CIVIL SERVICE COMMISSION POSITION …

1 CIVILSERVICECOMMISSIONPOSITIONDESCRIPTIO NQUESTIONNAIREINSTRUCTIONSWHOSHOULDCOMPL ETETHEQUESTIONNAIRE?(1)Theemployeeoccupy ingtheposition(jobholder)completesthefir stsix(1-Vi)sectionsofthequestionnaire.(2 )TheemployeecompletesSectionVIIif , (3) istoaddorclarifyanyoftheinformationprovi dedbytheemployee/jobholderortoprovidedif ferentinformation.(4)Thedirectsupervisor completesthequestionnaireforvacantpositi ons.(5)SectionIXiscompletedbytheHumanRes ourcesOffice.(6) :PositionTitle:Showtheofficial(payroll) , isa :ESSENTIALFUNCTIONS:Thesearetherequiredj obdutiesofthepositionthata ,thedutiesareperformedeitherwithorwithou tareasonableaccommodation.

2 Withoutoneoftheessentialfunctions, , shouldnottellhowit , willnotdeterminethejob sclassificationandpay.(1) (2) , (3) , :Nonessentialfunctionsaretasksthataremin or, , , performsrelateddutiesasassigned sjob/holder (monthsoryears)ofexperienceneededbya (Department/Agency)(Division)(Section/Un it)(Last)FirstIClassified[IUnclassifiedP ayGrade:____Supervisor:(Nameci DirectSupervisor)MiddleInitialIi]Positio nVacant(Titleat Supervisor) ~ (1)(2)Thedailyworkassignments, timeandshow~ foreach(total%equals100%)(3)Orderof importance, )oneformatonly:II1(1),[ ](2),E](3)Revised:05/97 ClassCode_____Name:May12,1997L661 ZI ~Nz[ INON-ESSENTIALORADDITIONALFUNCTIONS.

3 Listdutiesandresponsibilitiesnotlistedab ovethatmaybe performed, :Departments, (XorV)onebox:[ ]NoneIi]Upto15%oftotalworkinghours[ ]15-50% [ IOver50% (XorY )onebox:]NoneIIIUpto15%oftotalworkinghou rs[ ]15- 50%oftotalworkinghoursII]Over50% :Howcloselyistheemployee s/jobholder sworkreviewedby thedirectsupervisor?Mark(Xorv )onecorrectresponse.[ [ ]Direction--Receivesguidanceaboutgeneral objectivesinmostofthetasksandprojectsass igned;determinesmethods,worksequence,sch edulingandhowtoachieveobjectivesofassign ments;operateswithinpolicyguidelines.(Ge nerallyapplicabletoskilledprofessionals, supervisorsandmanagers.)

4 May 12,19973 IIIG eneralDirection--Receivesverygeneralguid anceaboutoverallobjectives;workisusually quiteindependentofothers;operateswithind ivisionor departmentpolicyguidelines,usingindepend entjudgmentinachievingassignedobjectives .(Generallyapplicabletomanagers/administ ratorsinlargeandcomplexorganizationsandt odepartment/agencyheadsandtheirfirstassi stants.) : ,theirpositiontitles, :Listtheequipment(pickuptruck,welder,cra ne,etc.),officemachines,(wordprocessor,c alculator,copyingmachine,etc.)or any othermachines,toolsor devicesthatareusedon (%)OFTIMEFOREACHMay [IMark(Vor X) :Listthegeneral,specializedand/orsupervi sory/managementworkexperienceneededandho wmuch(inmonthsand/oryears).]

5 Ifnone,mark(Vor X) Noworkexperiencerequired. No :Specialized:Supervisory/Management:____ _Ifno workexperienceisrequired,listtheknowledg e, TRAINING:Mark(Xorv ) [IBelowHighSchool-ShowNumberofYears_____ b.[ IHighSchoolGraduation/GED[ [ ]Vocational/TechnicalSchoolShowspecifict rainingthatisrequiredby [ISomeCollegeShownumberofIIIS emesterHours_____or[ ]QuarterHours_____Showspecificcoursesreq uiredby ~]Associate s:_____Bachelor s:_____Master s:_____]BeyondMaster :Listspecializedskillsor ,REGISTRATIONORCERTIFICATION:Listpossess ionofrequiredlicense, , ,PHYSICAL, (Vor X)themostappropriatephysicalrequirement( s) timewithoutbeingableto , ]Reaching[ ]Stooping]Crawling[ ]Speaking[ ]Listening[IOtherMay12,1997 Thejobrequiresexertingforceup to_____poundson aregularbasistomovetheobjecttoor ,on aregularbasis,tocarryobjectsinhisor herarmsor ontheshoulder(s) bendingatthewaistor hisor [ (VorX) (typicalrequirementformachineoperators,o fficestaff,etc.)]]

6 MotorCoordinationSkills(typicalforautomo tivemechanic,painter,etc.)IIIC oordinationofEyes,Hands,andFeet(typicalf ortractortrailerdriver,firefighter,linee lectrician,etc.)]VerbalIntelligence(typi calforcounselors,customerservicerepresen tatives,etc.)INumericalIntelligence(typi calforanaccountingclerk,cargochecker,etc .)[ (Selectoneresponseonly)____Indoorsinacom fortabletemperature-controlledenvironmen t(forinstance,inan office)____Indoorsinanon-temperature-con trolledenvironment(suchasan opengarage,somestoreroomsand warehouses,etc.)____Outdoorsexposedtocha ngingweatherconditions(forinstance,rains un,wind,etc.)

7 ____Outdoorsbutinan (Xorv ) ,19978 Showwhat0000000percentofatypicalworkdayt hispositionisexposedto:Aircontamination( ,dust,fumes,smoke, ,disagreeableodors)Vibration( ,operatingjackhammer,impactwrench).Noise (Exposureatalevelenoughtocausebearinglos sorfatigue)An ( ,on ladders,rooftops,buckettrucks,scaffoldin g). exposure.[_I_Mark_(X_orV) :IMay12, X) (8)hoursdaily,Monday-FridayIIrregular--S hiftwork-A24-hourworkoperation.[ : , SREVIEWIMPORTANT:ThisBlockTo BeFilledOutOnlyByTheDirectSupervisora.(1 )Hastheemployeecorrectlystatedhisor her officialpayrollpositiontitle?[]Yes[]No(2 )Ifnot,whatisthecorrecttitle?]]

8 B.(1)Aretheemployee [1 Yes[]No(2)If not,whatadditions,deletionsor correctionsshouldbe made?(refertoblockandpage)May12, :NAIVIETITLED oesthispositionrequire(markone)II]Immedi atesupervisionon aregularbasis,[ ]Immediatesupervisiononlyfornew/complext asks,or[ (markthoseappropriate)theIIFormulation,I IInterpretation,and/ (markone)[IPerformsroutine,well-definedt asks,]Performsmoderatelycomplextasksrequ iringmoderateknowledgeofAgency s/Department swork;orLIPeriormscomplextasJ~srequiring extensiveknowledgeofAgency s/Department ,responsibilitiesandorganizationalrelati onshipsprovidedherein;further,thatthepos itionisnecessarytocarryoutgovernmentfunc tionsforwhichIam usedforstatutorypurposeson misleadingstatementmayconstituteviolatio nsofsuchstatutesor ,199712 HumanResourcesOfficeReview:Reviewedby:Po sitionTitleClassificationCorrect:[IYesDa teNameNoIfnot,correctiveactiontaken:(Att achcopyofreviewmade)Approvedby:Personnel ServicesAdministratorDateCivilServiceCom missionPost-Audit:Date:Reviewedby:Positi onTitleClassificationCorrect:[ ]Yes[INoIfnot,correctiveactiontaken:May1 2,199713 Name~IL]]]