ORS 4 COG 1P ORS - Cognitive Elements Test

U.S. Department of Labor Bureau of Labor Statistics

Occupational Requirements Survey

Private Industry

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Occupational Requirements Survey – Revised Cognitive Elements Test Recording Form

ORS Schedule # «Sched»			IDC Schedule # (ECI overlaps) «ncs_sched»
Sample Information
Sampled Region «Sample_region»	Sampled Employment «Sample_employment»		Sampled Ownership «Sample_ownership»		Sampled NAICS «Sample_NAICS»
Collection Information
Collection Region «Collection_region»	Reported Employment «reported_employment»		Collected Ownership «collected_ownership»		Collected NAICS «collected_NAICS»
ORS FE «fe_first_name» «fe_last_name»			NCS FE (ECI overlaps) «idc_first_name» «idc_last_name»
Company Information
Company Name «company_name»
Secondary Name «secondary_name»
Street Address «street_address»
City «city»		State «state»		ZIP «zip»
Respondent Information
Respondent Name «respondent_pre» «respondent_pre» «respondent_pre»
Respondent Title “respondent_title”
Respondent Phone “respondent_phone”
Notes:

First Sampled Job
Job Title «job_title_1»	Quote # «Hit_number»
	SOC «soc_code»
«Full_part_time»/«Time_incentive»/«Union_nonunion»	Employment «Occ_employment»
Description: «job_description»
Notes:
Second Sampled Job
Job Title «job_title_2»	Quote # «Hit_number»
	SOC «soc_code»
«Full_part_time»/«Time_incentive»/«Union_nonunion»	Employment «Occ_employment»
Description: «job_description»
Notes:
Work Review		“job_title_1»	“job_title_2»
How frequently is work checked in the occupation?
More than once per day		☐	☐
Once per day		☐	☐
At least once per week, but less than daily		☐	☐
Less than weekly		☐	☐
Are supervisors generally present in the same work area as workers?		Yes☐ No☐	Yes☐ No☐
Control of Work Pace, Workflow & Pause Control		“job_title_1»	“job_title_2»
Which of the following most determines the pace of work? (Select one)
Machinery, equipment, or software controls pace		☐	☐
Numerical performance targets or quotas enforced by company determine pace		☐	☐
Other persons determine pace (e.g., co-workers, supervisors, customers, members of public)		☐	☐
Other external source (specify) _____________________		☐	☐
Self-paced by worker within general performance guidelines		☐	☐
How would you describe the work flow for this job? Would you say that it …
Has few (if any) slack periods		☐	☐
Has few (if any) rush periods (or large build-ups of work)		☐	☐
Varies, with fluctuations or rush periods (or large build-ups of work) and slow periods on a daily or weekly basis		☐	☐
Can workers step away from their work area easily outside of scheduled breaks? (e.g., short bathroom breaks)?		Yes☐ No☐	Yes☐ No☐
Problem Solving		“job_title_1»	“job_title_2»
The next question is about “problem solving” tasks that the worker does in his/her job. Think of “problem solving” as what happens when workers are faced with a new or difficult situation which requires them to think for a while about what to do next. How often is the worker responsible for solving problems that take more than 5 minutes to find a good solution?
More than once per day		☐	☐
Once per day		☐	☐
At least once per week, but not every day		☐	☐
Less than weekly, but at least once per month		☐	☐
Less than monthly, including never		☐	☐
Personal Contacts		“job_title_1»	“job_title_2»
How often does this occupation require verbal, work-related interactions?
Constantly, every few minutes		☐	☐
More than once per hour, but not constantly		☐	☐
More than once per day, but not more than once per hour		☐	☐
No more than once per day, including never		☐	☐
What level of “people skills” does this job require?
Minimal/basic		☐	☐
More than basic		☐	☐
Checklist		“job_title_1»	“job_title_2»
Are workers in this occupation…
Required to work with the general public?		Yes☐ No☐	Yes☐ No☐
Required to work around crowds?		Yes☐ No☐	Yes☐ No☐
Required to supervise others as part of job?		Yes☐ No☐	Yes☐ No☐
Permitted to work from home or telework?		Yes☐ No☐	Yes☐ No☐
Required to work outside?		Yes☐ No☐	Yes☐ No☐

ORS Form 4 COG 1P