Showing posts with label medium. Show all posts
Showing posts with label medium. Show all posts

Monday, December 6, 2021

Common Medium Unskilled DOT Codes -- Standing and Walking

 Medium work as defined in the DOT has no maximum percentage or amounts of standing and walking during an eight-hour day, other than the length of the workday.  The primary tool for examining the existence of medium work and the amount of standing and walking during the workday is the Occupational Requirements Survey.  Here are the data:

DOT Title

DOT Code

Industry

2020      OOH

 OOH     JOBS

OEWS   JOBS

S/W ≤6

STR. MEDIUM

CLEANER, INDUSTRIAL

381.687-018

(any industry)

37-2011

      2,217,000

1,990,510

0.0%

75%

KITCHEN HELPER

318.687-010

(hotel & rest.)

35-9021

         408,500

396,660

0.0%

49%

LABORER, STORES

922.687-058

(any industry)

51-9198

         238,000

239,340

0.0%

76%

MARKER

369.687-026

(laundry & rel.)

51-9061

         557,900

549,200

50.0%

30%

PACKAGER, HAND

920.587-018

(any industry)

53-7064

         599,700

599,270

0.0%

65%


The only group with possible medium work with standing and walking less than or equal to six hours is inspectors, testers, sorters, samplers, and weighers (SOC 51-9061).  Half the jobs do not require sitting in excess of six hours but less than a third require medium exertion.  The data confirm the suspicion:

Strength Type

Value

Sedentary

10.4%

Light Work

48.6%

Medium Work

30%

The half of the jobs that do not require excess standing and walking, over 10% of those are sedentary.  Sedentary work requires standing and walking not more than occasionally during the workday.  That leaves almost 40% of the jobs with the number of light jobs exceeding in the aggregate the number of medium jobs.  

This calls into question the dependence of standing and walking on the strength require.  Since Labor does not provide the correlation between excess standing and walking, we ask the vocational expert to give an opinion.  Are medium jobs more likely to require standing and walking in excess of six hours a day as compared to light jobs in the same classification of inspectors, testers, sorters, samplers, and weighers (SOC 51-9061)?  The burden rests on the agency to come forward with persuasive evidence that medium jobs exist.  If they do not exist, we use Table 2 of the Medical-Vocational Guidelines.  For a person over 55 with a relevant work history or more than a limited education, that makes a difference.  

Create the conflict.  Ask the witness to give statistical testimony.  When the witness cannot, the Commissioner cannot sustain her burden of proof.  


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Suggested Citation:

Lawrence Rohlfing, Common Medium Unskilled DOT Codes -- Standing and Walking, California Social Security Attorney (December 6, 2021)  https://californiasocialsecurityattorney.blogspot.com    


Wednesday, January 22, 2020

Definitions of Sedentary, Light, Medium, Heavy, and Very Heavy Work

Sometimes it is worth examining our presumptions about what terms and phrases of art mean.  We explore the issue of the exertional demands of the different ranges of work.  The Occupational Requirements Survey is a creature of the Bureau of Labor Statistics.  The ORS is intended as the eventual replacement for the Dictionary of Occupational Titles.  Here is the ORS definitions of light through very heavy work.

Table 1. Determining strength level based on duration of lifting or carrying
Strength level
Duration of lifting or carrying
Seldom
Occasionally
Frequently
Constantly
Light work
11-20 pounds
11-20 pounds
1-10 pounds
Negligible weight
Medium work
21-50 pounds
21-50 pounds
11-25 pounds
1-10 pounds
Heavy work
51-100 pounds
51-100 pounds
26-50 pounds
11-20 pounds
Very heavy work
>100 pounds
>100 pounds
>50 pounds
>20 pounds


The definition of sedentary is a residual category, a process of excluding other ranges of work. 

Table 2. Special cases for calculating strength level
Strength level
Description
Unknown
If it is unknown whether lifting or carrying occurs occasionally, frequently, or constantly or none of the conditions in the strength level chart are met and standing or walking or sitting are unknown.
Sedentary
If none of the conditions in the strength level chart are met and standing or walking occurs less than or equal to 1/3 of the work schedule.
Light work
If none of the conditions in the strength chart are met and does not meet the special conditions for unknown or sedentary.

The amount of standing/walking in a day is a factor only in differentiating between sedentary and light work.  The statement is SSR 83-10 that the primary difference between sedentary and light work is the amount of standing/walking conforms to Labor definitions.  The statements in SSR 83-10 that light and medium work involve standing/walking six hours in a workday was not correct in 1983, not correct in 1991, and not correct today.  Light work involves standing/walking from zero to eight hours per day. 

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SUGGESTED CITATION:

Lawrence Rohlfing, Definitions of Sedentary, Light, Medium, Heavy, and Very Heavy Work," California Social Security Attorney (January 22, 2020),
https://californiasocialsecurityattorney.blogspot.com/2020/01/definitions-of-sedentary-light-medium.html

Thursday, January 24, 2019

Medium Exertion and Standing/Walking Six Hours in an Eight-Hour Day

That is the common state agency finding, common consultative examiner finding, and frequent ALJ assessment of residual functional capacity.  The claimant can stand/walk for six of eight hours during the workday.  The problem is simple:  standing/walking for six hours does not permit the full range of medium work or even most unskilled medium jobs.

We start with the Dictionary of Occupational Titles because the Commissioner treats the DOT as the holy grail of vocational resources.  The DOT says:
M-Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Light Work.
Nothing about six hours of standing/walking in the DOT. 

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

The Commissioner cannot claim the privilege of construing the DOT but she does promulgate regulations:
Medium work. Medium work involves lifting no more than 50 pounds at a time with frequent lifting or carrying of objects weighing up to 25 pounds. If someone can do medium work, we determine that he or she can also do sedentary and light work.
 Nothing about six hours of standing/walking in the regulations.  The Commissioner construes her own regulations.  SSR 83-10:
3. Medium work. The regulations define medium work as lifting no more than 50 pounds at a time with frequent lifting or carrying of objects weighing up to 25 pounds. A full range of medium work requires standing or walking, off and on, for a total of approximately 6 hours in an 8-hour workday in order to meet the requirements of frequent lifting or carrying objects weighing up to 25 pounds. As in light work, sitting may occur intermittently during the remaining time.
 There it is.  Six hours in an eight-hour workday.  Pretty definitive except that is required just to perform the frequent lifting required of medium work.  The second phrase that is important is that "sitting may occur intermittently during the remaining time."

May is one of those words that strips all meaning out of everything that follows.  May in this context means that the person might sit in the remaining two hours.  But even if the worker does sit, the ruling does not imply that the person sits for the remaining two hours.  Instead, SSR 83-10 states that the worker might sit intermittently during the remaining time.  So might sit some of the remaining two hours of the workday.

If the person cannot perform more than six hours of standing/walking in an eight-hour day, that person cannot perform the full, wide, or any portion of medium work based solely on administrative notice.  The person must stand/walk for six hours and have the ability to stand/walk intermittently in the other two hours with scattered sitting in between.

We see this in current ALJ decisions.  The ALJ will find that the person can perform medium work as defined in the regulations.  But the medical evidence says six hours or about six hours.  Failure to reconcile the medical evidence to the fact finding is error.

Thursday, November 1, 2018

Linda Ferra Agrees that Medium Work Requires More than Six Hours of Combined Standing and Walking

Linda Ferra is a vocational expert with a bulk provider agreement (BPA) with the Social Security Administration. 

The ALJ asks Ferra to assume a person of advanced age that can perform medium exertion.  Ferra identifies
laundry worker II, DOT 361.685-018 representing 40,000 jobs
laborer, stores, DOT 922.687-058 representing 50,000 jobs
industrial cleaner, DOT 381.687-018 representing 50,000 jobs
The medical evidence says six hours in an eight-hour day or about six hours in an eight-hour day.  That is the first step in cross-examination. 
If the person is limited to a combined six hours of standing and walking in an eight-hour day, can that person perform these three medium occupations?
 No.  
Ferra's testimony conforms to the DOT, the regulatory definition of medium work, the O*NET OnLine, and the Occupational Requirements Survey.  The fly in the ointment is SSR 83-10.  The ruling is inconsistent with the regulation, inconsistent with the document produced by the Department of Labor, subject to rebuttal, and is wrong.  Start with Appendix C of the DOT:
Medium Work - Exerting 20 to 50 pounds of force occasionally, or 10 to 25 pounds of force frequently, or greater than negligible up to 10 pounds of force constantly to move objects. Physical demand requirements are in excess of those for Light Work.
Not a word in the definition of medium work that even implies a six hour standing/walking upper limit for any medium occupation.  The regulation:
Medium work involves lifting no more than 50 pounds at a time with frequent lifting or carrying of objects weighing up to 25 pounds. If someone can do medium work, we determine that he or she can also do sedentary and light work.
Nothing here to imply much less require a six hour upper limit of standing/walking for any medium occupation.  I ran a sit-stand-walk report from Occu Collect that puts the data for the occupation in one report.  Extracting from that report, I find:

51-6011.00 - Laundry and Dry-Cleaning Workers


Exertional%Response
Spend Time Sitting — How much does this job require sitting?
0
Continually or almost continually
9
More than half the time
0
About half the time
12
Less than half the time
79
Never
%
Spend Time Standing — How much does this job require standing?
80
Continually or almost continually
11
More than half the time
0
About half the time
9
Less than half the time
0
Never
%
Spend Time Walking and Running — How much does this job require walking and running?
35
Continually or almost continually
28
More than half the time
11
About half the time
21
Less than half the time
5
Never
Never is pretty clear -- it means never.  Less than half the time for sitting ranges from seldom to the occasional range.  More than half the time straddles the upper end of the frequent range to the lower half of the constant range.  

51-6011.00 - Laundry and Dry-Cleaning Workers


Series ID: ORUP1000096000001004
Not seasonally adjusted
Series Title: laundry and dry-cleaning workers; % of day standing/walking is required (10th percentile)
Requirement: Physical Demands
Occupation: laundry and dry-cleaning workers
Estimate: % of day standing/walking is required (10th percentile)
YearPeriodEstimate
2017Annual81.3
Series ID: ORUP1000096000001005
Not seasonally adjusted
Series Title: laundry and dry-cleaning workers; % of day standing/walking is required (25th percentile)
Requirement: Physical Demands
Occupation: laundry and dry-cleaning workers
Estimate: % of day standing/walking is required (25th percentile)
YearPeriodEstimate
2017Annual87.5
Series ID: ORUP1000096000001006
Not seasonally adjusted
Series Title: laundry and dry-cleaning workers; % of day standing/walking is required (50th percentile - median)
Requirement: Physical Demands
Occupation: laundry and dry-cleaning workers
Estimate: % of day standing/walking is required (50th percentile - median)
YearPeriodEstimate
2017Annual100
Series ID: ORUP1000096000001007
Not seasonally adjusted
Series Title: laundry and dry-cleaning workers; % of day standing/walking is required (75th percentile)
Requirement: Physical Demands
Occupation: laundry and dry-cleaning workers
Estimate: % of day standing/walking is required (75th percentile)
YearPeriodEstimate
2017Annual100
Series ID: ORUP1000096000001008
Not seasonally adjusted
Series Title: laundry and dry-cleaning workers; % of day standing/walking is required (90th percentile)
Requirement: Physical Demands
Occupation: laundry and dry-cleaning workers
Estimate: % of day standing/walking is required (90th percentile)
YearPeriodEstimate
2017Annual100

Standing/walking 81.3% of the day for laundry workers 

Store Laborers is part of helpers-production workers (SOC 51-9198).  The Department of Labor says:

51-9198.00 - Helpers--Production Workers


Exertional%Response
Spend Time Sitting — How much does this job require sitting?
8
Continually or almost continually
8
More than half the time
11
About half the time
24
Less than half the time
49
Never
%
Spend Time Standing — How much does this job require standing?
49
Continually or almost continually
9
More than half the time
18
About half the time
19
Less than half the time
6
Never
%
Spend Time Walking and Running — How much does this job require walking and running?
19
Continually or almost continually
27
More than half the time
21
About half the time
17
Less than half the time
15
Never
This is a very broad range of work that contains sedentary and light work.  It takes the vocational expert to place the occupation in the 49% that never sit.  

51-9198.00 - Helpers--Production Workers

Series ID: ORUP1000030A00001004
Not seasonally adjusted
Series Title: helpers--production workers; % of day standing/walking is required (10th percentile)
Requirement: Physical Demands
Occupation: helpers--production workers
Estimate: % of day standing/walking is required (10th percentile)
YearPeriodEstimate
2017Annual75
Series ID: ORUP1000030A00001005
Not seasonally adjusted
Series Title: helpers--production workers; % of day standing/walking is required (25th percentile)
Requirement: Physical Demands
Occupation: helpers--production workers
Estimate: % of day standing/walking is required (25th percentile)
YearPeriodEstimate
2017Annual83.3
Series ID: ORUP1000030A00001006
Not seasonally adjusted
Series Title: helpers--production workers; % of day standing/walking is required (50th percentile - median)
Requirement: Physical Demands
Occupation: helpers--production workers
Estimate: % of day standing/walking is required (50th percentile - median)
YearPeriodEstimate
2017Annual95
Series ID: ORUP1000030A00001007
Not seasonally adjusted
Series Title: helpers--production workers; % of day standing/walking is required (75th percentile)
Requirement: Physical Demands
Occupation: helpers--production workers
Estimate: % of day standing/walking is required (75th percentile)
YearPeriodEstimate
2017Annual100
Series ID: ORUP1000030A00001008
Not seasonally adjusted
Series Title: helpers--production workers; % of day standing/walking is required (90th percentile)
Requirement: Physical Demands
Occupation: helpers--production workers
Estimate: % of day standing/walking is required (90th percentile)
YearPeriodEstimate
2017Annual100

The ORS suggests that the sedentary occupations do not exist and that somewhere between the 10th and 25th percentiles, all the occupations require standing/walking more than six hours in an eight-hour day.  

The ALJ is resisting Ferra's testimony so we need to lock down that industrial cleaner occupation.  

37-2011.00 - Janitors and Cleaners, Except Maids and Housekeeping Cleaners


Exertional%Response
Spend Time Sitting — How much does this job require sitting?
0
Continually or almost continually
0
More than half the time
0
About half the time
39
Less than half the time
61
Never
%
Spend Time Standing — How much does this job require standing?
82
Continually or almost continually
17
More than half the time
0
About half the time
0
Less than half the time
0
Never
%
Spend Time Walking and Running — How much does this job require walking and running?
43
Continually or almost continually
31
More than half the time
10
About half the time
16
Less than half the time
0
Never

At most 17% of janitors and cleaners might fall in that six hours out of eight range but more than half the time is not the range of frequent, it is the upper part of frequent and into the bottom portion of constant.  

37-2011.00 - Janitors and Cleaners, Except Maids and Housekeeping Cleaners

Series ID: ORUP1000062200001004
Not seasonally adjusted
Series Title: janitors and cleaners, except maids and housekeeping cleaners; % of day standing/walking is required (10th percentile)
Requirement: Physical Demands
Occupation: janitors and cleaners, except maids and housekeeping cleaners
Estimate: % of day standing/walking is required (10th percentile)
YearPeriodEstimate
2017Annual85
Series ID: ORUP1000062200001005
Not seasonally adjusted
Series Title: janitors and cleaners, except maids and housekeeping cleaners; % of day standing/walking is required (25th percentile)
Requirement: Physical Demands
Occupation: janitors and cleaners, except maids and housekeeping cleaners
Estimate: % of day standing/walking is required (25th percentile)
YearPeriodEstimate
2017Annual90
Series ID: ORUP1000062200001006
Not seasonally adjusted
Series Title: janitors and cleaners, except maids and housekeeping cleaners; % of day standing/walking is required (50th percentile - median)
Requirement: Physical Demands
Occupation: janitors and cleaners, except maids and housekeeping cleaners
Estimate: % of day standing/walking is required (50th percentile - median)
YearPeriodEstimate
2017Annual100
Series ID: ORUP1000062200001007
Not seasonally adjusted
Series Title: janitors and cleaners, except maids and housekeeping cleaners; % of day standing/walking is required (75th percentile)
Requirement: Physical Demands
Occupation: janitors and cleaners, except maids and housekeeping cleaners
Estimate: % of day standing/walking is required (75th percentile)
YearPeriodEstimate
2017Annual100
Series ID: ORUP1000062200001008
Not seasonally adjusted
Series Title: janitors and cleaners, except maids and housekeeping cleaners; % of day standing/walking is required (90th percentile)
Requirement: Physical Demands
Occupation: janitors and cleaners, except maids and housekeeping cleaners
Estimate: % of day standing/walking is required (90th percentile)
YearPeriodEstimate
2017Annual100

The ORS nails the question down.  At the 10th percentile, employers expect janitors and cleaners to be on their feet 85% of the day.  

Looking back at SSR 83-10:
The regulations define medium work as lifting no more than 50 pounds at a time with frequent lifting or carrying of objects weighing up to 25 pounds. A full range of medium work requires standing or walking, off and on, for a total of approximately 6 hours in an 8-hour workday in order to meet the requirements of frequent lifting or carrying objects weighing up to 25 pounds. As in light work, sitting may occur intermittently during the remaining time. Use of the arms and hands is necessary to grasp, hold, and turn objects, as opposed to the finer activities in much sedentary work, which require precision use of the fingers as well as use of the hands and arms.
The phrase "approximately 6 hours in an 8-hour workday" is inconsistent with the DOT and the regulation.  That phrase is inconsistent with data collected from work incumbents (O*NET OnLine) and with employer requirements (ORS).  SSR 83-10 needs to be rescinded and re-issued with definitions that fit Labor's observations, measurements, and the reality of work.