JOB ANALYSIS QUESTIONNAIRE

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JOBANALYSIS QUESTIONNAIRE

Job title: …………………… Report to: ………………….	Department: ……………..
	Section: ………………….
Interviewed name:

Complete this questionnaire accurately . Base your answers on what is normal for your current job .

1. Basic function.

describe the major purpose and the prime reason for its existence:

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2. Supervisory Responsibility

Circle response which describes the type of supervision you provide:

-     Supervise department 

  -     Direct multiple departments through department managers

-     Manage multiple projects with no direct supervisory responsibilities

-     Lead and guide the work of other employees

-     Manage department and have final authority over hiring/ firing/ performance decisions

-     Manage more than one department through subordinate supervisors/ managers

3.  Responsibilities

List each of your major duties starting with those that occupy most of your time. Indicate the approximate percent of time you spend in each area. Do not include any duties which normally require less than 10% of your time.

This questionnaire will be used to analyse the functions of the job as it currently exists - future evolution of the position is not part of the duties and responsibilities and should not be included.

No.	Major Duties	% of Time
1
2
3
4
5
6
7
8
9
10
	Total	100%

4. Physical Demands and Working Conditions

In each of the areas below, check the box which best relates to the position:

A. Physical Effort

-     No or very limited physical effort required.

-     Light physical effort.

-     Requires handling of average-weight objects up to 5 Kgs or some standing or walking.

-     Moderate physical activity.

-     Requires handling of average-weight objects up to 15 Kgs or standing and/or walking for more than 4 hours per day.

-     Considerable physical activity. May require handling of objects that can weigh up to 25 Kgs.

-     Extensive physical activity. May require handling of objects over 25 Kgs.

1     Other: ________________________________________________________________________________________________________________

B. Working Conditions:

-     Work is normally performed in a typical interior/office work environment.

-     Work involves moderate exposure to unusual elements, such as extreme temperature, dirt, dust, fumes, smoke, unpleasant odors and/or loud noises.

-     Work involves considerable exposure to unusual elements such as extreme temperatures, dirt, dust, fumes, smoke, unpleasant odors and/or loud noises.

-     Work involves almost constant exposure to unusual elements such as extreme temperature, toxic chemicals, biohazardous materials, dirt, dust, fumes, smoke and/or loud noises.

-     Other: 

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C. Environmental Risk

-     No or very limited exposure to physical risk.

-     Work environment involves minimal exposure to physical risks such as operating dangerous equipment or working with chemicals.

-     Work environment involves some exposure to hazards or physical risks which require following basic safety precautions.

-     Work environment involves exposure to potentially dangerous materials and situations that require following extensive safety precautions and may include the use of protective equipment.

-     Other: 

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5. Knowledge, Skills and Abilities

Please indicate the specific job knowledge needed. For example, “use of spreadsheet and word processing software” vs. “computer software knowledge”, or “accounting experience in an academic environment” vs. “accounting experience”. Be sure that the knowledge, skills and abilities stated are actually required in order to perform the job - not preferred.

6. Years of Experience

Circle the best indicates the minimum amount of directly related experience needed to perform this job. (Not necessarily your years of experience, but the minimum requirements for the job.)

-     Less than 6 months

-     6 months but less than 1 year

-     1 year but less than 3 years

-     3 years but less than 5 years

-     5 years but less than 7 years

-     7 years but less than 10 years

-     10 or more years

7. Education

-     Less than High School

-     High School Diploma or GED

-     Vocational/ Technical/ Business School

Field or Discipline: ..........................................................................................

-     Associate’s Degree

Field or Discipline: ...........................................................................................

-     Bachelor’s Degree.

Field or Discipline: ...........................................................................................

-     Master’s Degree

Field or Discipline: ............................................................................................

-     Doctorate Degree

Field or Discipline - PH.D., J.D., M.D., etc.: .................................................

8. Certifications/Licenses/Training

List all certifications, licenses or specific training that are required to perform this position. Do not list certifications or licenses the incumbent possesses that are unrelated or not required to perform the role as a minimum standard.

9. Organization Chart

Complete the organization chart by filling in the names and titles in all appropriate boxes. If you are not able to use this org chart configuration, please attach your own copy.

Director: ....................................................

Manager: ..................................................

(Names and titles of peer employees who report to your immediate supervisor :)

Peer/Title	Peer/Title	Your Position	Peer/Title	Peer/Title

(Names and titles of employees reporting directly to you :)

Employee/Title:	Employee/Title:	Employee/Title:	Employee/Title:	Employee/Title:

10. Additional Information

I agree that the contents of this questionnaire are an accurate reflection of the current duties and responsibilities of this position.

 ......................................                         ......................................

Employee Signature & Title                       Phone Number                                Date

 ......................................                         ......................................

Manager Signature & Title                                     Phone Number                                Date

Please print, sign and submit this form to:

Compensation, Human Resources

I agree that the contents of this questionnaire are an accurate reflection of the current duties and responsibilities of this position.