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Page 1 of 13
Part I - Identification
1. Name:
2. Job Title:
3. Company or Organization Name:
4. Job Type (Circle One): Casual / Part-time / Full-time
5. Regular Working Hours: Start Time: ________ End Time: ________
6. Regular Working Days (Circle As Appropriate):
Mon / Tues / Wed / Thur / Fri / Sat / Sun
7. Is Overtime Required? (Circle One): Yes / No
7.1. If yes, how many hours per week? _____ hours
8. How long have you been in your current position?
_____ years _____ months
9. Name of immediate supervisor:
10. Job title of immediate supervisor:
Part II - Position Summary
11. In 2-3 sentences, describe what your organization is and what it does:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
12. Provide a brief description of your job. Why do you think your job exists, and how does it
relate to the organization as a whole?
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
13. Who do you regularly report to?
________________________________________________________________
Page 2 of 13
________________________________________________________________
________________________________________________________________
14. Who regularly reports to you?
________________________________________________________________
________________________________________________________________
________________________________________________________________
Part III - Essential Responsibilities and Duties
15. Identify the major responsibilities and duties of your job. Responsibilities are job
outcomes you are held accountable for and evaluated on. Duties are the tasks you
perform to fulfill the responsibility:
Responsibility #1:
Duties to complete this:
● ____________________________________________________________________
__________________________________________________________________
● ____________________________________________________________________
__________________________________________________________________
● ____________________________________________________________________
__________________________________________________________________
● ____________________________________________________________________
__________________________________________________________________
● ____________________________________________________________________
__________________________________________________________________
● ____________________________________________________________________
__________________________________________________________________
Materials or equipment required:
________________________________________________________________
________________________________________________________________
Level of importance to your position:
⬜Not Important ⬜Important ⬜Very Important ⬜Critical
Consequence(s) if not performed correctly:
Page 3 of 13
________________________________________________________________
________________________________________________________________
Additional information:
________________________________________________________________
________________________________________________________________
________________________________________________________________
Responsibility #2:
Duties to complete this:
● ____________________________________________________________________
__________________________________________________________________
● ____________________________________________________________________
__________________________________________________________________
● ____________________________________________________________________
__________________________________________________________________
● ____________________________________________________________________
__________________________________________________________________
● ____________________________________________________________________
__________________________________________________________________
● ____________________________________________________________________
__________________________________________________________________
Materials or equipment required:
________________________________________________________________
________________________________________________________________
Level of importance to your position:
⬜Not Important ⬜Important ⬜Very Important ⬜Critical
Consequence(s) if not performed correctly:
________________________________________________________________
________________________________________________________________
Additional information:
Page 4 of 13
________________________________________________________________
________________________________________________________________
________________________________________________________________
Responsibility #3:
Duties to complete this:
● ____________________________________________________________________
__________________________________________________________________
● ____________________________________________________________________
__________________________________________________________________
● ____________________________________________________________________
__________________________________________________________________
● ____________________________________________________________________
__________________________________________________________________
● ____________________________________________________________________
__________________________________________________________________
● ____________________________________________________________________
__________________________________________________________________
Materials or equipment required:
________________________________________________________________
________________________________________________________________
Level of importance to your position:
⬜Not Important ⬜Important ⬜Very Important ⬜Critical
Consequence(s) if not performed correctly:
________________________________________________________________
________________________________________________________________
Additional information:
________________________________________________________________
________________________________________________________________
Page 5 of 13
________________________________________________________________
Responsibility #4:
Duties to complete this:
● ____________________________________________________________________
__________________________________________________________________
● ____________________________________________________________________
__________________________________________________________________
● ____________________________________________________________________
__________________________________________________________________
● ____________________________________________________________________
__________________________________________________________________
● ____________________________________________________________________
__________________________________________________________________
● ____________________________________________________________________
__________________________________________________________________
Materials or equipment required:
________________________________________________________________
________________________________________________________________
Level of importance to your position:
⬜Not Important ⬜Important ⬜Very Important ⬜Critical
Consequence(s) if not performed correctly:
________________________________________________________________
________________________________________________________________
Additional information:
________________________________________________________________
________________________________________________________________
________________________________________________________________
Page 6 of 13
Responsibility #5:
Duties to complete this:
● ____________________________________________________________________
__________________________________________________________________
● ____________________________________________________________________
__________________________________________________________________
● ____________________________________________________________________
__________________________________________________________________
● ____________________________________________________________________
__________________________________________________________________
● ____________________________________________________________________
__________________________________________________________________
● ____________________________________________________________________
__________________________________________________________________
Materials or equipment required:
________________________________________________________________
________________________________________________________________
Level of importance to your position:
⬜Not Important ⬜Important ⬜Very Important ⬜Critical
Consequence(s) if not performed correctly:
________________________________________________________________
________________________________________________________________
Additional information:
________________________________________________________________
________________________________________________________________
________________________________________________________________
Page 7 of 13
Responsibility #6:
Duties to complete this:
● ____________________________________________________________________
__________________________________________________________________
● ____________________________________________________________________
__________________________________________________________________
● ____________________________________________________________________
__________________________________________________________________
● ____________________________________________________________________
__________________________________________________________________
● ____________________________________________________________________
__________________________________________________________________
● ____________________________________________________________________
__________________________________________________________________
Materials or equipment required:
________________________________________________________________
________________________________________________________________
Level of importance to your position:
⬜Not Important ⬜Important ⬜Very Important ⬜Critical
Consequence(s) if not performed correctly:
________________________________________________________________
________________________________________________________________
Additional information:
________________________________________________________________
________________________________________________________________
________________________________________________________________
16. Other responsibilities not mentioned above:
________________________________________________________________
________________________________________________________________
________________________________________________________________
Page 8 of 13
17. What rules, procedures or regulations must you follow while performing your job?
Example: young children may not be left unattended in the classroom...
________________________________________________________________
________________________________________________________________
________________________________________________________________
Part IV - Supervision and Authority
18. Which option below best describes the level of supervision between you and your
supervisor? Tick one:
❏ Close Supervision: Works alongside supervisor. Work is routinely monitored by
supervisor. Little scope for independent decision making on the job.
❏ General Supervision: Works alone on regular or routine work assignments. Checks with
supervisor about proper procedures for non-routine work. Makes limited decisions on
routine work, but requires supervisor’s approval for non-routine decisions.
❏ Limited Supervision: Works alone on most work assignments. Requires limited input
from supervisor. Makes independent decisions about how best to complete work.
❏ Other: Please specify: ______________________________________________
________________________________________________________________
19. Provide an example of a complex work-related decision that you would refer to your
supervisor before taking action:
________________________________________________________________
________________________________________________________________
________________________________________________________________
20. Provide an example of a routine work-related decision that you would make on your
own:
________________________________________________________________
________________________________________________________________
________________________________________________________________
21. How do you feel about the level of independence and autonomy you have in your job?
________________________________________________________________
________________________________________________________________
________________________________________________________________
22. Does your job involve supervising other employees? (Circle One): Yes / No
22.1. If yes, how many employees do you supervise? _____ employees
22.2. What kinds of supervisory responsibilities do you have? (Check all that apply):
❏ Providing training to other employees
❏ Providing coaching/mentoring to other employees
❏ Assigning and reviewing work of other employees
❏ Delegating tasks to other employees
Page 9 of 13
❏ Others: Please specify:
______________________________________________________
______________________________________________________
22.3. What positions do you oversee?
______________________________________________________
______________________________________________________
Part V - Working Relationships
23. Who must you regularly interact with in order to fulfill the duties and responsibilities of
your job?
Managers/supervisors at your organization:
Title Nature/Purpose of Relationship Frequency of interaction
(e.g. daily, weekly, monthly)
Other employees at your organization:
Title Nature/Purpose of Relationship Frequency of interaction
(e.g. daily, weekly, monthly)
Others, including people from other organizations and members of the public:
Title Nature/Purpose of Relationship Frequency of interaction
(e.g. daily, weekly, monthly)
Page 10 of 13
Part VI - Requirements
24. What bodies of knowledge are important in your position? Be sure to include things that
“everyone knows” are important:
Example: knowing how to use Microsoft Word is important for writing reports...
Body of knowledge: Description and importance to position:
_____________________ ________________________________________________
________________________________________________
__________________________________________
_____________________ ________________________________________________
________________________________________________
__________________________________________
_____________________ ________________________________________________
________________________________________________
__________________________________________
_____________________ ________________________________________________
________________________________________________
__________________________________________
_____________________ ________________________________________________
________________________________________________
__________________________________________
25. What skills and abilities are important in your position? (Tick as appropriate):
❏ Verbal communication
❏ Written communication
❏ Time management
❏ Critical thinking
❏ Organizational skills
❏ Customer service
❏ Others: _______________________
_______________________
_______________________
_______________________
❏ Creativity
❏ Teamwork
❏ Multitasking
❏ Prioritizing
❏ Listening
❏ Emotional intelligence
26. What level of education is required/preferred for your position? (Tick as appropriate):
Level of Education Required Preferred
High School ⬜ ⬜
Page 11 of 13
Post-secondary Certificate ⬜ ⬜
Post-secondary Diploma ⬜ ⬜
Post-secondary Degree ⬜ ⬜
27. What other licensing, certification, or special training is required for your position?
________________________________________________________________
________________________________________________________________
________________________________________________________________
28. What are the physical requirements of your position?
Physical Requirements Degree of Physical Strain/Exertion
(Low, Moderate, or High)
Percentage of
Time Spent
Walking %
Standing %
Sitting %
Lifting/Carrying %
Crouching %
Bending %
Reaching %
Other: _____________________ %
Part VII - Working Conditions / Health and Safety
29. Identify any unpleasant working conditions associated with this position:
Examples: mental or physical fatigue, noise, heat/cold, dirt, long hours, etc.
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
30. What, if any, precautionary measures or training are taken to minimize or reduce
exposure to the unpleasant working conditions identified above?
________________________________________________________________
________________________________________________________________
________________________________________________________________
Page 12 of 13
________________________________________________________________
31. What is the level of stress associated with this position?
⬜No stress ⬜Low stress ⬜Moderate stress ⬜High stress ⬜Extreme stress
32. What, if any, are the main causes of stress in this position?
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Part VIII - Additional Comments
33. Thank you for taking the time to complete this questionnaire. If there is any additional
information you would like to provide that would help us to understand your job better,
please provide it in the space below:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Part IX - Employee Signature
____________________
Employee Signature
____________________
Date

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JobAnalysisQuestionnaire

  • 1. Page 1 of 13 Part I - Identification 1. Name: 2. Job Title: 3. Company or Organization Name: 4. Job Type (Circle One): Casual / Part-time / Full-time 5. Regular Working Hours: Start Time: ________ End Time: ________ 6. Regular Working Days (Circle As Appropriate): Mon / Tues / Wed / Thur / Fri / Sat / Sun 7. Is Overtime Required? (Circle One): Yes / No 7.1. If yes, how many hours per week? _____ hours 8. How long have you been in your current position? _____ years _____ months 9. Name of immediate supervisor: 10. Job title of immediate supervisor: Part II - Position Summary 11. In 2-3 sentences, describe what your organization is and what it does: ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ 12. Provide a brief description of your job. Why do you think your job exists, and how does it relate to the organization as a whole? ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ 13. Who do you regularly report to? ________________________________________________________________
  • 2. Page 2 of 13 ________________________________________________________________ ________________________________________________________________ 14. Who regularly reports to you? ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ Part III - Essential Responsibilities and Duties 15. Identify the major responsibilities and duties of your job. Responsibilities are job outcomes you are held accountable for and evaluated on. Duties are the tasks you perform to fulfill the responsibility: Responsibility #1: Duties to complete this: ● ____________________________________________________________________ __________________________________________________________________ ● ____________________________________________________________________ __________________________________________________________________ ● ____________________________________________________________________ __________________________________________________________________ ● ____________________________________________________________________ __________________________________________________________________ ● ____________________________________________________________________ __________________________________________________________________ ● ____________________________________________________________________ __________________________________________________________________ Materials or equipment required: ________________________________________________________________ ________________________________________________________________ Level of importance to your position: ⬜Not Important ⬜Important ⬜Very Important ⬜Critical Consequence(s) if not performed correctly:
  • 3. Page 3 of 13 ________________________________________________________________ ________________________________________________________________ Additional information: ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ Responsibility #2: Duties to complete this: ● ____________________________________________________________________ __________________________________________________________________ ● ____________________________________________________________________ __________________________________________________________________ ● ____________________________________________________________________ __________________________________________________________________ ● ____________________________________________________________________ __________________________________________________________________ ● ____________________________________________________________________ __________________________________________________________________ ● ____________________________________________________________________ __________________________________________________________________ Materials or equipment required: ________________________________________________________________ ________________________________________________________________ Level of importance to your position: ⬜Not Important ⬜Important ⬜Very Important ⬜Critical Consequence(s) if not performed correctly: ________________________________________________________________ ________________________________________________________________ Additional information:
  • 4. Page 4 of 13 ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ Responsibility #3: Duties to complete this: ● ____________________________________________________________________ __________________________________________________________________ ● ____________________________________________________________________ __________________________________________________________________ ● ____________________________________________________________________ __________________________________________________________________ ● ____________________________________________________________________ __________________________________________________________________ ● ____________________________________________________________________ __________________________________________________________________ ● ____________________________________________________________________ __________________________________________________________________ Materials or equipment required: ________________________________________________________________ ________________________________________________________________ Level of importance to your position: ⬜Not Important ⬜Important ⬜Very Important ⬜Critical Consequence(s) if not performed correctly: ________________________________________________________________ ________________________________________________________________ Additional information: ________________________________________________________________ ________________________________________________________________
  • 5. Page 5 of 13 ________________________________________________________________ Responsibility #4: Duties to complete this: ● ____________________________________________________________________ __________________________________________________________________ ● ____________________________________________________________________ __________________________________________________________________ ● ____________________________________________________________________ __________________________________________________________________ ● ____________________________________________________________________ __________________________________________________________________ ● ____________________________________________________________________ __________________________________________________________________ ● ____________________________________________________________________ __________________________________________________________________ Materials or equipment required: ________________________________________________________________ ________________________________________________________________ Level of importance to your position: ⬜Not Important ⬜Important ⬜Very Important ⬜Critical Consequence(s) if not performed correctly: ________________________________________________________________ ________________________________________________________________ Additional information: ________________________________________________________________ ________________________________________________________________ ________________________________________________________________
  • 6. Page 6 of 13 Responsibility #5: Duties to complete this: ● ____________________________________________________________________ __________________________________________________________________ ● ____________________________________________________________________ __________________________________________________________________ ● ____________________________________________________________________ __________________________________________________________________ ● ____________________________________________________________________ __________________________________________________________________ ● ____________________________________________________________________ __________________________________________________________________ ● ____________________________________________________________________ __________________________________________________________________ Materials or equipment required: ________________________________________________________________ ________________________________________________________________ Level of importance to your position: ⬜Not Important ⬜Important ⬜Very Important ⬜Critical Consequence(s) if not performed correctly: ________________________________________________________________ ________________________________________________________________ Additional information: ________________________________________________________________ ________________________________________________________________ ________________________________________________________________
  • 7. Page 7 of 13 Responsibility #6: Duties to complete this: ● ____________________________________________________________________ __________________________________________________________________ ● ____________________________________________________________________ __________________________________________________________________ ● ____________________________________________________________________ __________________________________________________________________ ● ____________________________________________________________________ __________________________________________________________________ ● ____________________________________________________________________ __________________________________________________________________ ● ____________________________________________________________________ __________________________________________________________________ Materials or equipment required: ________________________________________________________________ ________________________________________________________________ Level of importance to your position: ⬜Not Important ⬜Important ⬜Very Important ⬜Critical Consequence(s) if not performed correctly: ________________________________________________________________ ________________________________________________________________ Additional information: ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ 16. Other responsibilities not mentioned above: ________________________________________________________________ ________________________________________________________________ ________________________________________________________________
  • 8. Page 8 of 13 17. What rules, procedures or regulations must you follow while performing your job? Example: young children may not be left unattended in the classroom... ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ Part IV - Supervision and Authority 18. Which option below best describes the level of supervision between you and your supervisor? Tick one: ❏ Close Supervision: Works alongside supervisor. Work is routinely monitored by supervisor. Little scope for independent decision making on the job. ❏ General Supervision: Works alone on regular or routine work assignments. Checks with supervisor about proper procedures for non-routine work. Makes limited decisions on routine work, but requires supervisor’s approval for non-routine decisions. ❏ Limited Supervision: Works alone on most work assignments. Requires limited input from supervisor. Makes independent decisions about how best to complete work. ❏ Other: Please specify: ______________________________________________ ________________________________________________________________ 19. Provide an example of a complex work-related decision that you would refer to your supervisor before taking action: ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ 20. Provide an example of a routine work-related decision that you would make on your own: ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ 21. How do you feel about the level of independence and autonomy you have in your job? ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ 22. Does your job involve supervising other employees? (Circle One): Yes / No 22.1. If yes, how many employees do you supervise? _____ employees 22.2. What kinds of supervisory responsibilities do you have? (Check all that apply): ❏ Providing training to other employees ❏ Providing coaching/mentoring to other employees ❏ Assigning and reviewing work of other employees ❏ Delegating tasks to other employees
  • 9. Page 9 of 13 ❏ Others: Please specify: ______________________________________________________ ______________________________________________________ 22.3. What positions do you oversee? ______________________________________________________ ______________________________________________________ Part V - Working Relationships 23. Who must you regularly interact with in order to fulfill the duties and responsibilities of your job? Managers/supervisors at your organization: Title Nature/Purpose of Relationship Frequency of interaction (e.g. daily, weekly, monthly) Other employees at your organization: Title Nature/Purpose of Relationship Frequency of interaction (e.g. daily, weekly, monthly) Others, including people from other organizations and members of the public: Title Nature/Purpose of Relationship Frequency of interaction (e.g. daily, weekly, monthly)
  • 10. Page 10 of 13 Part VI - Requirements 24. What bodies of knowledge are important in your position? Be sure to include things that “everyone knows” are important: Example: knowing how to use Microsoft Word is important for writing reports... Body of knowledge: Description and importance to position: _____________________ ________________________________________________ ________________________________________________ __________________________________________ _____________________ ________________________________________________ ________________________________________________ __________________________________________ _____________________ ________________________________________________ ________________________________________________ __________________________________________ _____________________ ________________________________________________ ________________________________________________ __________________________________________ _____________________ ________________________________________________ ________________________________________________ __________________________________________ 25. What skills and abilities are important in your position? (Tick as appropriate): ❏ Verbal communication ❏ Written communication ❏ Time management ❏ Critical thinking ❏ Organizational skills ❏ Customer service ❏ Others: _______________________ _______________________ _______________________ _______________________ ❏ Creativity ❏ Teamwork ❏ Multitasking ❏ Prioritizing ❏ Listening ❏ Emotional intelligence 26. What level of education is required/preferred for your position? (Tick as appropriate): Level of Education Required Preferred High School ⬜ ⬜
  • 11. Page 11 of 13 Post-secondary Certificate ⬜ ⬜ Post-secondary Diploma ⬜ ⬜ Post-secondary Degree ⬜ ⬜ 27. What other licensing, certification, or special training is required for your position? ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ 28. What are the physical requirements of your position? Physical Requirements Degree of Physical Strain/Exertion (Low, Moderate, or High) Percentage of Time Spent Walking % Standing % Sitting % Lifting/Carrying % Crouching % Bending % Reaching % Other: _____________________ % Part VII - Working Conditions / Health and Safety 29. Identify any unpleasant working conditions associated with this position: Examples: mental or physical fatigue, noise, heat/cold, dirt, long hours, etc. ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ 30. What, if any, precautionary measures or training are taken to minimize or reduce exposure to the unpleasant working conditions identified above? ________________________________________________________________ ________________________________________________________________ ________________________________________________________________
  • 12. Page 12 of 13 ________________________________________________________________ 31. What is the level of stress associated with this position? ⬜No stress ⬜Low stress ⬜Moderate stress ⬜High stress ⬜Extreme stress 32. What, if any, are the main causes of stress in this position? ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ Part VIII - Additional Comments 33. Thank you for taking the time to complete this questionnaire. If there is any additional information you would like to provide that would help us to understand your job better, please provide it in the space below: ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ Part IX - Employee Signature ____________________ Employee Signature ____________________ Date