JOB DESCRIPTION FORMAT

Job Title____________________________ Job Code_______________________________

FLSA Job Status______________________ Location________________________________

Grade_________ Points________________ Department__________________________

Pay Range___________________________ Supervisor Job Title_______________________

Written By___________________________ Date Written_____________________________

Job Analyst__________________________ Approvals________________________________

Job Summary___________________________________________________________________

______________________________________________________________________________

Essential Functions                                                     Percent of Time

___________________________________ _______________________________________

___________________________________ _______________________________________

___________________________________ _______________________________________

Other Responsibilities

___________________________________ ______________________________________

___________________________________ ______________________________________

Accountabilities

____________________________________________________________________________

____________________________________________________________________________

Supervision

Received:__________________________________________________________________

Given:_____________________________________________________________________

Job Standards

Job Qualifications:

Education Required____________________________________________________________

___________________________________________________________________________

Experience Required____________________________________________________________

__________________________________________________________________________________

Experience Standards_________________________________________________________________

__________________________________________________________________________________

Skills Required______________________________________________________________________

__________________________________________________________________________________

Physical Standards including lifting and pushing requirements_________________________________

__________________________________________________________________________________

__________________________________________________________________________________

 


JOB ANALYSIS QUESTIONNAIRE

#1

Name___________________________________ Date___________________________

Position_________________________________ Immediate Supervisor_____________

Department______________________________ Title___________________________

Division_________________________________

If you need additional space, attach separate sheets of paper.

  1. ESSENTIAL FUNCTION:
  1. List your principal daily duties, activities and responsibilities. Estimate the time spent on each in percentage value. Start with the most "important," but give a good feel for the most time-consuming, if different.

ESSENTIAL FUNCTIONS: HOURS PER WEEK OR % OF TIME

 

 

 

 

 

  1. List any duties you perform weekly, monthly, annually or by special assignment not shown in question 1. Estimate the time spent on each in percentage value.

ESSENTIAL FUNCTION: HOURS PER WEEK OR % OF TIME

 

 

 

 

  

Other Responsibilities:

 

 

 

 

B. JUDGMENT

  1. Describe types of decisions you make.

 

 

 

 

 

  1. How is the information needed to make decisions obtained?

 

 

 

 

 

  1. Describe decisions you make without relying on established policies or procedures.

 

 

 

 

 

  1. DIRECTION GIVEN OR RECEIVED
  1. How many subordinates report directly to you?

NUMBER OF NUMBER THEY

POSITION INCUMBENTS SUPERVISE

________________ ______________________ ______________________

________________ ______________________ ______________________

  1. What percentage of your time is spent directly supervising your subordinates?

 

 

  1. From whom do you normally receive work assignments?

NAME TITLE PURPOSE

__________________ ________________________ ______________________

__________________ ________________________ ______________________

 

  1. To whom do you give work when it is completed? For what purpose, e.g., information, review, approval?

NAME TITLE PURPOSE

___________________ _______________________ ______________________

___________________ _______________________ ______________________

D. ERROR IMPACT

  1. What kinds of errors are likely to occur on your job?

 

 

 

  1. How are errors checked or discovered and by whom?

 

 

 

  1. What would be the effect, e.g., financial impact, loss or damage to equipment, if errors were not discovered?

 

 

 

  1. SCOPE OF CONTACTS

List work-related contacts you have with people, companies or organizations inside and outside the company:

NAME OF METHOD (phone, REASON FOR

CONTACT in person, etc.) CONTACT FREQUENCY

________________ _____________________ __________________ ________________

________________ _____________________ ___________________ ________________

  1. KNOWLEDGE, SKILL AND EXPERIENCE REQUIREMENTS
  1. What is the minimum basic education, formal or otherwise, that should normally be required of a person in order to perform the duties and responsibilities of your job? Why? (disregard your own qualifications-consider only the job-as you have described it.)

 

 

  1. What is the minimum previous related experience, whether acquired from outside or from within the company, that a person should have in order to perform the duties and the responsibilities of your job? Why?

 

 

  1. What special knowledge, skills, or training is required in order to perform your job?

 

 

  1. If applicable, list any equipment or machines used to perform your job.

 

 

  1. COMMENTS

Is there anything regarding your job you feel has not been adequately covered in this questionnaire?

 

 


 

JOB ANALYSIS FORM

AGENCY___________ POSITION_____________ SALARY__________ REFERENCE_________

  1. Job Description

 

2. Physical Requirements Weight/reach % of Time Adaptations Remarks
Carrying        
Cleaning        
Climbing        
Collating        
Dialing        
Driving        
Filing        
Hearing        
Holding        
Indexing        
Inserting        
Lifting        
Maintaining        
Opening        
Pulling        
Pushing        
Removing        
Scheduling        
Sitting        
Sorting        
Speaking        
Stamping        
Standing        
Stapling        
Threading        
Turning Pages        
Typing        
Unfolding        
Unlocking        
Using Keyboard

(coding)

       
Walking        
Weighing        
Writing        
3. Cognitive Requirements

Level/Type

Recommendations

Education    
Math    
Problem Solving    
Reading    
Reasoning    
Training    
4. Site Evaluation Dimensions Adaptations
Job Site    
Desk    
Door    
Door Mechanism    
Elevators    
Entrance    
File Cabinets    
Floor Covering    
Obstacles