Empl Ctr Forms\taskanalysis.doc (8.07-v2)
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TASK ANALYSIS FORM
University of Rochester
Office of Human Resources
Job Title:
Date:
Functional Title:
(If different from job title)
Pay Grade:
Position Code:
Department:
Division:
Printed names and signatures of individuals completing form:
Supervisor Name:
_________________________________________________________
(Signature)
Department Administrator Name:
_________________________________________________________
(Signature)
INSTRUCTIONS
1. A completed Task Analysis Form must be submitted with each requisition for a vacant position
(600 or 700 form). The Department Administrator should review and sign the form before
submission to Employment Services.
2. A functional job description may be submitted in lieu of completing Part I. If a functional
description is attached, complete only Part II.
3. In completing Part I, list all essential and nonessential tasks and note the percent of time
spent performing each task during a typical workweek. The total of all percents for essential
and nonessential tasks should equal 100%.
4. The essential tasks are the most important ones and the reason the job exists. If these tasks
were removed, the job would be drastically altered or nonexistent.
5. The nonessential tasks are of lesser importance. If these tasks were removed, the job would
still exist because of the essential tasks.
6. Functional Job Descriptions: Information on developing a functional description can be
obtained by contacting the Office of Human Resources Compensation Division at ext. 5-2089.
Empl Ctr Forms\taskanalysis.doc (8.07-v2)
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PART I. TASK LIST
ESSENTIAL TASKS
(attach extra sheets if necessary)
Task and Percent of Time
1.
Percent of Time
2.
Percent of Time
3.
Percent of Time
4.
Percent of Time
5.
Percent of Time
6.
Percent of Time
7.
Percent of Time
8.
Percent of Time
NONESSENTIAL TASKS
(attach extra sheets if necessary)
Task and Percent of time
1.
Percent of Time
2.
Percent of Time
3.
Percent of Time
4.
Percent of Time
5.
Percent of Time
6.
Percent of Time
* Education/Experience (minimum required):
* License/Certification Required:
* You may refer to the University's job description for this position in completing this section or
attach a copy of same.
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PART II. OTHER REQUIREMENTS - FOR ESSENTIAL DUTIES ONLY
In completing the following sections, indicate the frequency of use by placing the number that
corresponds to the applicable frequency.
In completing the following sections, indicate the frequency of use by placing the number
that corresponds to the applicable frequency.
EXAMPLE:
0 - Not required
1 - Occasionally - now and then; sometimes
2 - Frequently - occurring at close intervals
3 - Continuously - prolonged; without interruption
RECEPTIONIST
Physical Requirements:
Sitting - 3
Standing - 1
EQUIPMENT / TOOLS
Frequency
List Tool or Equipment
0
0
0
0
0
0
0
0
0
0
0
PHYSICAL REQUIREMENTS
Physical
Requirement
Frequency
Sitting
Standing
0
Physical
Requirement
Frequency
0
0
Bending
Twisting
Walking
0
Crawling
Lifting
0
Squatting
0
Physical
Requirement
Frequency
Climbing
Reaching above
shoulders
0
0
Pushing
0
Kneeling
0
Pulling
0
Driving
0
0
0
0
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WEIGHT REQUIREMENTS
Weight Requirement
Frequency
Up to 10 lbs.
0
Up to 20 lbs.
0
Up to 35 lbs.
0
Up to 50 lbs.
0
Up to 75 lbs.
0
Up to 100 lbs.
0
Over 100 lbs.
0
USE OF HANDS
Frequency
Task
Grasping: Applying pressure with fingers
0
Pushing/Pulling: Applying pressure to move forward/haul, drag, tug
0
Manipulation/Repetitive Handling: Typing, assembling, picking
0
USE OF FEET
Describe repetitive use of foot or feet in operating equipment:
Not required
Required: describe frequency and what is involved:
SENSORY FUNCTIONS
Sensory Function
Frequency
Speech
0
Vision
0
Touch
0
Hearing
0
Smell
0
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JOB HAZARD ASSESSMENT
**Complete this Job Hazard Assessment and keep in a department file with the signed
Task Analysis for reference during Environmental Health and Safety audits.
SECTION A: Environmental Conditions
Check the description(s) of environmental conditions that this job is subject to in a normal
workday. For every condition containing an asterisk that you check, Section B (Hazard and
Controls) must be completed. Work is performed:
Indoors with constant temperatures.
Indoors but subject to temperature shifts: e.g., extreme heat/cold resulting in heat stress,
exhaustion, or metabolic slowdown such as hypothermia.
Primarily indoors; occasional outdoor work required.
*Outdoors
and subject to varying climate conditions: e.g., extreme heat/cold resulting in
heat stress, exhaustion, or metabolic slowdown such as hypothermia, exposure to heat
resulting in burns, exposure to cold resulting in frostbite.
*In
a noisy environment: e.g., noise levels (>85 dBA 8 hr TWA) that result in hearing
damage or inability to communicate safety/critical information. Examples include, but are not
limited to: staff members feel the need to shout in order to be heard 2-3 feet away; exposure
to generators, mechanical rooms; and use of power equipment such as drills, lawnmowers,
nail gun, circular saw.
*Near/with equipment causing vibrations.
*That
poses potential exposure to hazards (chemical, electrical, physical, biological, etc.)
and requires wearing PPE (Personal Protective Equipment) to protect the eyes/face, head,
respiratory system, feet and hands.
*Where the job requirements of the position involve potential exposure to human blood or
body fluids. This includes contact with contaminated equipment or surfaces as well as
working in patient care areas or having patient contact.
*Involving
exposure to chemicals and/or particulates that require use of a respirator.
Examples include, but are not limited to: Tb; formaldehyde; solvents; and any other airborne
particulate or chemical that requires use of a PAPR, N95, negative pressure respirator; or in
an IDLH (Immediately Dangerous to Life and Health) environment that requires use of an
SCBA or air line respirator.
*With biologicals including, but not limited to: human specimens and research samples, for
which a vaccine is available and offered by the University. Examples include, but are not
limited to: hepatitis B vaccine series, hepatitis A vaccine series, vaccinia virus vaccine,
chicken pox virus vaccine, and rabies vaccine.
*With biologicals for which serum banking is recommended by the University.
*With nonhuman primates.
*With research animals or in Vivarium areas.
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*At heights above 4 ft. that would require wearing PPE for fall protection.
*In areas classified as a permit-required, confined space: e.g., has adequate size and
configuration for employee entry, has limited means of access and/or egress, is not
designed for continuous employee occupancy, contains or has the potential to contain a
hazardous atmosphere, contains material that has the potential for engulfing an entrant, has
inwardly converging walls or a floor that slopes downward that could potentially trap or
asphyxiate an employee, contains any other recognized serious safety/health hazard.
SECTION B: Describe Hazards and Controls
(This section must be completed for each asterisked environmental condition checked above.)
Describe job tasks that require personal protective equipment (PPE) and list the PPE
necessary to perform the job task.
Describe job hazards that require vaccines and/or medical monitoring/fit testing and list the
vaccines/medical monitoring/fit testing required.
OTHER COMMENTS: