Rehabilitation Counseling - CRC Exam Review (Rasch\USF)

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Review Guide for the CRC Examination:
Sample Job Analysis Form

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Job Analysis Form

Position:

_____________________________________________________________________

Employer:

_____________________________________________________________________

Address:

_____________________________________________________________________

Location of Job (if different from above):

_____________________________________________________________________

Hours of Work:

_____________________________________________________________________

Compensation:

_____________________________________________________________________

Overall Purpose of Job:

_____________________________________________________________________

Education, Training, Licenses or Certifications Needed:

_____________________________________________________________________

Major Tools, Equipment or Materials Used:

_____________________________________________________________________

Describe Any Barriers on Job Site(s):

_____________________________________________________________________

Job Tasks and Elements

Directions: Begin each Task and Element statement with an action verb. Do not describe the specific motions of hand, feet, or eyes needed to complete each Element. Tasks are numbered 1 - N (i.e. the total number in the job) and elements are numbered in relation to the task they are associated with using a decimal point to separate the Task and Element (e.g., 1.1, 1.2, 1.3, 2.1).

Task # __(1)____:

_________________________(Description of Task 1)__________________________

_____________________________________________________________________

Elements in Task (Number Each Element, e.g., 1.1):

(1.1)________________________________________________________________

(1.2)________________________________________________________________

(1.3)________________________________________________________________

(1.4)________________________________________________________________

(1.5)________________________________________________________________

(1.6)________________________________________________________________

Task # __(2)____:

_____________________________________________________________________

Elements in Task (Number Each Element, e.g., 2.1):

(2.1)________________________________________________________________

_____________________________________________________________________

Task # __(3)____:

_____________________________________________________________________

Elements in Task (Number Each Element, e.g., 3.1):

(3.1)________________________________________________________________

_____________________________________________________________________

___________(form continues until all tasks and elements are described)_______________

_____________________________________________________________________

Physical Demands:

1. Strength: _____ 2. Climbing: _____ 3. Balancing: _____ 4. Stooping: _____

5. Kneeling: _____ 6. Crouching: _____ 7. Crawling: _____ 8. Reaching: _____

9. Handling: ____ 10. Fingering _____ 11. Feeling _____ 12. Talking _____

13. Hearing _____ 14. Tasting/Smelling _____ 15. Near Acuity _____ 16. Far Acuity _____

17. Depth Perception _____ 18. Accommodation _____ 19. Color Vision _____

20. Field of Vision _____

Comments on Physical Demands:

_____________________________________________________________________

Working Conditions:

1. Harsh Weather _____ 2. Extreme Cold _____ 3. Extreme Heat _____

4. Sudden Temperature Change _____ 5. Wet and/or Humid _____ 6. Noise _____ 7. Vibration _____

8. Atmospheric Conditions _____ 9. Proximity to Moving, Dangerous Machinery _____

10. Risk of Electrical Shock _____ 11. Working in High Places _____

12. Exposure to Radiation _____ 13. Working With Explosives _____

14. Exposure to Hazardous Chemicals _____ 15. Other Hazards _____

Comments on Working Conditions:

_____________________________________________________________________

Desired Temperaments:

Working Alone _____ Directing Activities of Others _____ Expressing Oneself Clearly _____

Influencing Others _____ Judgment _____ Working with People _____

Repetitive Activity _____ Stress _____ Tolerances _____

Working Under Close Supervision _____ Varied Activities _____

Comments on Desired Temperaments:

_____________________________________________________________________

Note: The job analysis may also describe what is specifically required in realation to the data, people and thing and general educatiuonal development requirements as described in the Dictionary of Occupational Titles.

Return to Areas to Review

World Wide Web Review Guide for the CRC Examination:Sample Job Analysis Form

World Wide Web
Review Guide for the CRC Examination:
Sample Job Analysis Form