SAMPLE Job Analysis Questionnaire

SAMPLE Job Analysis Questionnaire
1.SAMPLE Job Analysis Questionnaire Page 1
Incompletingthisanalysis,pleaserespondtoeverysection.Afteryouandyoursupervisorcompletethequestionnaire,
theanswerswillberatedandanalyzed.
Yourresponsesareusedtodeterminetherankingofyourpositionrelativetoothersinthedistrictandaidintheanalysis
toseeifyourpositionisproperlyclassified.Yourresponses,therefore,needtobeascompleteandaccurateas
possible.Theywillnotbeusedtoevaluateyourjobperformancenorbeseenaslimitingtheauthorityofdistrict
managementtoassignwork.
*Please answer the following:

Name:
Department:
Location:
Email:
PhoneNumber:
Lengthoftimeinthis
position:
Howmanymonthsoutofthe
yeardoyouwork:
*Supervisor's Contact Information:

SupervisorName:
SupervisorEmail:
SupervisorPhone:
CURRENT JOB FAMILY: _____________________________

If you disagree, please enter the correct job family:
CURRENT JOB TITLE: _____________________________

If you disagree, please recommend an appropriate job title:
CURRENT DEFINITION: __________________________________________

If you disagree, please suggest alternate wording:
5
CURRENT DISTINGUISHING JOB CHARACTERISTICS: _____________________________

If you disagree, please suggest alternate wording:
5
Page 1

*INTERACTION WITH OTHERS ON A FREQUENT BASIS

If any of the interactions are checked, describe the reason and the frequency of the work
contact in the box provided.
c Students
d
e
f
g
c GeneralPublic
d
e
f
g
c Teachers
d
e
f
g
c Administrators
d
e
f
g
c Vendors
d
e
f
g
c ClassifiedEmployees
d
e
f
g
c Other(Explainbelow)
d
e
f
g
ExplainyourSelections(BeasDetailedasPossible)
*WRITTEN MATERIALS PRODUCED: Check only those that are produced while
performing jobrelated tasks.
c Notes
d
e
f
g
c Informalemails
d
e
f
g
c Reports
d
e
f
g
c Other(Explainbelow)
d
e
f
g
ExplainyourSelections(BeasDetailedasPossible)
Page 2

*SUPERVISION RECEIVED Decision Making Authority: Check the closest match.

c CloseSupervisionWorkfrequentlycheckedbysupervisor.Doesnotmakedecisionsregardingworkassignments.
d
e
f
g
c GeneralSupervisionWorksaloneonroutineorregularworkassignments,checkswiththesupervisorregardingnonroutineassignments
d
e
f
g
orwhenindoubtastocorrectprocedurestobefollowed.Makeslimiteddecisionsonroutineassignments.Otherdecisionsrequiresupervisory
approval.
c LimitedSupervisionRequiresoccasionalsupervisionwhileworkingtowardadefiniteobjectiverequiringuseofawiderangeof
d
e
f
g
procedures.Plans,arranges,and/ordeterminesthespecificproceduresorequipmentneedsrequiredtomeetassignedobjectives.Analyzes
andsolvesnonroutineproblems,guidedbyworkpolicies,proceduresandmanuals,refersonlyunusualdecisionstosupervisor.
c MinimalSupervisionWorksfrombroadpoliciesandongeneralobjectives.Routinelyanalyzes,evaluatesandsolvesproblemsthatarise
d
e
f
g
inthecourseofwork,andrefersspecificmatterstosuperior(s)onlywheninterpretationorclarificationofdepartmentalordistrictpoliciesis
necessary.
c Other(pleasespecify)
d
e
f
g
*DIRECT SUPERVISION is defined as budgetary responsibility for the position and
accountability to include scheduling, performance appraisals, goal setting, and

disciplinary action.
Based on the definition above, do you directly supervise fulltime or parttime staff?
(Students are not included)
j YES
k
l
m
n
j NO
k
l
m
n
If Yes, how many employees do you supervise?:
If Yes, identify staff name, job title and full or parttime status below:
(Example: Jean Doe, Office Assistant I/ PT)
5
*LEAD RESPONSIBILITIES is defined as scheduling staff, providing daily work
assignments and recommendations regarding goals or performance evaluations.

Based on the definition above, do you lead fulltime or parttime staff?
(Students are not included)
j YES
k
l
m
n
j NO
k
l
m
n
Page 3

If Yes, how many employees do you have lead responsibilities over?:
If Yes, identify staff name, job title and full or parttime status below:
(Example: Jean Doe, Office Assistant I/ PT)
5
Page 4

4.SAMPLE Questionnaire Task Worksheet
Pleasereviewthefollowingstatements.Thesearethedutieslistedinthecurrentjobdescription.Ratethemaccordingly.
RelativeTimeSpentSchedulefrom"PercentageofTimeTable":
~FREQUENTLY:PerformstaskDailyorWeekly
~OCCASIONALLY:PerformstaskMonthlyorQuarterly
~RARELY:PerformstaskAnnually
~NOTPERFORMED:Taskisnolongerperformed
*Task 1. __________________________________________________________
TaskisNOTPERFORMEDat
all
RelativeTimeSpent
TaskisperformedRARELY
Taskisperformed
Taskisperformed
incomparisontootherjob
OCCASIONALLYin
FREQUENTLYin
tasks
j
k
l
m
n
comparisontootherjobtasks comparisontootherjobtasks
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Specifypercentageoftimebasedonselectionmade.Example:NotApplicableorMonthly25%.(RefertoPercentageofTimeTable):
*.
ThistaskisNOTPERFORMEDor Theperformanceofthistaskis
istrivialtosatisfactoryjob
IMPORTANTandthistaskisan
performance
essentialtask/jobfunction
j
k
l
m
n
j
k
l
m
n
TaskCriticality
Theperformanceofthistaskis
CRUCIALtosatisfactoryjob
performanceandthistaskisan
j
k
l
m
n
Ifthetaskstatementneedstobereworded,pleaserewriteithere:
5
6
*Task 2. __________________________________________________________
all
RelativeTimeSpent
Taskisperformed
Taskisperformed
OCCASIONALLYin
FREQUENTLYin
tasks
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
*.
performance
j
k
l
m
n
j
k
l
m
n
TaskCriticality
j
k
l
m
n
5
6
*Task 3. __________________________________________________________
all
RelativeTimeSpent
j
k
l
m
n
Taskisperformed
Taskisperformed
OCCASIONALLYin
FREQUENTLYin
tasks
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Page 5
*.
performance
j
k
l
m
n
j
k
l
m
n
TaskCriticality
j
k
l
m
n
5
6
*Task 4. __________________________________________________________
all
RelativeTimeSpent
Taskisperformed
Taskisperformed
OCCASIONALLYin
FREQUENTLYin
tasks
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
*.
performance
j
k
l
m
n
j
k
l
m
n
TaskCriticality
j
k
l
m
n
5
6
*Task 5. __________________________________________________________
all
RelativeTimeSpent
Taskisperformed
Taskisperformed
OCCASIONALLYin
FREQUENTLYin
tasks
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
*.
performance
j
k
l
m
n
j
k
l
m
n
TaskCriticality
j
k
l
m
n
5
6
*Task 6. __________________________________________________________
all
RelativeTimeSpent
j
k
l
m
n
Taskisperformed
Taskisperformed
OCCASIONALLYin
FREQUENTLYin
tasks
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Page 6
*.
performance
j
k
l
m
n
j
k
l
m
n
TaskCriticality
j
k
l
m
n
5
6
*Task 7. __________________________________________________________
all
RelativeTimeSpent
Taskisperformed
Taskisperformed
OCCASIONALLYin
FREQUENTLYin
tasks
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
*.
performance
j
k
l
m
n
j
k
l
m
n
TaskCriticality
j
k
l
m
n
5
6
*Task 8. __________________________________________________________
all
RelativeTimeSpent
Taskisperformed
Taskisperformed
OCCASIONALLYin
FREQUENTLYin
tasks
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
*.
performance
j
k
l
m
n
j
k
l
m
n
TaskCriticality
j
k
l
m
n
5
6
*Task 9. __________________________________________________________
all
RelativeTimeSpent
j
k
l
m
n
Taskisperformed
Taskisperformed
OCCASIONALLYin
FREQUENTLYin
tasks
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Page 7
*.
performance
j
k
l
m
n
j
k
l
m
n
TaskCriticality
j
k
l
m
n
5
6
*Task 10. __________________________________________________________

all
RelativeTimeSpent
Taskisperformed
Taskisperformed
OCCASIONALLYin
FREQUENTLYin
tasks
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
*.
performance
j
k
l
m
n
j
k
l
m
n
TaskCriticality
j
k
l
m
n
5
6
*Task 11. __________________________________________________________

all
RelativeTimeSpent
Taskisperformed
Taskisperformed
OCCASIONALLYin
FREQUENTLYin
tasks
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
*.
performance
j
k
l
m
n
j
k
l
m
n
TaskCriticality
j
k
l
m
n
5
6
*Task 12. __________________________________________________________

all
RelativeTimeSpent
j
k
l
m
n
Taskisperformed
Taskisperformed
OCCASIONALLYin
FREQUENTLYin
tasks
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Page 8
*.
performance
j
k
l
m
n
j
k
l
m
n
TaskCriticality
j
k
l
m
n
5
6
*Task 13. __________________________________________________________

all
RelativeTimeSpent
Taskisperformed
Taskisperformed
OCCASIONALLYin
FREQUENTLYin
tasks
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
*.
performance
j
k
l
m
n
j
k
l
m
n
TaskCriticality
j
k
l
m
n
5
6
*Task 14. __________________________________________________________

all
RelativeTimeSpent
Taskisperformed
Taskisperformed
OCCASIONALLYin
FREQUENTLYin
tasks
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
*.
performance
j
k
l
m
n
j
k
l
m
n
TaskCriticality
j
k
l
m
n
5
6
*Task 15. __________________________________________________________

all
RelativeTimeSpent
j
k
l
m
n
Taskisperformed
Taskisperformed
OCCASIONALLYin
FREQUENTLYin
tasks
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Page 9
*.
performance
j
k
l
m
n
j
k
l
m
n
TaskCriticality
j
k
l
m
n
5
6
*Task 16. __________________________________________________________

all
RelativeTimeSpent
Taskisperformed
Taskisperformed
OCCASIONALLYin
FREQUENTLYin
tasks
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
*.
performance
j
k
l
m
n
j
k
l
m
n
TaskCriticality
j
k
l
m
n
5
6
*Task 17. __________________________________________________________

all
RelativeTimeSpent
Taskisperformed
Taskisperformed
OCCASIONALLYin
FREQUENTLYin
tasks
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
*.
performance
j
k
l
m
n
j
k
l
m
n
TaskCriticality
j
k
l
m
n
5
6
*Task 18. __________________________________________________________

all
RelativeTimeSpent
j
k
l
m
n
Taskisperformed
Taskisperformed
OCCASIONALLYin
FREQUENTLYin
tasks
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Page 10
*.
performance
j
k
l
m
n
j
k
l
m
n
TaskCriticality
j
k
l
m
n
5
6
*Task 19. __________________________________________________________

all
RelativeTimeSpent
Taskisperformed
Taskisperformed
OCCASIONALLYin
FREQUENTLYin
tasks
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
*.
performance
j
k
l
m
n
j
k
l
m
n
TaskCriticality
j
k
l
m
n
5
6
*Task 20. __________________________________________________________

all
RelativeTimeSpent
Taskisperformed
Taskisperformed
OCCASIONALLYin
FREQUENTLYin
tasks
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
*.
performance
j
k
l
m
n
j
k
l
m
n
TaskCriticality
j
k
l
m
n
5
6
*Task 21. __________________________________________________________

all
RelativeTimeSpent
j
k
l
m
n
Taskisperformed
Taskisperformed
OCCASIONALLYin
FREQUENTLYin
tasks
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Page 11
*.
performance
j
k
l
m
n
j
k
l
m
n
TaskCriticality
j
k
l
m
n
5
6
*Task 22. __________________________________________________________

all
RelativeTimeSpent
Taskisperformed
Taskisperformed
OCCASIONALLYin
FREQUENTLYin
tasks
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
*.
TaskCriticality
performance
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
5
6
Page 12

5.SAMPLE Questionnaire Task Worksheet Cont'd
Usethisportionofthequestionnairetoindicatedutiescurrentlyperformed,notlistedonthecurrentjobdescriptionfor
thispositionandratethemaccordingly.
RelativeTimeSpentSchedulefrom"PercentageofTimeTable":
~FREQUENTLY:PerformstaskDailyorWeekly
~OCCASIONALLY:PerformstaskMonthlyorQuarterly
~RARELY:PerformstaskAnnually
~NOTPERFORMED:Taskisnolongerperformed
Task 1. Other Tasks (not currently listed on the job description)

5
6
"
all
RelativeTimeSpent
Taskisperformed
Taskisperformed
OCCASIONALLYin
FREQUENTLYin
tasks
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
.
performance
j
k
l
m
n
j
k
l
m
n
TaskCriticality
j
k
l
m
n
5
6

5
6
"
all
RelativeTimeSpent
Taskisperformed
Taskisperformed
OCCASIONALLYin
FREQUENTLYin
tasks
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
.
TaskCriticality
performance
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
5
6

5
6
Page 13

"
all
RelativeTimeSpent
Taskisperformed
Taskisperformed
OCCASIONALLYin
FREQUENTLYin
tasks
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
.
performance
j
k
l
m
n
j
k
l
m
n
TaskCriticality
j
k
l
m
n
5
6

5
6
"
all
RelativeTimeSpent
Taskisperformed
Taskisperformed
OCCASIONALLYin
FREQUENTLYin
tasks
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
"
performance
j
k
l
m
n
j
k
l
m
n
TaskCriticality
j
k
l
m
n

5
6
"
all
RelativeTimeSpent
Taskisperformed
Taskisperformed
OCCASIONALLYin
FREQUENTLYin
tasks
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
"
TaskCriticality
performance
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n

5
6
Page 14

"
all
RelativeTimeSpent
Taskisperformed
Taskisperformed
OCCASIONALLYin
FREQUENTLYin
tasks
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
"
performance
j
k
l
m
n
j
k
l
m
n
TaskCriticality
j
k
l
m
n

5
6
"
all
RelativeTimeSpent
Taskisperformed
Taskisperformed
OCCASIONALLYin
FREQUENTLYin
tasks
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
"
performance
j
k
l
m
n
j
k
l
m
n
TaskCriticality
j
k
l
m
n

5
6
"
all
RelativeTimeSpent
Taskisperformed
Taskisperformed
OCCASIONALLYin
FREQUENTLYin
tasks
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
"
TaskCriticality
performance
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n

5
6
Page 15

"
all
RelativeTimeSpent
Taskisperformed
Taskisperformed
OCCASIONALLYin
FREQUENTLYin
tasks
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
"
performance
j
k
l
m
n
j
k
l
m
n
TaskCriticality
j
k
l
m
n
5
6
"
all
RelativeTimeSpent
Taskisperformed
Taskisperformed
OCCASIONALLYin
FREQUENTLYin
tasks
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
"
performance
j
k
l
m
n
j
k
l
m
n
TaskCriticality
j
k
l
m
n
5
6
"
all
RelativeTimeSpent
Taskisperformed
Taskisperformed
OCCASIONALLYin
FREQUENTLYin
tasks
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
"
TaskCriticality
performance
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Page 16

6.SAMPLE Questionnaire Education, Training and Experience Requirements
Indicatethequalificationsandrequirementsforsuccessfulperformancewhichshouldberequiredinfillingafuture
vacancyinyourclassification.Describewhatyouthinkisnecessary,notnecessarilyyourownqualification.Indicate
yourreasonsforselectingtheserequirements.
*Minimum Formal Education: ________________________________

5
6
*Specialized Training years and type (If not applicable, please type N/A):
5
6
*Previous Experience (years and type): ________________________________

5
6
*Licenses, Certification or Registration (If not applicable, please type N/A):
Valid Drivers License is required.
5
6
*Training Period (required for a new employee possessing the qualifications above):
If not applicable, please type N/A
5
6
Page 17

7.Knowledge
Ratetheknowledgerequiredforthejob.
*1. Knowledge of ______________________________________________

PossessionofthisKnowledgeisNOT
REQUIREDforsuccessfuljob
PossessionofthisKnowledgeis
REQUIREDAFTERHIREforsuccessfulREQUIREDWHENHIREDforsuccessful
performance.
jobperformance.
jobperformance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
*.
NOTRELATEDtooverall
onlyHELPFULorDESIRABLE
foroverallsatisfactoryjob
satisfactoryjobperformance.
performance.
j
k
l
m
n
Knowledge
PossessionofthisKnowledgeis PossessionofthisKnowledgeis
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Criticality
*.
NO.PossessionofincreasingamountsofthisKnowledge YES.PossessionofincreasingamountsofthisKnowledge
beyondtheminimumlevelrequiredwillnotresultin
beyondtheminimumlevelrequiredislikelytoresultin
betterjobperformance.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance
IftheKnowledgestatementneedstobereworded,pleaserewriteithere:
5
6
*2. Knowledge of ______________________________________________

performance.
jobperformance.
jobperformance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
*.
NOTRELATEDtooverall
Knowledge
performance.
j
k
l
m
n
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Criticality
*.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance
5
6
*3. Knowledge of ______________________________________________

WhenRequired
performance.
jobperformance.
jobperformance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Page 18
*.
NOTRELATEDtooverall
performance.
j
k
l
m
n
Knowledge
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Criticality
*.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance
5
6
*4. Knowledge of ______________________________________________

performance.
jobperformance.
jobperformance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
*.
NOTRELATEDtooverall
performance.
j
k
l
m
n
Knowledge
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Criticality
*.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance
5
6
*5. Knowledge of ______________________________________________

performance.
jobperformance.
jobperformance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
*.
NOTRELATEDtooverall
Knowledge
j
k
l
m
n
performance.
j
k
l
m
n
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
Criticality
Page 19
*.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance
5
6
*6. Knowledge of ______________________________________________

performance.
jobperformance.
jobperformance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
*.
NOTRELATEDtooverall
performance.
j
k
l
m
n
Knowledge
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Criticality
*.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance
5
6
*7. Knowledge of ______________________________________________

performance.
jobperformance.
jobperformance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
*.
NOTRELATEDtooverall
Knowledge
performance.
j
k
l
m
n
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Criticality
*.
RelationshiptoJob
j
k
l
m
n
j
k
l
m
n
Performance
5
6
Page 20
*8. Knowledge of ______________________________________________

performance.
jobperformance.
jobperformance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
*.
NOTRELATEDtooverall
performance.
j
k
l
m
n
Knowledge
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Criticality
*.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance
5
6
*9. Knowledge of ______________________________________________

performance.
jobperformance.
jobperformance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
*.
NOTRELATEDtooverall
performance.
j
k
l
m
n
Knowledge
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Criticality
*.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance
5
6
*10. Knowledge of ______________________________________________

performance.
jobperformance.
jobperformance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
*.
NOTRELATEDtooverall
Knowledge
j
k
l
m
n
performance.
j
k
l
m
n
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
Criticality
Page 21
*.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance
5
6
Page 22

8.Knowledge Cont'd
Usethisportionofthequestionnairetoindicateknowledgewhichmayberequiredatthetimeofhire,areNOTcurrently
listedonthecurrentjobdescriptionforthispositionandratethemaccordingly.
1. Other Knowledge Needed (not currently listed on the job description)

5
6
"
performance.
jobperformance.
jobperformance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
.
NOTRELATEDtooverall
performance.
j
k
l
m
n
Knowledge
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Criticality
.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance
5
6

5
6
"
performance.
jobperformance.
jobperformance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
"
NOTRELATEDtooverall
Knowledge
performance.
j
k
l
m
n
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Criticality
"
RelationshiptoJob
j
k
l
m
n
j
k
l
m
n
Performance
Page 23

5
6
"
performance.
jobperformance.
jobperformance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
"
NOTRELATEDtooverall
performance.
j
k
l
m
n
Knowledge
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Criticality
"
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance

5
6
"
performance.
jobperformance.
jobperformance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
"
NOTRELATEDtooverall
Knowledge
performance.
j
k
l
m
n
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Criticality
"
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance

5
6
"
WhenRequired
performance.
jobperformance.
jobperformance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Page 24

"
NOTRELATEDtooverall
performance.
j
k
l
m
n
Knowledge
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Criticality
"
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance

5
6
"
performance.
jobperformance.
jobperformance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
"
NOTRELATEDtooverall
performance.
j
k
l
m
n
Knowledge
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Criticality
"
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance

5
6
"
performance.
jobperformance.
jobperformance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
"
NOTRELATEDtooverall
Knowledge
performance.
j
k
l
m
n
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Criticality
"
RelationshiptoJob
j
k
l
m
n
j
k
l
m
n
Performance
Page 25

5
6
"
performance.
jobperformance.
jobperformance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
"
NOTRELATEDtooverall
performance.
j
k
l
m
n
Knowledge
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Criticality
"
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance

5
6
"
performance.
jobperformance.
jobperformance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
"
NOTRELATEDtooverall
Knowledge
performance.
j
k
l
m
n
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Criticality
"
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance
5
6
"
WhenRequired
performance.
jobperformance.
jobperformance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Page 26

"
NOTRELATEDtooverall
performance.
j
k
l
m
n
Knowledge
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Criticality
"
RelationshiptoJob
j
k
l
m
n
j
k
l
m
n
Performance
Page 27

9.Skills
Ratetheskillsrequiredforthejob.
*1. Skill to ______________________________________________

PossessionofthisSkillisNOT
PossessionofthisSkillisREQUIRED
AFTERHIREforsuccessfuljob
WHENHIREDforsuccessfuljob
performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
*.
PossessionofthisSkillisonly
RELATEDtooverallsatisfactory
jobperformance.
HELPFULorDESIRABLEfor
overallsatisfactoryjob
performance.
j
k
l
m
n
Skill
PossessionofthisSkillis
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Criticality
*.
NO.PossessionofincreasingamountsofthisSkillbeyond YES.PossessionofincreasingamountsofthisSkillbeyond
theminimumlevelrequiredwillnotresultinbetterjob
theminimumlevelrequiredislikelytoresultinbetterjob
performance.
performance.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance
IftheSkillstatementneedstobereworded,pleaserewriteithere:
5
6
*2. Skill to ______________________________________________

performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
*.
jobperformance.
Skill
performance.
j
k
l
m
n
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Criticality
*.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance
5
6
*3. Skill to ______________________________________________

WhenRequired
performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Page 28
*.
jobperformance.
performance.
j
k
l
m
n
Skill
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Criticality
*.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance
5
6
*4. Skill to ______________________________________________

performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
*.
jobperformance.
performance.
j
k
l
m
n
Skill
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Criticality
*.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance
5
6
*5. Skill to ______________________________________________

performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
*.
jobperformance.
Skill
j
k
l
m
n
performance.
j
k
l
m
n
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
Criticality
Page 29
*.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance
5
6
*6. Skill to ______________________________________________

performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
*.
jobperformance.
performance.
j
k
l
m
n
Skill
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Criticality
*.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance
5
6
*7. Skill to ______________________________________________

performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
*.
jobperformance.
Skill
performance.
j
k
l
m
n
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Criticality
*.
RelationshiptoJob
performance.
performance.
j
k
l
m
n
j
k
l
m
n
Performance
5
6
Page 30
*8. Skill to ______________________________________________

performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
*.
jobperformance.
performance.
j
k
l
m
n
Skill
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Criticality
*.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance
5
6
*9. Skill to ______________________________________________

performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
*.
jobperformance.
performance.
j
k
l
m
n
Skill
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Criticality
*.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance
5
6
*10. Skill to ______________________________________________

performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
*.
jobperformance.
Skill
j
k
l
m
n
performance.
j
k
l
m
n
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
Criticality
Page 31
*.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance
5
6
Page 32

10.Skills Cont'd
Usethisportionofthequestionnairetoindicateskillswhichmayberequiredatthetimeofhire,areNOTcurrentlylisted
onthecurrentjobdescriptionforthispositionandratethemaccordingly.
1. Other Skills Needed (not currently listed on the job description)

5
6
"
performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
"
jobperformance.
performance.
j
k
l
m
n
Skill
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Criticality
"
performance.
performance.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance

5
6
"
performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
"
jobperformance.
Skill
performance.
j
k
l
m
n
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Criticality
"
RelationshiptoJob
performance.
performance.
j
k
l
m
n
j
k
l
m
n
Performance

5
6
Page 33

"
performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
"
jobperformance.
performance.
j
k
l
m
n
Skill
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Criticality
"
performance.
performance.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance

5
6
"
performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
"
jobperformance.
performance.
j
k
l
m
n
Skill
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Criticality
"
performance.
performance.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance

5
6
"
performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
"
jobperformance.
Skill
j
k
l
m
n
performance.
j
k
l
m
n
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
Criticality
Page 34

"
performance.
performance.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance

5
6
"
performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
"
jobperformance.
performance.
j
k
l
m
n
Skill
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Criticality
"
performance.
performance.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance

5
6
"
performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
"
jobperformance.
Skill
performance.
j
k
l
m
n
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Criticality
"
RelationshiptoJob
performance.
performance.
j
k
l
m
n
j
k
l
m
n
Performance

5
6
Page 35

"
performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
"
jobperformance.
performance.
j
k
l
m
n
Skill
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Criticality
"
RelationshiptoJob
performance.
performance.
j
k
l
m
n
j
k
l
m
n
Performance
Page 36

11.Abilities
Ratetheabilitiesrequiredforthejob.
*1. Ability to ______________________________________________

PossessionofthisAbilityisNOT
PossessionofthisAbilityisREQUIRED PossessionofthisAbilityisREQUIRED
performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
*.
PossessionofthisAbilityis
onlyHELPFULor
NOTRELATEDtooverall
AbilityCriticality
DESIRABLEforoverall
j
k
l
m
n
IMPORTANTforoverall
ESSENTIALforoverall
satisfactoryjobperformance. satisfactoryjobperformance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
*.
NO.PossessionofincreasingamountsofthisAbility
YES.PossessionofincreasingamountsofthisAbility
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance
5
6
*2. Ability to ______________________________________________

performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
*.
onlyHELPFULor
NOTRELATEDtooverall
AbilityCriticality
DESIRABLEforoverall
j
k
l
m
n
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
*.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance
5
6
*3. Ability to ______________________________________________

performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
*.
NOTRELATEDtooverall
AbilityCriticality
j
k
l
m
n
onlyHELPFULor
DESIRABLEforoverall
j
k
l
m
n
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
Page 37
*.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance
5
6
*4. Ability to ______________________________________________

performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
*.
onlyHELPFULor
NOTRELATEDtooverall
AbilityCriticality
DESIRABLEforoverall
j
k
l
m
n
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
*.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance
5
6
*5. Ability to ______________________________________________

performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
*.
onlyHELPFULor
NOTRELATEDtooverall
AbilityCriticality
DESIRABLEforoverall
j
k
l
m
n
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
*.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance
5
6
*6. Ability to ______________________________________________

WhenRequired
performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Page 38
*.
onlyHELPFULor
NOTRELATEDtooverall
AbilityCriticality
DESIRABLEforoverall
j
k
l
m
n
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
*.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance
5
6
*7. Ability to ______________________________________________

performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
*.
onlyHELPFULor
NOTRELATEDtooverall
AbilityCriticality
DESIRABLEforoverall
j
k
l
m
n
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
*.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance
5
6
*8. Ability to ______________________________________________

performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
*.
NOTRELATEDtooverall
AbilityCriticality
j
k
l
m
n
onlyHELPFULor
DESIRABLEforoverall
j
k
l
m
n
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
Page 39
*.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance
5
6
*9. Ability to ______________________________________________

performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
*.
onlyHELPFULor
NOTRELATEDtooverall
AbilityCriticality
DESIRABLEforoverall
j
k
l
m
n
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
*.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance
5
6
*10. Ability to ______________________________________________

performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
*.
onlyHELPFULor
NOTRELATEDtooverall
AbilityCriticality
DESIRABLEforoverall
j
k
l
m
n
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
*.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance
5
6
*11. Ability to ______________________________________________

WhenRequired
performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Page 40
*.
onlyHELPFULor
NOTRELATEDtooverall
AbilityCriticality
DESIRABLEforoverall
j
k
l
m
n
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
*.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance
5
6
*12. Ability to ______________________________________________

performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
*.
onlyHELPFULor
NOTRELATEDtooverall
AbilityCriticality
DESIRABLEforoverall
j
k
l
m
n
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
*.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance
5
6
*13. Ability to ______________________________________________

performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
*.
NOTRELATEDtooverall
AbilityCriticality
j
k
l
m
n
onlyHELPFULor
DESIRABLEforoverall
j
k
l
m
n
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
Page 41
*.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance
5
6
*14. Ability to ______________________________________________

performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
*.
onlyHELPFULor
NOTRELATEDtooverall
DESIRABLEforoverall
j
k
l
m
n
AbilityCriticality
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
*.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance
5
6
*15. Ability to ______________________________________________

performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
*.
onlyHELPFULor
NOTRELATEDtooverall
DESIRABLEforoverall
j
k
l
m
n
AbilityCriticality
j
k
l
m
n
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
*.
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance
5
6
Page 42

12.Abilities Cont'd
Usethisportionofthequestionnairetoindicateabilitieswhichmayberequiredatthetimeofhire,areNOTcurrently
listedonthecurrentjobdescriptionforthispositionandratethemaccordingly.
1. Other Abilities Needed (not currently listed on the job description)

5
6
"
performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
"
onlyHELPFULor
NOTRELATEDtooverall
AbilityCriticality
DESIRABLEforoverall
j
k
l
m
n
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
"
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance

5
6
"
performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
"
onlyHELPFULor
NOTRELATEDtooverall
AbilityCriticality
DESIRABLEforoverall
j
k
l
m
n
j
k
l
m
n
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
"
RelationshiptoJob
j
k
l
m
n
j
k
l
m
n
Performance

5
6
Page 43

"
performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
"
onlyHELPFULor
NOTRELATEDtooverall
AbilityCriticality
DESIRABLEforoverall
j
k
l
m
n
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
"
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance
4 Other Abilities Needed (not currently listed on the job description)

5
6
"
performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
"
onlyHELPFULor
NOTRELATEDtooverall
AbilityCriticality
DESIRABLEforoverall
j
k
l
m
n
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
"
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance

5
6
"
performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
"
NOTRELATEDtooverall
AbilityCriticality
j
k
l
m
n
onlyHELPFULor
DESIRABLEforoverall
j
k
l
m
n
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
Page 44

"
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance

5
6
"
performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
"
onlyHELPFULor
NOTRELATEDtooverall
AbilityCriticality
DESIRABLEforoverall
j
k
l
m
n
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
"
j
k
l
m
n
j
k
l
m
n
RelationshiptoJob
Performance

5
6
"
performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
"
onlyHELPFULor
NOTRELATEDtooverall
AbilityCriticality
DESIRABLEforoverall
j
k
l
m
n
j
k
l
m
n
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
"
RelationshiptoJob
j
k
l
m
n
j
k
l
m
n
Performance

5
6
Page 45

"
performance.
performance.
performance.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
WhenRequired
"
onlyHELPFULor
NOTRELATEDtooverall
AbilityCriticality
DESIRABLEforoverall
j
k
l
m
n
j
k
l
m
n
IMPORTANTforoverall
ESSENTIALforoverall
j
k
l
m
n
j
k
l
m
n
"
RelationshiptoJob
j
k
l
m
n
j
k
l
m
n
Performance
Page 46

13.Working Conditions Which May Occur
PleaserespondYesorNotothefollowingstatements:
*Frequently travel to locations other than assigned site.
j Yes
k
l
m
n
j No
k
l
m
n
If'Yes',Pleasespecify:
*Works at locations other than assigned site.
j Yes
k
l
m
n
j No
k
l
m
n
*Schedule changes may frequently occur based on business needs.
j Yes
k
l
m
n
j No
k
l
m
n
*Works where overtime may occur.
j Yes
k
l
m
n
j No
k
l
m
n
*May work some weekends.
j Yes
k
l
m
n
j No
k
l
m
n
*Works inside protected from weather.
j Yes
k
l
m
n
j No
k
l
m
n
*Work outside, not in a building, shop, etc., exposed to the weather.
j Yes
k
l
m
n
j No
k
l
m
n
Page 47
*Works in an area where a high level of sound occurs.
j Yes
k
l
m
n
j No
k
l
m
n
*Work where there is the possibility of direct contact with electrical panels, circuits,
or equipment such as power lines, transformers, or hand tools.
j Yes
k
l
m
n
j No
k
l
m
n
*Works in areas where there is the possibility of falling or losing ones footing due to
slippery, loose or uneven footing.
j Yes
k
l
m
n
j No
k
l
m
n
*Works where exposure to direct sunlight on unprotected skin may occur.
j Yes
k
l
m
n
j No
k
l
m
n
*Works on or around moving machinery or equipment or near any object that changes
position, location or speed. This includes stationary machines with moving parts and
vehicles in the work area.
j Yes
k
l
m
n
j No
k
l
m
n
*Operate a motorized vehicle during work hours as part of the duties of the classification.
j Yes
k
l
m
n
j No
k
l
m
n
If'Yes',pleasespecify:
*Works apart from other people, especially when physically or visually isolated from
others by structures or distance.
j Yes
k
l
m
n
j No
k
l
m
n
Page 48
*Works in areas where exposure to insects and spider bites or stings may occur.
j Yes
k
l
m
n
j No
k
l
m
n
*Work situations which require the supervision or control of persons who may become
physically violent, or combative.
j Yes
k
l
m
n
j No
k
l
m
n
*Tasks performed involve leaning, bending forward, kneeling or squatting several times
an hour.
j Yes
k
l
m
n
j No
k
l
m
n
*Tasks performed involve working with the wrists in a bent or twisted positions several
times an hour.
j Yes
k
l
m
n
j No
k
l
m
n
*Are there other working conditions you would like to add? If yes, enter them in the
'Other' box.
j Yes
k
l
m
n
j No
k
l
m
n
Other(pleasespecify)
Page 49

14.Examples of physical ability requirements necessary to perform the above
jo...
Doesyourpositionrequireanyofthefollowingphysicalabilities?PleaserespondYesorNotothelistedstatements:
*MUSCULAR TENSION: Muscular effort (or strength) needed to lift, push, pull or carry an
object. Muscular strength is the capacity of your body's muscles to generate force in a
short period of time (< 4 minutes). It does not involve prolonged exertion or fatigue and it is
not concerned with the number of times a task is repeated. Some terms used when
describing this strength are lift, push, pull, carry, and drag.
j Yes
k
l
m
n
j No
k
l
m
n
If'Yes',Pleasedescribe:
5
6
*MUSCULAR POWER: (Explosive Strength) Short rapid burst of energy to propel either
the body or an external object. This burst of energy usually takes less than 10 seconds.
Explosive Strength does not involve the continuous or repeated use of energy. Some
terms used when describing this strength are swing, throw, jerk, and jump.
j Yes
k
l
m
n
j No
k
l
m
n
5
6
*MUSCULAR ENDURANCE: (Dynamic Strength) Muscle Endurance is the measure of
how well muscles can repeatedly generate force, and the amount of time they can maintain
activity. Muscular endurance requires strength to resist fatigue. Some terms used when
describing this strength include repeatedly push, continuously pull, and continually run.
j Yes
k
l
m
n
j No
k
l
m
n
5
6
*FLEXIBILITY: The ability to bend, stretch, twist, or reach out with the body, arms, and/or
legs to perform a task. Flexibility can also involve the continuous and repeated bending,
stretching or twisting movements of the torso, arms or legs. Some terms used to describe
this ability are reach, bend, and stretch.
j Yes
k
l
m
n
j No
k
l
m
n
5
6
Page 50
*CARDIORESPIRATORY ENDURANCE: Requires the heart and lungs to perform
efficiently to avoid getting "winded" or out of breath during periods of prolonged physical
exertion. This ability involves continuous physical activity that places a strain on the heart
and lungs. Some terms used in describing this ability are chase, struggle, endure, and
sustain.
j Yes
k
l
m
n
j No
k
l
m
n
5
6
*SPEED OF LIMB MOVEMENT: Speed with which a single rapid movement of the arm or
leg is made. Strength is not a factor in this ability. Some terms used when describing this
ability are swing, block, and seize.
j Yes
k
l
m
n
j No
k
l
m
n
5
6
*WHOLE BODY COORDINATION: Coordinated movements of the arms, legs and torso
while the whole body is in motion. Some activities that require this ability are climbing,
swimming, and crawling.
j Yes
k
l
m
n
j No
k
l
m
n
5
6
*WHOLE BODY EQUILIBRIUM: Keep balanced and stay upright when in an unstable
position. Equilibrium is necessary in situations where another force may cause one to
begin to lose balance. Some tasks that require this ability are stand on the scaffolding,
walk in very strong winds, and walk quickly on a slippery surface.
j Yes
k
l
m
n
j No
k
l
m
n
5
6
*ARMHAND STEADINESS: Precise positioning and movement of the arm and hand. This
ability involves maintaining precision and steadiness of the arm and hand during
movement and holding the arm and hand in a fixed position. Some tasks that require this
ability are thread a needle, hold a flashlight steady, and move a cutting torch in a steady
manner.
j Yes
k
l
m
n
j No
k
l
m
n
5
6
Page 51
*MULTILIMB COORDINATION: Coordination of two or more limbs (arms and legs) while
seated or standing in one place. The trunk of the body is not involved in the use of this
ability. Some tasks that require this ability include operate the hand and foot controls of a
forklift, operate a drill press, and drive a car.
j Yes
k
l
m
n
j No
k
l
m
n
5
6
*MANUAL DEXTERITY: Coordinated, precise movement of the hand or hand and arm
together. These movements are used to grasp, place, move or assemble objects with
some degree of quickness. Some tasks that require this ability are assemble a part at a
work bench, use various handheld tools, and rapidly place objects in a box.
j Yes
k
l
m
n
j No
k
l
m
n
5
6
*FINGER DEXTERITY: Coordinated, precise movement of the fingers of one or both
hands. These movements are used to grasp, place or move small objects with some
degree of quickness. Some tasks that require this ability include assemble a carburetor at
a work bench.
j Yes
k
l
m
n
j No
k
l
m
n
5
6
*NEAR VISUAL ACUITY: See clearly objects and close surroundings that are 36 inches
or closer. Some tasks that require this ability are being able to see the wear marks on a
machine part or repair a circuit board.
j Yes
k
l
m
n
j No
k
l
m
n
5
6
*FAR VISUAL ACUITY: See clearly objects and surroundings that are six feet or further
away. Some tasks that require this ability are seeing other vehicles while driving or seeing
approaching cars while flagging.
j Yes
k
l
m
n
j No
k
l
m
n
5
6
Page 52
*COLOR DISCRIMINATION: Tell the difference between shades of one color or the
difference between two or more colors. This ability includes being able to detect
differences in the brightness of colors. Some tasks that require this ability are being able
to distinguish between a red light and a green light or match paint colors.
j Yes
k
l
m
n
j No
k
l
m
n
5
6
*PERIPHERAL VISION: Part of vision that occurs outside the very center of gaze
allowing the individual to see objects, movement or sharp contrasts toward the edges of
the visual field. Peripheral vision is the ability to see these contrasts and gross movements
such as in noticing if a car is coming at you from the extreme right or extreme left as you
cross the street facing forward.
j Yes
k
l
m
n
j No
k
l
m
n
5
6
*SPEECH INTELLIGIBILITY IN QUIET: Hear and understand human speech in a relatively
quiet environment. Some tasks that require this ability are hear someone speak in a quiet
office, at a small group meeting, or in a quiet library.
j Yes
k
l
m
n
j No
k
l
m
n
5
6
*SPEECH INTELLIGIBILITY IN NOISE: Hear and understand human speech in a relatively
noisy environment. Some tasks that require this ability are hear someone speak to you in a
car on the freeway with the windows rolled down or near a noisy piece of machinery.
j Yes
k
l
m
n
j No
k
l
m
n
5
6
*SOUND LOCALIZATION: Tell from what direction a sound is coming from. Some tasks
that require this ability are hear from what direction someone is calling for help, hear from
where an emergency alarm is coming, or locate the source of an air leak in an air line.
j Yes
k
l
m
n
j No
k
l
m
n
5
6
Page 53
*NONSPEECH SOUND DISCRIMINATION: Tell the difference between two or more non
speech sounds. This ability involves discriminating between different levels of sound,
different types of sound or different pitches of sounds. Some tasks that require this ability
are being able to tell the difference between a G flat
and an E sharp on a piano or telling the difference between a "normal" engine noise and a
"faulty" engine noise.
j Yes
k
l
m
n
j No
k
l
m
n
5
6
Page 54

15.Examples of mental ability requirements necessary to perform the above
job ...
Doesyourpositionrequireanyofthefollowingmentalabilities?PleaserespondYesorNotothelistedstatements:
*Oral Comprehension The ability to listen to and understand information being received
from faculty or staff thats presented through spoken words and sentences.
j Yes
k
l
m
n
j No
k
l
m
n
5
6
*Oral Expression The ability to communicate information and ideas clearly, in speaking
so others will understand, for example when walking faculty or staff through a stepby
step instruction process.
j Yes
k
l
m
n
j No
k
l
m
n
5
6
*Speech Recognition To be able to understand and identify the speech of another
person, for example taking oral instructions and questions about computer errors through
various communication channels.
j Yes
k
l
m
n
j No
k
l
m
n
5
6
*Auditory Attention Focus on a single source of sound in the presence of other
distracting sounds.
j Yes
k
l
m
n
j No
k
l
m
n
5
6
*Written Comprehension The ability to read correspondence and extract relevant
information in order to answer or define the purpose of the information.
j Yes
k
l
m
n
j No
k
l
m
n
5
6
Page 55
*Written Expression To communicate through written expression where others will
understand, for example, answer questions via email or by letter to answer help desk type
questions.
j Yes
k
l
m
n
j No
k
l
m
n
5
6
*Problem Sensitivity To recognize when something may go wrong. No action is taken
just the ability to recognize the problem, such as noticing that virus protection software is
out of date or network cable needs to be repaired.
j Yes
k
l
m
n
j No
k
l
m
n
5
6
*Deductive Reasoning The ability to apply general rules to specific problems to come up
with logical answers, involves deciding if an answer makes sense, such as coming up
with resolutions for staff members who are having operating problems with their PC.
j Yes
k
l
m
n
j No
k
l
m
n
5
6
*Inductive Reasoning The ability to combine separate pieces of information, or specific
answers to problems, to form general rules or conclusions. It includes coming up with a

logical explanation for why a series of seemingly unrelated events occur together.
j Yes
k
l
m
n
j No
k
l
m
n
5
6
*Originality The ability to come up with unusual or clever ideas about a given topic or
situation, or to develop creative ways to solve a problem when involving computer

maintenance, upgrading, troubleshooting,and repairing technology.
j Yes
k
l
m
n
j No
k
l
m
n
5
6
Page 56
*Information Ordering To arrange various documents and conduct research in a format
that is recognizable to self or others by patterns such as letters, words, pictures, or

numbers.
j Yes
k
l
m
n
j No
k
l
m
n
5
6
*Category Flexibility Generate or use different sets of rules for combining or grouping
things in different ways.
j Yes
k
l
m
n
j No
k
l
m
n
5
6
*Flexibility of Closure To recognize or detect patterns within that is hidden in other
distracting material, for instance troubleshooting a system in order to correct the

operating error.
j Yes
k
l
m
n
j No
k
l
m
n
5
6
*Fluency of Ideas Come up with a number of ideas about a topic (the number of ideas is
important, not their quality, correctness, or creativity). Expressing thought and ideas to
increase productivity and producing creative solutions to everyday problems.
j Yes
k
l
m
n
j No
k
l
m
n
5
6
*Speed of Closure Quickly make sense of, combine, and organize information into
meaningful patterns to trouble shoot and determine the best course of action for fixing a
computer error or network problem.
j Yes
k
l
m
n
j No
k
l
m
n
5
6
Page 57
*Selective Attention The ability to concentrate and not be distracted while performing a
task over a period of time, like solving network operating error.
j Yes
k
l
m
n
j No
k
l
m
n
5
6
*Time Sharing To manage multiple task while switching back and forth between multiple
activities, such as responding to help desk questions and correcting network errors.
j Yes
k
l
m
n
j No
k
l
m
n
5
6
*Memorization To remember information such as passwords, network coding, and
routing information.
j Yes
k
l
m
n
j No
k
l
m
n
5
6
Page 58

16.End of Job Analysis Questionnaire
ThankyouforcompletingtheJobAnalysisQuestionnaire!
PersonnelCommissionStaffwillreviewtheinformationyouprovided.Ifwehaveadditionalquestions,wewillcontactyou.
Page 59

SAMPLE Job Analysis Questionnaire - WRIPAC PDF

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

SAMPLE Job Analysis Questionnaire - WRIPAC PDF

Uploaded by

Copyright:

Available Formats

1.SAMPLE Job Analysis Questionnaire Page 1

*Please answer the following:

*Supervisor's Contact Information:

CURRENT JOB FAMILY: _____________________________

CURRENT JOB TITLE: _____________________________

CURRENT DEFINITION: __________________________________________

CURRENT DISTINGUISHING JOB CHARACTERISTICS: _____________________________