Job Analysis Form

Sample: Job Analysis Form

JOB TITLE: DOT TITLE/CODE:

EMPLOYER: PHONE:

ADDRESS:

SOURCE: TITLE:

PREPARED JOB ANALYST:

LAST UPDATE:

ESSENTIAL DUTIES

Describe additional duties on reverse

PHYSICAL DEMANDS:

Percent of shift and longest time

% Standing; at one time

% Walking; at one time

% Sitting; at one time

% Inside; % Driving

% Outside

SHIFT:

__ Changeable Shifts

Usual Hours:

Usual Days:

WORKING CONDITIONS:

Check each essential function, maximum pounds and working condition. If constant, put a C instead of a check mark.

Lifting: lbs...