Job Analysis Questionnaire (Form 18-JAQ)A. Job Analysis Status1.

Job Analysis Questionnaire (Form 18-JAQ)A. Job Analysis Status1.

Job Analysis Questionnaire (Form 18-JAQ)A. Job Analysis Status1. Job analysis form revised on _________________________________________ 2.

Previous revisions on _______________________________________________ 3. Date of job analysis for speci?ed job __________________________________ 4. Previous analysis on ________________________________________________ 5. Job analysis is conducted by _________________________________________ 6. Veri?ed by_________________________________________________________B. Job Identi?cation 1.

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Job title___________________________________________________________ 2. Other titles ________________________________________________________ 3. Division(s)_________________________________________________________ 4. Department(s) _____________________________________________________ 5. Title of supervisor(s) ________________________________________________ C. Job Summary Brie?y describe purpose of job, what is done, and how.

_______________________ ___________________________________________________________________ D. Duties 1. The primary duties of this job are best classi?ed as: Managerial _________________________Technical ________________________ Professional________________________ Clerical__________________________ 2. List major duties and the proportion of time each involves: a. ___________________ ____________________________________________________________ _______________________________% c. _________________________________ _______________________________% 3. List other duties and the proportion of time each involves: a.

_________________________________ _______________________________% b. _________________________________ _______________________________% c. _________________________________ _______________________________% 4. What constitutes successful performance of these duties?_______________ 5. How much training is needed for normal performance of these duties? ____ E. Responsibility 1.

What are the responsibilities involved in this job and how great are these responsibilities? Extent of ResponsibilityResponsibility for: Minor Major a. Equipment operation ___________________ ________________ b. Use of tools ___________________ ________________ c. Materials usage ___________________ ________________ d.

Protection of equipment ___________________ ________________ e. Protection of tools ___________________ ________________ f. Protection of materials ___________________ ________________ g.

Personal safety ___________________ ________________ h. Safety of others ___________________ ________________ i. Others’ work performance ___________________ ________________ j.

Other (Specify ______________) ___________________ ________________ F. Human Characteristics 1. What physical attributes are necessary to perform the job?_________________ ___________________________________________________________________2. Of the following characteristics, which ones are needed and how important are they?Characteristic Unneeded Helpful Essential 1.

Vision _______________ _______________ _______________ 2. Hearing _______________ _______________ _______________ 3. Talking _______________ _______________ _______________ 4. Sense of smell _______________ _______________ _______________ 5. Sense of touch _______________ _______________ _______________ 6. Sense of taste _______________ _______________ _______________ 7.

Eye-hand coordination_______________ _______________ _______________ 8. Overall coordination _______________ _______________ _______________ 9. Strength _______________ _______________ _______________10. Height _______________ _______________ _______________ 11.

Health _______________ _______________ _______________ 12. Initiative _______________ _______________ _______________ 13. Ingenuity _______________ _______________ _______________14.

Judgment _______________ _______________ _______________ 15. Attention _______________ _______________ _______________16. Reading _______________ _______________ _______________17. Arithmetic _______________ _______________ _______________ 18. Writing _______________ _______________ _______________ 19.

Education (Level ___ ) _______________ _______________ _______________ 20. Other (Specify _____ ) _______________ _______________ _______________ 3. Experience for this job: __________________ a.

Unimportant __________________ b. Includes __________ (months) as (job title)______________4. Can training be substituted for experience? ____________________ Yes How:___________________________________________ ____________________ No Why: ____________________________________________ G. Working Conditions 1.

Describe the physical conditions under which this job is performed. 2. Are there unusual psychological demands connected with this job? 3. Describe any unusual conditions under which the job is performed. H. Health or Safety Features 1.

Describe fully any health or safety hazards associated with this job.2. Is any safety training or equipment required? I. Performance Standards 1. How is the performance of this job measured?2. What identi?able factors contribute most to the successful performance of this job? J. Miscellaneous Comments Are there any aspects of this job that should be especially noted? ______________ __________________________________________________________________________________________________ __________________________ Job Analyst’s Signature Date Completed

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