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POSITION ANALYSIS QUESTIONNAIRE
This form is designed to assist you in describing your position. You are asked to fill out this form because you know the duties and responsibilities of your position better than anyone else. If a question does not apply to your position, please write "Not Applicable" or "N/A" for that item. Please print or write your answers very legibly. Thank you for your cooperation.
NOTE: It is the position that is being studied, not the employee.
EMPLOYEE'S NAME:
EMPLOYEE’S JOB TITLE :
DEPARTMENT / OFFICE :
WORK PHONE OR EMAIL :
IMMEDIATE SUPERVISOR'S NAME & TITLE :
DEPARTMENT DIRECTOR’S NAME & TITLE :
A. POSITION'S PURPOSE: State briefly, in 3 to 5 sentences, the main purpose or function of your position. What do you believe is the major purpose of your job? This may be easier to complete after you have filled out Section B of this form.
B. WORK ACTIVITIES LIST: THIS SECTION IS VERY IMPORTANT TO UNDERSTANDING YOUR
JOB DUTIES. Please describe, in detail, the major elements of what you do on your job. List only the major functions, separately, in order of importance. Provide a detailed description of each duty so someone not familiar with your job can understand what you do. We do not need to know HOW your department operates, but rather, WHAT it is YOU “do”. Please use action words such as prepares, calculates, operates , etc. to start off each statement. Indicate the approximate percentage of total working time you spend on each major work activity. Please label the time period you use, such as daily, weekly, monthly, or yearly. Make every effort to have the % of time add up to 100%.
% of Time Function/Duty/Task
E. REQUIRED LICENSES AND CERTIFICATIONS
Does your job require a license(s), certification, registration, or other regulatory requirements? (Examples: engineering certification or license; CDL; etc.) If yes, provide name/type/class/level of license/ certification/registration and the issuing agency.
License or Certification Name Type/Class/Level
Were they required at the time for employment? Yes No If no, when were they required?
Within: Weeks Months Years of employment?
F. EQUIPMENT, TOOLS AND MACHINERY:
What machinery, vehicles, or motorized equipment do you use in your work, and how often do you use each (rarely, frequently, or constantly)?
G. PHYSICAL REQUIREMENTS: Are there any special or unusual physical skills or efforts required on your job (e.g., climb ladders, dig/work in trenches, handle extremely hot or cold materials, etc.)?
What approximate percentage of your total time on this job do you spend doing the following? (These may add up to more than 100%).
Standing % Walking % Sitting % Driving % Listening % Talking % Other (give examples) / %
How much weight are you required to manually lift and/or carry at any one time: (^) Pounds Is the lifting/carrying done regularly? Yes No How many hours per day? Hours
H. EXTRAORDINARY WORKING CONDITIONS : What unusual and/or special working conditions affect or are part of your job? Answer all that apply and indicate whether regular or occasional.
Exposure to dangerous machinery (examples): Regular Occasional
Exposure to extreme weather conditions (examples): Regular Occasional
Potential physical harm (examples): Regular Occasional
Hazardous chemicals (examples): Regular Occasional
Infectious disease (examples): Regular Occasional
Other (examples): Regular Occasional
I. PROBLEM-SOLVING INSTRUCTIONS:
How do you receive your instructions? (Check/circle all that apply): Orally In Writing
How specific or general are these instructions? Please explain.
How are priorities and/or deadlines decided for your position?
What occasions are there (if any) when instructions are not provided?
At what stage, and by whom (job title) are your assignments normally reviewed?
How can you and your supervisor determine the quality of your work?
How often do you meet with your supervisor and for what purposes?
SUPERVISORY POSITION SUPPLEMENTAL QUESTIONNAIRE
(To be completed only by individuals who supervise other employees)
L. SUPERVISION/SPAN OF CONTROL : Please indicate the job titles and names of the employees who report directly to you, and not through a subordinate supervisor. Include temporary, part-time, and community service workers. Attach your department’s organizational chart or sketch an organizational chart which depicts the reporting relationships in your department.
Please indicate the job titles, number of positions for each, that report to your direct subordinates.
M. SUPERVISORY RESPONSIBILITIES: Does your position have the authority to take any of the following actions? If not, does your supervisor rely mainly on your recommendation to make the decision?
RESPONSIBILITY YES NO
RECOMMEND
ONLY N/A
Hire employees Promote employees Transfer employees Prepare work schedules Assign/review work Train employees Assign/approve overtime/comp-time Oversee contracts and/or contractors Approve sick leave/vacation Recall employees to work in emergencies Award merit increases Conduct performance evaluation with employee Discipline employees Suspend employees Terminate employees
EMPLOYEE SIGNATURE : Date:
Please Note: All signatures indicate the information is accurate and complete. Return to your supervisor by {DATE}.
DEPARTMENT MANAGER’S REVIEW
FOR ACCURACY AND COMPLETENESS
DEPARTMENT MANAGER’S REVIEW FOR ACCURACY: I have reviewed and discussed the contents of this position description with the employee. Except for the items noted below, I find the PAQ accurate and complete. (Attach additional pages if necessary.)
DEPARTMENT MANAGER’S SIGNATURE: Date:
Please Note: All signatures indicate the information is accurate and complete. Please forward this PAQ to Human Resources by {DATE}. Be sure to keep a copy for your records.
