Professional Documents
Culture Documents
II
The purpose of this questionnaire is to help incumbents describe their jobs and tell us the
conditions under which they carry it out so it may be analyzed. The questionnaire is also used
by Managers and Supervisors to describe a new job.
Please read this questionnaire carefully and write your response legibly in pen or complete the
questionnaire online. Provide as much detail as possible and attach additional pages if
necessary. If some questions do not relate to the job, please write N/A (not applicable) in the
appropriate space.
All information will be kept confidential and will be used only to develop a job description and
evaluate the job. This questionnaire is not about job performance, and job performance has no
impact on the evaluation of the position. Employees doing the same job should discuss their
duties with each other and submit one joint questionnaire.
For assistance in completing this form:
Incumbents can contact the ATU 107 Office
Supervisors or Managers can contact their Compensation Specialist in Human Resources.
1. Employee Name(s):
2. Title of Job:
4. Department/Division:
5. Location of Work:
6. Name and Title of your Immediate
Supervisor:
7. Business Telephone Number:
8. Do you report to anyone else:
(Name and Title)
EDUCATION LEVEL
Equivalent to partial completion of high school. Typically Grade 10 or equivalent.
Equivalent to completion of high school. Typically Grade 12.
Equivalent to completion of high school plus an additional work related program up to one
academic year of duration. Typically Grade 12 plus up to one year of equivalent education.
Specify:
Equivalent to completion of community college or specialized trade courses up to two
academic years. Specify:
Apprentice Program. A Certificate of Qualification by on the job training and specific c
schooling at the Community College level.
Equivalent to completion of specialized courses normally taught in community or recognized
speciality colleges consisting of up to three academic years. Specify:
University - Specify Program:
B)
Please specify.
C)
No
D)
Blueprint reading
Hydraulics
Diesel mechanics
Mechanics
Drafting
Policy interpretation
Driver-operator
Welding
Electronics
Other Specify:
E)
F)
G)
Yes
Comments:
Directors Initials:
2. EXPERIENCE
How many months and/or years of experience (acquired either on the job or elsewhere) are
needed to acquire the skills necessary to do your job satisfactorily? (i.e. the time required to
learn internal and external procedures, resources, as well as specialized skills). For example: If
there is a facet of your job you do only once every half a year, only include the time involved to
learn that part of the job, don't include the six months waiting period before you learned that part
of the job. Assume you have the minimum skill requirements.
PERIOD OF TIME
PREVIOUS RELATED
EXPERIENCE and ON
THE JOB
EXPERIENCE
up to one month
over 1 up to 3 months
over 3 up to 6 months
over 6 months up to 1 year
over 1 up to 2 years
over 2 up to 4 years
4 years or more
Please give examples of the job duties you were considering in making your determination(s):
Yes
Comments:
Directors Initials:
3. COMPLEXITY
A) Describe the analysis, reasoning and the degree of planning typically required in your
job.
B) Describe some typical problems that you generally solve on your own, using your
experience and expertise.
C) Describe some typical problems that you would usually pass on to your supervisor or a
colleague.
D) Describe some typical problems that you would solve by referring to manuals, policy
books or industry codes.
E)
What guidelines, procedures and/or manuals assist you in carrying out your job duties?
F) Does your job require you to develop new work methods, procedures or manuals?
Yes
No
Please explain:
Yes
Comments:
Directors Initials:
4. CONTACTS
From the list below, identify the usual contacts you are required to make in your job.
Communication skills include verbal presentations, writing, listening and/or observation skills.
Choose the words that best describe the nature or purpose of your contact from the following
list of words and list the frequency (daily/weekly/monthly/annually):
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Counsel
Interpret/resolve conflicts
Mediate/negotiate
Handle complaints
Teach/train
No contact
Contacts
# (from
above)
Frequency
Business
representatives
Clients
Contractors/
Suppliers
Employees in the
same department as
yours
Employees in another
department
Family
General public
Heads of departments
(other than yours)
Representatives of
professional
agencies/governments
Salespersons
Students
Teachers
Volunteers
Other: Specify:
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Yes
Comments:
5. ACCOUNTABILITY
This factor measures the level of decision making and the level of responsibility for those
decisions.
A)
Work is controlled through the occasional checking of accuracy, quality, and adherence to
detailed instructions or through the structured nature of the work itself. Some discretion in
decision making may be exercised within predetermined limits and procedures.
Explain:
Finished work is evaluated for compliance with technical standards, appropriateness and
conformity to organizational policy. Receive general direction only regarding work
responsibilities, discretion and judgement must be exercised in interpreting rules and
guidelines.
Explain:
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B) What would be the effect of errors in your decision making and judgement on others in
terms of the loss of time, the effect on the work or the impact on the public image of the
most serious errors that could be committed in the carrying out of your job duties?
Give precise examples of errors in your decision making and judgement and explain their
impact, particularly the impact on the public:
Yes
Comments:
Directors Initials:
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Yes
Comments:
Directors Initials:
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7. MENTAL EFFORT
A) Please describe those duties of your job which require periods of mental, aural
(listening) and visual concentration such as operating a switchboard, reading, driving,
inputting data, or a combination of the five senses, sight, taste, smell, touch and hearing
that are required in the course of doing the job that result in mental/sensory fatigue.
Duration
Approx.
hrs/day
Frequency
Occasional
/once in a
while/most
days
Several
times
daily/4
days per
week
Most
working
hours
/average
of at least
4 days per
week
No
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Yes
Comments:
Directors Initials:
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Up to and
including
1 hr/day
Over 1 hr
up to
2 hrs/day
More
than 2
hrs/day
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B) During the course of a working day or shift, what period of time are you required to:
Activity
Approximate hrs/day
Please explain:
C) Does your work require accurate hand/eye or hand/foot co-ordination? This can be a fine
movement such as keyboard skills, arc welding, drafting, repairing fine
instruments/equipment.
OR
coarse movement such as using long/handled tools such as mops and shovels, floor
polishers, lawn mowers, stocking shelves, sorting mail.
Please give examples of movements in your job requiring co-ordination.
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No
E) Please indicate the type of tools, equipment, machines, etc., you are required to use or
operate in carrying out your job duties.
Please specify:
F) Are you required to clean, maintain, adjust, service or repair any of the tools, equipment or
machines you have listed above?
Please give details:
Yes
Comments:
Directors Initials:
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9. WORKING CONDITIONS
A) Is there some degree of unpleasantness in the day-to-day activities of your job. For each
condition which is applicable, give an example or indicate not applicable (N/A). Check one
frequency level for each element that is applicable to your job.
Rare
Infrequent or seldom.
Occasional
Once in a while.
Moderate
Frequent
Continuous
Several times a day on a daily basis, or at least four days per week,
exposed to condition a good majority of the time.
Exposed to condition almost all working hours for at least an average of
four days per week.
Element
Example or N/A
Body wastes
and fluids
Chemical/Cleani
ng substances
Dust/Dirt
Extreme
temperatures
Grease/Oil
Inadequate
ventilation
Inadequate
lighting
Inclement
weather
Infectious
disease
Interruptions
Lack of privacy
Lack of work
space
Moisture/Steam
Noise
Odour
Smoke/Fumes
Travel
Rare
Infrequent
Occasional
Frequent
Continuous
Other: Specify
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B)
Do you work:
Year
round
Spring
Summer
Fall
Winter
Yes
Comments:
Directors Initials:
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10. SAFETY
The workplace, machines, tools and equipment must be safe and employees must observe
safety rules.
A)
Do you work:
Alone.
As part of a work team or group (with other employees, whether or not they belong to your
organization).
How many people are in your team/group?
B) What potential physical injury or harm could you cause to co-workers or to others such as
the public?
Please explain by describing the nature and seriousness of the injury that may occur.
C) Do you have a responsibility to ensure staff are following safety procedures or to instruct
staff on which safety procedures to use? Explain if applicable.
Yes
Comments:
Directors Initials:
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DUTY
2. List the duties you regularly perform EACH WEEK, indicating for each the number of hours.
Approx.
hr/wk
DUTY
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3. List the duties you regularly perform EACH MONTH, indicating for each the number of
hours.
Approx.
hr/mth
DUTY
4. List the duties you regularly perform ONCE A YEAR or OCCASIONALLY indicating for
each the number of hours.
Approx.
hr/yr
DUTY
5. Job Summary
In a few words, provide a general description of your job. In other words, what do you
do?
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EMPLOYEES SUMMARY
(Please add any additional information or comments.)
If this questionnaire is being submitted on behalf of a group of employees doing the same job,
then each employee must sign to indicate that he/she agrees with the responses.
Signature: __________________________
Date: ______________
Signature: __________________________
Date: ______________
Signature: __________________________
Date: ______________
Signature: __________________________
Date: ______________
Signature: __________________________
Date: ______________
Signature: __________________________
Date: ______________
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____________________
Signature of Supervisor
(Supervisor or Manager)
____________________
Date
________________
Telephone #s
____________________
Signature of Director
____________________
Date
________________
Telephone #s
Supervisors & Directors: Please provide a copy of the questionnaire to the incumbent(s)
once all comments and signatures have been completed.
Please forward the completed original questionnaire to the COMPENSATION SPECIALIST
in HUMAN RESOURCES who has portfolio responsibility for your Department.
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