POSITION INFORMATION: Name of Current Ho!er ("f o##u$"e!): Per%onne No&: IRIS Po%"t"on Num'er: Pa( )ra!e: Po%"t"on T"te: *o' T"te: Name of Su$er+"%or: P,one: Re%$on%"'e Co%t Center Num'er an! Name: De$artment Conta#t: Ema" a!!re%%: P,one: REASON FOR EVA-UATION: .. Ne/ Po%"t"on .. Re#a%%"f"#at"on Re0ue%t (S"1n"f"#ant C,an1e "n Dut"e%) .. Reor1an"2at"on .. Stan!ar! Re+"e/ C(#e ..Va#ant Po%"t"on Name of -a%t In#um'ent: ..Ot,er (Pea%e S$e#"f(): HR3PERSONNE- USE ON-Y: Ana(%"%: 4H .............. PS............... ACC............... Tota Po"nt%: ...... *o' T"te: ................................ Pa( )ra!e: ...... *o' Fam"(: ............................... F-SA Cate1or(: ...E5em$t ...Non6E5em$t Comment%: Position Description Questionnaire Rev. 2/1/08 1 Name of Current Ho!er ("f o##u$"e!): Po%"t"on No&:
A& POSITION SUMMARY: 7,( (or for /,at rea%on) !oe% t,"% $o%"t"on e5"%t8
9& MEASURES OF IMPACT: 7,at area% !oe% t,"% $o%"t"on "m$a#t8 (Mar: a t,at a$$(): Program Campus/Institute Department University Division/College External to the University De%#r"'e t,e e+e of re%$on%"'""t( t,"% $o%"t"on ,a% "n t,e area(%) #,e#:e! a'o+e& 7,at t($e of 'u!1et "m$a#t !oe% t,"% $o%"t"on ,a+e on t,e area(%) for /,"#, "t "% re%$on%"'e8 Full authority to commit funds (Explain) !i"e of #udget impacted Effective recommendations to commit funds (Explain) !i"e of #udget impacted $aintain or audit funds committed (Explain) !i"e of #udget impacted %ittle or no #udget responsi#ility ;E5$anat"on: C& POSITION DUTIES: 7,at are t,e e%%ent"a fun#t"on% an! re%$on%"'""t"e% of t,"% $o%"t"on ($ea%e "n!"#ate a$$ro5"mate $er#enta1e of t"me !e+ote! to ea#, fun#t"on)8 Fun#t"on3Re%$on%"'""t( < of T"me
D& DECISIONS: 7,at t($e% of !e#"%"on% !oe% t,"% $o%"t"on ma:e8 7,at t($e% of !e#"%"on% are referre! to ot,er%8 Ho/ are !e#"%"on% "m$emente!8 E& SUPERVISION: 7,at t($e% of %u$er+"%or( re%$on%"'""t( !oe% t,"% $o%"t"on e5er#"%e8 &iring' disciplining' supervising' granting increases (Explain) Effective recommendations in hiring' etc( (Explain) Providing )or* direction to a group of employees (Explain) +ssisting others #y providing guidance (Explain) %ittle or no supervisory responsi#ility E5$anat"on: Position Description Questionnaire Rev. 2/1/08 2 Num'er or em$o(ee%3%tu!ent% t,at t,"% $o%"t"on %u$er+"%e%: Exempt employees !tudents ,on-exempt employees .thers (Explain) ;E5$anat"on: F& MINIMUM QUA-IFICATIONS: 7,at are t,e m"n"mum 0ua"f"#at"on% "n term% of e!u#at"on= e5$er"en#e= >o' %:"%= an! $,(%"#a re0u"rement% of t,e >o' /,"#, /ou! 'e re0u"re!8 E!u#at"on:
*Atta#, t,e De$artmenta Or1an"2at"ona C,art $re$are! '( (our !e$artment /"t, name% an! t"te% ("n#u!e to /,om t,"% $o%"t"on re$ort%= ot,er% /,o re$ort to t,e %ame "n!"+"!ua= an! /,o re$ort% to t,"% $o%"t"on)& H& APPROVA-: T,"% Po%"t"on De%#r"$t"on Que%t"onna"re (PDQ) ,a% 'een re+"e/e! '( t,e "n!"+"!ua% /,o%e %"1nature% a$$ear 'eo/= "n!"#at"n1 t,at t,e PDQ a##urate( refe#t% t,e >o' #ontent of t,e $o%"t"on: Em$o(ee S"1nature Date Su$er+"%or?% S"1nature Date Dean= D"re#tor= or De$t Hea! Date Position Description Questionnaire Rev. 2/1/08 3 PHYSICA- REQUIREMENTS DEFINITIONS Clim#ing / +scending or descending ladders' stairs' scaffolding' ramps' poles and the li*e' using feet and legs and/or hands and arms( 0ody agility is emphasi"ed( 1his factor is important if the amount and *ind of clim#ing re2uired exceeds that re2uired for ordinary locomotion( 0alancing / $aintaining #ody e2uili#rium to prevent falling )hen )al*ing' standing or crouch on narro)' slippery or erratically moving surfaces( 1his factor is important if the amount and *ind of #alancing exceeds that needed for ordinary locomotion and maintenance of #ody e2uili#rium( !tooping / 0ending #ody do)n)ard and for)ard #y #ending spine at the )aist( 1his factor is important as it occurs to a considera#le degree and re2uires full use of the lo)er extremities and #ac* muscles( 3neeling / 0ending legs at *nee to come to a rest on *nee or *nees( Crouching / 0ending the #ody do)n)ard and for)ard #y #ending leg and spine( Cra)ling / $oving a#out on hands and *nees or hands and feet( 4eaching / Extending hand(s) and arm(s) in any direction( !tanding / Particularly for sustained periods of time( 5al*ing / $oving a#out on foot to accomplish tas*s' particularly for long distances( !tatic Position / $aintaining the same #ody position for a period of time in order to complete a tas*( Pushing / Using upper extremities to press against something )ith steady force in order to thrust for)ard' do)n)ard or out)ard( Pulling / Using upper extremities to exert force in order to dra)' drag' haul or tug o#6ects in a sustained motion( %ifting / 4aising o#6ects from a lo)er to a higher position or moving o#6ects hori"ontally from position to position( 1his factor is important if it occurs to a considera#le degree and re2uires the su#stantial use of the upper extremities and #ac* muscles( Fingering / Pic*ing' pinching' typing' or other)ise )or*ing' primarily )ith fingers rather than )ith the )hole hand or arm as in handling( 7rasping / +pplying pressure to an o#6ect )ith the fingers and palm( Feeling / Perceiving attri#utes of o#6ects' such as si"e' shape' temperature or texture #y touching s*in' particularly that of fingertips( 1al*ing / Expressing or exchanging ideas #y means of spo*en )ord( 1hose activities in )hich they must convey detailed or important spo*en instructions to other )or*ers accurately' loudly or 2uic*ly( &earing / Perceiving the nature of sounds )ith no less than 8 d# loss 9 :;; &"' <';;; &" and =';;; &" )ith or )ithout correction( +#ility to receive detailed information through oral communication and to ma*e fine discriminations in sound' such as )hen ma*ing fine ad6ustments on machined parts( !eeing / 1he a#ility to perceive the nature of o#6ects #y the eye( !eeing is important for ha"ardous positions in )hich defective seeing )ould result in in6ury and positions in )hich special and minute accuracy' inspecting and sorting exist( + high degree of visual efficiency' placing intense and continuous demands on the eyes #y moving machinery and other o#6ects are also considered important( .ther important factors of seeing are acuity (near and far)' depth perception (three-dimensional vision)' accommodation (ad6ustment of lens of eye to #ring an o#6ect into sharp focus)' field of vision (area that can #e seen up and do)n or to the right or left )hile eyes are fixed on a given point) and color vision (a#ility to identify and distinguish colors)( 4epetitive $otions / Fre2uent' sustained movement patterns of the upper extremities (fingers' hands' )rists' el#o)s' shoulders)( Carrying / 1he physical act of manually transporting o#6ects from one to another( Driving / 1he physical act of operating a motor vehicle( Position Description Questionnaire Rev. 2/1/08 4 PHYSICA- REQUIREMENTS Chec* physical demands that must #e met to perform the essential functions of this position( If a 4e2uirement is not applica#le' leave #lan*( (!ee Physical 4e2uirements Definitions page()
Amount of T"me S$ent $er 7or: Da( Re0u"rement% U$ to @3A @3A B C3A C3A or more Clim#ing 0alancing !tooping 3neeling Crouching Cra)ling 4eaching !tanding 5al*ing !tatic Position Pushing Pulling %ifting Fingering 7rasping Feeling 1al*ing &earing !eeing 4epetitive $otions Carrying Driving If this position re2uires lifting and carrying' please complete the follo)ing chart( C,e#: 9ot, Amount of T"me S$ent $er 7or: Da( an! From 7,"#, -e+e D66666666666T"me S$ent $er 7or: Da(666666666666D D666666666666-e+e666666666666D 7e"1,t None U$ to @3A @3A 6 C3A C3A or more 7a"%t 4nee Foor Up to <; l#s Up to =: l#s Up to :; l#s Up to <;; l#s $ore than <;; l#s Position Description Questionnaire Rev. 2/1/08 5
DEPARTMENTA- OR)ANIEATIONA- CHART
Imme!"ate Su$er+"%or (Name an! T"te)
Name% an! t"te% of %taff a%o Em$o(ee Name an! T"te Name% an! t"te% of %taff a%o re$ort"n1 to t,"% %u$er+"%or re$ort"n1 to t,"% %u$er+"%or Staff Su$$ort
Name% an! t"te% of %taff /,o re$ort !"re#t( to t,"% em$o(ee& Position Description Questionnaire Rev. 2/1/08 6 Job Safety Questionnaire NAME !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! DA"E !!!!!!!!!!!!!!!!!!! PER#$NNE% N&M'ER !!!!!!!!!!!!!!!! (R(# P$#("($N N&M'ER !!!!!!!!!!!!!!!! (R(# P$#("($N "("%E !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! During the course of my job, I: YES NO 1. Dri))/sa*/cut or ot+er*ise penetrate *a))s, cei)in-s, .)oors, .)oor ti)e, cei)in- ti)e, pipe insu)ation or roo.in- /ateria)s0 or strip, 1u.., or re.inis+ .)oors. 2. Enter con.ine2 spaces suc+ as /an+o)es, va)ve pits, e)evator pits, cra*) spaces, tunne)s or 1oi)ers. 3. 3or4 in situations t+at /i-+t re5uire /e to enter e6cavations -reater t+an .our .eet 2eep, suc+ as trenc+es. 4. 3or4 at unprotecte2 +ei-+ts 7not +avin- -uar2 rai)s8 -reater t+at si6 .eet, suc+ as roo.s. 5. $perate po*ere2 p)at.or/s or /an )i.ts 6. &se )a22ers or sca..o)2s 9. $perate /ac+ine s+op e5uip/ent use2 .or cuttin-, punc+in-, s+earin-, or 1en2in-, suc+ as ta1)e sa*, 2ri)) press, 1an2 sa*, )at+e, sur.ace -rin2er, or si/i)ar e5uip/ent. 8. Routine): use +an2 or po*er too)s suc+ as +a//ers, c+ise)s, *renc+es, i/pact too)s, 2ri))s, circu)ar sa*s, etc. ;. $perate a-ricu)tura) tractors or ri2in- /o*ers. 10. 3or4 *it+ pro2ucts t+at contain +a<ar2ous c+e/ica)s outsi2e a )a1orator: settin- 7.or e6a/p)e c)eanin- /ateria)s, pestici2es, or paints.8. 11. 3or4 in a continua)):, consistent):, or perio2ica)): nois: environ/ent 7e6a/p)e = i. :ou +ave to raise :our voice to ta)4 to t+e person ne6t to :ou8. 12. Per.or/ active *or4 in e6cessive +eat 7in e6cess o. 85 2e-rees >a+ren+eit8, especia)): .or e6ten2e2 ti/e. 13. #crape, san2, 2ri)) or cut on painte2 sur.aces. 14. (nsta)) or repair e)ectrica) circuits or e5uip/ent *it+ e)ectrica), pneu/atic, /ec+anica) or +:2rau)ic co/ponents. Position Description Questionnaire Rev. 2/1/08 9 YES NO 15. 3or4 in an environ/ent 7even occasiona)):8 *+ere ( /i-+t nee2 sa.et: -)asses, -)oves, +ar2 +ats or ot+er persona) protective e5uip/ent. 16. 3or4 in an environ/ent 7even occasiona)):8 *+ere ( /i-+t nee2 to *ear a respirator 7.or e6a/p)e .ace /as4s, N;5, cartri2-e respirator8. 19. 3e)2, cut, or 1ra<e /eta)s. 18. $perate a .or4)i.t. 1;. &se or /ove co/presse2 -as c:)in2ers. 20. 3or4 *it+ et+:)ene o6i2e. 21. 3or4 *it+ .or/a)2e+:2e, ot+er t+an in a )a1orator:. 22. (2enti.:, -enerate or )a1e) c+e/ica)s//ateria)s 2esi-nate2 as +a<ar2ous *aste. 23. 3or4 *it+ ?)ass ((( or ?)ass (@ )asers. 24. 3or4 *it+ c+e/ica)s in a )a1orator: settin-. 25. Per.or/ tas4s t+at /a: re5uire /e to co/e in contact *it+ +u/an 1)oo2 or +u/an trau/a .)ui2s. 7E6a/p)es inc)u2e ren2er .irst ai2//e2ica) services, c)eanup +u/an 1)oo2 or trau/a .)ui2s, +an2)e *astes )a1e)e2 as A1io+a<ar2B in a +ea)t+ care .aci)it:, access p)u/1in- .or /aintenance purposes in a +ea)t+ care .aci)it: or )a1 .aci)it: *+ere +u/an=2erive2 /ateria)s are in use.8 26. 3or4 *it+ +u/an ce)) )ines or un.i6e2 7unpreserve28 +u/an tissues. 29. 3or4 *it+ or aroun2 verte1rate ani/a)s, ani/a) tissues or 1o2: .)ui2s 7ot+er t+an consu/er .oo2 pro2ucts8 in a researc+ or teac+in- activit:. 28. Enter poste2 ioni<in- ra2iation or C=Ra: areas. 2;. 3or4 *it+ ra2ioactive /ateria) or C=Ra: /ac+ines. 30. Durin- t+e course o. /: Do1, ( *i)) prepare, pac4a-e, transport an2/or s+ip Depart/ent o. "ransportation=re-u)ate2 +a<ar2ous /ateria)s or (A"A 71: air8 re-u)ate2 2an-erous -oo2s. E6a/p)es o. suc+ /ateria)s inc)u2e .)a//a1)es, corrosives, o6i2i<ers, co/presse2 -ases, 2r: ice, ra2ioactive /ateria)s an2 in.ectious su1stances 7inc)u2in- 2ia-nostic speci/ens8. THANK YOU FOR YOUR FEEDBACK! Position Description Questionnaire Rev. 2/1/08 8