1
JOB ANALYSIS OF WORK DEMANDS
NORTH DAKOTA HUMAN RESOURCE MANAGEMENT SERVICES
DIVISION OF OFFICE OF MANAGEMENT AND BUDGET
SFN 54326 (4/05)
Employee Name
Position Number
Job Title
Division
Instructions:
• This document is intended to supplement the Position Information Questionnaire (PIQ) (SFN 2572) and the
Job Duty Analysis Questionnaire in an effort to analyze the physical and mental work demands of a job and
the environmental conditions in which it is performed.
• Physical demands sometimes describe the customary method of achieving an essential function. Physical
demands may, in some instances, be accomplished using other methods.
• An analysis should be completed for each position. Documentation for jobs with multiple positions, unless
the position duties/tasks are essentially different, will likely be able to be duplicated for all the positions in
the class. In the case of multiple position jobs, be sure to identify any unique differences of a specific
position.
• When completing the form, look at the job from a typical/average work day perspective.
• This form must be completed with both incumbent and supervisor input. Ideally, the incumbent will
complete the form, the supervisor will review it, and the document will be finalized after discussion has
occurred between both individuals.
WORK POSTURE REQUIREMENTS
In a typical work day, indicate the frequency
of a task by placing a D, M, or W in the
percentage time column. Then identify which
PIQ task number(s) require this activity.
Time: Frequency:
R – Rarely D - Daily
O – Occasionally M - Monthly
F – Frequently W - Weekly
C – Continuously
PIQ Task
(Number/Letter)
Percentage Time Designation
PHYSICAL DEMANDS
R
< 1%
O
1-33%
F
34-66%
C
67-100%
Balancing
Bending
Climbing (step stool)
Crawling
Crouching
Driving
Hearing
Jogging
Kneeling
Ladders (ascend/descend)
Reaching
Reaching above shoulder
Reaching below shoulder
Seeing
Sitting
Stairs (ascend/descend)
Standing
Stooping
Twisting
Walking
2
LIFTING/CARRYING/MOVING REQUIREMENTS
Use the following letters to indicate frequency:
(R) Rarely < 1% (O) Occasionally 1-33% (F) Frequently 34-66% (C) Continuously 67-100%
(D) Daily (M) Monthly (W) Weekly
Example: If an item is lifted 35% daily, the item would be recorded in the “lifted frequency” column as FD.
Note: “lifted” includes pushing and pulling effort while stationary; “carried” includes pushing and pulling effort
while walking.
Items
PIQ Task
Number(s)
Approx,
Weight &
Distance
Lifted Carried Moved
Chest
Floor
Knee
Overhead
Waist
Chest
Floor
Knee
Overhead
Waist
Cart
Change Belt
Fork Lift
Hand
Truck
Other:
Frequency:
Frequency:
Frequency:
Chest
Floor
Knee
Overhead
Waist
Chest
Floor
Knee
Overhead
Waist
Cart
Change Belt
Fork Lift
Hand
Truck
Other:
Frequency:
Frequency:
Frequency:
Chest
Floor
Knee
Overhead
Waist
Chest
Floor
Knee
Overhead
Waist
Cart
Change Belt
Fork Lift
Hand
Truck
Other:
Frequency:
Frequency:
Frequency:
Chest
Floor
Knee
Overhead
Waist
Chest
Floor
Knee
Overhead
Waist
Cart
Change Belt
Fork Lift
Hand
Truck
Other:
Frequency:
Frequency:
Frequency:
Items carried on person:
Beeper
Tool Belt
Two-Way Radio
Other (list)
3
ENVIRONMENTAL CONDITIONS
In a typical work day, indicate the frequency
of a task by placing a D, M, or W in the
percentage time column. Then identify which
PIQ task number(s) require this activity.
Time: Frequency:
R – Rarely D - Daily
O – Occasionally M - Monthly
F – Frequently W - Weekly
C – Continuously
PIQ Task
(Number/Letter)
R
< 1%
O
1-33%
F
34-66%
C
67-100%
Exposure to electrical hazards
Works in cramped quarters
Exposure to dust/smoke
Exposure to fumes/odors/grease/oil
Works in hot/cold temperatures
Travel required
On call
Works inside
Works outside
Exposure to noise
Exposure to chemicals
Stand on concrete
Vibration
Exposure to toxic materials
Works at unprotected heights
Shift work
Walk on uneven or slippery surface
Works in wet conditions
Works with others
Works alone
Works with moving machinery
Other (identify)
MENTAL DEMANDS
Problem solving
Analytical Ability
Communication – oral
Communication – written
Money handling
Organization
Interpersonal skills
Calculating
Concentration
Perception
Creativity
Working with interruptions
Other (list)
DEXTERITY REQUIREMENTS
Eye/Hand coordination
Feet (foot pedals)
Fingering (picking, pinching, sewing, using a
calculator)
Handling (holding, grasping)
Wrist motion (repetitive flexion/rotation)
4
OTHER JOB FACTORS
How many hours are worked per day? What is the work time?
How many days are worked per week? What days are worked?
Is overtime required? Yes No If yes, how many hours per day?
Days per week or hours per week?
Does this position have access to confidential files and information? Yes No
Does the employee have to answer customer complaints? Yes No
What percentage of the employee’s time is spent meeting deadlines set by others?
How much responsibility does the employee have for the overall performance of his/her particular department?
100%
75%
50%
25%
0-25%
I have read this questionnaire and find it to be complete and an accurate reflection of the
position.
Employee
Date
Supervisor
Date