Showing posts with label sit-stand option. Show all posts
Showing posts with label sit-stand option. Show all posts

Thursday, September 19, 2019

Labor Classifies the Sit-Stand Option as Sitting

The Occupational Requirements Survey is the intended replacement for the Dictionary of Occupational Titles.  Question 2 of the General Questions and Answers states:
SSA uses five steps of Sequential Evaluation to determine whether disability applicants qualify for benefits. At steps 4 and 5 of this process, adjudicators need information about a representative sample of occupations in the national economy to determine whether people with functional limitations resulting from severe impairments can still perform work. Currently, SSA uses the Dictionary of Occupational Titles (DOT) at steps 4 and 5, and it has not been updated in more than 20 years. SSA is developing an Occupational Information System to replace the DOT which will incorporate the data collected through ORS. This information is crucial to the equitable and efficient operation of SSA‘s disability programs.
The ORS gathers data according to Labor's understanding of SSA needs.   The Collection Manual, Third Edition, describes the data and defines the terms.  Chapter 7 describes the physical demands of work to perform the critical tasks.  Sitting vs. standing/walking at will exists when:
  • Workers typically have the flexibility to choose between sitting and standing throughout the day.  
  • There is no assigned time during the day to sit or stand/walk. 
  • No external factors determine whether workers must sit or stand/walk.
Collection Manual, page 78.  Examples of sitting vs. standing/walking at will include:
  1. An office clerk can choose when to file and typically stands while filing invoices. 
  2. A pharmaceutical sales rep driving to clients can choose when to make trips and additional stops.
  3. An elementary teacher may sit or stand to instruct students and while monitoring them on duties.
Id.  Examples of work that is not classified as sitting vs. standing/walking at will include:
  1. An over-the-road truck driver must meet a delivery schedule. He stops to refuel and for weigh stations.
  2. An event parking lot attendant must stand when cars are entering the parking lot to accept payment and direct cars.
  3. A security guard chooses to sit or stand, except when she walks to investigate suspicious situations.
Id.  The SSO envisions the worker performing the same tasks while either sitting or standing.  If that option exists for all workers, it is not an accommodation.  Id., page 9.  

The phrasing of a sit/stand option (SSO) represents a different problem than sitting v. standing/walking at will.  The ORS defines sitting as the function critical to performing work:
  • Workers remain in a seated position. This includes active sitting. For instance, bicyclists sit but pushes/pulls with their feet/legs.
  • Workers are inactive and seated or prone. For instance, a medical resident on call for a thirty-hour shift taking a strategic nap is sitting.
  • Workers may choose between sitting and standing for a given task. For example, office workers can choose a standing desk.
Id., page 73.  An occupation that permits the worker to choose between sitting and standing at will throughout the day to perform the sames tasks carries the descriptor of sitting, not standing/walking.

The broad classification of production occupations (SOC 51-0000.00) would not permit an SSO throughout the day:

Series ID: 
ORUP1000047P00001002
Not seasonally adjusted
Series Title: production occupations; % of day sitting is required (90th percentile)
Requirement: Physical Demands
Occupation: Production Occupations
Estimate: % of day sitting is required (90th percentile)
YearPeriodEstimate
2018Annual66.7

A significant range of production occupations do have the ability to change tasks during the workday:

Series ID: 
ORUP1000047P00000139
Not seasonally adjusted
Series Title: % of workers in production occupations; sitting vs. standing/walking at will is allowed
Requirement: Physical Demands
Occupation: Production Occupations
Estimate: sitting vs. standing/walking at will is allowed
YearPeriodEstimate
2018Annual15.1

Production occupations represent 9.4 million jobs in the economy and 6.5 million jobs in the manufacturing sector.  This includes every line item SOC group with the first two digits of 51.  Production occupations (SOC 51-0000.00) is summary designation that includes smaller summary designations and line items (specific SOC designations).  

The broad classification of transportation and material moving occupations (SOC 53-0000.00) warrants individual occupational group investigation on the question of SSO:

Series ID: 
ORUP1000048P00001002
Not seasonally adjusted
Series Title: transportation and material moving occupations; % of day sitting is required (90th percentile)
Requirement: Physical Demands
Occupation: Transportation and Material Moving Occupations
Estimate: % of day sitting is required (90th percentile)
YearPeriodEstimate
2018Annual90

A less significant range of transportation and material moving occupations do have the ability to change tasks during the workday:

Series ID: 
ORUP1000048P00000139
Not seasonally adjusted
Series Title: % of workers in transportation and material moving occupations; sitting vs. standing/walking at will is allowed
Requirement: Physical Demands
Occupation: Transportation and Material Moving Occupations
Estimate: sitting vs. standing/walking at will is allowed
YearPeriodEstimate
2018Annual9.4

Transportation and material moving occupations represent 10.8 million jobs in the economy and just under 1 million jobs in the manufacturing sector.  This includes every line item SOC group with the first two digits of 53.  Transportation and material moving occupations (SOC 53-0000.00) is summary designation that includes smaller summary designations and line items (specific SOC designations).  

The cross-examination path when a vocational expert identifies work permitting an SSO focuses first on the availability of the SSO to all workers.  If the SSO is not available to all workers, it is an accommodation.  

Second, cross-examination must establish whether the worker has more than one critical work function that requires different positions (sitting or standing/walking).  Those occupations do not have an SSO, they have the ability to choose when to perform other tasks as long as all the sitting and standing/walking tasks are done during the workday.  

Third, cross-examination or post-hearing development must establish whether the ORS classifies the critical work functions as performed sitting or standing/walking.  If the ORS classifies the work functions as standing/walking, the work does not permit an SSO.  If the ORS classifies the work functions as sitting, then the work might permit an SSO.  That might require further exploration of the first question.  

An SSO is a devastating work limitation as described in SSR 83-12.  
Unskilled types of jobs are particularly structured so that a person cannot ordinarily sit or stand at will.
An SSO for unskilled jobs should be the exception, not the rule  -- unless the Commissioner intends to rescind the statement of binding agency policy. 

Monday, April 29, 2019

How Does the Department of Labor Define the Sit-Stand Option?

The sit-stand option is a common thread in the adjudication of Social Security disability cases.  The ability to sit or stand at will of the worker to address the presence of pain or other physical discomfort arises with regularity.

Some ALJs describe the sit-stand option as changing positions with the loss of productivity or efficiency.  That assumption -- that a person can change positions at will without the loss of productivity or efficiency -- lacks the support of substantial evidence.  Getting up requires diverting the hands and arms while using the feet or legs for balance with the added concept of core strength that necessarily distracts from the productivity or efficiency of the job functions, unless the person has a job that is not physical.  These jobs have "not significant" codes for data and things at the fourth and sixth digits of the DOT codes.  See DICOT Appendix B and the free DOC/SCO/SCO summary report for all 13,000 DOT codes on OccuCollect.  (You must register to get free reports, that is all).

The observation starts the inquiry with the premise that SSA adjudicators do not know what a sit-stand option means.  It starts with the training and extends with adjudicatory bias.  The analysis starts with the Department of Labor nomenclature: "sitting vs. standing/walking at will."
Sitting or standing at will - workers can alternate between sitting and standing. Sitting or standing at will is present when the following conditions exist:
  • Workers typically have the flexibility to choose between sitting and standing throughout the workday. Riding a bicycle includes pushing or pulling with feet and legs; while mowing may include gross manipulation or pulling and pulling with the hands and arms.
  • There is no assigned time during the day to sit or stand.
  • No external factors determine whether an employee must sit or stand.
While there may be tasks that require workers to be sitting or standing, if workers can determine when to perform that specific critical tasks, then they may still have the ability to sit or stand at will. For example, 95.4 percent of computer systems analysts can choose between sitting, standing, or walking at will while 97.7 percent of workers in food preparation and serving related occupations cannot choose between these physical demands.
 The three elements that make up the sitting vs standing/walking at will are flexibility, the absence of an assigned time to sit or stand, and the absence of external factors that require the worker to sit or stand.  The first sentence of the explanation synthesizes the three elements: when a job requires sitting or standing to perform job duties, the sitting vs standing/walking at will exists when the worker can choose "when" to perform those critical tasks.

The 2016 and 2017 data sets had very limited estimates for sitting vs standing/walking at will.  The 2018 data set, released April 25, 2019, has a more expansive list of occupations that permit the sitting vs standing/walking at will.  These include the ubiquitous production workers, all other, (SOC 51-9199).

Don't let the inclusion of a sitting vs standing/walking at will get too overwhelming -- the number of jobs that permit sitting vs standing/walking at will is 23.6%.  That does not change 53% of jobs that do not require skills (SVP 2),  the 63.9% that require medium exertion, or that production workers stand/walk 87.5% of the day at the 25th percentile.  Sitting vs standing/walking at will does not represent an elimination of whether the worker must sit or stand, it changes the when the worker will sit or stand.

Labor will continue to describe work as it is actually performed in the national economy and SSA will likely continue to listen to its own institutional bias and uninformed vocational experts.  Labor does not have a dog in the fight and is therefore inherently more trustworthy.  SSA must abide by its promise to take administrative notice.

Saturday, February 2, 2019

Cashiers -- Unskilled, Full-Time, by Exertion

Cashiers are a "go to" for vocational experts.  We all know that cashiers exist in the economy; we actually see them everyday in our daily lives.  We examine the existence of this occupation as a target for other work in the disability context.


CASHIER II

211.462-010
DOT: 211.462-010 CASHIER II (clerical) alternate titles: cash clerk; cashier, general; cashier, office; ticket clerk Receives cash from customers or employees in payment for goods or services and records amounts received: Recomputes or computes bill, itemized lists, and tickets showing amount due, using adding machine or cash register. Makes change, cashes checks, and issues receipts or tickets to customers. Records amounts received and prepares reports of transactions. Reads and records totals shown on cash register tape and verifies against cash on hand. May be required to know value and features of items for which money is received. ay give cash refunds or issue credit memorandums to customers for returned merchandise. May operate ticket-dispensing machine. ay operate cash register with peripheral electronic data processing equipment by passing individual price coded items across electronic scanner to record price, compile printed list, and display cost of customer purchase, tax, and rebates on monitor screen. May sell candy, cigarettes, gum, and gift certificates, and issue trading stamps. May be designated according to nature of establishment as Cafeteria Cashier (hotel & rest.); Cashier, Parking Lot (automotive ser.); Dining-Room Cashier (hotel & rest.); Service-Bar Cashier (hotel & rest.); Store Cashier (clerical); or according to type of account as Cashier, Credit (clerical); Cashier, Payments Received (clerical). May press numeric keys of computer corresponding to gasoline pump to reset meter on pump and to record amount of sale and be designated Cashier, Self-Service Gasoline (automotive ser.). May receive money, make change, and cash checks for sales personnel on same floor and be designated Floor Cashier (clerical). May make change for patrons at places of amusement other than gambling establishments and be designated Change-Booth Cashier (amuse. & rec.).
GOE: 07.03.01 STRENGTH: L GED: R3 M2 L2 SVP: 2 DLU: 81DOT-O*NET 
Crosswalk: https://www.onetonline.org/crosswalk/DOT?s=211.462-010&g=GO

The full list of DOT codes within Cashiers, SOC 41-2011 is here. 

Occu Collect has a free summary DOC/SCO report just for signing up.

The Occupational Outlook Handbook confirms commonsense, that there are a lot of cashiers.

 

41-2011 - Cashiers

Typical Entry-Level Education
No formal educational credential
Work experience in a related occupation
None
On the job training
Short-term on-the-job training
Number of jobs, 2016
3,555,500

But the number of jobs doesn ot mean that all of them are substantial gainful activity. The O*NET OnLine describes the results of statistical research into the number of jobs that are full-time or more.

 

41-2011.00 - Cashiers

Duration of Typical Work Week — Number of hours typically worked in one week.
49
Less Than 40 Hours
28
40 Hours
24
More Than 40 Hours
We are just getting started and have cut the occupational base for SGA purposes almost in half. The Occupational Requirements Survey is the next stop to assess skill level.


Series ID: ORUV1000066700000064
Not seasonally adjusted
Series Title: % of cashiers; svp is short demonstration only
Requirement: Education, Training, And Experience
Occupation: cashiers
Estimate: svp is short demonstration only
Year     Period     Estimate
2017     Annual   6.3
https://beta.bls.gov/dataViewer/view/timeseries/ORUV1000066700000064

Series ID: ORUV1000066700000065
Not seasonally adjusted
Series Title: % of cashiers; svp is beyond short demonstration, up to & including 1 month
Requirement: Education, Training, And Experience
Occupation: cashiers
Estimate: svp is beyond short demonstration, up to & including 1 month
Year     Period      Estimate
2017     Annual    82.8

https://beta.bls.gov/dataViewer/view/timeseries/ORUV1000066700000065

Most of the jobs are unskilled, 89.1% of the jobs are unskilled.  We continue the analysis of exertion.  

Series ID: ORUP1000066700000662
Not seasonally adjusted
Series Title: % of cashiers; strength is light work
Requirement: Physical Demands
Occupation: cashiers
Estimate: strength is light work
Year     Period      Estimate
2017     Annual    20.8

https://beta.bls.gov/dataViewer/view/timeseries/ORUP1000066700000662

Series ID: ORUP1000066700000663
Not seasonally adjusted
Series Title: % of cashiers; strength is medium work
Requirement: Physical Demands
Occupation: cashiers
Estimate: strength is medium work
Year     Period      Estimate
2017    Annual     70
https://beta.bls.gov/dataViewer/view/timeseries/ORUP1000066700000663

Series ID: ORUP1000066700000664
Not seasonally adjusted
Series Title: % of cashiers; strength is heavy work
Requirement: Physical Demands
Occupation: cashiers
Estimate: strength is heavy work
Year     Period      Estimate
2017    Annual     8.4
https://beta.bls.gov/dataViewer/view/timeseries/ORUP1000066700000664

The vast majority of cashiers engage in medium or heavy exertion.  This includes grocery checkers lifting cases of beverages and dog food.  As to those jobs, the DOT is inaccurate.  

Series ID: ORUP1000066700000137
Not seasonally adjusted
Series Title: cashiers; hours of sitting (90th percentile)
Requirement: Physical Demands
Occupation: cashiers
Estimate: hours of sitting (90th percentile)
Year     Period      Estimate
2017     Annual    0.8
https://beta.bls.gov/dataViewer/view/timeseries/ORUP1000066700000137

Cashiers do not sit two hours per day, not even at the 90th percentile.  

Series ID: ORUP1000066700000139
Not seasonally adjusted
Series Title: % of cashiers; sitting vs. standing/walking at will is allowed
Requirement: Physical Demands
Occupation: cashiers
Estimate: sitting vs. standing/walking at will is allowed
Year     Period      Estimate
2017     Annual    5.6
https://beta.bls.gov/dataViewer/view/timeseries/ORUP1000066700000139

A small percentage of cashiers have the sit-stand option, 5.6%.  Cashiers stand/walk four hours per day at the 10th percentile and 4.27 hours per day at the 25th percentile.  We recall that almost half of the jobs are part-time and therefore look to the percentage of the day of standing/walking:

Series ID: ORUP1000066700001004
Not seasonally adjusted
Series Title: cashiers; % of day standing/walking is required (10th percentile)
Requirement: Physical Demands
Occupation: cashiers
Estimate: % of day standing/walking is required (10th percentile)
Year     Period      Estimate
2017     Annual    87.5
https://beta.bls.gov/dataViewer/view/timeseries/ORUP1000066700001004

All other percentiles require more standing/walking as measured as a percentage of the day.  We are ready to run the numbers to illustrate the number of full-time, unskilled jobs requiring light, medium, and heavy exertion with a side illustration of the sit-stand option and a limitation to six hours of standing/walking in a day:

Cashiers
No. of Jobs
% Full-Time
# Full-Time
3,555,500
52%
1,848,860
# Full-Time
% Unskilled
# Unskilled
1,848,860
89.10%
1,647,334
# Unskilled
% Light
# Light
1,647,334
20.80%
342,646
# Light
% SSO
# SSO
342,646
5.60%
19,188
# SSO
% ≤ 6 hours S/W
# ≤ 6 hours S/W
19,188
0.00%
0
# Unskilled
% Medium
# Medium
1,647,334
70.00%
1,153,134
# Medium
% SSO
# SSO
1,153,134
5.60%
64,576
# SSO
% ≤ 6 hours S/W
# ≤ 6 hours S/W
64,576
0.00%
0
# Unskilled
% Heavy
# Heavy
1,647,334
8.40%
138,376
# Heavy
% SSO
# SSO
138,376
5.60%
7,749
# SSO
% ≤ 6 hours S/W
# ≤ 6 hours S/W
7,749
0.00%
0

The next time a vocational expert offers cashier II as an example of light work, ask for the data source for full-time, skill level, and exertion.  Neither the Occupational Employment Quarterly nor Job Browser Pro uses BLS data to determine the percentages of jobs that are unskilled or by exertion particularly the breakdown of the amount of sitting/standing/walking in an eight-hour day.  OccuCollect's Sitting, Standing, Walking Report puts the O*NET and ORS data in one place to erase this occupation from consideration.  OccuCollect's Lifting & Carrying Report establishes the strength requirements of the occupational group.  Both reports carry the SVP data and the part-time vs. full-time breakdown from the O*NET.  

Thursday, November 30, 2017

Sit-Stand Option and Production Workers, All Other -- Occupational Requirements Survey and OOH

Small products assembler; electronics assembler; hospital products assembler; and all manner of sedentary assembly occupations do not exist in significant numbers at the light and sedentary levels of exertion and certainly not with  sit-stand option.  We use the ORS with the data sets from December 2016 and 2017 -- waiting with bated breath for the 2018 data sets.  Yes!  The 2017 data set is now in the ORS. 

1.  This occupational group continues to contain 1,526 different DOT codes.  The sedentary DOT codes represent 52 unskilled entries and 44 skilled and semi-skilled entries.  The light DOT codes represent 390 unskilled entries and 410 skilled and semi-skilled entries.  That's 96 sedentary and 800 light occupations at all skill levels.  You can run a report in Job Browser Pro for the occupational group; run an O*NET OnLine report for the occupational group and manually check 1,590 DOT codes (the O*NET has not caught up to the creation of 51-3099); or take my word for it.  No link. 

2.  In the 2016 data set, the ORS reported almost 83% of production workers, all other required medium exertion.  The 2017 data set reports that 73.9% of production workers, all other require medium exertion. 
Although light and sedentary occupations make up almost 59% of the DOT codes comprising production workers, all other, they make up perhaps 26.1% of the jobs.
 3.  Standing/walking is required 75% of the day at the 10th percentile.  Read percentile data as including an understood "or less."  Standing/walking is required 87.5% of the day at the 25th percentile.  Standing/walking is required 96.7% of the day at the median. 
Very few jobs in the production workers, all other, category will meet the typical six hours of standing/walking in an eight-hour day finding.  Look for this finding to disappear in ALJ decisions in the future and get replaced with a "capacity for light exertion as defined in the regulations."  
4.  Standing/walking is required 7.00 hours per day at the 25% percentile.  Standing/walking is required 7.25 hours per day at the median. 
The operative word in these data is required.  
5.  The maximum weight lifted/carried is 10 pounds at the 10th percentile for production workers, all other.  The maximum weight lifted/carried is 25 pounds at the 25th percentile.  The maximum weight lifted/carried is 50 pounds at the median. 

6.  Production occupations -- all 144 SOC summary (36) and line (108) codes, including supervisors and skilled workers -- permit sitting vs. standing/walking at will in 16.4% of jobs. 
The sit-stand option is not as ubiquitous as the vocational expert corps would have anyone believe.  
7.  Production workers, all other, represent 263,500 jobs in the national economy as of 2016 per the Occupational Outlook Handbook. 

Assuming that the Bureau of Labor Statistics is a reliable source for occupational data, the requirement to stand/walk the vast majority of the day eliminates the notion that a significant part of the occupational group of production workers, all other permits a sit-stand option.  The availability of that data for production occupations in 108 different detailed SOC codes and the absence of that data for production workers, all other, tells us that the data for the sit-stand option is not reliable. 

Friday, August 25, 2017

Cashiers and the Sit-Stand Option is Not Generally Available

Assume the claimant needs the opportunity to change positions every 10, 15, 30, 45 minutes, or just simply at will.  The vocational expert will likely identify the occupation of cashier II.  This occupation is a go-to for the lazy vocational expert.  With 3.4 million jobs in various cashiering occupations in the nation, a lot of them are unskilled and it is intuitive that cashiers can sit and stand at will, right?  Life is counter-intuitive.

The Occupational Requirements Survey is coming.  The ORS tells us about cashiers and the sit-stand at will option:

Occupational Requirements Survey


Series Title:Civilian workers; % of cashiers; sitting vs. standing/walking at will is not allowed
Series ID:ORUP1000066700000140
Seasonality:Not Seasonally Adjusted
Survey Name:Occupational Requirements Survey
Measure Data Type:Percentage
Industry:All workers
Occupation:Cashiers
Class of Worker:All workers
Requirements:Physical Requirement
Type of cases:Sitting vs. standing/walking at will

Latest Observation:
Annual 2016

93.0

Annual 2016 - Annual 2016
Minimum Value: Annual 2016
93.0
Maximum Value: Annual 2016
93.0
Data Availability:
2016 - 2016

The ORS tells us that 93% of jobs within the cashier occupation do not allow the opportunity to sit and stand at will.  

More bad news for the cashier occupation from the ORS. The number of jobs that require more than ≤ one month of training is 81.3%.  The 10th percentile of jobs having days of prior work experience is 90 days.  The Occupational Outlook Handbook tells us that this occupational group typically has no education requirement and short-term training.  The ORS is coming.  

Thursday, January 19, 2017

A Follow-Up on Sample Maker

We addressed the vocational expert equivocation about the four-and-four sit-stand option in Vocational Experts Will Say Anything.  We continue that discussion by looking at the O*NET information about the occupational group of Tailors, Dressmakers, and Custom Sewers, to which the sample maker belongs. 

To recap, the vocational expert testified that our non-English-speaking claimant could go back to work as a sample maker with a sit-stand option and the inflexible four hours each, maximum.  The O*NET says this:

Spend Time Sitting — How much does this job require sitting?See more occupations related to this work context.
27     Continually or almost continually
15     More than half the time
40     About half the time
13     Less than half the time
According to the O*NET, this occupational group requires continuous or almost continuous sitting in 27% of jobs; sitting more than half the time in 15% of jobs; and less than half the time in 13% of jobs.  In 40% of the jobs, the worker must sit about half the time.  Curious, the O*NET reports:

Spend Time Standing — How much does this job require standing?
47     About half the time
32     Less than half the time

We have slightly different reports about sitting as opposed to standing about half the time.  The reasonable explanation comes from the other primary exertional activity -- walking. 

Spend Time Walking and Running — How much does this job require walking and running?
66     Less than half the time
24     Never

The question asked about occasional bending, stooping, squatting and kneeling.  The O*NET reports:

Spend Time Bending or Twisting the Body — How much does this job require bending or twisting your body?
15     About half the time
29     Less than half the time
24     Never
Spend Time Kneeling, Crouching, Stooping, or Crawling — How much does this job require kneeling, crouching, stooping or crawling?
32     Less than half the time
38     Never
A significant percentage of postural activities are unaccounted for. 

We can end this piece of the inquiry with the language problem.  The occupation as generally performed:

51 
English Language — Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.

The concept of "as generally performed" has limited definition in Social Security Ruling 82-61.  A fair question inquires whether less than half constitutes "as generally performed" or the word used by the ruling, "ordinarily."  More on that later.