JOB ANALYSIS QUESTIONNAIRE

JOB ANALYSIS QUESTIONNAIRE - JOB ANALYSIS QUESTIONNAIRE JOB...

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JOB ANALYSIS QUESTIONNAIRE JOB TITLE : _______________________________________________ INTERVIEWEE : ______________________________________________ -Title: ______________________________________________ Summary of Job : ____________________________________________________________________ Description of Tasks: See attached worksheet _
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PHYSICAL DEMANDS Comments 1. Strength a. Standing: ____% b. Walking : ____% c. Sitting : ____% d. Lifting : ____ lbs. e. Carrying: ____ lbs. Ratings: 0: Not applicable f. Pushing : ____ lbs. 1: Occasionally 2: Frequently g. Pulling : ____ lbs 3: Constantly 2. Climbing: ______ 3. Balancing: ______ 4. Stooping: ______ 5. Kneeling: ______ 6. Crouching: ______ 7. Crawling: ______ 8. Reaching: ______ 9. Handling: ______ 10. Feeling: ______
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PHYSICAL ENVIRONMENTAL CONDITIONS 1. What percent of time is spent working: Inside _____% Outside _____% 2. Temperature (consider extremes and changes): 3. Noise: 4. Hazards: 5. Protective Clothing or Personal Devices: SOCIAL ENVIRONMENTAL CONDITIONS
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JOB ANALYSIS QUESTIONNAIRE - JOB ANALYSIS QUESTIONNAIRE JOB...

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