Huron County Job Analysis Questionnaire
Section A
Employee Name:
_________________________________________________________________
Present Position
_________________________________________________________________
Labor Union
_________________________________________________________________
Area/Department
_________________________________________________________________
Work Phone #
_________________________________________________________________
Immediate Supervisor
_________________________________________________________________
Supervisor’s Title
_________________________________________________________________
Position Summary (Briefly explain your position’s primary function.)
Section B
Sample Duties for completing Section B
% of
Time
15%
Frequency Primary Duties, Tasks, & Responsibilities
15%
W
10%
5%
5%
W
M
W
D
Coordinates daily workflow & sets up office procedures. Screens
problems & obtains files to resolve in satisfactory manner.
Maintains budgetary costs for assigned area, purchases supplies or
equipment through purchasing department or directly from vendor.
Gathers statistics, performs research, and writes reports.
Updates manuals and notebooks.
Composes answers to correspondence which involves forwarding or
requesting materials. Signs correspondence.
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Huron County Job Analysis Questionnaire
Duties, Tasks and Responsibilities:
List and describe separately each duty you perform in order of importance. Under the “% of time”
column, indicate the approximate percentage of time spent to perform each duty based on an annual
average. The percentage total for all duties should equal 100%.
Indicate how often the duty is performed under the “frequency” column (D=daily, W=weekly,
M=monthly, A=annually, S=semi-annually, BW=bi-weekly, BM=bi-monthly, O=occasionally.)
% of Time Frequency Duties, Tasks, & Responsibilities
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Huron County Job Analysis Questionnaire
% of Time Frequency
Duties, Tasks, & Responsibilities
If there are additional duties, please attach a separate sheet listing them as shown above.
Section C
Judgment and Independence: Indicate the amount of direction, checking, and review your supervisor
gives you in doing your work.
Check one statement that best describes your job.
Work is performed under close supervision with regular checking and review by
supervisor, or duties are routine and require only simple, standard instructions
without regular, on-site supervision.
Work is performed without direct supervision under standard operating
procedures; however, supervisor is nearby to answer questions or handle
problems.
Work is performed under minimal supervision with only occasional general
supervisory review; employee plays a fairly large role in setting objectives and
organizing work.
Work is performed independently with only general direction; supervisor does
not usually check on activities and/or quality of work. Employee works from
fairly broad procedures and participates heavily in setting work objectives.
Please give an example that supports your answer to Section C above: ________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
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Huron County Job Analysis Questionnaire
Section D
Job Complexity:
Indicate the variety and difficulty of the tasks necessary to do the work. Consider the amount of judgment
and thought required as determined by the complexity of duties. Also consider whether policies and
procedures are available to guide you in making decisions.
Check one statement that best describes your job.
Work consists of very routine tasks with little or no choice as to the procedures used in
achieving results. Requires the use of little judgment in following routine instructions
or procedures.
Work consists of fairly routine tasks with a few choices as to what procedures should be
followed. Requires the use of some judgment in making minor decisions.
Work consists of somewhat difficult tasks with several choices as to what operations
and processes will be followed. Requires the use of moderate judgment in applying
policies and adapting standards to fit facts and conditions.
Work consists of difficult and complex tasks and requires the interpretation of technical
and detailed guidelines. Requires the use of considerable judgment where answers and
solutions can only be found after careful thought and analysis.
Please give an example that supports your answer to Section D above: ________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
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Huron County Job Analysis Questionnaire
Section E
Supervision of Others:
Indicate the type of supervision you have over other employees. Consider the degree to which you are
responsible for directing, instructing, and reviewing the work of others.
Check the one response that best describes your job.
Accomplishes department objectives and tasks through the correct implementation
of routine procedures. Does not directly supervise other employees.
Assists with the training of new employees. Explains routine procedures within the
office but, does not have a formal supervisory role over coworkers.
Involves occasional training and instruction of employees who work for a limited
amount of time. Supervision is sporadic and will occur from time-to-time
throughout the year as new projects are assigned.
Involves scheduling, direct supervision, and evaluation of work as a first-line
supervisor over regular employees. Responsible for recommending personnel
actions such as promotion, hiring, firing, discipline, and pay/classification changes
for supervised employees.
Has final authority to make final decisions regarding personnel actions such as
promotion, hiring, firing, discipline, and pay/classification changes.
Number of employees supervised:
Indicate the number of employees you supervise for the category checked above. Check only one.
None
1-2
3-5
6 or more
List job titles or classifications of employees you supervise:
_____________________________________
__________________________________
_____________________________________
__________________________________
_____________________________________
__________________________________
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Huron County Job Analysis Questionnaire
Section F
Analysis of Communication:
Indicate the people whom you work in an official County capacity. Consider the kind of discussions you
have with these people to do your job.
Check one statement that best describes the people whom you deal with most often.
Contacts are mostly with the general public, supervisor, and co-workers
within immediate work area. Consists mostly of answering simple questions
and providing basic information; requires common courtesy (i.e. responding
to a request to move furniture).
Contacts are mostly with clerical, technical, and/or non-hourly supervisory
staff outside of immediate work area and consist mostly of discussions about
minor problems. Requires thoughtfulness to get cooperation and approval
from others (i.e. coordinating activities, resolving problems/complaints.)
Contacts are mostly with lower-level administrative and/or supervisory staff
outside of the immediate work area. Consists mostly of discussions about
sensitive work issues; requires thought, judgment, and close cooperation in
dealing with serious complaints.
Contacts are mostly with upper-level professional / managerial staff outside
of immediate area. Consists mostly of discussions about very sensitive
and/or confidential work issues or somewhat complex projects.
Internal Contacts:
With whom do you regularly communicate inside the County organization in order to perform your duties
(i.e. clerical staff, employees from other offices, law enforcement, custodial, etc.)? What do you normally
discuss with these individuals and how often do you communicate (i.e. daily, weekly, occasionally, etc.)?
Who
Topic/Issue
How often
_________________________
___________________________________________
_________________
_________________________
___________________________________________
_________________
_________________________
___________________________________________
_________________
_________________________
___________________________________________
_________________
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Huron County Job Analysis Questionnaire
Section G
External contacts:
With whom do you regularly communicate outside of the County? (i.e. sales representatives, vendors,
retailers, board members, visitors, staff of other counties, etc.). What do you discuss?
Who
Topic/Issue
How often
_________________________
___________________________________________
_________________
_________________________
___________________________________________
_________________
_________________________
___________________________________________
_________________
_________________________
___________________________________________
_________________
Section H
Machines, equipment, and technology used:
Type
Work performed
Annual % of time
_________________________
___________________________________________
_________________
_________________________
___________________________________________
_________________
_________________________
___________________________________________
_________________
_________________________
___________________________________________
_________________
_________________________
___________________________________________
_________________
_________________________
___________________________________________
_________________
_________________________
___________________________________________
_________________
_________________________
___________________________________________
_________________
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Huron County Job Analysis Questionnaire
Section I
Describe specialized education, training, skills, or certifications which are required to perform
your duties:
Section J
Do you develop and/or implement policies, procedures, forms, or processes as part of your job? If yes,
please explain.
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Huron County Job Analysis Questionnaire
Section K
Analysis of Working Environment:
Indicate one best option that describes your working environment.
Position requires the ability to lift up to 20 lbs.; and/or prolonged
sitting, typing, and/or eyestrain from computer use; and/or
occasional standing, walking, climbing stairs, bending, reaching,
twisting, repetitive motions, stooping, crouching, kneeling, pushing,
carrying, and pulling in a well-lit and climate controlled
environment.
Position requires the ability to lift up to 20 lbs., and/or prolonged
sitting, typing, and/or eyestrain from computer use; routine
standing, walking, climbing stairs, bending, crawling, reaching,
twisting, balancing, repetitive motions, stooping, crouching,
kneeling, pushing, carrying, and/or pulling in a well-lit and climate
controlled environment.
Position requires infrequent/seasonal/occasional exposure to noise,
vibration, extreme temperatures/weather, wet and/or humidity,
dangerous machinery, potential physical harm, hazardous chemicals,
and/or heavy lifting (50 lbs. or more).
Position requires frequent exposure to noise, vibration, extreme
temperatures/weather, wet and/or humidity, dangerous machinery,
potential physical harm, hazardous chemicals, and/or heavy lifting
(50 lbs. or more).
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Huron County Job Analysis Questionnaire
Section L
Please review your current job description and list duties that have been added, amended, or deleted.
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
_______________________________________________________________
Employee’s Signature
__________________
Date
PLEASE DELIVER THIS COMPLETED QUESTIONAIRE TO YOUR SUPERVISOR.
Section M
Supervisor’s review and comments: This portion of the questionnaire is to be completed by the
employee’s supervisor (responsible for evaluation of the employee’s performance). Based on your
understanding of the job as it currently exists, please review the responses and provide your comments. As
a supervisor, it is important that you review this questionnaire and note any differences of opinion you
may have. This questionnaire is intended solely for the purpose of accurately describing the position
and not the person or his/her performance. Please do not change any of the employee’s responses. If you
differ with the employee, state your response in the space provided below.
Attach additional information if necessary.
Section/Question
Comments
________________
______________________________________________________________________
________________
______________________________________________________________________
________________
______________________________________________________________________
________________
______________________________________________________________________
________________
______________________________________________________________________
________________
______________________________________________________________________
SUPERVISOR: UPON COMPLETION PLEASE CONTACT
DAN WENDT - [email protected] - 419-577-8656
DEPARTMENT OF HUMAN RESOURCES, 12 E. MAIN ST., SUITE 102, NORWALK, OH.
5/19/2015 SEB
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