessive heat
Excessive cold
Excessive humidity
Excessive dampness or chilling
Dry atmospheric conditions
Excessive noise, intermittent
Constant noise
Dust
Fumes, smoke, or gasses
Solvents (degreasing agents)
Grease and oils
Radiant energy
Electrical energy
Slippery or uneven walking surface
Working around machinery with moving parts
Working around moving objects or vehicles
Working on ladders or scaffolding
Working below ground
Unusual fatigue factors: Specify
Working with hands in water
Explosives
Vibration
Working closely with others
Working alone
Protracted or irregular hours of work
Other: Specify constant standing, walking, lifting

Do you have any medical disorder or physical impairment which could interfere in any way with the full
performance of duties of the position you were offered? Yes____ No____
Applicant Signature_______________________________________
Revised January 2010

Date__________

SALES & SERVICES ASSOCIATE/DISTRIBUTION ASSOCIATE

(FORMERLY DISTRIBUTION/WINDOW CLERK)
FUNCTIONAL PURPOSE
Performs a combination of the basic functions of a Sales & Service Associate/Distribution Associate in a first
or second-class post office or in a classified branch or station.
DUTIES AND RESPONSIBILITIES
Sells postage stamps, stamped paper, postal cards, internal revenue stamps, migratory bird stamps, and
money order certificates.
Accepts from and makes window delivery to patrons of parcel post, insured, c.o.d., and registered mail,
makes collection of required postage-due and fees, when applicable issues necessary receipts and delivers
general mail to customers.
Issues and cashes foreign and domestic money orders.
Rents post office boxes, receives rental payments, conducts reference checks, and completes required
forms.
Provides information to customers concerning postal regulations, mailing restrictions, rates, and other
matters involving postal transactions.
Performs other duties, as assigned, such as setting postage meters; maintaining records of mails; facing
and canceling mail; labeling and tying out mail for dispatch; opening and dumping pouches and sacks;
making emergency calls to customers to adjust service complaints; performing miscellaneous office clerical
duties incident to the personnel, accounting, and other administration of the office.