JOB DESCRIPTION QUESTIONNAIRE

The job description questionnaire form needs to be completed for each job in your
department. The information gathered will be used to formulate job descriptions for
each position at [COMPANY]. As a result of having accurate and up-to-date job
descriptions, we will be able to make better hiring decisions, as well as being able to
properly evaluate employees on all of their essential job functions.

It may be advisable to have the incumbent in each position complete a

questionnaire to ensure that all job duties are included.

JOB DESCRIPTION QUESTIONNAIRE

[COMPANY]
JOB DESCRIPTION
QUESTIONNAIRE

Position Title:

Department:

Position Reports To (Job Title):

I. STATEMENT OF PURPOSE:

(In one or two sentences, state the overall purpose of the position. For example,
Secretary - This position is responsible for providing administrative support and
project assistance for the Finance unit.)

II. ESSENTIAL JOB FUNCTIONS:

(List all of the daily duties, activities, and responsibilities for the position. List the
most important or most time consuming responsibilities first. All job functions
should begin with an action verb (See Attached Glossary of Action Verbs). For
example, Coordinates bi-weekly payroll processing for the department.)

Duties/Activities/Responsibilities

III. SECONDARY JOB FUNCTIONS

(List any duties, activities, or responsibilities that are performed periodically or on

an “as needed” basis. All job functions should begin with an action verb (See
Attached Glossary of Action Verbs)
Duties/Activities/ResponsibilitiesIV. JUDGMENT (To be completed for managerial
positions only)

(Indicate the description that most clearly defines the degree of judgment required
in this position.)

__ Exercises judgment in making sure that instructions and procedures are being
adhered to.

__ Exercises judgment in selecting the most pertinent procedures, practices,

methods, etc. For application to specific problems or tasks.

__ Exercises judgment in interpreting, modifying, and adapting procedures,

practices, methods, etc. In accordance with existing policies and standards for
application to specific problems or tasks.

__ Exercises judgment and expertise in developing and interpreting standards and

policies for application by others, and in resolving critical problems not covered by
standards, policies, and procedures.

__ None of the above. Describe the type of judgment required to be exercised in the
job.

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

V. SUPERVISORY/MANAGEMENT RESPONSIBILITY

In what ways doe the incumbent direct the work of others?

_____ Hire/discipline/terminate _____ Assign and check work

_____ Plan/appraise job results _____ Recommend pay increases

_____ Train

_____ Other (explain below)

Explanation
Number of Employees Directly Supervised:

Number of Employees Indirectly Supervised:

VI. JOB QUALIFICATIONS:

Define the knowledge, skill, and ability an incumbent must have in order to
accomplish the job results and to perform the job duties.

A. KNOWLEDGE
(What does the incumbent need to know to perform the job at the entry level,
whether the skills are acquired through formal education, experience, or self-
learning?)

B. SCOPE OF RESPONSIBILITY (Complete for managerial positions only)

Indicate the description that most clearly describes the span of the organization
affected by a decision made by the incumbent in the performance of the job duties.

Resources is defined as staff, budget, and company image.

__ Affects the resources of a single organizational unit.

__ Affects the resources of several related organizational units.

__ Affects the resources of a Division.

__ Affects the resources of several related Divisions.

__ Affects the resources of several non-related Divisions.

C. SCOPE OF FINANCIAL RESPONSIBILITY(Managerial positions only)

What is the incumbent’s responsibility for expenditures and funding/revenue,
budget?

VII. ENVIRONMENT:

What are the physical and mental strains, stresses, or exposures of the job? Provide
amount of time involved or weight limits where applicable.

PHYSICAL DEMANDS

_____ Carrying Up to ________ pounds

_____ Climbing
_____ Crouching

_____ Grasping

_____ Kneeling

_____ Lifting Up to ________ pounds

_____ Pulling Up to ________ pounds

_____ Standing Up to ________ hours

_____ Stooping

_____ Walking

_____ Other (Please explain)

EXPOSURES
Indicate which exposures the incumbent might likely encounter.

_____ Airborne particles _____ Caustics _____ Chemicals

_____ Electrical current _____ Explosives _____ Fumes

_____ High places _____ Moving parts _____ Muscular strain

_____ Noise _____ Odors _____ Physical abuse

_____ Temperature _____ Toxicants _____ Vibration

_____ Vision Strain _____ Weather