Job
Classification
and
Compensation
Survey
Identifying
Information
DATE
NAME OF ORGANIZATION
EMPLOYEE
NAME
(as
it
appears
on
your
paycheck)
POSITION
TITLE
DEPARTMENT
SUPERVISOR'S
NAME
SUPERVISOR'S
TITLE
EMPLOYEE'S
LENGTH
OF
SERVICE
IN
T
HI
S
POSITION
Y
M
EMPLOYEE'S
LENGTH OF
SERVICE
IN THE
ORGANIZATION Y
M
EMPLOYEE'S
CURRENT
GRADE
STEP
ANNUAL
SALARY $
POSITION
DESCRIPTION
QUESTIONNAIRE
The
purpose of this
form
is to
aid you in
describing
your present
position in
terms
of the
duties,
responsibilities
and
qualifications
required. This form
will not
be used
to evaluate
your
work
performance or
your
qualifications.
The
job evaluation
plan
will provide
a factual,
objective basis for
uniform
and equitable
pay
relationships. It
will also
provide
basic
information for
the selection
and
promotion
of
employees.
Therefore, it
is essential that
accurate
information
be
obtained about
the duties
and
responsibilities
of
each position.
Reset Form
PART
I--TO
THE EMPLOYEE
You
are the best
person
to
provide
the
information
about your
job. You
know
the exact
tasks
you perform and
your
responsibilities.
Therefore, you
are asked to
fill in
this
position
description
questionnaire.
You
should
answer every
question.
If the space
provided for
any
particular
item is
not sufficient,
please
attach another
sheet.
(Be sure to
show the
number
of
any
question answered on
the sheet
attached.)
You know the
exact
duties
you
perform
and the responsibilities
of
YOUR
POSITION.
DO
NOT
COPY OTHER
EMPLOYEES'
ANSWERS, EVEN
IF
THEIR
JOBS
ARE
SIMILAR
TO
YOURS.
WE
WANT
YOUR OWN
STATEMENT
OF
YOUR
RESPONSIBILITIES
AND DUTIES
IN YOUR
JOB.
You
may ask
your
immediate
supervisor
to explain
questions you
do not
understand,
but
use
your own
words in
answering
all
questions.
After the
questionnaires
have
been
analyzed and
preliminary
job
descriptions
developed,
an
interview
will
be scheduled
with
you to
be
certain that the
job description
accurately
reflects
your position.
1.
MAJOR
DUTIES
The
"Major
Duties"
section
of the
job
description answers the
question,
"What
does
the
employee do
in the
position?"
It
should
briefly
describe the
major duties
performed
in plain
language.
Duties
are best
described
by using
active verbs,
for
example:
Balances
cash
in
register
against
the
total
or
register
tape, locating
and
correcting
errors.
Types
memoranda,
letters and
reports
in
final
form
from
handwritten
notes.
Develops
plans,
specifications
and estimates for
urban
expressways
with
separated
intersections,
dividing
strips, weaving lanes and ramps.
If it is
necessary
to
describe
incidental
or occasional
duties, then
explain
how
often
they
occur, for
example:
once a month,
in
emergencies, and so
forth.
2
Please follow the
directions
below
to describe
your major
duties.
a.
List
the major
duties
that you
perform.
NUMBER EACH
DUTY.
The duty
that
you
consider
most
important
should be listed first,
followed
by
lower priority
duties,
until
the least
important
duty is described.
Describe the
duties
specifically
so that
they will
be
clear to
someone who is
not familiar
with
your
work. Give
examples
where appropriate.
b.
Estimate
the percentage of
time
that you spend
on each
duty.
Although
this may
be difficult,
you are
better able to
do it than anyone else.
c.
If you perform
duties
of a supervisory
nature, describe
those
duties
specifically
and
in
detail.
Major
Duties
Order of
%of
Importance
Work Performed
Time
continued on next
page
3
Major
Duties
(continued)
Order
of
%of
Importance
Work Performed
Time
4
2. Which
duty
or
duties
do you
think
are
most responsible? (list the
numbers)
3.
a.
Which
duty
or
duties
do you think
are
most
difficult?
(l
ist the numbers)
b. What makes these duties
difficult?
4. KNOWLEDGE REQUIRED BY
THE
POSITION
a. List
the
basic
knowledges
and skills that are required
to
perform
the
duties
listed in
Item
1,
for
example:
knowledge
of
accounting,
skill
in
operating
a
typewriter
accurately,
skill
in operating a front-end
loader,
etc.
DUTY
NUMBER
KNOWLEDGES
AND SKILLS
5
b.
List
all of
the
specialized
tools,
equipment and
machines you
use
while
performing
your
work.
c. What
licenses
or
certificates
are required
to
perform your
work?
d.
What
kind
of experience
or special
training is
needed to
perform
your
work?
5.
SUPERVISORY
CONTROLS
a.
List the
numbers
of the
duties
(from Item 1)
that
you
do
repeatedly
without
receiving
new
instructions
from
your supervisor.
These
instructions
will be
referred
to
as standing
or
continuing
instructions.
What
is
the nature of
the
standing
or
continuing
instructions you have
been
given
regarding
these
tasks?
(Check One)
The
instructions
are
detailed,
specific
and
cover
all
aspects
of
the
work.
The
instructions
are
somewhat
general;
many
aspects
of
the
work
are
covered
specifically,
but
I
must
also
use
some
judgment.
The
instructions
are
general,
requiring
me
to
use
judgment.
The
instructions
are
very
general,
requiring
me
to
use
much
judgment.
The
instructions
are
in
terms
of goals and objectives.
Other
(describe
fully)
6
b. List
the
numbers
of
the duties
(from Item 1) for
which
you do not
have
standing or
continuing
instructions.
What is the
nature
of the
standing
or continuing
instructions
you have
been given
regarding
these
tasks?
(check one)
The
instructions
are
detailed,
specific
and cover all
asp,ects of
the
work.
The
instructions
are
somewhat
general; many
aspects of the
work are
covered
specifically,
but I
must
also use some judgment.
The
instructions
are
general,
requiring me to use
judgment.
The
instructions are
very
general,
requiring me to use
much
judgment.
The
instructions
are in
terms
of
goals
and
objectives.
Other
(describe
fully) ___________________
c. How
does your
immediate
supervisor
review your
work? ( check
all that
apply)
My
supervisor
reviews
most
or all
of
my
work while
I am
doing
it.
My
supervisor
spot-checks
my
work as I am
doing it.
My
supervisor
reviews
most or
all of my completed
work.
My
supervisor
spot-checks
my completed work.
My
supervisor
does
not review
my work.
Other
(describe fully)
__________________
d.
When
your
supervisor
reviews
your work,
what is the
purpose
of the
review?
(
check all that apply)
My
compliance
with
detailed
and specific
instructions.
My
compliance
with
established procedures.
The
accuracy
of my
work.
The nature
and
propriety of the
final results of
my
work.
Other
(describe
fully) __________________
6.
GUIDELINES
a. What
written
guidelines
or
procedures ( e.g.,
laws, building
codes,
rules
and
regulations)
do
you
use in your work?
7
b.
Do the
guidelines
you
use
in your
work require
interpretation
or are
they
clear
and
specific?
c.
Do
you
ever
have
to
determine
which
guideline to apply
in a
specific
situation?
Ifso,
when? Please
give an
example.
7.
COMPLEXITY
a.
Describe
what
makes
your
work
routine,
complicated,
unusual
or
difficult
to
perform.
What
obstacles are
there in the
work itself
that make
it
difficult
to
accomplish?
8.
SCOPE
AND
EFFECT
a. What
is the
purpose
of your
assignment?
b.
What is the
effect of the
work you
produce within
your
department?
c.
What
impact
does
your
work
have beyond
your
immediate
department?
8
d.
How does
your
work
affect
outside
organizations?
e.
What
is the effect
of
errors you
may
make within your
department?
Within
other
departments?
f.
Does your
work
affect
the
reliability,
accuracy or
dependability of
other
work
processes?
If so, how?
9.
PERSONAL
CONTACTS
Describe the
occupations
of people
with whom
you deal in
carrying
out
your
work (
e.g.,
co-workers,
workers
in
related
support
units, recipients of
direct
services,
members
of
the
general
public,
or
representatives
of
other
organizations).
Do not
include
contacts
with
your
supervisor
since
supervisory
contacts
are described
under
previous
questions.
10.
PURPOSE
OF
CONTACTS
Describe
the
purpose
of
the above
contacts, for example:
to give
or
exchange
information;
to
resolve
problems;
to
provide
services; to
motivate,
influence,
or
interrogate
persons;
or to
justify,
defend,
negotiate
or settle
matters,
etc.
9
11.
PHYSICAL
DEMANDS
Describe the physical
demands
of your
job by checking
as
many
of the
following
that
apply.
Typically
sitting
at
a desk
or table
Intermittently
sitting,
standing or
stooping
Typically
standing or
walking
Typically
bending,
crouching or
stooping
Occasionally
lifting
light
objects
(less
than 24 pounds)
Frequently
lifting light
objects
(less
than
24
pounds)
Occasionally
lifting
heavy
objects
(25 or more
pounds)
Frequently
lifting
heavy
objects
(25 or more
pounds)
Climbing
ladders
Using
tools
or
equipment
requiring a
high degree
of dexterity
Distinguishing
between
shades
of color
Other
( describe
fully)
12.
WORK
ENVIRONMENT
Describe
the
normal
or
usual
conditions
where your
work is
performed
by
checking
as
many
of
the
following that
apply.
Work
is
performed
in an
office,
library or computer
room.
Work
is
performed
in a
stockroom or
warehouse.
Work is
performed
in a very
noisy
place.
Work
exposes
me to
much
dust,
dirt, grease,
etc.
Work
exposes me to
machinery with
moving
parts.
Work
exposes
me to
contagious
or
infectious
diseases, or
irritating
chemicals.
Work is performed
outdoors
and
occasionally
in cold
or
inclement
weather.
Work
requires
use
of
protective
devices
such as masks,
goggles,
gloves,
etc.
Other
(describe
fully)
__________________
13.
SUPERVISORY
AND
MANAGEMENT
RESPONSIBILITY
List the name
and
titles
of all
employees
who
work under
your
supervision.
10
14. Provide
any
additional
information
about
your position
that you
consider
to be
important,
but
which
has
not
been previously
mentioned.
PART
II--TO
THE
IMMEDIATE
SUPERVISOR
Review
this
employee's
questionnaire
carefully
to see that
it is accurate
and
complete.
Then
fill out Items
15
through
18.
Do not
fill in these
items unless you
supervise
the employee
directly.
If
you
direct
this employee
through
a subordinate
supervisor,
have that
supervisor
complete
Part II.
Your
certification
in Item
18
means
that you
accept
responsibility for
the
accuracy
and
completeness
with
which
the
entire
questionnaire
describes the
duties and
responsibilities
of
the
job. If
Part
I does not
express
your view
of the duties
and
responsibilities
that
you
have
assigned
the
employee,
it will
be
necessary for
you
to use Part II to
qualify or
elaborate
on the
description.
There
are two
essential
cautions you
should
observe:
1.
Under no
circumstances
should
you change
or alter the
employee's
entries in
Part I.
2.
Do not
make any
statements
or
comments
about the
employee's
work
performance,
competence
or
qualifications.
This
questionnaire
will be used
to
evaluate the
duties
that
constitute
the
position,
not
the
performance or
qualifications
of the
employee.
Sign and
date
the
certificate
showing that you
consider
the entire
questionnaire
to be
accurate
and complete.
15.
Describe
briefly the
employee's
position as
you see
it. Show how
it
relates to
the
functions
of the department.
11
16.
List the duties
assigned to this employee that are most important
(use the
duty
numbers
from
Item 1).
17.
State any additions or exceptions to
the
statements
made
by the employee in Part I.
18.
I certify that the
above
information is accurate and complete.
Signature of
Immediate Supervisor
______________________
Name
______________________
Date ______ Department ________________
19. Comments by department head:
20. I certify
that
the
above
information is accurate
and complete.
Signature of
Department
Head
________________________
Name
(please
print)
______________________
Date
______
Department
________________
12